Are There Any Over
Over-the-counter antibiotics for a UTI are not available. You should see your doctor to have your symptoms evaluated.
Your provider may recommend an OTC product called Uristat to numb your bladder and urethra to ease the burning pain during urination. Uristat can be bought without a prescription at the pharmacy. A similar phenazopyridine product called Pyridium is also available.
Take phenazopyridine for only 48 hours, and be aware it may cause your urine to turn a brown, orange or red color which may stain fabrics or contact lenses. It may be best to not wear contact lenses while being treated with phenazopyridine.
Phenazopyridine is not an antibiotic and will not cure a UTI.
See also: Ratings of Urinary Anti-Infectives
Other Over The Counter Products For Uti Prevention
Some OTC products do not directly affect the progress of an acute infection, but could help to prevent UTIs in the future:
However, it is crucial to address the reason you had a UTI happened in the first place.
There are multiple factors that can make you more prone to UTIs, such as certain contraceptive methods , diseases that affect vaginal health etc.
Therefore, a holistic approach to UTI prevention is more effective than just treating an acute infection.
Whats your favorite OTC UTI remedy that worked for you?
Written by Anastasia Visotsky, medically reviewed by Dr. Ogunyemi
What Can I Take To Relieve Pain
Phenazopyridine hydrochloride may relieve your pain, burning, itching, and urgency to urinate within 20 minutes. Avoid taking it if you have kidney disease or are allergic to dyes. Do not worry if your urine turns reddish-orange when you take this medication. This common effect is not harmful, but it can stain clothing.
Methenamine and sodium salicylate work together to slow bacterial growth along the urinary tract and to control the UTI. Do not take this medication if you are allergic to aspirin, are on a low-sodium diet or anticoagulant therapy, or have stomach problems.
You can also take other pain relievers, such as NSAIDs or acetaminophen .
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What Other Information Should I Know
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to phenazopyridine.
Phenazopyridine can interfere with laboratory tests, including urine tests for glucose and ketones. If you have diabetes, you should use Clinitest rather than Tes-Tape or Clinistix to test your urine for sugar. Urine tests for ketones may give false results. Before you have any tests, tell the laboratory personnel and doctor that you take this medication.
Phenazopyridine stains clothing and contact lenses. Avoid wearing contact lenses while taking this medicine.
Do not let anyone else take your medication. Your prescription is probably not refillable.
If you still have symptoms after you finish the phenazopyridine, call your doctor.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
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Can A Uti Go Away On Its Own
While most patients with a UTI will be prescribed antibiotics, the truth is, uncomplicated urinary tract infections are often self-limiting, meaning they can potentially run their course sans antibiotic treatment, noted a 2018 report in PLoS Medicine.
In fact, that same report found that more than one-half of the women studied experienced a UTI resolution without the use antibiotics. However, since kidney infections occurred in 7 out of 181 women using ibuprofen, the researchers concluded that, at this time, they cannot recommend ibuprofen alone as initial treatment to women with uncomplicated UTIs.
A better idea, for now: Simply wait until a positive urine culture comes back before treating with antibiotics.
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Best For Vitamin C: Zanapure Over The Counter Uti Med
The best part: Zanapure Over The Counter Uti Medicine costs comparatively little and it is available to ship in 24 hours. The zanapure over the counter utimed is the new alternative to the old cranberry juice filled up with sugar. The Manufacturer says: Our d-mannose supplement provides long-term urinary support with proper physical balance. Further, the counter is a natural molecule found in some fruits.
Most importantly, the zanapure over the counter uti med works for bladder infections and it works great.
Most buyers agree that the medicine has great ingredients and is a good value for the price. In addition, they say that the counter is really worth a try. Overall, buyers found this to be one of the best counters for daily purposes.
Why We Like This:
- This is very effective and it provides great value.
- Lot of satisfied buyers.
Azo Urinary Tract Defense
This is a relatively new OTC drug that has appeared in 2016 in pharmacies all over the USA and also could be ordered on.
Once you swallow it, Methenamine will work by slowing down the growth of pathogenic bacteria in the urinary tract.
When exposed to acidic urine, Methenamine turns into formaldehyde to kill the bacteria, but its not strong enough to eliminate an infection completely. It cant cure an active infection but may slow down its progress.
AZO Urinary Tract Defense has been created to prevent UTIs, as well as to provide quick relief at the first signs of infection.
On top of this, Sodium salicylate, an analgesic, also acts as a non-steroidal anti-inflammatory drug .
Taking an NSAID could help to reduce inflammation while fighting a bladder infection. This analgesic, though, will not change the color of your urine and is not linked to cancer.
Quick Tip: In order for AZO Urinary Tract Defense to work to its full potential, youd need acidic urine. For that, take Ascorbic Acid with the drug.
An alternative to AZO Urinary Tract Defense in Canada, Europe, or Australia is Hiprex, which works similarly.
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What Are The Symptoms Of A Uti
Symptoms of a UTI can differ depending on what part of the urinary tract is infected.
