Fosfomycin for UTI

Yes. Fosfomycin is one of the antibiotics recommended by NICE for uncomplicated UTIs in women who are not pregnant, when nitrofurantoin is not suitable. It works against E. coli, the bacteria that cause most UTIs, and because it’s a single dose, there’s no course to remember.

Complete our online consultation for a clinical assessment by one of our experienced prescribers to find out whether you’re eligible for a prescription to buy fosfomycin 3g sachets online.

Monuril is a brand name for fosfomycin 3g granules. They contain the same active ingredient and work in the same way.

Yes. A single 3g dose of fosfomycin stays at high levels in your urine for 1 to 2 days, which is long enough to treat most uncomplicated UTIs in women. Your symptoms may take 2 to 3 days to settle after the dose.

You cannot buy fosfomycin over the counter at a pharmacy as it is a prescription-only medication. This means you must have a prescription from a licensed prescriber to buy fosfomycin for a UTI.

If you think you have a UTI, you can fill out our simple online questionnaire to start your consultation with one of our UK-registered prescribers. Then, if prescribed, you can buy fosfomycin 3g sachets through our online pharmacy with fast UK delivery.

You can order fosfomycin 3g sachets through an online pharmacy after a clinical assessment with a registered prescriber. A prescriber will only prescribe fosfomycin if it’s clinically appropriate for you and your situation.

Do not buy antibiotics from pharmacies or websites that do not require a consultation with a medical professional.

At My Chemist Plus, you can have a free consultation with a UK-registered, experienced prescriber for fosfomycin. If prescribed, you can order fosfomycin online with fast UK-wide delivery. Fill out a quick health questionnaire to get started.

Not always. Some mild UTIs get better on their own within a few days. Antibiotics are usually recommended when your symptoms are bothersome, aren’t improving, or you have several typical symptoms together. Our prescribers use these clinical criteria during your consultation to decide whether antibiotics are likely to help.

Always follow your prescriber’s instructions. Fosfomycin is a single dose, so you only take it once.

• Take it on an empty stomach, at least 2 to 3 hours before or after eating. Bedtime, after emptying your bladder, is often best.
• Empty the contents of the sachet into a glass of water, stir and drink it straight away.
• Do not take it with hot water.

If you are sick (vomit) within a few hours of taking fosfomycin, contact us or a pharmacist for advice, as the dose may not have been absorbed.

For women with an uncomplicated UTI, the dose is a single 3g sachet, taken once.

Many women start to feel better within 1 to 3 days. If your symptoms do not start to improve within 3 days, or they get worse, seek medical advice. Do not take another antibiotic without a new assessment.

Our service does not supply fosfomycin during pregnancy. UTIs in pregnancy need a urine test and a different choice of antibiotic, so please speak to your GP or midwife.

If you’re breastfeeding, let your prescriber know during your consultation so they can give you the right guidance.

Alcohol does not interact with fosfomycin. But, it’s a good idea to avoid alcohol while you have a UTI, as it can irritate your bladder and make symptoms worse.

Fosfomycin can make some people feel dizzy. If this happens, do not drive or operate machinery until you feel better.

Fosfomycin does not affect the contraceptive pill directly. It also does not affect the emergency contraceptive pill. But, fosfomycin can cause vomiting or diarrhoea in some people.

If you’re vomiting or have diarrhoea for more than 24 hours, this may prevent your contraceptive pill from working. To find out what to do, read the patient information leaflet that comes with your contraceptive medication, speak to your doctor, or visit the NHS website for guidance.

Tell your prescriber about all medicines you take. In particular, mention metoclopramide, used for sickness, as it can stop fosfomycin working as well.

Nitrofurantoin is usually the first choice for UTIs in women, with trimethoprim and pivmecillinam as other options. Your prescriber will recommend the most suitable treatment during your consultation.

Learn more about nitrofurantoin and trimethoprim for UTIs.

While you recover, drink plenty of fluids so you pee regularly, and take paracetamol or ibuprofen for pain if they’re suitable for you. Rest and avoid sex until you feel better.

To help prevent UTIs in future, wipe from front to back after using the toilet, pee as soon as possible after sex, and don’t hold in your pee when you need to go.

Seek urgent medical advice if you:

• Have a high temperature or feel hot and shivery
• Have pain in your lower back or side, just under your ribs
• Feel sick, are vomiting or feel very unwell
• Notice blood in your urine that does not go away
• Do not start to feel better within 48 hours of starting treatment