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Cystitis & Urine Infections
Cystitis & Urine Infections
The Doctor Service offers the most popular urine infections and cysttits prevention products such as Nitrofurantoin and Trimethoprim.We prioritise patients with urine infections as these are particularly unpleasant and we appreciate that you would like to start treatment soon.

If you are getting recurrent or frequent urine infections or you are a man, then you should not use the service today and get further advice from a health professional directly. 
  • Nitrofurantoin 50mg
  • Nitrofurantoin 100mg
  • Trimethoprim 200mg
Nitrofurantoin 50mg 
Nitrofurantoin 50mg
Nitrofurantoin 50mg
  • £16.50
     
  • £21.00
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Nitrofurantoin is the most commonly used antibiotic for Cystitis in the UK
     
  • How it Works
    Attacks the bacteria directly which are causing the infection
     
  • Key Information
    Nitrofurantoin 50mg Capsules are taken four times a day, for 3 days.
     
  • Effectiveness
    Usually fully effective within 3 days, with most symptoms improving within 48 hours. You should complete the course to reduce the chance of recurrence of infection.
     
  • Side Effects
    Like all medicines, Macrobid can cause side effects, although not everyone gets them. Most are mild and disappear when you stop taking Macrobid. Urine can become quite dark yellow or brown when taking this medication which is quite normal.
     
  • Common Side Effects
    Some people experience nausea, or headache when taking the medication.
     
  • Rare Side Effects
    Rare side effects may include confusion, cough, fever, or pains in joints or muscles or an allergic reaction. If any of these symptoms occur you should stop the medication and see a health professional for further advice.
     
  • Liver Problems
    You should not take this medication if you suffer from jaundice or liver problems.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Nitrofurantoin Modified Release (MacroBid) 100mg 
Nitrofurantoin Modified Release (MacroBid) 100mg
Nitrofurantoin Modified Release (MacroBid) 100mg
  • £17.00
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Nitrofurantoin is the most commonly used antibiotic for Cystits in the UK. Macrobid is the 100mg dose, which means it only needs to be taken twice daily.
     
  • How it Works
    Attacks the bacteria directly which are causing the infection
     
  • How to Take Macrobid
    Macrobid only needs to be taken twice a day, for 3 days.
     
  • Effectiveness
    Usually fully effective within 3 days, with most symptoms improving within 48 hours. You should complete the course to reduce the chance of recurrence of infection.
     
  • Side Effects
    Like all medicines, Macrobid can cause side effects, although not everyone gets them. Most are mild and disappear when you stop taking Macrobid. Urine can become quite dark yellow or brown when taking this medication which is quite normal.
     
  • Common Side Effects
    Some people experience nausea, or headache when taking the medication.
     
  • Rare Side Effects
    Rare side effects may include confusion, cough, fever, or pains in joints or muscles or an allergic reaction. If any of these symptoms occur you should stop the medication and see a health professional for further advice.
     
  • Liver Problems
    You should not take this medication if you suffer from jaundice or liver problems.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Trimethoprim 200mg 
Trimethoprim 200mg
Trimethoprim 200mg
  • £13.00
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Trimethoprim is the second most commonly used antibiotic for Cystitis after Nitrofurantoin.
     
  • How It Works
    Trimethoprim works by attacking the bacteria which are causing the urine infection
     
  • How to Take
    Trimethoprim tablets are taken twice daily, for 3 days.
     
  • Effectiveness
    Usually fully effective within 3 days, with most symptoms improving within 48 hours. You should complete the course to reduce the chance of recurrence of infection.
     
  • Common side effects (more than 1 in 100)
    Usually a very well-tolerated medication, although some people do sometimes report symptoms itching or rash, nausea or stomach discomfort.
     
  • Very Rare side effects (less than 1 in 10,000)
    Full information on side effects can be found in the patient information leaflet. Very rare side effects include cough, constipation or diarrhoea, change in behaviour and vertigo.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Cystitis Symptoms
The terms Urinary Tract Infection (UTI) and Cystitis are often used interchangeably. 

