If you suspect you have a urinary tract infection (UTI), and are displaying three of the symptoms listed below, you may be able to obtain antibiotics from the pharmacy. This means you don’t have to wait for a doctors appointment. Just pop into the pharmacy and ask for a private consultation, alternatively, phone ahead as the majority of the consultation can be carried out prior to coming in.
This service is for females aged 16 – 65 years presenting with three or more of qualifying symptoms:
- Dysuria (pain on urination)
- Frequency of urination
- Urgency of urination
- Abnormally large production or passage of urine
- Haematuria (blood in urine)
- Suprapubic tenderness (lower abdomen pain)
Trimethoprim is the treatment supplied for those fitting the criteria required for treatment via the pharmacy.
- Aged under 16 years or over 65 years
- You are pregnant
- You have vaginal itch/discharge
- Symptoms are suggestive of upper urinary tract infection (rapid onset, fever, rigors, nausea, vomiting, diarrhoea, loin pain/tenderness, systemically unwell
- A prior episode of UTI in last 28 days was treated by an antibiotic
- There have been two or more episodes in the last six months or three or more episodes in the last 12 months
- There is a catheter in situ
- There is known moderate/severe renal impairment
- You have hypersensitivity to co-trimoxazole, trimethoprim or to any other components of the medication
- You have known hyperkalaemia, diabetes, severe hepatic insufficiency, megaloblastic anaemia and other blood dyscrasias, folate deficiency, porphyria, galactose intolerance, the Lapp lactose deficiency or glucose-galactose malabsorption or are immunosuppressed
- You are taking any medicines which may interact e.g. azathioprine, ciclosporin, mercaptopurine, methotrexate, phenytoin, warfarin
- There is known abnormality to the urinary tract
In some cases we may still be able to offer treatment after consultation with a Pharmacist Independent Prescriber as part of the Pharmacy First Plus service. (Note that this service is only available on certain days when our prescribing pharmacist is on duty).