Fosfomycin Medication

This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer's pamphlet that comes with the medicine. The manufacturer's pamphlet contains full information on potential medication interactions, side effects, and other important information you should know about the medicine before you start.

Instructions

You have stated that you wish to take a medication for your symptoms of Urinary Tract Infection (bladder infection, UTI). The medication you have been prescribed is fosfomycin in which you are to mix one sachet (3g) with 3-4oz of water and take it orally as a single dose. This medication is used to treat the bacterial overgrowth causing your urinary tract infection. There are several causes for UTIs in women and the most common bacteria causing UTIs is E coli.

Signs of this infection include burning with urination, foul-smelling urine without itching or vaginal discharge. You may experience fullness or tenderness of the lower abdomen, more frequent need to use the restroom, urgently needing to use the restroom, or a sensation of being unable to fully empty your bladder. A slight pink or red tinge to the urine can be common, but bleeding is not and should be addressed immediately with an in-person physician.

Allergies

This medicine, like all medications, may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please do not take the medicine and call or message us or see your doctor in person.

• Fosfomycin (Monurol)
  
  

Conditions

We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop one of these conditions, please stop taking this medicine and call or message us immediately. This list may not be all inclusive.

• Pregnancy
• Kidney disease or failure
• Liver disease
• Single kidney
• Dialysis
• Indwelling foley catheter
• Recent hospitalization in the last 6 months for a UTI
• Immunosuppressive conditions
• History of cancer
• History of bladder or urinary tract surgeries
• History of kidney stones with hematuria, flank pain, or vomiting
• Fever over 100.4
• Severe abdominal or back pain
• Frequent and recurring UTIs
• Electrolyte disturbances
  
  

Pregnancy and Breastfeeding

Fofsomycin crosses the placental barrier. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should not be used during pregnancy. Wisp does not treat pregnant patients on our platform for your safety. If you are pregnant you should see an in person provider for additional monitoring and oversight.

It is not known whether fosfomycin tromethamine is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants. We recommend alternative UTI antibiotics for breastfeeding mothers offered on our platform.

Emergency Side Effects

This medicine can cause dangerous and potentially life-threatening side effects. If any of the emergency side effects listed in the manufacturer’s pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in person.

• Clostridioides difficile
• Toxic megacolon
• Sudden onset of chest pain
• Shortness of breath
• Difficulty or painful swallowing
• Severe skin rash and/or itching
• Facial or throat swelling
• Blurred vision
• Severe bloody diarrhea
• Fever
• Hearing loss
• Worsening of asthma
  
  

Other Side Effects

This medicine can also cause other side effects including (this list is not all inclusive):

• Skin itching
• Abdominal pain
• Diarrhea
• Abnormal stools
• Constipation
• Flatulence
• Nausea
• Vomiting
• Mouth soreness
• Painful menstrual cycle
• Vaginal infection
• Dizziness
• Headache
• Drowsiness
• Insominia
• Increase in migraine frequency
• Back pain or muscle soreness
  
  

Medicines, Supplements, and Foods

We have evaluated the specific health information you provided us, however if you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan. Please ensure your chart is up to date with your current medications, allergies, and medical conditions so your provider can safely treat you as this list may not be all inclusive.

• Mycophenolate
• Sodium Picosulfate
• Metoclopramide
• Antacids
  
  

Risks

Accurate Information

We have evaluated your health history and your specific health information you provided and determined it is safe to proceed with this treatment at this time. If your health history changes including diagnoses or medications please message or call us before you take the medicine to ensure it's safe to proceed. Some medications and conditions can cause dangerous interactions with the medicine we are prescribing and we will help you evaluate that risk and decide on an appropriate treatment plan.

Treatment Failure

This treatment is not guaranteed to be effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency, call 911 or seek immediate medical help in person. You may need to seek alternative treatment such as those listed below or in the follow up plan.

Misdiagnosis or Delayed Diagnosis.

Through telehealth, there is also a risk that we misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in person as well but they may have additional resources to aid their evaluation. We use evidence-based practice and guidelines as well as clinical decision-making to minimize these risks.

Accepting or Declining Our Recommendation

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide. Message us or talk to your doctor in person to discuss alternative treatments.

Share with Your In-Person Healthcare Team

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.

You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.

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