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Analogs of Monuralu for cystitis

, medical expert
Last reviewed: 08.07.2025
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What to do if Monural does not help with cystitis? The main reason why Monural does not help with cystitis is self-administration of the drug. Without laboratory tests and medical advice, it is almost impossible to choose a 100% effective remedy. You should also consider the risks to the body that self-medication with strong antibacterial drugs carries.

Another reason why Monural did not cope with bladder inflammation is leukoplakia. This pathology is a keratinization of multilayered squamous epithelium. The disease affects the mucous membranes of many organs, including the genitourinary system. The causes of leukoplakia have not been fully studied, but it has been established that it develops due to external factors: chemical, mechanical and thermal irritation of the mucous membranes. In this case, patients undergo electrocoagulation (cauterization) of the bladder mucosa, and then are prescribed antibacterial and other drugs to treat cystitis.

If you suspect an inflammatory process in the genitourinary system, you should take a bacterial urine culture for flora and sensitivity to antibiotics. It is also recommended to undergo an ultrasound examination of the bladder. Based on the data obtained as a result of diagnostics, you can conclude whether it is advisable to use monural.

Analogues, which is better?

The pharmaceutical market offers many drugs of both antibacterial and antimicrobial profiles that are not inferior in their effectiveness to monural. Let's consider popular analogues of monural for cystitis:

  1. Bernie - granules for the preparation of a solution for oral administration. Contains the active substance fosfomycin. Belongs to the pharmacological group of antimicrobial drugs of systemic action. Has a broad spectrum of antibacterial activity against pathogens of urinary tract infections. It is used for acute uncomplicated urinary tract infections in adults and children over 12 years of age. The medicine is taken 1 time, dissolving the contents of the sachet in ½ glass of warm water. The therapeutic effect develops within 2-3 hours.
  2. Tarigan is an antibacterial drug in the form of granules for the preparation of a solution for oral administration. It is characterized by a broad spectrum of antibacterial activity against urinary tract infections: E. coli, Citrobacter spp., Klebsiella spp., Proteus spp., Serratia spp., P. aeruginosa and Enterococcus faecalis. It is prescribed for acute urinary tract infections in children and adults.
  3. Ureacid is a granulated antimicrobial agent with the active ingredient fosfomycin. It is used to treat cystitis and other urinary tract infections caused by microorganisms sensitive to the active substance. The drug is contraindicated in severe renal failure and during hemodialysis. The drug is taken as a solution before bedtime and after emptying the bladder.
  4. Urofosfabol is a drug with the active ingredients fosfomycin and succinic acid. The bactericidal action of the drug is based on the destruction of the walls of pathogenic microorganisms. Urofosfabol is used to treat infections of soft tissues, pelvic organs, burn wounds, urinary tract, bones and joints caused by bacteria sensitive to the drug. The drug is administered intravenously by jet stream, diluted in water for injection or by drip. The duration of treatment is determined by the attending physician, individually for each patient.
  5. Urofoscin is an antimicrobial agent for systemic use in the form of granulated powder for the preparation of an oral solution. It has a broad spectrum of antibacterial action against many strains of urinary tract infections. It is used in acute uncomplicated cystitis, urethritis and other lower urinary tract infections. Contraindicated in case of hypersensitivity to the active components, severe renal failure, for children under 12 years of age and during hemodialysis.
  6. Forteraz is a sachet with the active substance fosfomycin trometamol. It belongs to the pharmacological group of systemic antimicrobial drugs. It is prescribed for the treatment of infectious diseases caused by microorganisms sensitive to the drug. It is effective for urinary tract infections and cystitis. The medicine is taken orally by dissolving the contents of the sachet in ½ glass of water. The dosage and duration of therapy are determined by the attending physician, for each patient individually.
  7. Fosmitsin is a powder for the preparation of an injection solution with the active component fosfomycin. It is a broad-spectrum antibacterial agent for systemic use. It is prescribed for cystitis, pyelonephritis, endometritis, peritonitis, pneumonia, surgical infections, and sepsis. The drug is administered intravenously by drip or bolus. The dosage is determined by the attending physician; adverse reactions and overdose cases have not been recorded.
  8. Fosmural is a sachet for the preparation of an oral solution with the active substance fosfomycin. It is characterized by a broad spectrum of antibacterial action. It is highly effective against strains of pathogens of urinary tract infections. It is used to treat acute uncomplicated urinary tract infections, as well as for prevention during diagnostic and surgical interventions in adults. The medicine is taken orally on an empty stomach, before bedtime and after completely emptying the bladder. To prepare the solution, the contents of the sachet are dissolved in ½ glass of warm water. The duration of treatment depends on the severity of the disease and the general condition of the patient.
  9. Cystoral - granules with fosfomycin for oral use. The antibiotic has a broad spectrum of antimicrobial activity. It has proven itself in the treatment of such strains of pathogens of urinary tract infections: E. coli, Citrobacter spp., Klebsiella spp., Proteus spp., Serratia spp., P. aeruginosa and Enterococcus faecalis and others. Granules are dissolved in a glass of warm water and taken orally after emptying the bladder. The dosage and duration of treatment are determined by the doctor, individually for each patient.
  10. Espa-Focin is a powder for the preparation of an oral solution with the active ingredient fosfomycin. The antibiotic has a broad spectrum of action. Its mechanism of action is based on blocking the first stage of bacterial cell synthesis, which leads to its death. It is used for uncomplicated urinary tract infections (cystitis, urethritis, etc.). It is recommended for the treatment of patients over 12 years of age. It can also be used as a preventive measure in diagnostic and surgical interventions in the urinary system.

