Recurrent UTI in non-pregnant Women ≥ 3 UTIs/year or 2 in 6 months

To reduce recurrence first advise simple measures, including hydration and analgesia. Cranberry products work for some women but good evidence is lacking (check for interactions).

Second line – consider standby or post-coital antibiotics.

Third line - antibiotic prophylaxis

For further information refer to: SAPG recurrent UTI in non-pregnant women and CKS Preventing recurrent UTIs:

Trimethoprim

100mg

Post coital stat (off-label)

OR Prophylaxis at night review at 3-6 months. Consider stopping at 3 months.

or nitrofurantoin

50–100mg

Post coital stat (off-label)

OR Prophylaxis at night review at 3-6 months. Consider stopping at 3 months.