fosfomycin
Brand names: Monurol
Fosfomycin is an antibiotic medicine. It is used to treat bladder infections in women.
Drug Pricing (NADAC)
Generic Price
$41.92/unit
Generic Available
Yes (6 manufacturers)
Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →
What it does
This medicine treats uncomplicated urinary tract infections (UTIs) in women.
Common side effects
Diarrhea, Vaginal inflammation (vaginitis), Nausea
Key warnings
You should not take this medicine if you are allergic to fosfomycin.
How It Works
Fosfomycin is an antibiotic that kills bacteria. It stops bacteria from building cell walls. Without a cell wall, the bacteria cannot survive.
How to Take It
Take one packet of fosfomycin granules by mouth. Empty the entire packet into 3 to 4 ounces (1/2 cup) of water. Stir well until the powder dissolves completely. Drink the mixture right away. You can take it with or without food.
Pregnancy & Breastfeeding
Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. It is not known if fosfomycin will harm your unborn baby or pass into breast milk.
Missed Dose
Fosfomycin is a single-dose treatment. If you miss taking it, talk to your doctor or pharmacist.
Storage
Store the medicine at room temperature, between 68°F and 77°F.
Serious Warnings
You should not take this medicine if you are allergic to fosfomycin.
Known Drug Interactions
Cimetidine: Cimetidine does not affect the pharmacokinetics of fosfomycin when coadministered with fosfomycin tromethamine.
Mechanism: Cimetidine does not change the way the body absorbs or gets rid of fosfomycin.
What to do: These drugs can be taken together without any changes to your dose.
DRUG INTERACTIONS Metoclopramide: When coadministered with fosfomycin tromethamine, metoclopramide, a drug which increases gastrointestinal motility, lowers the serum concentration and urinary excretion of fosfomycin.
Mechanism: Metoclopramide speeds up how fast your stomach and intestines move, which gives your body less time to absorb the fosfomycin. This results in lower levels of the antibiotic in your blood and urine.
What to do: Your doctor may need to monitor you closely to ensure the antibiotic is still effective at treating your infection.
Common Questions
Can I take this medicine if I have a kidney infection?
Can men take this medication?
What should I do if my symptoms don't improve?
Can I mix the granules with something other than water?
Can I take this medicine if I am allergic to penicillin?
Will this medicine interact with other medications I am taking?
Can I take this medication while pregnant?
How quickly does this medicine work?
Can I take this medication if I have a fever?
Is it safe to drink alcohol while taking fosfomycin?
What are the common side effects of fosfomycin?
Does fosfomycin interact with other medications?
What drug class is fosfomycin?
Is fosfomycin safe during pregnancy?
Related Medications in Phosphonic Acid Antibiotic
Other drugs grouped near fosfomycin — same-class peers and common alternatives.
amikacin
Amikin
Amikacin is an antibiotic medicine.
Compare with fosfomycin →
amoxicillin
Amoxil
Amoxicillin and Clavulanate Potassium is a combination medicine used to fight bacterial infections.
Compare with fosfomycin →
amoxicillin/clavulanate
Augmentin
Augmentin is a combination of two medicines, amoxicillin and clavulanate.
Compare with fosfomycin →
ampicillin/sulbactam
Unasyn
Unasyn is a combination of two antibiotics that fights bacteria in your body.
Compare with fosfomycin →
azithromycin
Zithromax, Z-Pack
Azithromycin is an antibiotic that fights bacteria.
Compare with fosfomycin →
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What the FDA Data Shows for fosfomycin
The FDA label for fosfomycin (sold under brand names such as Monurol) classifies it as a prescription-only medication in the Phosphonic Acid Antibiotic class. This medicine treats uncomplicated urinary tract infections (UTIs) in women. Official labeling lists 5 commonly reported side effects, including Diarrhea, Vaginal inflammation (vaginitis), Nausea.
Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. Voluntary reports accumulate over the lifetime of a drug and reflect wide-ranging clinical use. The database also lists 2 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $41.92.
Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.
Data Sources
Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).
FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.
Last updated: September 25, 2025
Read our methodology — how this data is sourced, computed, and verified.
All federal data sources used on this page
- FDA Orange Book — approved drug products with therapeutic equivalence. accessdata.fda.gov/cder/ob
- FDA DailyMed — NIH-hosted drug labeling for FDA-approved meds. dailymed.nlm.nih.gov
- FDA Adverse Event Reporting System (FAERS) — post-marketing safety surveillance. fda.gov/drugs/faers
- NLM RxNorm — standardized clinical drug nomenclature. nlm.nih.gov/research/umls/rxnorm
- CMS Medicare Part B Drug Average Sales Price Files — federal drug pricing data. cms.gov/medicare/part-b-drugs/asp
- FDA Drug Shortages Database — current and resolved drug shortage tracking. accessdata.fda.gov/drugshortages