Why is this medication prescribed?

Monuro Sachet is a brand name for the medication called fosfomycin tromethamine. It is prescribed to treat urinary tract infections (UTIs) caused by susceptible bacteria. UTIs are infections that affect the urinary system, including the bladder and urethra, and they can cause symptoms such as frequent urination, painful urination, and a strong urge to urinate. Fosfomycin works by interfering with the bacterial cell wall synthesis, which ultimately leads to the death of the bacteria causing the infection.

How should this medicine be used?

The typical usage instructions for Monuro Sachet (fosfomycin) may vary depending on your doctor’s recommendation and the specific formulation of the medication. However, here are some general guidelines for its use:

• Dosage: The usual recommended dose for adults is one sachet, which contains 3 grams of fosfomycin, dissolved in a glass of water. It is typically taken as a single oral dose.
• Timing: Monuro Sachet is usually taken on an empty stomach, at least 2 to 3 hours before or after a meal. This helps maximize its absorption and effectiveness.
• Dissolving the Sachet: Empty the contents of one sachet into a glass of water (approximately 120 mL) and stir until the powder is fully dissolved.
• Administration: Drink the entire contents of the glass once the powder is dissolved.
• Follow Doctor’s Instructions: It’s crucial to follow your healthcare provider’s instructions regarding the dosage and duration of treatment. Do not take more or less than prescribed, and complete the full course of treatment even if your symptoms improve before you finish the medication.
• Avoid Mixing with Certain Substances: Fosfomycin may interact with certain substances, so it’s essential to consult your doctor or pharmacist for any specific instructions regarding dietary restrictions or potential drug interactions.
• Storage: Store the medication in a cool, dry place, and keep it out of reach of children.
• Adverse Effects: Like all medications, fosfomycin may cause side effects. Common side effects may include diarrhea, nausea, headache, and abdominal pain. If you experience severe or unusual side effects, contact your healthcare provider.
• Allergic Reactions: If you experience symptoms of an allergic reaction, such as difficulty breathing, rash, swelling of the face, lips, tongue, or throat, seek immediate medical attention.

It’s important to take Monuro Sachet exactly as prescribed and to finish the full course of treatment to ensure that the infection is properly treated and does not return. If you have any questions or concerns about this medication, consult your healthcare provider or pharmacist for guidance.

Other uses for this medicine

Monuro Sachet is primarily indicated for treating uncomplicated UTIs. It may not be commonly used for other purposes, as its efficacy and safety are established for UTIs. Using it for conditions other than those approved by a healthcare provider is not recommended.

What special precautions should I follow?

Special precautions and considerations when using Monuro Sachet (fosfomycin) include:

• Allergies: Inform your healthcare provider if you have any known allergies to fosfomycin or any other medications. This is crucial to avoid potential allergic reactions.
• Medical History: Provide your doctor with a comprehensive medical history, including any existing medical conditions, especially kidney problems, as this can affect the dosing regimen.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Monuro Sachet with your healthcare provider. The safety of fosfomycin during pregnancy and breastfeeding has not been extensively studied.
• Drug Interactions: Inform your doctor about all the medications, supplements, and herbal products you are taking, as fosfomycin can interact with other drugs. This includes over-the-counter medications and any other antibiotics you may be using.
• Renal Function: Fosfomycin is primarily excreted by the kidneys, so if you have impaired renal function, your doctor may need to adjust the dosage to avoid potential complications.
• Diarrhea: If you experience severe or persistent diarrhea while taking Monuro Sachet or any antibiotic, contact your healthcare provider, as this may be a sign of a more serious condition.
• Incomplete Treatment: It’s essential to complete the full course of treatment, even if your symptoms improve before you finish the medication. Stopping treatment prematurely can lead to the recurrence of infection and potential antibiotic resistance.
• Driving and Operating Machinery: Fosfomycin is not known to affect your ability to drive or operate machinery. However, if you experience dizziness, headache, or any other side effects that may impair your alertness or coordination, avoid such activities until you feel safe to do so.

Always follow your healthcare provider’s instructions regarding the use of Monuro Sachet and any specific precautions or considerations based on your individual health status. If you have any questions or concerns, do not hesitate to consult your healthcare professional for guidance.