You may be experiencing a urine infection if you have any of the following symptoms:
  • Pain or burning passing urine.
  • Pain in your lower tummy.
  • Cloudy urine.
  • Passing more urine.
  • Increased urgency to pass urine. 
  • Blood in your urine. 
There are other ways in which urine infections may present too, but the above symptoms usually determine the obvious cause of your symptoms to be a urine infection. If you think you have a urine infection, then we may be able to provide medication to help treat these symptoms for you.

If you are experiencing pain in your sides or in your lower back, are experiencing a fever or you are feeling nauseous or have been vomiting we recommend you do not use our service and you seek advice today from a health professional.
Treatments Available
Nitrofurantoin is the most commonly prescribed antibiotic for cystitis in the UK.

It is very effective and has a low risk of side effects. There are two types available, a tablet which needs to be taken four times per day, or more easily, a tablet that only needs to be taken twice a day 

Trimethoprim is the second most commonly prescribed antibiotic for cystitis in the UK. 

You also need to take this medication twice daily. Both courses are for just for 3 days.
More Information on Medications

As with most medicines, there is a risk of side effects and circumstances under which you should not take this medication. We have a summary of the key information you need to know underneath each medication. 

Check the full Patient Information Leaflets available on this page. We recommend that you check these leaflets to make sure these medications are suitable for you before starting a consultation.

Not Sure Which One?
Make sure you have read the Key Information for the medications on this page. If they both are safe for you, then we would recommend nitrofurantoin 100mg. Across the UK this is the most commonly advised. 

There is a chance the antibiotic may not work as bacteria may alreadt have resistance to antibiotics. 

If your symptoms are not improving after 48 hours, we recommend you speak to a doctor for further advice.

If you have had a recent infection and successfully treated with an antibiotic, we recommend changing the antibiotic to reduce the risk of resistance and therefore reduce the risk of treatment failure.
Prevention of Urinary Tract Infections
Although some of these measures have limited evidence, we recommend doing them to try and prevent a further recurrence. This includes;
  • Ensuring to wipe front to back after passing urine.
  • Avoid dehydration and passing urine regularly.
  • Avoid spermicidal products.
  • Pass urine after sexual intercourse.
  • Avoid using soap to wash genitals and consider using water as an alternative. This prevents removing good bacteria which protect against infection-causing bacteria.
If you get recurrent cystitis you should seek further advice from a doctor to look into potential underlying causes.
Non-Antibiotic & Alternative Treatments
Sodium Citrate sachets can be bought from Chemist.net which can help to treat symptoms, especially if they are at an early stage. However they are not as effective as antibiotics. Increasing fluid intake can help some infections to pass on their own but thiere is a risk that the infection could worsen. 

There are other medications and treatments that have been considered including a medication called Methenamine Hippurate, and there are on-going studies related to this.

There are other supplements such as D-Mannose, cranberry juice and proanthycyanidins that may help but we do not recommend them as sole treatments and there is limited evidence with all their use.
When to Get Further Help
If you have new back pain on the sides, especially with a fever or vomiting you should seek medical advice today as you could have a kidney infection which requires urgent medical treatment.

If your symptoms are not resolving after 48 hours you should also seek further advice.
The use of antibiotics
Antibiotics can do more harm than good when prescribed or taken incorrectly and do not discriminate between good and bad bacteria in the body. By killing the beneficial bacteria in our body, this can given an opportunity for dangerous disease-causing bacteria to grow in their place. 

Antibiotics may also have a number of side effects including vomiting, thrush and diarrhoea, so therefore should only be taken or prescribed when needed. You should complete the entire course of antibiotics.

We take any allegations of inappropriate use of antibiotics seriously at The Doctor Service. You can read more about The Doctor Service commitment to the appropriate use of antibiotics.
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