Women’s Health · UTI clinic

UTI & cystitis treatment online

Fast, safe treatment for uncomplicated urinary tract infections (UTIs) and cystitis in women aged 18 to 64. A UK pharmacist prescriber reviews every consultation and checks it against your NHS record before any antibiotic is supplied.

How our online UTI clinic works

1

Short consultation

Choose a treatment and answer questions about your symptoms, health and medicines. About 5 minutes.

2

Prescriber checks

We check your answers against your NHS Summary Care Record or with a short call, and confirm your ID online.

3

Treatment dispatched

Once approved, your 3-day course is sent from our pharmacy in Bury and your GP gets a short summary.

If treatment isn’t right for you, we explain why and refund you in full.

Delivery: choose standard delivery (£3.99) or Special Delivery (£9.99) at checkout.

Antibiotics for UTIs: nitrofurantoin and trimethoprim

First choice

Nitrofurantoin 100mg capsules

The first-line antibiotic for an uncomplicated UTI in women (NICE NG109). One prolonged-release capsule twice a day for 3 days, taken with food.

£14.993-day course, includes consultation
Start consultation
Alternative

Trimethoprim 200mg tablets

Used when nitrofurantoin isn’t suitable and the risk of resistance is low. One tablet twice a day for 3 days.

£14.993-day course, includes consultation
View trimethoprim

You don’t need to choose the right antibiotic yourself. Our prescriber decides which is safest for you, and may switch you at no extra cost.

Can a pharmacist prescribe antibiotics for a UTI?

Yes. In England there are two ways to get antibiotics for a UTI from a pharmacy without seeing a GP:

NHS Pharmacy First. Women aged 16 to 64 who aren’t pregnant can see a pharmacist at a community pharmacy that offers the service, including Bury Healthcare Pharmacy, 46 Walmersley Road, Bury (0161 222 1024). The consultation is free. If you normally pay for prescriptions, the standard NHS prescription charge applies to any medicine supplied.

Private online prescribing. Pharmacist independent prescribers, like ours, can prescribe antibiotics after an online consultation. That is the service on this page, with your treatment delivered to your door.

You can’t buy UTI antibiotics over the counter without a consultation, because they are prescription-only medicines.

Why we check carefully before prescribing antibiotics

Using antibiotics only when they are needed helps stop bacteria becoming resistant to them. That is why UK pharmacy rules ask online prescribers to do more than read a questionnaire before supplying an antibiotic. We confirm your identity, check your answers against your NHS Summary Care Record or with a short call, follow NICE guidance on which antibiotic to use, and tell your GP what we supplied.

What is a UTI?

A urinary tract infection is an infection, usually caused by bacteria from the bowel, that affects the bladder (cystitis), the urethra or, less often, the kidneys. UTIs are very common in women because the urethra is short and close to the back passage. Most lower UTIs are uncomplicated and clear up quickly with the right treatment.

Is cystitis the same as a UTI?

Cystitis means inflammation of the bladder. It is usually caused by a bladder infection, which is a type of lower UTI, so the two words are often used to mean the same thing. UTI is the wider term: it also covers infections of the urethra and of the kidneys (an upper UTI), which are more serious. Less often, cystitis has a cause other than infection, and antibiotics won’t help.

UTI and cystitis symptoms

  • pain, burning or stinging when you pass urine
  • needing to pass urine more often, or more urgently, than usual
  • needing to pass urine at night more than usual
  • cloudy or strong-smelling urine
  • pain low in your tummy

Having two or more of the first three (pain passing urine, new night-time urination, cloudy urine) makes a UTI likely. Vaginal discharge or itching points to a different cause, such as thrush.

Get urgent help (call NHS 111 or your GP today) if you have:

  • a high temperature, shivering or shaking
  • pain in your back or side, under the ribs
  • nausea or vomiting
  • blood in your urine

These can be signs of a kidney infection. Call 999 if you feel very unwell, confused or very drowsy.

How long does cystitis last?

With antibiotics, most women start to feel better within 1 to 3 days. Mild cystitis sometimes clears up by itself within a few days, so a pharmacist or GP may suggest waiting 48 hours with painkillers and plenty of fluids before starting antibiotics. Contact your GP or NHS 111 if you are no better after 48 hours of antibiotics, or if your symptoms get worse at any point.