All of the above drugs contain the main active ingredient - fosfomycin, like Monural. However, the analogues differ in their mechanism of action and cost. Before using any of them, you should consult with your doctor. Most of the mentioned antibiotics are available only with a doctor's prescription.

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Monural or nolitsin

To treat bladder inflammation, patients are prescribed medications from various pharmacological groups. The most effective include the antibiotic Monural and the antimicrobial agent, a fluoroquinolone derivative - Nolitsin. Let's take a closer look at the features of the antiparasitic drug.

Nolitsin is a drug with antimicrobial properties. It contains the active substance norfloxacin from the quinolone group, which creates high concentrations in urine. The active component is active against most gram-negative and some strains of gram-positive bacteria. Its mechanism of action is based on the suppression of bacterial DNA synthesis.

  • Indications for use: complicated and uncomplicated, acute and chronic forms of infectious lesions of the upper and lower respiratory tract. Cystitis, chronic prostatitis, pyelonephritis, pyelitis, neurogenic bladder, nephrolithiasis, uncomplicated gonorrhea, bacterial gastroenteritis. The drug is prescribed for infections caused by urological operations. And also as a preventive measure for sepsis against the background of neutropenia, traveler's diarrhea, relapses of diseases of the urinary system.
  • Method of administration: tablets are taken orally one hour before meals or two hours after, with water. The dosage is determined by the attending physician, but as a rule the drug is taken 400 mg (1 tablet) 2 times a day. Duration of treatment is from 7-10 days to 12 weeks.
  • Side effects: abdominal cramps, bowel movements, increased liver enzymes, pancreatitis, jaundice. Sleep disturbances, headaches and dizziness, irritability. Allergic reactions, leukopenia, neutropenia, decreased blood pressure, muscle and joint pain, vaginal candidiasis.
  • Contraindications: hypersensitivity to the components of the drug, glucose-6-phosphate dehydrogenase deficiency, pediatric practice. It is prescribed with caution to patients with intolerance to acetylsalicylic acid, atherosclerotic lesions of cerebral vessels, cerebrovascular accident, as well as with impaired renal and hepatic function. Use during pregnancy and lactation is possible only for strict medical indications.
  • Overdose: diarrhea, nausea, vomiting, confusion, convulsions, fatigue. There is no specific antidote, treatment is symptomatic.

Release form: enteric-coated tablets, 10 pieces per blister, 1.2 blisters per package.

If we compare Monural and Nolitsin, the latter has a wide range of applications, and the antibiotic is active against most pathogenic strains. Both medications have a similar mechanism of action and do not differ much in cost.

Furagin or monural

Another popular drug combination for cystitis is Furagin and Monural. The first drug is a pharmacological group of nitrofuran derivatives, and the second has antibacterial properties.

Furagin is an antimicrobial drug with the active component furazidin. Effect on gram-negative and gram-positive bacterial strains.

  • Indications for use: infectious and inflammatory diseases of the urinary system and prostate gland in acute or chronic form. Preventive measure for recurrent pathology. Used when long-term catheterization of the bladder and urinary tract anomalies in newborns are necessary.
  • Method of administration: orally during meals. During the treatment period, it is recommended to consume more protein foods to acidify urine. On average, patients are prescribed 100 mg 3-4 times a day with a gradual reduction in dosage to therapeutically effective values. The course of treatment is from 7 to 8 days. If repeated therapy is necessary, it is carried out no earlier than 10-15 days after the main course.
  • Side effects: drowsiness, blurred vision, polyneuropathy, dizziness. Dyspeptic disorders, abdominal pain, diarrhea, vomiting, allergic reactions. General malaise, fever, chills.
  • Contraindications: hypersensitivity to the components of the drug, renal failure, pregnancy and lactation, patients under 7 days of age, congenital deficiency of the enzyme glucose-6-phosphate dehydrogenase.
  • Overdose: headaches, depression, dizziness, peripheral polyneuritis, nausea, liver dysfunction. Allergic reactions, aplastic or megaloblastic anemia in patients with glucose-6-phosphate dehydrogenase deficiency. Gastric lavage, infusion therapy and hemodialysis are indicated for treatment.

