re: OT Parents - how would you handle receiving conflicting medical info from doctors?

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recommend to ask the doctor to change the prescription to Cipro or Bactrim (unless she is allergic to sulfa) first thing tomorrow morning. Those are lower risk than Macr

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You might want to read the FDA link I just posted. Cipro isn’t a drug you want to take unless you absolutely have to.

Yeah but the woman isn't on cipro..she is on macrobid.


I'm not talking about the risks of cipro to the baby...but to mom. Why take a med that has possible side effects when there is another med that you can take?

The FDA alert says this class of drug should be avoided when other meds are available. Especially for treating something basic like a UTI.

But the mom's doctor prescribed macrobid.

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your irrational fear of cipro harming the mother is just that

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Then why is the FDA warning about the use of that class of medications if it is such an irrational fear?

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I recommend to ask the doctor to change the prescription to Cipro or Bactrim (unless she is allergic to sulfa) first thing tomorrow morning. Those are lower risk than Macrobid.

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I am allergic to avelox and augmentin; yet I can take Cipro. I took cipro for a UTI and breastfed and my son is fine.

I understand nurse's concern about cipro. I saw a sudden cipro backtrack warning a few years ago. I asked an MD and he blew the warning off. Cipro is not the best for UTI's but it'll do in a pinch of which I have been in.

This entire thing could go so many ways. I have very good reasons for always second guessing docs and PA's and trusting a pharmacist in this situation...

As a mom who breastfed all of my kids, I would not want to break in the breastfeeding- yet, a UTI could lead to a kidney infection and worse. The OP should call the doctor on call and not listen to 25 pages of opinions in so many variables.

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But the mom's doctor prescribed macrobid.

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No shite, because the OB isn’t worried about the breastfeeding infant having problems with that particular abx.

But someone suggested other abx that are even less harmful (potentially) to a breastfeeding infant than macrobid. If a physician (for a number of reasons) was concerned with macrobid harming the infant (they should therefore also be concerned with Bactrim) then cipro would be appropriate.

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I'm sure it's a warning on the macro/public health level due to the risk of breeding resistant organisms not a patient specific risk.

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Nope...again from the FDA

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An FDA safety review has shown that fluoroquinolones when used systemically (i.e. tablets, capsules, and injectable) are associated with disabling and potentially permanent serious side effects that can occur together. These side effects can involve the tendons, muscles, joints, nerves, and central nervous system.

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I'm not saying I would never ever take these meds. But if I'm prescribed them for something basic...I'm questioning the provider for their rationale and asking if there is a better alternative.

I’m currently nursing baby #2. If this med is really only a concern for babies younger than one month and she decides not to breastfeed through it, does she have to dump milk she has pumped? She could just freeze it and use later if the baby is going to daycare or anywhere you will need bottles of pumped milk after one month of age.

Express amd discard milk until finishing medication; your baby will probably not refuse a bottle that young. At one point, they thought thalidomide was safe.

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7) Pharmacist (only about the drug and dosage)

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Considering this question is specifically about the drug, theyre at least 2 and maybe 1a.