A pregnant patient with urinary frequency is found to have a UTI. What drug is safest to treat this?

A pregnant patient with urinary frequency is found to have a UTI. What drug is safest to treat this?

Doxy, Amox, Cipro, or Nitrofurantoin.

Nitrofurantoin. nitrofurantoin is the safest and most efficacious medication listed. Amoxicillin is as safe as nitrofurantoin but has a lower efficacy against typical urinary tract pathogens. Doxycycline is associated with fetal tooth discoloration and so it should be avoided. Ciprofloxacin is not recommended during pregnancy due to potential problems with bone and cartilage formation.

Although not common;

But nitrofurantoin better to be avoided after 36 wks for the risk of hemolytic anemia of newborn

Can substitute it with cephalosporins