A bladder infection usually causes symptoms that include the following:
- Burning when urinating
- The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
- Pain in the pelvic area just above the pubic bone.
Bladder infections are usually considered a simple UTI and treatment is usually with antibiotics for three to five days. Symptoms usually resolve in a couple of days.
People with an infection of the urethra may experience symptoms similar to a bladder infection in addition to itching or irritation at the end of the urethra where the pee comes out.
Symptoms of a kidney infection are usually more widespread and more severe than those of a bladder infection and may include:
- Fever or chills
- Pink or red-tinged urine
- Burning when urinating
- The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
- Pain in the pelvic area just above the pubic bone
- Moderate to severe lower back pain
- Nausea or vomiting.
Cystex Urinary Pain Relief Tablets
Cystex Urinary Pain Relief Tablets is yet another product that contains Methenamine, and therefore works in the same way as AZO Urinary Tract Defense.
The dose of Methenamine in both products is identical and both contain the same amount of Sodium salicylate .
Cystex Urinary Pain Relief Tablets will not change the color of the urine as some other OTC medications do.
Role Of The Pharmacist
It is imperative that pharmacists urge patients who present with UTI symptoms to consult with their healthcare provider as soon as possible to receive appropriate care. Pharmacists should counsel patients on nonpharmacologic treatments and present the option of nonprescription products and UTI home test kits. Patients who decide to use UTI home test kits should be advised on how to avoid inaccurate results and to discuss their results with their healthcare provider. Patients who decide to use OTC urinary tract analgesics should be counseled on the recommended maximum dosage and duration and on common AEs. It is imperative to remind patients that these products are intended only to provide relief of pain and other related symptoms until the healthcare provider is seen. These products do not eradicate bacteria or replace the use of antibiotic treatment, and they should not be used as monotherapy.
What Can I Give My Dog For A Urinary Tract Infection
Before giving your pup something for a UTI, you should go to a vet sooner rather than later. If you wait too long to visit a vet, your pup could experience tremendous pain.
A vet will probably recommend several over-the-counter medications for treating UTIs in pups. A few effective over-the-counter treatment options are apple cider vinegar, citrus juice, cranberry juice, cranberry pills, Vitamin C, probiotic/prebiotic supplements, cranberries, and blueberries.
In addition, a long, warm bath is a great treatment option for UTIs in dogs. Make sure that your pup also drinks plenty of water to flush out the infection.
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The Status Of Phenazopyridine
In 1983, the FDA published a Drug Efficacy StudyImplementation notice with conditions for approval and marketingof all phenazopyridine products.7 These includedsulfameth-oxazole/phenazopyridine combinations ,similar combination products, and single-entity phenazopyridineproducts. The FDA presented newlyrequired statements for all phenazopyridine products intended to relievesymptoms associated with a UTI. One of the statements was critical indetermining the length of dosing: Treatment of a urinary tractinfection with phenazopyridine HCl or a combination drug productcontaining phenazopyridine HCl should not exceed 2 days because there isa lack of evidence that the combined administration of phenazopyridineHCl and an antibacterial provides greater benefit than administration ofthe anti-bacterial alone after 2 days.7
The FDA also required the following carcinogenicitystatement on all phenazopyridine labels: Long-term administration ofphenazopyridine hydrochloride has induced neoplasia in rats and mice . Although no association betweenphenazopyridine hydrochloride and human neoplasia has been reported,adequate epidemiological studies along these lines have not beenconducted.7
The best known phenazopyridine nonprescription product is Azo Standard.9Azo Standard contains 95 mg of phenazopyridine per tablet and AzoStandard Maximum Strength contains 97.5 mg of phenazopyridine.10 The dosage of both is 2 tablets 3 times daily with or after meals as needed.
Etiology And Risk Factors
Urine is generally sterile, and the causative agents for most UTIs originate in bowel flora that enter the periurethral area. Most UTIs are caused by one organism UTIs caused by multiple organisms may indicate contamination. The causative agents are gram-positive and gram-negative organisms, as well as some fungi.1 The gram-negative bacterium Escherichia coli accounts for almost 90% of all episodes.3,5 Other common causative agents include Staphylococcus saprophyticus, Klebsiella pneumoniae, Enterococcus faecalis, group B streptococcus, Proteus mirabilis, Pseudomonas aeruginosa, Staphylococcus aureus, and Candida species.
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Otc Treatments That Can Help Your Uti
Try these at-home treatments while youre waiting to get your antibiotics . And while youre at it, drink as much water as you can. Peeing often will help flush out more of the gunk and hopefully help you feel better a little faster.
This is basically like Tylenol or Motrin for your urinary tract. It uses a different active ingredient phenazopyridine hydrochloride but the function is pretty much the same. Itll temporarily numb the tissue around your urinary tract to make the whole situation down there a little more tolerable. You can expect relief in as little as 20 minutes that lasts up to 8 hours.
