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Seeking Alternative Antibiotic for UTI Symptoms and Side Effects
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Kidney & Urinary Health
Question #29016
45 days ago
113

Seeking Alternative Antibiotic for UTI Symptoms and Side Effects - #29016

Client_7c5170

Hello doctor, I’m having symptoms of a Urinary Tract Infection since the day before yesterday, pain while urinating, frequent urge, and I noticed a little blood once. I also developed fever. I got a urine test done which shows infection. I had pus cells 15-20 rbc 3-4 bacteria +detected and epithelial cell 20-30 I was prescribed Nitrobact 100 mg BD, Urispas TDS, and L-cin 500 OD. After taking L-cin, I am experiencing continuous dizziness, nausea, and chest/throat discomfort, and I’m not able to tolerate it. Can you please suggest an alternative antibiotic and tell me if I should continue the other medicines?”

How long have you been experiencing dizziness and nausea?:

- 1-3 days

Have you experienced similar side effects from antibiotics in the past?:

- Yes, occasionally

Are you currently taking any other medications or supplements?:

- No, just the prescribed ones
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello dear As per clinical history it seems moderate uti infection. The medication l chin contains Levofloxacin which causes dizziness and headache. So as per my clinical experience this medication should be rest but rest two Nitrofurantoin Urispas Should be continued to control infection Instead Amoxicillin and Ciprofloxacin can be added in current regimen However i suggest you to please consult general physician medicine for better clarity regarding Stopping of medication Additional medication Please donot take any medication without consulting the concerned physician only Regards

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Given your symptoms and the side effects you’re experiencing with L-cin, it’s essential first to consult with your doctor immediately about the adverse reactions. L-cin, or levofloxacin, is a fluoroquinolone antibiotic that can cause dizziness, nausea, and other more serious side effects. Your doctor can assess whether stopping L-cin is the best course. Meanwhile, regarding an alternative antibiotic, Nitrofurantoin, the active component in Nitrobact, already covers many common bacteria causing urinary tract infections. If symptoms persist, considering switching to a different antibiotic class might be necessary, such as a cephalosporin like cefpodoxime or a beta-lactam like amoxicillin-clavulanate, but only under direct medical supervision. Your urine culture results, if available, would help guide these choices, selecting an antibiotic specific to the bacteria responsible. As for Urispas (flavoxate) and its role in alleviating urinary discomfort, if it’s helping with your symptoms and not causing issues, you may continue it, ensuring it doesn’t conflict with any new medications. Increasing hydration and avoiding irritants like caffeine or alcohol can aid comfort and recovery. Also, given your earlier mentioned fever and blood in urine, it’s essential if symptoms worsen or the fever persists, there’s an urgent need to contact your healthcare provider, as untreated or ineffectively managed UTIs can lead to complications such as kidney infections.

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