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Antibiotics are known to disrupt the gut, urinary tract, and vaginal microbiota. [14] This has been associated with increased risk of recurrent UTIs. [14] Methenamine has been limitedly studied in this regard, but was found in one small study to preserve urinary microbial diversity. [14]
Methenamine is a urinary antiseptic and antibacterial agent which is used in the prevention of recurrent urinary tract infections (UTIs). [42] It is non-inferior to low-dose prophylactic antibiotics for this purpose. [43] [44] [45] In contrast however, methenamine itself is not an antibiotic and does not promote antibiotic resistance.
TMP/SMX is commonly used due to its ability to achieve high concentrations in urinary tract tissues and urine. This antibiotic combination demonstrates notable efficacy in both the treatment and prophylaxis of recurrent urinary tract infections. [12] Common adverse effects include nausea, vomiting, rash,pruritus, and photosensitivity. [26]
Post-menopausal people might notice they experience recurrent or persistent urinary tract infections, defined as more than two infections in six months, and more than three infections in a year ...
Nitrofurantoin, sold under the brand name Macrobid among others, is an antibacterial medication of the nitrofuran class used to treat urinary tract infections (UTIs), although it is not as effective for kidney infections. [16] It is taken by mouth. [16] Common side effects include nausea, loss of appetite, diarrhea, and headaches. [16]
A 2023 study that got a lot of buzz estimated that E.coli-contaminated meat leads to nearly half a million UTIs in the U.S. each year, making it one of the most common causes of UTIs.