However, note that this can make your urine reddish-orange tinged and can stain fabric. Also dont take it for more than 2 days.
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Potential Misuse Of Nonprescription Uti Products
The danger of carcinogenicity with phenazopyridineapparently remains open. However, the FDA and the manufacturersoverlooked a far more likely scenario that could cause patient harm. If awoman has a UTI, she should make an appointment with a physician toreceive the appropriate antibacterial/antimicrobial prescription. If sheunwisely chooses to take an OTC product as her sole treatment, she mayexperience relief of discomfort and assume that she does not need to seea doctor. By doing so, she avoids the trouble of providing a urinespecimen and saves the associated costs of a physician office visit. Should she fail toobtain a prescription, her UTI may continue, worsening as the days passwithout effective treatment.
Manufacturers responsibly urge purchasers on productlabels to obtain a diagnosis and use the product only for relief whilethey are waiting to see their physicians or for the prescription tobegin to work. The labels also warn against use for more than 2 days.Despite the presence of these warnings, research conducted by theNational Council on Patient Information and Education confirmed thatpurchasers often disregard package labels.9 In this case, disregarding the label could lead to permanent kidney damage.6 Thus, the advice and assistance of the pharmacist is crucial when consumers request these products.
Treatment Strategies For Recurrent Utis
Recurrent urinary tract infections, defined as three or more UTIs within 12 months, or two or more occurrences within six months, is very common among women these but arent treated exactly the same as standalone UTIs. One of the reasons: Continued intermittent courses of antibiotics are associated with allergic reactions, organ toxicities, future infection with resistant organisms, and more.
Because of this, its strongly recommended that you receive both a urinalysis and urine culture from your healthcare provider prior to initiating treatment. Once the results are in, the American Urological Association suggests that healthcare professionals do the following:
- Use first-line treatments. Nitrofurantoin, TMP-SMX, and fosfomycin are the initial go-tos. However, specific drug recommendations should be dependent on the local antibiogram. An antibiogram is a periodic summary of antimicrobial susceptibilities that helps track drug resistance trends.
- Repeat testing. If UTI symptoms persist after antimicrobial therapy, clinicians should repeat the urinalysis, urine culture, and antibiotic susceptibility testing to help guide further management.
- Try vaginal estrogen. For peri- and post-menopausal women with recurrent UTIs, vaginal estrogen therapy is recommended to reduce risk of future UTIs.
Urinary Tract Infection Symptoms
- Pain or burning while urinating
- Persistent urge to urinate even when bladder is empty
- Pressure or pain in lower abdomen
Other symptoms may include cloudy or bloody urine with an unusual odor.UTIs can spread to any part of your urinary tract, including the kidneys. If the infection has spread to your kidneys, you may experience:
- Back pain
- Nausea or vomiting
A kidney infection is a serious condition and requires immediate medical attention. For the most common and uncomplicated UTI, antibiotics are typically taken for 3 to 5 days, but in other cases, a longer course lasting up to 14 days may be prescribed. Even if symptoms resolve quickly, its important to finish the full course of antibiotics. Not doing so can increase the likelihood that the UTI and your pain returns, and it may be harder to treat.
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How Lemonaid Can Help You Get Uti Treatment Asap
Lemonaids UTI service makes it quick and convenient for you to get antibiotics to treat your UTI–so convenient that you dont even have to go to a doctors office!
Instead, you can have a mobile visit with one of our US-based, US-licensed doctors and nurse practitioners via the Lemonaid mobile app. The doctor or NP will ask you specific questions to help them determine whether you have a UTI they can safely treat.
If they determine that you have a UTI, they will prescribe you the antibiotic nitrofurantoin , trimethoprim-sulfamethoxazole , or cephalexin
As long as youre a woman 18 years or older who hasnt reached menopause yet, you can use Lemonaids convenient mobile UTI service.
What Are The Symptoms Of A Kidney Infection
Symptoms usually develop quickly, over a few hours or so, and may include:
- Pain in a loin or flank. .
- High temperature which may cause shivers.
- Feeling sick and/or being sick .
- Blood in the urine.
- There will also usually be symptoms of a bladder infection for example, pain on passing urine, and going to the toilet often.
Not all of the symptoms may develop, and sometimes a kidney infection can just cause vague symptoms. For example, just feeling generally unwell but not being able to say why.
In older people a kidney infection may cause confusion. This is why a urine test is often done when an elderly person suddenly becomes confused or appears generally unwell.
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Why Antibiotics Are The Golden Standard
Urinary tract infections occur due to an external bacterial infection in the urinary tract of a body. The most common treatment option is a course of antibiotic therapy that targets the pathogens and the bacteria causing the infection.
The appropriate antibiotic course leads to higher symptomatic and bacteriological cure rates and significantly reduces the chances of reinfection. The types of antibiotics prescribed as the first line of treatment are based upon the type of bacteria found in your urine after the urine analysis, your health status, and the severity of the infection.
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