Release form: tablets of 50 mg, 30 pieces per package.

Furadonin or monural

Furadonin is an antimicrobial agent from the pharmacological group of nitrofuran derivatives. Contains the active component - nitrofurantoin - N-(5-nitro-2-furfurylidene)-1-aminohydantoin. The active substance disrupts the permeability of the cell membrane and protein synthesis in bacterial cells, providing a bactericidal and bacteriostatic effect. Furadonin is active against gram-positive and gram-negative microorganisms.

  • Indications for use: infectious and inflammatory pathologies of the urinary tract caused by bacteria sensitive to the drug. Pyelonephritis, pyelitis, cystitis, urethritis. Prevention during urological operations, cystoscopy, catheterization.
  • Method of administration: orally, with water. Adult patients are prescribed 100-150 mg 3-4 times a day. The maximum daily dose is 600 mg, pink 300 mg. The duration of treatment for acute conditions is 7-10 days, for the prevention of relapses from 3 to 12 months. The dosage for children is prescribed by a doctor at the rate of 5-8 mg per day, divided into 4 doses.
  • Side effects: allergic reactions, nausea, vomiting, chills, headaches and dizziness, nystagmus, broncho-obstructive syndrome, shortness of breath, cough, pancreatitis, hepatitis, abdominal pain.
  • Contraindications: intolerance to the components of the drug, chronic renal or cardiac failure of 2-3 degrees, liver cirrhosis, chronic hepatitis, pregnancy and lactation, patients under 1 month of age, acute porphyria, glucose-6-phosphate dehydrogenase deficiency.
  • Overdose: nausea, vomiting, general deterioration of health. Hemodialysis is indicated for treatment, taking a large volume of fluid to improve the elimination of the drug.

Release form: tablets of 12, 20, 30, 40 and 50 pieces in a package for oral administration. Powder for preparation of oral suspension.

When choosing Furadonin or Monural, it should be noted that both drugs have a wide range of action, similar contraindications and side effects. Furadonin is used for a larger number of pathologies. While Monural is aimed at treating inflammatory processes in the lower urinary tract. A single dose of the antibiotic allows you to completely cope with the infection, while Furadonin is designed for longer-term use.

Furamag or monural

Furamag is another drug from the group of nitrofuran derivatives. Contains the active component furazidin 25 or 50 mg. It has high bioavailability and is stable in the acidic environment of the stomach, does not change the pH of urine, but creates increased concentrations in the kidneys.

The mechanism of action of the drug is based on the inhibition of the synthesis of nucleic acids of bacterial cells. It has a broad spectrum of antibacterial action. It is active against gram-negative and gram-positive microorganisms.

  • Indications for use: various infectious and inflammatory diseases, purulent wounds, cystitis, purulent arthritis, pyelonephritis, genital infections in women. Burns, wound infection, sepsis, conjunctivitis. Prevention of infections during urological operations, catheterization and cytoscopy. Can be used for infectious and inflammatory pathologies of the respiratory tract: bronchitis, pneumonia, COPD.
  • Method of administration: orally, with water. Adults are prescribed 50-100 mg 3 times a day, the duration of therapy is 7-10 days, the maximum daily dose is 600 mg. For children from 1 to 10 years old, 5 mg / kg of body weight per day is prescribed, dividing the received dose into several doses. If the child's weight is more than 30 kg, then take 50 mg 3 times a day.
  • Side effects: nausea, vomiting, headache, anorexia, allergic reactions. During long-term treatment, it is necessary to monitor kidney and liver function.
  • Contraindications: hypersensitivity to the components of the drug, patients under 1 month of age, toxic hepatitis, polyneuritis, terminal stage of chronic renal failure. Not used during pregnancy and lactation.
  • Overdose: headaches, tinnitus, loss of appetite, allergic reactions. In acute conditions, antihistamines and enterosorbents, gastric lavage are indicated.

Release form: capsules for oral administration of 20 and 50 mg, 30 pieces per package.

