24/10/2026
PHARMACY FIRST: URINARY TRACT INFECTIONS
Pharmacists can now test, advise and prescribe medication for women between the ages of 16 and 64 who aren’t pregnant or breastfeeding and think they may have a Urinary Tract Infection or ‘UTI’. UTIs affect different parts of your urinary tract and can include cystitis (bladder infection), urethra and kidney infections.
Symptoms may include:
- pain or a burning sensation when p*eing
- needing to p*e suddenly, urgently and/or more often than usual, perhaps during the night
- p*e that looks cloudy or contains blood
- pain in the lower tummy or back, just under the ribs
- change in temperature, either hot or cold and shivery
- feelings of tiredness or weakness
- p*e that looks dark and has strong odour (though this may be due to dehydration)
- in older, frail people there can also be changes in behaviour, acting agitated or confused, increased incontinence, or unusual shivering and shaking.
UTIs are usually caused by bacteria from poo entering the urinary tract through the tube that carries p*e out of the body (urethra). As women have a shorter urethra than men, the bacteria are more likely to reach the bladder or kidneys and cause an infection. Risk of
UTIs can also be increased by:
- pregnancy
- wiping your bottom from back to front after going to the toilet
- conditions that block the urinary tract, (e.g. kidney stones)
- conditions that make it difficult to fully empty the bladder, (e.g. enlarged prostate in men and constipation in children)
- urinary catheters
- a weakened immune system
- menopause
- using spermicide with contraception
- not drinking enough fluids
If one of our pharmacists thinks you may have a urinary tract infection (UTI), they may do a urine test, although this is not always needed. They will then offer self-care advice, and either recommend painkillers, or give prescription for a short course of antibiotics (though we may ask you to wait for 48 hours to see if the symptoms go away on their own).