Fosfomycin Trometamol

Fosfomycin trometamol is a synthetic, broad-spectrum bactericidal antibiotic. It acts by inhibiting the first step of bacterial cell wall synthesis, specifically blocking the synthesis of peptidoglycan. It is highly active against Gram-negative and Gram-positive uropathogens, including E. coli, Proteus, Klebsiella, and Enterococcus species. It is uniquely formulated as a single-dose treatment due to its rapid absorption and prolonged, high concentrations in urine.

Dosage by Body Weight

For acute uncomplicated cystitis in female patients aged 12 years and older, the standard dose is one single 3 g sachet dissolved in a glass of water. It should be taken on an empty stomach (either 1 hour before or 2 to 3 hours after a meal), preferably at bedtime after emptying the bladder. Not routinely recommended for children under 12 years of age or weighing less than 50 kg.

  1. Body Weight
    Below 5 kg
    Dose
    Not recommended
    Frequency
    N/A
    Tracking Notes
    Safety and efficacy have not been established in this weight class.
  2. Body Weight
    5-7 kg
    Dose
    Not recommended
    Frequency
    N/A
    Tracking Notes
    Safety and efficacy have not been established in this weight class.
  3. Body Weight
    8-10 kg
    Dose
    Not recommended
    Frequency
    N/A
    Tracking Notes
    Safety and efficacy have not been established in this weight class.
  4. Body Weight
    11-15 kg
    Dose
    Not recommended
    Frequency
    N/A
    Tracking Notes
    Safety and efficacy have not been established in this weight class.
  5. Body Weight
    16-20 kg
    Dose
    Not recommended
    Frequency
    N/A
    Tracking Notes
    Safety and efficacy have not been established in this weight class.

Formulation

Granules for oral solutionPowder for oral solution

Purpose

Treatment of acute uncomplicated lower urinary tract infections (such as acute cystitis) in women and female adolescents, and perioperative prophylaxis for transurethral surgical procedures.

Generic Name

Fosfomycin Trometamol

Branded Drug Names

Fosfomycin Trometamol is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.