Your Online Medical Consultation

ABOUT YOU AND YOUR SYMPTOMS

Are you female and between 18-70 years old?

Have you previously been diagnosed with cystitis by a GP or nurse practioner?

Cystitis is also known as waterworks infection or urinary tract infection

Are you requesting medication to treat a current infection?

Symptoms of cystitis typically include the following:

  • Burning or stinging when passing urine
  • Foul smelling urine
  • Increased frequency to pass urine
  • Needing to pass urine urgently

Have you had cystitis in the last 4 weeks?

Over the last 12 months, have you had 3 or more episodes of Cystitis that were treated with prescription antibiotics?

ABOUT YOUR HEALTH

Do you have any allergies to any medication or substances?

Answer ‘no’ if this does not apply to you

Are you taking any medication, or have you recently finished a course of medication?

Such as:

  • Antacids for indigestion (e.g. magnesium trisilicate)
  • Medicines for gout (e.g. probenecid or sulfinpyrazone)
  • Medicines for raised pressure in the eye (glaucoma), such as carbonic anhydrase inhibitors (e.g. acetazolamide)
  • Medicines which make the urine less acidic (e.g. potassium citrate mixture)
  • Medicines for infections, known as quinolones

This includes medication prescribed by your doctor, bought in the pharmacy or online, herbal supplements, recreations drugs

This includes tablets, patches, inhalers, injections, contraception and all other forms of medication

Answer ‘no’ if this does not apply to you

Do you suffer from any other medical problems?

Such as:

  • Blood disorders (such as anaemia, low vitamin B levels, G6PD deficiency, porphyria)
  • Diabetes
  • Kidney damage
  • Liver damage

This also includes previous admissions to the hospital or any surgeries

Answer ‘no’ if this does not apply to you

Do you have a family history of any medical conditions?

Do any medical conditions run in the family? Such as heart problems, diabetes, blood disorders etc?

Answer ‘no’ if this does not apply to you

Are you pregnant or breast feeding, think you may be pregnant or trying to have a baby?

IMPORTANT INFORMATION TO KNOW

I understand that cystitis typically presents with the following symptoms

  • Burning or stinging when passing urine
  • Foul smelling urine
  • Increased frequency to pass urine
  • Needing to pass urine urgently

I understand that I should wait 2 days for cystitis to resolve on its own before resorting to using antibiotics

This is to avoid the over-use of antibiotics resulting in antibiotic resistance

I understand that symptoms should improve within 24 hours and resolve within 3 days of starting this treatment. If symptoms do not resolve within 3 days, I will need to see my GP

I understand that if I experience any of the following, I should seek medical advice, either from the GP or NHS 111 service.

  • Back pain
  • Temperature above 37.5 degrees C
  • Unintentional shaking or chills
  • Visible blood in the urine

AGREEMENT

We strongly recommend that you inform your GP of any treatment you receive. Would you like e-Surgery to do this in your behalf?

Please write the name of your GP surgery below if you want us to let them know.

This will ensure that any new medication started by your GP will not interact with this treatment.

Answer ‘no’ if you do not want us to inform your GP

I agree to the following

  • I am 18 years of age or older
  • This treatment is for my use only
  • I confirm that I have understood all the questions asked and have answered all questions to the best of my knowledge.
  • I have read the patient information leaflet supplied with this medication
  • I will contact e-Surgery and inform my GP if I experience any side effects from this treatment or if there are any changes to my health
  • I have answered all questions truthfully and accurately.

I have read, understood and agree to abide by terms and conditions and privacy policy and cookie policy of e-Surgery

What is this?

Your answers form the basis of your medical consultation. It is important you are open and honest, so our doctors can ensure this medication safe and effective for you

Nitrofurantoin (Macrobid 3 Day Treatment Course)

Nitrofurantoin (Macrobid modified release) is the first choice treatment prescribed by doctors to treat urinary tract infections such as cystitis. The standard treatment consists of 100mg Nitrofurantoin slow release tablets taken twice a day for 3 days. Nitrofurantoin quickly and effectively helps kill the bacteria that cause pain and other symptoms associated with cystitis.

Please keep in mind that e-Surgery is not an acute service, therefore we only issue this medication for future use, not an acute infection.

Pick the desired treatment below and complete a short questionnaire to help our GPs make sure this medication is safe for you to take. All prices include a private prescription from one of our experienced GPs.

We strongly believe in the responsible use of antibiotics and will only issue the minimum quantity required. 

