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UTI Pain Relief

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 medication for your symptoms of Urinary Tract Infection (bladder infection, UTI). The medication you have been prescribed is Pyridium 200mg tablets, which you are to take 1 tablet 3 times each day (morning, afternoon and evening approximately 8 hours apart) for 3 days. This medication is used to reduce the pain from the bacteria growing in your urinary bladder. >90% of these infections are caused by E. coli and are due to the proximity of the female urethra (urine tube) to the end of the gastrointestinal (GI) tract.

Signs of this infection include burning with urination, and foul-smelling urine without itching or abnormal vaginal discharge. You may experience fullness or tenderness of the lower abdomen, a more frequent need to urinate, or a sensation of being unable to fully empty your bladder. This medication will cause your urine to turn bright red-orange.

Refills

You may request a refill by logging into your Account (Subscriptions > Next Refill). If you placed a one-time order, please order as normal.

If your symptoms aren't getting better after you start taking the medicine or if you develop new or worsening symptoms such as fever, chills, nausea, vomiting, or pain, in the mid to upper back, you should see a licensed medical provider in-person immediately.

More than 3 UTIs in a year should also be managed in person with testing and a referral to Urology to identify potential underlying causes. It is recommended to have your urine tested to evaluate for the presence of antibiotic-resistant bacteria if the initial antibiotic does not resolve your symptoms before additional antibiotics are prescribed.

Allergies

Do not take Pyridium if you have reduced kidney function, are pregnant or breastfeeding or have hepatitis.

This medicine, like all medications, may cause an allergic reaction if you are allergic to similar medicines or components.

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:

• Pregnancy
• Kidney problems
• Rash or mouth sores
• Nausea or abdominal pain
• Difficulty breathing
  
  

Pregnancy and Breastfeeding

Based on available data, the safety of phenazopyridine is not established in infants or during breastfeeding. Because it can cause methemoglobinemia, sulfhemoglobinemia, and hemolytic anemia, it should be avoided while breastfeeding, especially with an infant under 1 month of age or with glucose-6-phosphate dehydrogenase (G6PD) deficiency.

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:

• Difficulty swallowing or throat swelling
• Nausea, vomiting, or diarrhea
• Liver and kidney disease
• Severe skin rash or changes
• Severe weakness or fatigue
• Visual disturbances
• Shortness of breath or wheezing
• Debilitating muscle aches with blood in the urine
• Inability to urinate
  
  

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. This list is not all-inclusive, so please make sure to inform us of any medications and supplements that you’re actively taking:

• Topical anesthetics--lidocaine, benzocaine, ropivacaine
• Chloroquine
• Dapsone
• Nitrites
  
  

Accurate Information

We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided that information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to clarify or update any information about your health you can message or call us anytime.

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. However, once one antibiotic is prescribed for a UTI without testing the urine and fails to relieve the symptoms, it is not recommended to have another prescription of antibiotic until urine can be tested to assess for bacteria that may be resistant to antibiotics.

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 licensed medical provider 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. Here are some other diagnoses that we attempt to rule out by asking you questions:

• Sexually Transmitted Infections (STIs)
• Yeast infection
• Bacterial Vaginosis (BV)
• Kidney infection
• Kidney Stones
• Overactive Bladder
  
  

Accepting or Declining Our Recommendation

We are recommending this treatment for you because the potential benefits outweigh the risks in your case based on the information you provided. You should evaluate this information as well as the manufacturer's pamphlet, any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. You are free to not follow our recommendations although there may also be risks associated with no treatment.

Alternative Treatment

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 licensed medical provider in person to discuss alternative treatments. Here are some other treatments or strategies that you might consider:

• In-person exam with testing
  
  

Share with Your In-Person Healthcare Team

You can access your records anytime. We strongly recommend that you update your in-person licensed medical provider and care 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.