Europe — EMA
Monuril (Fosfomycin Trometamol)
GNH USA supplies Monuril (Fosfomycin Trometamol), a phosphonic acid antibiotic indicated for the treatment of uncomplicated urinary tract infections in adult
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What is Fosfomycin Trometamol?
Fosfomycin trometamol, the active ingredient in Monuril, is a phosphonic acid antibiotic presented as an oral tablet for oral use. It treats uncomplicated urinary tract infections, primarily in adult women, by targeting bacterial cell wall synthesis. The drug is approved for use in the European Union and is available by prescription.
GNH USA supplies Monuril as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU quality standards and providing reliable global distribution.
What is Fosfomycin Trometamol used for?
Monuril (fosfomycin trometamol) is used to treat infections of the urinary tract.
Uncomplicated urinary tract infection: provides a single oral dose that eliminates common uropathogenic bacteria and relieves symptoms.
What are the side effects of Fosfomycin Trometamol?
Fosfomycin trometamol may cause a range of adverse reactions, most of which are mild and transient.
Common Side Effects: - Nausea: mild stomach upset. - Diarrhea: loose stools. - Headache: transient head discomfort.
Serious or Rare Side Effects: - Allergic reaction: rash, itching, swelling, or anaphylaxis. - Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis. - Clostridioides difficile infection: persistent diarrhea due to bacterial overgrowth.
What precautions apply to Fosfomycin Trometamol?
When prescribing Monuril, consider the following precautions. - Renal impairment: adjust use or avoid in severe kidney dysfunction. - Pregnancy: safety not established; use only if benefits outweigh risks. - Hepatic disease: monitor liver function as metabolism may be affected. - Known hypersensitivity: avoid if allergic to fosfomycin or related compounds. - Concomitant antacids or supplements: may reduce absorption; separate dosing by at least 2 hours. - Store below 25°C: keep in original packaging, protect from moisture and heat.
What does Fosfomycin Trometamol interact with?
Fosfomycin trometamol has a limited interaction profile.
Major Interactions (Avoid): - None identified: no major drug‑drug interactions have been reported for fosfomycin trometamol.
Moderate Interactions (Monitor Closely): - Antacids or supplements containing calcium, magnesium, aluminum, or iron: may decrease fosfomycin absorption; separate administration by at least 2 hours. - Warfarin: may increase INR; monitor coagulation parameters. - Probenecid: can raise fosfomycin plasma levels; adjust dosing if necessary. - Oral contraceptives: potential reduction in efficacy; advise additional contraceptive measures.



