Efficient oral antibiotic to clear lower UTIs.
Pivmecillinam is an antibiotic that kills bacteria responsible for infections such as UTIs. It typically clears your UTI in just 3 days.
Start a consultation with us and tell us about your health. Our clinical team will recommend the best treatment options for you to choose from. Order Pivmecillinam online and get it delivered from our licensed pharmacy.
Pivmecillinam is an antibiotic that can kill the bacteria that cause urinary tract infections (UTIs). UTIs can affect your bladder, urethra or kidneys. Pivmecillinam is often used to treat cystitis, a bladder infection that's especially common in women.
Symptoms of cystitis can include a burning or stinging sensation when you pee, the urge to pee more often, dark-coloured or foul-smelling urine and pain in your lower belly.
Pivmecillinam is an antibiotic that you take by mouth. It's a pro-drug, meaning that your body converts it into its active form, mecillinam, which is a beta-lactam antibiotic (same as amoxicillin or amipicillin) that works against Gram-negative bacteria.
Mecillinam binds to a protein called penicillin-binding protein 2 (PBP-2), which is found in the cell walls of Gram-negative bacteria. By doing this, it inhibits the formation of bacterial cell walls, which weakens them and causes them to eventually die.
Pivmecillinam has a low impact on the normal bacteria that live on your skin, in your mouth, intestines and vagina. This means that it's less likely to cause side effects like diarrhoea or yeast infections.
Pivmecillinam comes in one strength: Pivmecillinam 200mg tablets. Each tablet contains 200mg of pivmecillinam hydrochloride.
Remember to always make sure to take pivmecillinam the exact way your doctor prescribed, but here's how much you’ll typically be advised to take depending on the type of infection you have:
As a general rule, you don't need to adjust the dose if you're older than 65 or have kidney or liver problems.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
Make sure to take Pivmecillinam exactly as your clinician has told you, but some general guidelines on how to take it are:
Pivmecillinam hydrochloride is a pro-drug, so it’s converted into its active form, mecillinam, in your body. Mecillinam reaches peak concentrations in the blood within 1-1.5 hours after taking pivmecillinam hydrochloride. So, pivmecillinam hydrochloride starts to work pretty quickly, but you might not feel better for 2-3 days.
It’s important though to keep taking the full course of medication as prescribed by your clinician even after you start feeling better. Stopping the medication early can make your infection worse and can even make it harder to treat in the future.
Yes, you can drink alcohol in moderation while taking Pivmecillinam. But alcohol can make some of the side effects of antibiotics worse, like stomach upset, dizziness and drowsiness. Combining the two can also increase the risk of these side effects.
If you accidentally take too much Pivmecillinam hydrochloride, let your doctor know right away. They may need to stop your treatment. You might also feel sick, have an upset stomach or throw up.
If you forgot to take your medicine, take it as soon as you remember. Be sure to drink it with at least half a glass of water or other liquid. Then take your next dose at your usual time.
It's important to take the full course of medication that your clinician has prescribed, even if you start to feel better. If you stop taking the antibiotics too soon, your infection could come back.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
Pivmecillinam 200mg film-coated tablets - Summary of Product Characteristics (SmPC) Available at:
Pivmecillinam--therapy of choice for lower urinary tract infection. International journal of antimicrobial agents, 22 Suppl 2, pp.73–8. Available at:
Pivmecillinam hydrochloride. Available at:
Summary of the evidence. Urinary tract infection (lower): antimicrobial prescribing. Guidance | NICE. Available at:
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Meet CraigDelivery, consultation, treatment. It’s all included in the price.
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6 Capsules | £42.95 |
14 Capsules | £56.95 Save £43.27 |
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12 Tablets | £52.95 |
28 Tablets | £72.95 Save £50.60 |
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6 Tablets | £38.95 |
14 Tablets | £50.95 Save £39.93 |
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I have had it previously from my G.P so It worked as expected, extremely well. My problem is an accessing my G.P practice, they put ED well down their list of priorities. I found your service excellent, quick and efficient. I fully intend to continue using it
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UTI: Here are some other options.
Effective antibiotic capsule that you take just twice a day.
Widely used generic antibiotic available in two forms. Can clear UTIs in 7 days.
Clears persistent UTIs. 3 day course for women, 7 day course for men.
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Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.
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