About your condition and treatment
To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.
0%
Back
Do you have any allergies?
If yes, please provide details
Have you ever had an allergic or anaphylactic reaction to nitrofurantoin or any other antibiotics?
Please provide details in this box here...
Do you have any symptoms?
If yes, please provide details
Women only: Are you pregnant, planning pregnancy, or is there any possibility that you could be pregnant?
Have you been told by your doctor that you have an intolerance to any sugars (e.g galactose intolerance, Lapp lactase deficiency or glucosegalactose malabsorption)?
If yes, please provide details
Are you using an indwelling urinary catheter?
Have you been treated for a urinary tract infection in the last 3 months?
Are you immunosuppressed through disease, treatment or medication?
Do you have any bladder problems?
If yes, please provide details
Do you have any liver or kidney problems?
If yes, please provide details
Do you have any of the following?
Acne
Women only: are you currently breast-feeding?
Are you receiving vaccination with the oral typhoid vaccine (Vivotif) or have you completed vaccination in the last 10 days?
Are you suffering from flank pain, loin pain or fever?
Do you suffer from recurring urinary tract infections?
Do you have blood in your urine?
Please list all your current prescription medication including any medication you buy over the counter...
Please provide details of any recent or past medical history of note
Next
The Agreement
Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.
0%
Back
Do you agree to the following?
Submit
