Sign up for Englemed updates from TwitterSign up for Englemed updates from Facebook
Contact Englemed
Our contact email address.
We can provide a specialist, tailored health and medical news service for your site.
Click here for more information
RSS graphic XML Graphic Add to Google
About Englemed news services - services and policies.
Englemed News Blog - Ten years and counting.
Diary of a reluctant allergy sufferer - How the British National Health Service deals with allergy.
BookshopFor books on women's health, healthy eating ideas, mental health issues, diabetes, etc click here

WWW Englemed
Copyright Notice. All reports, text and layout copyright Englemed Ltd, 52 Perry Avenue, Birmingham UK B42 2NE. Co Registered in England No 7053778 Some photos copyright Englemed Ltd, others may be used with permission of copyright owners.
Disclaimer: Englemed is a news service and does not provide health advice. Advice should be taken from a medical professional or appropriate health professional about any course of treatment or therapy.
Treatment hope for cognitive symptoms in Parkinson's disease
Tues May 17th - Ultra-powerful 7T MRI scanners could help to identify those patients with conditions such as Parkinson's disease who would benefit from new treatments for cognitive symptoms that were previously untreatable, British researchers report today. More
E-cigarettes as effective as patches for pregnant women
Tues May 17th - E-cigarettes can help pregnant women to stop smoking and are as safe as nicotine patches, according to new UK research. More
On 09/10/2020 William Haworth wrote:
How long is recovery time after proceedure... on Ablation cuts atrial fibrillat...
On 08/02/2018 David Kelly wrote:
Would you like to write a piece about this to be i... on Researchers unveil new pain re...
On 23/10/2017 Cristina Pereira wrote: on HIV breakthrough - MRC...
On 12/09/2017 Aparna srikantam wrote:
Brilliant finding! indeed a break through in under... on Leprosy research breakthrough...
On 01/07/2017 Annetta wrote:
I have been diagnosed with COPD for over 12 years.... on Seaweed plan for antimicrobial...
guide to breast disorders guide to womb disorders guide to menopause Complete Women's Health: from The Royal College of Obstetricians and Gynaecologists For books and family gift ideas click here
RSS graphic XML Graphic

Cystitis treatment over the counter?

Wednesday July 15th, 2015

Antibiotic treatments for cystitis should be available without a prescription, a senior GP says today.

About 30% of women will have been affected by an acute uncomplicated urinary tract infection such as cystitis by the age of 26.

Dr Kyle Knox of Nuffield Department of Primary Care Health Sciences, Oxford, UK, believes: "Uncomplicated cystitis is common and easily treated with drugs such as nitrofurantoin."

But his proposals were rejected by his professional college, which warned against increasing access to antibiotics.

Writing in The BMJ, Dr Knox states: "Acute uncomplicated urinary tract infections usually resolve without sequelae and rarely progress, but they result in considerable morbidity, and the goal of treatment is to ameliorate the severity and duration of symptoms."

Individual's responses to oral antimicrobials are known and predictable, he adds, and the guidance on their management can be summarised in a simple flowchart which requires little clinical assessment.

"In an era of ready access to information, increasing patient autonomy, and overstretched primary care services, therefore, it would seem a good idea for women to be able to access safe and effective treatment without the costs and delays associated with consulting a clinician to get a prescription," he believes.

With three million appointments a year being made in the UK for cystitis, and nitrofurantoin being generally well tolerated when used in short courses, over the counter availability "should be explored as part of the commitment to self care in the NHS's plan for 2014-15."

Dr Knox concludes that the current prescription-only approach "does nothing to limit antimicrobial use but creates urgent demand in primary care, as well as an additional hurdle for women accessing safe and effective treatment."

But Royal College of GPs chair Dr Maureen Baker said: "Whilst antibiotics can help in some cases, they are not always the most appropriate treatment as the cause is not always bacterial.

“Aside from the patient safety risks associated with deregulating access to some of these powerful drugs, we are currently amidst an international drive to reduce antibiotic use, in order to curb growing global resistance to them.

“Although the strain of antibiotics referenced in the article has actually seen very little resistance built up against it so far, making it more widely available would inevitably increase resistance to it and remove one of the few antibiotics with low resistance rates from the formulary, therefore adding to this global problem."

Knox, K. et al. Women should be able to treat urinary tract infections with antibiotics without a prescription. BMJ 15 July 2015 doi: 10.1136/bmj.h3441 [abstract]

Tags: Pharmaceuticals | UK News | Urology | Women's Health & Gynaecology

Printer friendly page Printer friendly page

Comment on this article:

<a>,<b> & <p> tags allowed
Please enter the letters displayed:
(not case sensitive)