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Fosfacin

Ask a doctor about a prescription for Fosfacin

5.0(6)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Fosfacin

Leaflet attached to the packaging: patient information

Fosfacin, 3 g, granules for oral solution

Fosfomycin

Read the leaflet carefully before taking the medicine, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including those not listed in this leaflet, please inform your doctor or pharmacist. See section 4.

Table of contents of the leaflet

  • 1. What is Fosfacin and what is it used for
  • 2. Important information before taking Fosfacin
  • 3. How to take Fosfacin
  • 4. Possible side effects
  • 5. How to store Fosfacin
  • 6. Contents of the pack and other information

1. What is Fosfacin and what is it used for

Fosfacin contains the active substance fosfomycin (in the form of fosfomycin trometamol). It is an antibiotic that works by killing bacteria that can cause infections. Fosfacin is used to treat uncomplicated urinary tract infections in women and adolescent girls. Fosfacin is used as part of prophylactic antibiotic therapy in the case of transrectal prostate biopsy in adult men.

2. Important information before taking Fosfacin

When not to take Fosfacin:

  • if you are allergic to the active substance or any of the other ingredients of this medicine (listed in section 6);

Warnings and precautions

Before taking Fosfacin, discuss it with your doctor, pharmacist, or nurse if you have:

  • chronic urinary tract infections,
  • diarrhea that occurred after taking other antibiotics.

Matters to be considered:

You should stop taking the medicine and immediately consult a doctor or contact the emergency department of the nearest hospital if you experience the following symptoms:

allergic reactions, including anaphylactic reaction and anaphylactic shock.Cases of colitis and pseudomembranous colitis caused by Clostridioides difficile, ranging from mild to life-threatening, have been reported. Do not take medicines that inhibit peristalsis.When taking the medicine, pay attention to specific symptoms to reduce the risk of problems. See "Severe side effects" in section 4.

Children and adolescents

The safety and efficacy of Fosfacin in children under 12 years of age have not been established. Therefore, Fosfacin should not be used in this age group.

Fosfacin and other medicines

Tell your doctor or pharmacist about all medicines you are taking, have recently taken, or might take, including those available without a prescription. This is especially important when taking:

  • metoclopramideor other medicines that increase gastric and intestinal passage, as they may reduce the absorption of fosfomycin by the body,
  • anticoagulant medicines, as fosfomycin and other antibiotics may affect their ability to prevent blood clots.

Fosfacin with food and drink

Food may delay the absorption of Fosfacin. Therefore, Fosfacin should be taken orally on an empty stomach or 2-3 hours after a meal, preferably before bedtime and after emptying the bladder. The contents of one sachet should be dissolved in a glass of water and taken immediately after preparation. In the case of acute, uncomplicated urinary tract infections in women and girls, the medicine should be taken on an empty stomach (about 2-3 hours before a meal or 2-3 hours after a meal), preferably before going to bed and after emptying the bladder. The contents of one sachet should be dissolved in a glass of water and taken immediately after preparation.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. The doctor will prescribe this medicine to pregnant women only if it is clearly necessary. Breastfeeding women can take a single oral dose of this medicine. There are no available data on the effect on human fertility. Fosfomycin administered orally to male and female rats at a dose of up to 1000 mg/kg/day did not impair fertility.

Driving and using machines

It is possible to experience side effects such as dizziness, which may affect your ability to drive and use machines. If you experience dizziness, do not drive or operate machines.

Fosfacin contains excipients with known effects:

Sodium

Each sachet contains 15.4 mg of sodium. Fosfacin contains less than 1 mmol of sodium (23 mg) per dose, which means the medicine is considered "sodium-free".

Sucrose

One sachet contains 2.153 g of sucrose. If you have been diagnosed with intolerance to some sugars, you should consult your doctor before taking the medicine.

3. How to take Fosfacin

This medicine should always be taken exactly as prescribed by your doctor or pharmacist. If you are unsure, ask your doctor or pharmacist. For the treatment of uncomplicated urinary tract infections in women and adolescent girls (over 12 years of age), the recommended dose is one sachet of Fosfacin (3 g of fosfomycin). In the case of prophylactic antibiotic therapy for transrectal prostate biopsy, the recommended dose is one sachet of Fosfacin (3 g of fosfomycin) 3 hours before the procedure and one sachet of Fosfacin (3 g of fosfomycin) 24 hours after the procedure. Use in patients with renal impairment This medicine should not be used in patients with severe renal impairment (creatinine clearance <10 ml min). use in children and adolescents this medicine should not be used under 12 years of age.< p>

Method of administration

Oral administration. The medicine should be taken orally, on an empty stomach (or 2-3 hours after a meal). In the case of acute, uncomplicated urinary tract infections in women and girls, the medicine should be taken on an empty stomach (about 2-3 hours before a meal or 2-3 hours after a meal), preferably before going to bed and after emptying the bladder. Dissolve the contents of one sachet in a glass of water and drink immediately.

