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Phosfomycin: what is it, what is it for and how to take it

Phosphomicin, or fosfomycin trometamol, is an antibiotic drug indicated for urinary tract infections, such as acute cystitis or recurrent urethritis, the presence of bacteria in the urine during pregnancy even without symptoms of infection, or treating or preventing urinary infections that arise after surgery, as it acts eliminating bacteria from the urinary tract, such as staphylococci, streptococci, E.coli, Proteus sp., Klebsiella sp., Enterobacter sp. or Citrobacter sp.

This remedy can be found in pharmacies or drugstores in the form of a sachet containing 3 g of fosfomycin, with the reference name Monuril or with the similar name Traturil, sold only by prescription.

what is it for

Phosphomicin is indicated for the treatment of bacterial infections of the urinary tract, such as:

  • Acute or recurrent cystitis;
  • Acute bacterial urethrovesical syndrome;
  • Urethritis;
  • Presence of bacteria in urine during pregnancy, without symptoms of infection;
  • Post-surgical urinary tract infection.

In addition, fosfomycin can be indicated by the physician to prevent urinary tract infections after surgery or any urinary tract procedure, such as placement of a urinary catheter, for example.

How to use

The contents of the fosfomycin envelope should be dissolved in a glass of water, and the solution should be ingested on an empty stomach, immediately after preparation, preferably at night, before bedtime and after urinating. After starting treatment, symptoms should disappear within 2 to 3 days.

The normally recommended dose consists of a single dose of 1 envelope, however, it may vary according to the severity of the disease and according to medical advice.

For infections caused by pseudomonas, Proteus and Enterobacter, it is recommended to administer 2 envelopes, administered at 24-hour intervals, as described above.

To prevent urinary infections, before surgical interventions or instrumental maneuvers, it is recommended that the first dose be administered 3 hours before the procedure and the second dose 24 hours later.

Possible side effects

Some of the side effects that may occur during fosfomycin treatment are headache, dizziness, vaginal infections, nausea, stomach pain, diarrhea, or skin reactions that include itching and redness. See how to fight diarrhea caused by this antibiotic.

who should not use

Phosphomicin should not be used by people who are allergic to fosfomycin or any of the ingredients in the formula. In addition, it should also not be used by people with severe kidney failure or who are undergoing hemodialysis, and it should not be used by children.

Phosphomicin during pregnancy or breastfeeding should only be used with medical indication and guidance.

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