Monural and Furamag have a similar mechanism of action, while the second drug can be used to treat early childhood patients. Despite the fact that the antibiotic is contraindicated for children under 12 years of age, in adults it effectively copes with the symptoms of cystitis and bacteria in just one dose. While the minimum course of taking Furamag is at least a week.

Monural or suprax

Suprax is a third-generation cephalosporin antibiotic. It has bactericidal properties and contains cefixime 200 or 400 mg. The drug exhibits a broad spectrum of action against aerobic and anaerobic gram-positive and gram-negative microorganisms.

  • Indications for use: uncomplicated urinary tract infections, gonococcal infection of the urethra and cervix, otitis media, pharyngitis, acute and chronic bronchitis, tonsillitis, sinusitis.
  • Method of administration: parenteral and oral. For patients over 12 years of age with a body weight of more than 50 mg, the daily dose is 400 mg, divided into two doses. For children from six months to 12 years, a suspension of 8 mg / kg is prescribed once a day or 4 mg / kg every 12 hours. The duration of therapy depends on the severity of the disease, so it is determined by the attending physician for each patient individually.
  • Side effects: various allergic reactions, headaches and dizziness, tinnitus. Impaired renal function, interstitial nephritis. Nausea and vomiting, stomatitis, abdominal pain, diarrhea, constipation. Leukopenia, neutropenia, thrombocytopenia, bleeding. Increased liver transaminases, urea nitrogen. Gastric lavage is indicated for treatment, hemodialysis and peritoneal dialysis are ineffective.
  • Contraindications: penicillin intolerance, patients under 6 months of age. Use during pregnancy and lactation is possible when the expected benefit to the mother is higher than the potential risks to the fetus. It is prescribed with special caution in case of renal failure, for elderly patients, colitis in the anamnesis.
  • Overdose: manifests itself by increased adverse reactions. Symptomatic and supportive therapy is indicated for treatment. Antihistamines, glucocorticoids, pressor amines are recommended. Hemodialysis and peritoneal dialysis are ineffective.

Release form: 60 ml suspension for children; capsules of 200 and 400 mg, 6 pieces per package; granules for preparation of oral suspension.

When comparing the drugs Supraks and Monural in the treatment of cystitis, we can conclude that the second is more effective and safe. Despite the fact that both drugs have antibacterial properties, Supraks has more contraindications and many side effects, which cannot be said about Monural.

Monural or panceph

Pancef is a beta-lactam antibiotic from the pharmacological group of cephalosporins. The drug consists of cefixime trihydrate and auxiliary components. It effectively affects pathogenic microorganisms, destroying their membrane and disrupting its synthesis. It is active against pathogenic streptococci, hemophilus, Escherichia coli, Proteus, Klebsiella, Salmonella and other bacteria.

  • Indications for use: tonsillitis, sinusitis, pharyngitis, bronchitis, laryngotracheitis, tracheobronchitis and other infectious/bacterial diseases of the respiratory tract. Can be used for inflammation of the middle ear and urinary tract caused by bacteria sensitive to the drug. Effective for uncomplicated gonorrhea.
  • Method of administration: orally, to prepare a suspension, the contents of the vial with granules are dissolved in 60 or 100 ml of warm water. For children weighing less than 50 kg, the dosage is calculated based on the following parameters: weight from 6 to 12.5 mg - 100 mg per day; 12.5-25 mg - 200 mg / day; 25-50 mg from 300 to 400 mg. For patients weighing more than 50 kg, 400 mg of the drug is prescribed. The duration of treatment is 7-19 days. Tablets are also taken orally, 1 piece (400 mg) per day.
  • Side effects: nausea, vomiting, loss of appetite, abdominal pain, allergic reactions, increased levels of liver transaminases and bilirubin. In rare cases, interstitial nephritis, glossitis, enterocolitis develop. Overdose has similar but more pronounced symptoms. Treatment is symptomatic.
  • Contraindications: individual intolerance to penicillins, cephalosporins and penicillamines. The suspension is not prescribed for children under 6 months, and tablets under 12 years. Use during pregnancy and lactation is possible for strict medical indications, taking into account all possible risks.

Release form: tablets for oral administration of 400 mg, 6, 10, 720 and 1000 pieces per package. Granules for the preparation of oral suspension in bottles of 32 and 53 g with a measuring cup.

Monural for cystitis in comparison with Pancef has a pronounced activity against gram-positive and gram-negative microorganisms. While cephalosporin affects other strains of bacteria. In order to choose which drug will be more effective in each specific case, you should take a urine test to determine the bacterial flora and its sensitivity to antibiotics.

Attention!

To simplify the perception of information, this instruction for use of the drug "Analogs of Monuralu for cystitis" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.

Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.

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