Will taking Nitrofurantoin Macrocrystal cause my Breast Implant to encapsulate?

Question

I get a lot of UTI's so my Urologist wants to put me on Nitrofurantoin Macrocrystal for 6 months. Will this cause my breast implants to encapsulate?

Brian C. Reuben, MD · Answer

Thank you for your question.  In short, no, the antibiotic should not cause encapsulation or capsular contracture of your implant.  Best of luck to you.

Joe Gryskiewicz, MD, FACS · Answer

Hi B,The most popular current theory about capsules is that they are a result of a bacteria "biofilm" which coats the implants.  This results in inflammation, and then tight scarring.  So, no, an antibiotic (even though Nitrofurantoin is more of a chemical antibiotic) will not increase your chance of having a capsule.  No cause for alarm.  All the best, "Dr. Joe"

William T. Stoeckel, MD · Answer

It would be impossible to say for certain if any particular medication could put you at increased risk for capsular contracture without performing a scientific study. I do not know of any such studies and can not think of a reason as to why Nitrofurantoin would have any correlation with capsular contractures. I do not think that there is any reason to worry about this any more than anyone else who isn't taking this medication.

Jeffrey Zwiren, MD · Answer

I am not aware of any medication, especially an antibiotic, that would increase your risk for developing a capsular contracture.

Robert H. Hunsaker, MD · Answer

I am unaware of any information to suggest this would be an issue nor can I think of any reason it might be so. You still do have a risk of forming a capsular contracture though. We have not yet discovered how to absolutely prevent capsular contracture from occuring.

Will taking Nitrofurantoin Macrocrystal cause my Breast Implant to encapsulate?

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