In treating acute cystitis during pregnancy, which of the following treatments is not recommended?

Ciprofloxacin is not recommended for treating acute cystitis during pregnancy because it belongs to the fluoroquinolone class of antibiotics, which has been associated with potential risks to fetal development. Studies indicate a concern regarding the impact of fluoroquinolones on cartilage development and the possibility of causing musculoskeletal issues. As a result, alternative antibiotics that are safer for use during pregnancy, such as beta-lactams, Macrobid (nitrofurantoin), and Fosfomycin, are preferred. These options have a better safety profile for both the mother and the developing fetus, making them suitable choices for treating urinary tract infections during this sensitive period.