Overdose of Fosfacin

If you have taken more than the recommended dose of Fosfacin, contact your doctor or pharmacist immediately, taking the packaging with you. Experience with overdose of orally administered fosfomycin is limited. After parenteral administration of fosfomycin, cases of hypotension, drowsiness, electrolyte imbalance, thrombocytopenia, and hypoprothrombinemia have been reported. If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Fosfacin can cause side effects, although not everybody gets them.

Severe side effects:

You should stop taking the medicine and contact a doctor immediately if you experience the following symptoms while taking Fosfacin:

  • anaphylactic shock, a life-threatening allergic reaction (frequency not known). Symptoms include sudden onset of rash, itching, or hives on the skin, or difficulty breathing, wheezing, or shortness of breath,
  • swelling of the face, lips, tongue, or throat, or difficulty breathing - angioedema (frequency not known),
  • diarrhea of moderate to severe intensity, abdominal cramps, bloody stools, and/or fever, which may indicate colitis - post-antibiotic colitis (frequency not known). Do not take anti-diarrheal medicines that reduce peristalsis (anti-peristaltic medicines) (see section 2).

Other side effects:

Common(occurring in less than 1 in 10 people):

  • headache,
  • dizziness,
  • abdominal pain,
  • diarrhea,
  • nausea,
  • indigestion,
  • vaginal infection, inflammation, irritation, itching (vaginitis)

Uncommon(occurring in less than 1 in 100 people):

  • vomiting,
  • rash,
  • hives,
  • itching.

Frequency not known(frequency cannot be estimated from the available data):

  • allergic reactions (see section 2).

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, please inform your doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw, Tel.: 22 49-21-301, Fax: 22 49-21-309, Website: https://smz.ezdrowie.gov.pl. Side effects can also be reported to the marketing authorization holder. By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Fosfacin

Keep this medicine out of the sight and reach of children. Do not store above 25°C. Do not use this medicine after the expiry date stated on the carton and sachet after "Expiry date (EXP):". The expiry date refers to the last day of the month. Shelf life of the prepared solution: The contents of one sachet should be dissolved in a glass of water and taken immediately after preparation. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Fosfacin contains

The active substance is fosfomycin (in the form of fosfomycin trometamol). Each sachet (8g granules) contains 5.631g of fosfomycin trometamol (equivalent to 3g of fosfomycin). The other ingredients are: sucrose, sodium saccharin (E 954), orange flavor 87D645 (maltodextrin, gum arabic (E 414), citric acid monohydrate (E 330), sodium citrate (E 331), butylhydroxyanisole (E 320)); mandarin flavor WONF 87D646 (maltodextrin, gum arabic (E 414), citric acid monohydrate (E 330), sodium citrate (E 331)).

What Fosfacin looks like and contents of the pack

Almost white granules with a citrus flavor. Granules for oral solution. The immediate packaging is a paper/Aluminum/LDPE sachet in a cardboard box. The pack contains: 1 or 2 sachets

Marketing authorization holder and manufacturer

Marketing authorization holder Solinea Sp. z o.o. Sp.K. Elizówka 65 21-003 Ciecierzyn, Poland Tel. 81 463-48-82 (Solinea logo) Manufacturer: Mako Pharma Sp. z o.o. ul. Kolejowa 231 A 05-092 Dziekanów Polski Patient leaflet in a format suitable for the blind and partially sighted available at the marketing authorization holder's headquarters.

Date of last revision of the leaflet:

Alternatives to Fosfacin in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Fosfacin in Spain

Dosage form: INJECTABLE PERFUSION, 8 g
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Manufacturer: Neuraxpharm Spain S.L.
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Alternative to Fosfacin in Ukraine

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Active substance: fosfomycin
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Dosage form: granules, 3 g in a sachet
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Online doctors for Fosfacin

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Fosfacin – subject to medical assessment and local rules.

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Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

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With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
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  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
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Experience and qualifications:

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Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
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  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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