If you have any of the following symptoms below, you may be eligible for antibiotics: 

• Discomfort or burning on passing urine
• New waking up at night because you have to urinate
• Cloudy urine 
• Urinary urgency
• Urinary frequency
• Visible blood in urine
• Tenderness above your pubic area

It is a good idea to bring your urine sample along, so we can do a dipstick test to confirm any diagnosis, otherwise we may ask you to provide a urine specimen when at the pharmacy.

Please note if you have any of the symptoms or you are in a list of excluded patients below we request that you contact your GP for advice:

Exclusion Criteria: 

• Children aged 15 years and under 
• Adults aged 65 years and over 
• Pregnant females 
• Breastfeeding mothers 
• Vaginal itch/discharge/abnormal vaginal bleeding 
• Frank haematuria 
• Symptoms suggestive of upper urinary tract infection (rapid onset, fever, rigors, nausea, vomiting, diarrhoea, loin pain/tenderness, systemically unwell) 
• Symptoms present for more than 7 days 
• A prior episode of UTI in the last 28 days which was treated by an antibiotic
• Already being treated for this current episode under the community pharmacy UTI service 
• 2 or more episodes in the last 6 months or 3 or more episodes in the last 12 months
• Taking prophylactic antibiotics for recurrent urinary tract infection 
• Patients assigned male at birth 
• Care home residents
• There is a catheter in situ
• Known renal impairment 
• Sensitivity to any components of the medication 
• Diabetes
• Immunosuppression 
• Known abnormality of, or stent in, the urinary tract 
• History of renal stones / colic
• Severe hepatic impairment
• Confusion
• Unresolving symptoms 
• Previous resistant UTI
• Recent travel to areas of high antimicrobial resistance (areas outside of northern Europe & Australasia)
• History of renal stones / renal colic 
• Urethritis – inflammation post sexual intercourse, irritants 
• Genitourinary syndrome of menopause (vulvovaginal atrophy)
• Symptoms suggestive of sexually transmitted infection (STI) with sexual history suggestive that STI possible 
• Recent hospitalisation for more than 7 days in the last 6 months 

Symptoms suggestive of sepsis:

• Temperature >37.8°C or <36°C
• Nausea and/or vomiting
• Diarrhoea
• New onset behavioural changes e.g. confusion, irritability, slurred speech, loss of consciousness, sudden change in ability to function.
• Rapid heart rate, palpitations
• Low blood pressure, dizziness, fainting
• Limb/joint/muscle/abdominal pain anywhere in the body
• Cold hands and/or feet
• Rigors
• Ashen/mottled skin
• Cyanosis of the skin/lips/tongue
• Breathlessness, rapid breathing
• Low/no urine output
• Non-blanching rash anywhere on the body

In addition, where the patient has recently given birth, terminated a pregnancy or suffered a miscarriage in the last 6 weeks and:

• Have, or have been in close contact with, someone with group A streptococcal infection
• Have continued vaginal bleeding or an offensive vaginal discharge.