What special dietary instructions should I follow?

• Monuro Sachet can be taken with or without food. You can mix the contents of the sachet with water and drink it. Follow your healthcare provider’s recommendations regarding when and how to take it.
• Drinking plenty of water while on Monuro Sachet can help flush out the bacteria causing the UTI. Staying well-hydrated is generally a good practice during UTI treatment.

What should I do if I forget a dose?

If you forget to take a dose of Monuro Sachet, take it as soon as you remember, unless it’s close to the time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one, as this can increase the risk of side effects.

What side effects can this medication cause?

Monuro Sachet is a brand name for fosfomycin tromethamine, which is an antibiotic used to treat urinary tract infections (UTIs). Like any medication, Monuro Sachet can cause side effects. Common side effects may include:

• Diarrhea
• Nausea
• Stomach pain
• Headache
• Dizziness
• Rash
• Vaginal itching or discharge (in women)

These side effects are generally mild and may go away on their own. However, if you experience severe or persistent side effects, you should contact your healthcare provider.

In rare cases, some people may experience more serious side effects, such as:

• Allergic reactions (e.g., hives, itching, swelling of the face, lips, tongue, or throat, difficulty breathing)
• Severe diarrhea or bloody stools
• Liver problems (e.g., yellowing of the skin or eyes, dark urine, abdominal pain)
• Kidney problems (e.g., changes in urine output, swelling in the legs or ankles)
• Seizures

If you experience any of these serious side effects, seek medical attention immediately.

What should I know about storage and disposal of this medication?

Storage:

• Storage Conditions: Store Monuro Sachet in a cool, dry place at room temperature, away from excessive heat, moisture, and direct sunlight. Keep the medication in its original packaging.
• Keep Out of Reach of Children: Ensure that the medication is stored out of the reach of children and pets. Fosfomycin can be dangerous if ingested accidentally.
• Do Not Use Expired Medication: Check the expiration date on the packaging, and do not use Monuro Sachet if it has expired. Expired medications may be less effective or could potentially be harmful.

Disposal:

• Proper Disposal: When you no longer need Monuro Sachet or it has expired, dispose of it properly. Do not flush medications down the toilet or throw them in the trash unless instructed to do so by local regulations.
• Pharmaceutical Take-Back Programs: Many pharmacies and healthcare facilities have drug take-back programs or disposal options. Contact your local pharmacy or municipal waste disposal facility for guidance on safe medication disposal.

In case of emergency/overdose

If you suspect an overdose or experience any severe symptoms or allergic reactions while taking Monuro Sachet, seek immediate medical attention or call your local poison control center at 1-800-222-1222 (in the United States) for guidance. When contacting emergency services or a poison control center, provide them with the following information:

• The name of the medication (Monuro Sachet or fosfomycin).
• The amount ingested (if known).
• The time of ingestion.
• Any symptoms you or the person experiencing the overdose is exhibiting.

What other information should I know

• Follow Prescription Instructions: Always follow your healthcare provider’s instructions regarding the use of Monuro Sachet. Take the medication as prescribed, and complete the full course of treatment even if your symptoms improve before you finish the medication.
• Keep Appointments: If your healthcare provider schedules follow-up appointments to monitor your progress or conduct lab tests, make sure to attend these appointments as recommended.
• Allergies and Drug Interactions: Inform your healthcare provider about any known allergies you have and all other medications, supplements, or herbal products you are taking, as some substances may interact with fosfomycin.
• Prevent Future Infections: To reduce the risk of future urinary tract infections (UTIs), consider practicing good hygiene, staying hydrated, and following any lifestyle recommendations provided by your healthcare provider.
• Contact Your Healthcare Provider: If you experience severe or persistent side effects, any signs of an allergic reaction, or if your symptoms worsen instead of improving during treatment, contact your healthcare provider for guidance.

Always keep Monuro Sachet and any medications out of the reach of children and handle them with care. Proper storage, disposal, and adherence to safety measures can help prevent accidental ingestions and ensure the effectiveness of your treatment.