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FDA-approvedPrescription only
Urinary Tract Infection Treatment (women)
Prescription — short oral antibiotic course, as prescribed
A short antibiotic course for a simple bladder infection in women, chosen by a provider from the first-line options guidelines favour. Sent to a local pharmacy if prescribed; kidney symptoms go in person.
FDA-approved for uncomplicated urinary tract infection — nitrofurantoin, fosfomycin, sulfamethoxazole-trimethoprim, amoxicillin-clavulanate, amoxicillin, cephalexin and ciprofloxacin each carry a label indication for infections of the urinary tract. Prescribed by a licensed provider only if appropriate for you.
From$99$32 consultation included, not refunded · medication paid at your pharmacy, if prescribed
Choose your plan
One-time
Price
$99for the provider visit — medication paid at your pharmacy, if prescribed
Includes your $32 provider consultation (non-refundable). If your provider decides treatment isn’t appropriate, the rest is refunded automatically.
- Picked up at a local pharmacy you choose. If prescribed, the medication itself is paid for at the pharmacy; the price here covers the provider visit.
- Your provider confirms the dose. If they start you on a lower step, we refund the difference; if they choose a higher one within the same plan, the price you paid stands.
Adding to cart books a provider visit. You pay the shown total; the provider decides; the medication portion comes back automatically if they say no.
Questions
Will I definitely be prescribed this?
No. A consultation does not guarantee a prescription. A licensed provider reviews your symptoms, your allergies and the red flags above and prescribes only if this is a simple bladder infection they can treat safely by video; if your story suggests a kidney infection, pregnancy or a complicated infection, they will route you to in-person care and say why. If prescribed, the prescription is sent to a local pharmacy and you pay for the medication there; what you pay here is the consultation, whether or not a prescription follows.
Why might the provider not prescribe ciprofloxacin, even if it worked before?
Because FDA has asked that fluoroquinolones be kept out of uncomplicated urinary infections wherever another option exists — their side effects include tendon rupture and nerve damage that can be permanent — and guidelines list nitrofurantoin, fosfomycin and sulfamethoxazole-trimethoprim as the first choices. Choosing one of those is the provider following the evidence, not withholding care.
Do I need a urine test first?
For a straightforward first or occasional bladder infection in a healthy woman, guidelines allow treatment on symptoms alone. A culture becomes important when infections recur, when a course fails, in pregnancy, or when the picture is unclear — and in those cases the provider will ask for one rather than guess.
How it works
Almost every bladder infection starts the same way: bacteria from the bowel, usually Escherichia coli, travel up the short urethra and multiply in the bladder, and the inflamed bladder wall produces the burning, urgency and frequency. An antibiotic that reaches the urine in high concentration clears that colony. The first-line choices work by different routes. Nitrofurantoin is activated inside bacterial cells into reactive fragments that damage their ribosomes and DNA; it concentrates in urine and barely in tissue, which is why it suits the bladder and not the kidneys. Fosfomycin blocks the first enzyme in bacterial cell-wall synthesis and is given as a single dose that lingers in the bladder. Sulfamethoxazole-trimethoprim blocks two steps of the folate pathway bacteria need to make DNA. Amoxicillin, amoxicillin-clavulanate and cephalexin break cell-wall construction — clavulanate disables the enzyme some E. coli use to destroy amoxicillin. Ciprofloxacin jams the enzyme bacteria use to unwind DNA, and is held in reserve because of its warnings. The provider chooses by your allergies, what you have taken recently, kidney function, pregnancy status and whether anything in your story suggests the infection has reached the kidney — which is beyond this visit.
The full mechanismA provider may consider it if
- Burning on urination, urgency and frequency that you recognise from a previous bladder infection
- No fever, no back or flank pain, and you are not pregnant
- You want a provider to choose a first-line antibiotic rather than the one you happen to have left over
It won’t be prescribed if
- Fever, chills, pain in the back or flank, nausea or vomiting — a kidney infection needs in-person examination, and often a urine culture and different treatment; go the same day, or call 911 if you feel faint or very unwell
- Pregnancy or possible pregnancy — a hard stop for this visit; urinary infection in pregnancy needs a culture and in-person care with your obstetric provider
- Male anatomy — this exam is for women; a urinary infection in a man is treated as complicated and needs an in-person assessment
- Visible blood in the urine without infection symptoms, or symptoms returning within weeks of a recent course, or three or more infections in a year — needs a culture and possibly imaging, not another empirical course
- A catheter, kidney stones, poorly controlled diabetes, a weakened immune system or a known kidney abnormality — any of these makes the infection complicated and out of scope here
- A known allergy to sulfa drugs, penicillins, cephalosporins, nitrofurantoin or fluoroquinolones — a hard stop for that medication; tell the provider exactly what happened
- Vaginal discharge, itch or irritation as the main symptom — that points to a vaginal infection instead, which is a different visit
- Under 18 — online treatment here is for adults
These are the same checks your provider runs in the visit. If one applies, they will tell you plainly — and the medication portion of what you paid comes back automatically.
What to expect
After your visit
If prescribed, the prescription is sent electronically to a local pharmacy you choose and you pay for the medication at the counter. What you paid here covers the consultation.
Days 1–3
Symptoms usually start easing within a day or two of the first dose; drink normally and finish the course. Fosfomycin is a single sachet dissolved in water; nitrofurantoin is taken with food.
If it is not settling
Burning that has not improved by day three, or any fever, back pain or vomiting, means in-person care and a urine culture — not a second course by video.
Safety
Side effects, before you decide
Nausea and stomach upset are common to all of them. Nitrofurantoin: brownish urine, headache, and rarely a lung reaction — cough, breathlessness, fever — or liver injury that means stop at once. Sulfamethoxazole-trimethoprim: rash, sun sensitivity, raised potassium, and rarely severe skin reactions; stop for any spreading rash. Amoxicillin-clavulanate and cephalexin: diarrhoea and rash. Ciprofloxacin: tendon pain or rupture, nerve tingling, confusion or agitation, and a rare risk of aortic damage — the reasons it is a last resort. Any antibiotic can bring on a yeast infection afterwards or Clostridioides difficile diarrhoea; persistent or bloody diarrhoea needs a provider.
- Gupta K, Hooton TM, Naber KG, et al. International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52(5):e103–e120 — nitrofurantoin, trimethoprim-sulfamethoxazole and fosfomycin as first-line; fluoroquinolones reserved
- FDA Drug Safety Communication, 2016: FDA advises restricting fluoroquinolone antibiotic use for certain uncomplicated infections — acute sinusitis, acute bronchitis and uncomplicated urinary tract infections
- FDA prescribing information (DailyMed): Macrobid; Monurol; Bactrim; Augmentin; amoxicillin; Keflex; ciprofloxacin tablets — indications, contraindications, warnings, adverse reactions; current labels as of 2026
Complete safety information is provided during your visit and with every prescription. This page is a summary, not a substitute for your provider's advice.
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See whether urinary tract infection treatment (women) is right for you.
A licensed provider reviews your visit and decides. You receive medication only if prescribed, and that portion of your payment is refunded automatically if they say no.