Price
£16.50

In stock

Important Facts About MacroBID

Most frequent questions and answers about using MacroBID for cysitis treatment.

MacroBID is an antibiotic drug containing the active ingredient, Nitrofurantoin. 

MacroBID is a modified release formulation, which means it can be taken only twice daily instead of the normally indicated four times daily for standard nitrofurantoin. 

MacroBID (active ingredient: Nitrofurantoin) is commonly used to treat infections of the bladder, kidney and other parts of the urinary tract. 

MacroBID effectively treats uncomplicated cystitis and urinary tract infections (commonly known as UTIs). 

You can not take MacroBID if you:

  • Are allergic to any of the ingredients
  • Have severe kidney disease
  • Are in the final stages of pregnancy
  • Have porphyria
  • Have G6PD deficiency
  • Are under 3 months of age
  • Are breast feeding a baby with G6PD deficiency

If you are unsure of any of the above criteria, please contact your doctor before commencing treatment with MacroBID.

Tell your doctor or pharmacist if you are taking, or have recently taken any other medication. Below is a list of medications that you should be aware of, as they may interfere with MacroBID:

• Antacids for indigestion (e.g. magnesium trisilicate)
• Medicines for gout (e.g. probenecid or sulfinpyrazone)
• Medicines for raised pressure in the eye (glaucoma), such as carbonic anhydrase inhibitors (e.g. acetazolamide)
• Medicines which make the urine less acidic (e.g. potassium citrate mixture)
• Medicines for infections, known as quinolones
• Typhoid vaccine, which is given for the prevention of typhoid.


If you are in doubt about any of these medicines ask your doctor or pharmacist.

 

If you are pregnant or breast-feeding, you should ask your doctor or pharmacist for advice before taking this medicine. MacroBID can generally be used, but should be stopped during labour/delivery. 

Always take MacroBID exactly as your doctor or pharmacist has told you, and if you are unsure, you should check with your doctor or pharmacist.

MacroBID is most commonly taken TWICE daily for 3 days to treat simple urinary tract infections (UTIs). 

MacroBID capsules should be swallowed whole and taken with food or milk. 

You should complete your whole treatment course, even if you feel better. Do not stop earlier.

As with any form of medication, MacroBID capsules have side effects. For a full list of side effects, please read the Patient Information Leaflet of MacroBID.  Below are a few of the common side effects of taking MacroBID capsules:

  • Urine colour change
  • Loose stools
  • Headaches

For a full list of side effects, please read the Patient Information Leaflet of MacroBID.

Keep MacroBID capsules out of the sight and reach of children.


Do not store MacroBID capsules above 30°C (aluminium/aluminium). Do not store above 25°C (For PVC/polyethylene/aclar/aluminium blisters). Store in the original package to protect from light and moisture.


Do not use MacroBID capsules after the expiry date which is stated on the carton. 


MacroBID should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of Macrobid capsules no longer required. These measures will help to protect the environment.

Click here for a PDF copy of the patient information leaflet

Learn More About Cystitis

Most frequent questions and answers about cystitis

Cystitis is a common type of urinary tract infection (UTI) that causes inflammation of the bladder. 

A bacterial infection is usually the main cause of cystitis, but other causes of bladder damage/irritation can also cause cystitis. 

Cystitis is much more common in women than men, and some habits can increase the risk of cystitis, including:

  • Sex
  • Wiping from back to front on the toilet
  • Having a urinary catheter
  • Using a diaphragm for contraception

Symptoms of cystitis can include:

  • Pain when you pee
  • Needing to pee more then normal
  • Dark, smelling urine
  • Pain in the lower body
  • Feeling unwell

Mild cases will usually not require treatment, clearing in a few days. Some people experience frequent episodes of cystitis that may require long-term or regular treatment.

Prevention methods have not been fully studies; however, a few self-care measures are recommended, including:

  • Drinking plenty of fluids
  • Urinate frequently
  • Wipe from front to back on the toilet
  • Take showers rather than baths
  • Gently wash around the vagina and anus
  • Empty your bladder after intercourse
  • Avoid feminine products in the genital area

Interstitial cystitis is a chronic bladder health issue that causes long-term pelvic and urination pain. 

You should see your GP if you have persistent pelvic pain or notice a change in your usual pattern urination. 

You can find out more information about cystitis on a variety of website. These include the NHS website, Mayo Clinic and WebMD.

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