Pivmecillinam for UTI

Yes. Pivmecillinam is one of the antibiotics recommended by NICE for uncomplicated UTIs in women who are not pregnant, when nitrofurantoin is not suitable. Resistance to pivmecillinam among UTI bacteria in the UK is low.

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 pivmecillinam 200mg tablets online.

Selexid is a brand name for pivmecillinam. They contain the same active ingredient and work in the same way.

Yes. Pivmecillinam is a penicillin-type antibiotic, so it is not suitable if you’re allergic to penicillin. Tell your prescriber about any allergies during your consultation.

• You cannot buy pivmecillinam 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 pivmecillinam 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 pivmecillinam 200mg tablets through our online pharmacy with fast UK delivery.

You can order pivmecillinam 200mg tablets through an online pharmacy after a clinical assessment with a registered prescriber. A prescriber will only prescribe pivmecillinam 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 pivmecillinam. If prescribed, you can order pivmecillinam 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 and complete the full course of treatment even if you start feeling better. If you finish your course and still feel unwell, speak to your doctor or pharmacist.

• Take two tablets (400mg) for your first dose, then one tablet (200mg) three times a day until you finish the 3-day course.
• Take it with or just after food.
• Swallow the tablets whole with a full glass of water while sitting or standing upright, and do not take them just before lying down, as they can irritate your food pipe.

If you forget to take a dose, take it as soon as you remember, unless it’s nearly time for your next dose. In that case, skip the missed dose. Do not take two doses at the same time to make up for a forgotten dose.

For women with an uncomplicated UTI, the usual dose is 400mg (two tablets) first, then 200mg (one tablet) three times a day, for a total of 3 days. It’s very important you follow your prescriber’s advice and finish the full course.

Many women start to feel better within 1 to 3 days. If your symptoms do not start to improve within 48 hours, or they get worse, seek medical advice.

Our service does not supply pivmecillinam 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 pivmecillinam. But, it’s a good idea to avoid alcohol while you have a UTI, as it can irritate your bladder and make symptoms worse.

Pivmecillinam should not affect your ability to drive. If you feel unwell, do not drive or operate machinery until you feel better.

Pivmecillinam does not affect the contraceptive pill directly. It also does not affect the emergency contraceptive pill. But, pivmecillinam 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:

• Sodium valproate or valproic acid, used for epilepsy or bipolar disorder
• Methotrexate
• Probenecid, used for gout

Nitrofurantoin is usually the first choice for UTIs in women, with trimethoprim and fosfomycin 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, under your ribs
• Feel sick, are being sick or feel very unwell
• See blood in your pee that does not go away
• Do not start to feel better within 48 hours of starting treatment