Who can use our online UTI clinic?

Online treatment is for women aged 18 to 64 with symptoms of an uncomplicated lower UTI for less than 7 days. Please see your GP or a Pharmacy First pharmacy instead if you are male, pregnant or breastfeeding, aged 65 or over, have had 2 or more UTIs in 6 months (or 3 in 12 months), have kidney problems or a urinary catheter, or have a weakened immune system. These situations usually need a urine test so the right antibiotic is chosen.

Why do I keep getting UTIs?

Having 2 or more UTIs in 6 months, or 3 or more in 12 months, is called recurrent UTI. It needs a GP review rather than online treatment. Your GP can arrange a urine test to find the right antibiotic, look for anything that makes infections more likely, and talk to you about ways to prevent them, such as vaginal oestrogen if you are perimenopausal or postmenopausal, a non-antibiotic tablet called methenamine, or a low-dose preventive antibiotic. Our online clinic does not treat recurrent UTIs.

Relieving symptoms and preventing UTIs

  • Take paracetamol or ibuprofen (if suitable for you) for pain.
  • Drink enough fluid so that you pass pale urine regularly, and avoid drinks that can irritate your bladder, such as fruit juice, coffee and alcohol.
  • Some people use over-the-counter cystitis sachets such as Cystopurin or Cystocalm, but there is little evidence that they ease symptoms and they don’t treat the infection. They aren’t suitable for everyone, so check with a pharmacist first.
  • Wipe from front to back after using the toilet, pass urine soon after sex, and avoid holding on when you need to go.

Frequently asked questions

Can I get antibiotics for a UTI without seeing a GP?
Yes. Women aged 16 to 64 can see a pharmacist through the NHS Pharmacy First service, or you can use a registered online pharmacy such as ours. Because antibiotics need extra checks, our prescriber verifies your answers against your NHS record or by phone, confirms your identity and informs your GP before anything is supplied.
Can you buy antibiotics for a UTI over the counter?
No. Nitrofurantoin and trimethoprim are prescription-only medicines, so they can only be supplied after a consultation with a pharmacist or prescriber. Painkillers such as paracetamol can ease symptoms, but over-the-counter products don’t treat the infection.
Which antibiotic is best for a UTI?
For most women with an uncomplicated UTI, nitrofurantoin is the first choice in the UK. Trimethoprim is an alternative when nitrofurantoin is not suitable and the risk of resistance is low. Our prescriber chooses the safest option for you.
How long does a UTI last?
With antibiotics, most women start to feel better within 1 to 3 days. Mild cystitis sometimes clears up on its own within a few days. If you are no better after 48 hours of antibiotics, or your symptoms get worse, contact your GP or NHS 111.
Can sex cause cystitis?
Yes. Sex can move bacteria towards the urethra, which is why some women get cystitis afterwards. Passing urine soon after sex may help. A UTI is not a sexually transmitted infection, but some STIs cause similar symptoms, so get tested if you have a new partner or unusual discharge.
Does cranberry juice help with cystitis?
Cranberry juice won’t treat an infection that has already started. Some women use cranberry products or D-mannose to try to prevent repeat UTIs, but the evidence is uncertain. Cranberry can interact with warfarin, so check with a pharmacist first if you take it.
Is UTI treatment free on the NHS?
The NHS Pharmacy First consultation is free for women aged 16 to 64 at a local pharmacy, including Bury Healthcare Pharmacy. If you normally pay for prescriptions, the standard NHS prescription charge applies to any medicine supplied. Our online clinic is a private alternative with home delivery.
Can men get UTI treatment online?
Not through our online clinic. UTIs in men are less common and usually need a urine test and a longer course of antibiotics, so please see your GP or call NHS 111.
Online UTI clinic

Start your UTI consultation

About 5 minutes. A UK prescriber reviews every answer before anything is supplied, and you get a full refund if treatment isn’t suitable.

Start consultation

Nitrofurantoin and trimethoprim are prescription-only medicines, supplied only after a prescriber has reviewed your consultation. This page is general information and does not replace advice from your GP or pharmacist.