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Nitrofurantoin Oral Suspension

Last Updated: June 28, 2018
Status: Current

Products Affected - Description
    • Nitrofurantoin oral suspension, Amneal, 25 mg/5 mL, 230 mL bottle, UPC 65162-0689-88
    • Nitrofurantoin oral suspension, Lupin, 25 mg/5 mL, 230 mL bottle, UPC 43386-0450-11
    • Nitrofurantoin oral suspension, Nostrum, 25 mg/5 mL, 240 mL bottle, UPC 70408-0239-32
    • Nitrofurantoin oral suspension, Teva, 25 mg/5 mL, 230 mL bottle, UPC 00472-1992-08
Reason for the Shortage
    • Amneal did not provide a reason for the shortage.
    • Casper Pharma and Lupin Pharmaceuticals were not available to provide information.
    • Lupin is no longer manufacturing this product.
    • Nostrum is no longer manufacturing this product.
    • Teva did not provide a reason for the shortage.
Available Products
    • Furadantin oral suspension, Casper, 25 mg/5 mL, 230 mL bottle, NDC 70199-0006-32

Estimated Resupply Dates

    • Amneal has nitrofurantoin oral suspension on back order and the company cannot estimate a release date.
    • Teva has nitrofurantoin oral suspension on back order and the company cannot estimate a release date.
    • Lupin and Nostrum have discontinued the production of nitrofurantoin oral suspension.

Alternative Agents & Management

    • Nitrofurantoin 2 mg/mL suspension can be made from nitrofurantoin bulk powder and SyrSpend SF PH4 vehicle. Mix nitrofurantoin with a small amount of suspending vehicle to form a paste. Dilute the paste with additional SyrSpendSF to a final volume of 300 mL. Store at room temperature or under refrigeration in light-resistant bottles. Suspension is stable for 90 days.[1]
    • Macrodantin (nitrofurantoin macrocrystalline) capsules can be opened and mixed with food or water and flushed down a tube.[2]
    • Macrobid (nitrofurantoin monohydrate/macrocrystalline) capsules should not be opened as this may interfere with the nitrofurantoin release mechanism.[2]

References

    1. De Oliveira, FA, Polonini HC, Loures da Silva S, et al., (2017). Stability of Alprazolam, Atropine Sulfate, Glutamine, Levofloxacin, Metoprolol Tartrate, Nitrofurantion, Ondansetron HCl, Oxandrolone, Pregabaline, and Riboflavin in SyrSpend SF PH4 Oral Suspensions. International Journal of Pharmaceutical Compounding, 21(3), 255-263.
    2. Alvogen Customer Service (personal communications). June 5, 2018.

Updated

Updated June 28, 2018 by Anthony Trovato, Pharmacy Resident. Created June 5, 2018 by Leslie Jensen, PharmD, Drug Information Specialist. Copyright 2018, Drug Information Service, University of Utah, Salt Lake City, UT.

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