In my experience a high proportion of these cases are due to kraurosis and
respond to prophylactic topical oestrogen rather than antibiotics
[log in to unmask] wrote:
> Being long retired I am somewhat out of touch (understatement of the day)
> with clinical practice but am interested in the options for an elderly
> female relative who controlled a tendency to cystitis for years with
> prophylactic nitrofurantoin but then developed signs of peripheral
> neuropathy and was advised never to take it again. Her urologist put her on
> daily trimethoprim but advised rotating her prophylactic every few months.
> Her last GP (she has recently relocated and will be joining a new practice)
> said the only alternative was penicillin and why bother if trmethoprim
> suited her. What are the rotatory possibilities for someone who can't take
> nitrofurantoin?
>
> Senior Lurker
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