Product image of Nitrofurantoin Kora Healthcare (Nitrofurantoin) supplied by GNH India

Nitrofurantoin Kora Healthcare

Active Ingredient:
Nitrofurantoin
Origin:
EU

Nitrofurantoin Kora Healthcare (Nitrofurantoin)

Nitrofurantoin, the active ingredient in Nitrofurantoin Kora Healthcare, is a nitrofuran antibiotic presented as an oral formulation for systemic use. It is employed to treat uncomplicated urinary tract infections caused by susceptible bacteria in adult patients and is commonly prescribed in outpatient settings.

GNH India supplies Nitrofurantoin Kora Healthcare as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide with a focus on quality assurance and regulatory compliance. Our distribution network ensures timely delivery across multiple continents, adhering to local import requirements.

Manufacturer / TM Owner

Kora Corporation Limited

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Indications & Clinical Uses

Nitrofurantoin is a nitrofuran antibiotic used to treat infections of the urinary tract.

  • Uncomplicated urinary tract infection: eradicates susceptible bacteria causing cystitis and urethritis.
  • Prophylaxis of recurrent urinary tract infection: reduces recurrence in patients with a history of multiple episodes.

How It Works

  • Nitrofurantoin exerts its antibacterial effect by entering bacterial cells and inhibiting enzymes involved in carbohydrate metabolism, particularly the bacterial electron transport chain. This disruption impairs the synthesis of nucleic acids and proteins, leading to bacterial cell death, especially in Gram‑negative uropathogens. The drug is concentrated in urine, achieving high local concentrations that exceed the minimum inhibitory concentrations for common uropathogens such as Escherichia coli, Enterococcus faecalis and Staphylococcus saprophyticus.

Side Effects

Nitrofurantoin may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild stomach upset that may improve when the medication is taken with food.
  • Diarrhea: loose, watery stools that can occur during the course of therapy.
  • Headache: transient headache without accompanying neurological deficits.
  • Skin rash: mild erythematous rash that usually resolves after discontinuation.

Serious or Rare Side Effects

  • Pulmonary toxicity: interstitial pneumonitis or chronic fibrosis that may develop after prolonged use and requires immediate drug cessation.
  • Hepatotoxicity: elevation of liver enzymes or hepatitis presenting with jaundice, fatigue and abdominal discomfort.
  • Hemolytic anemia: rapid destruction of red blood cells, particularly in individuals with glucose‑6‑phosphate dehydrogenase deficiency.

Precautions & Warnings

Before prescribing nitrofurantoin, clinicians should consider several precautionary measures to ensure safe use.

  • Renal function: assess creatinine clearance and avoid use in patients with severe renal impairment (eGFR <30 mL/min).
  • Pregnancy: use only when clearly needed; category B indicates no proven risk in human studies but caution is advised.
  • G6PD deficiency: screen patients as nitrofurantoin can precipitate hemolysis in deficient individuals.
  • Concomitant drugs: monitor for interactions that may increase nitrofurantoin levels or toxicity.
  • Allergic reactions: discontinue if hypersensitivity such as rash, pruritus or anaphylaxis occurs.
  • Store at ambient temperature: keep below 25 °C in the original packaging, protect from moisture and light.

Avoid Interactions

Nitrofurantoin may interact with other medicines, altering its effectiveness or safety profile.

Major Interactions (Avoid)

  • Antacids containing magnesium or aluminum: reduce nitrofurantoin absorption; separate dosing by at least 2 hours.
  • Probenecid: decreases renal excretion, increasing plasma concentrations and risk of toxicity.
  • Fluoroquinolones: concurrent use may increase risk of central nervous system adverse effects.
  • Cimetidine: may increase nitrofurantoin plasma levels, raising risk of toxicity.

Moderate Interactions (Monitor Closely)

  • Warfarin: nitrofurantoin can potentiate anticoagulant effect; monitor INR closely.
  • Oral contraceptives: may reduce efficacy of nitrofurantoin; assess need for alternative contraception.
  • Diuretics: may affect renal clearance of nitrofurantoin; monitor renal function.
  • Methenamine: combined use may increase risk of crystalluria; monitor urinary output.

Frequently Asked Questions

Nitrofurantoin Kora Healthcare is indicated for the treatment of uncomplicated urinary tract infections caused by susceptible bacteria. It is commonly prescribed for acute cystitis and urethritis in adult patients, helping to clear the infection and relieve associated symptoms.

The drug penetrates bacterial cells and inhibits enzymes that are essential for carbohydrate metabolism, particularly those in the electron transport chain. This interference disrupts nucleic acid and protein synthesis, leading to bacterial cell death, especially against common uropathogens.

The dosage of Nitrofurantoin Kora Healthcare is determined by the prescribing clinician based on the patient’s age, renal function, severity of infection and local treatment guidelines. The prescriber will select the appropriate strength, frequency and duration for each individual case.

Nitrofurantoin is classified as pregnancy category B, indicating that animal studies have not shown risk and there are no well‑controlled human studies. It may be used when clearly needed, but clinicians should weigh benefits against potential risks, especially in the first trimester. Limited data suggest it is compatible with breastfeeding.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. The sales team will then respond with pricing, availability, shipping details and any necessary import documentation.

The most common alternative for uncomplicated urinary tract infections is trimethoprim‑sulfamethoxazole. Nitrofurantoin has a narrower spectrum focused on urinary pathogens and achieves high urinary concentrations, which can reduce systemic side effects. However, it is contraindicated in severe renal impairment, whereas trimethoprim‑sulfamethoxazole may be used in a broader range of renal function.

Store the product at ambient temperature, preferably below 25 °C, in its original packaging. Keep it away from moisture and direct sunlight. Do not store in a bathroom or near a kitchen sink where humidity is high. Ensure the container is tightly closed after each use.

Nitrofurantoin is taken orally, usually with food or a full glass of water to improve absorption and reduce gastrointestinal irritation. The tablet or capsule should be swallowed whole; crushing or chewing is not recommended unless the prescriber specifically advises otherwise.

Serious adverse reactions include pulmonary toxicity such as interstitial pneumonitis or fibrosis, hepatotoxicity presenting as elevated liver enzymes or hepatitis, and hemolytic anemia, particularly in patients with glucose‑6‑phosphate dehydrogenase deficiency. Prompt medical attention is required if any of these symptoms develop.

Nitrofurantoin should be avoided in patients with severe renal impairment (eGFR < 30 mL/min), known hypersensitivity to nitrofurantoin or other nitrofurans, and individuals with glucose‑6‑phosphate dehydrogenase deficiency due to the risk of hemolysis. It is also contraindicated in patients who have experienced previous pulmonary toxicity from the drug.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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