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CUSTOMER SCENARIO

37-year-old Sylvia has been diagnosed with cystitis. She has mild symptoms so has not received antibiotics through the Pharmacy First service but tells you that she wants something to relieve the pain and burning sensation during urination. She also wants to know if there is anything else she can do to help relieve her symptoms and prevent another infection.

Think about what products and self-care advice you could offer Sylvia, and select which of the following actions you would or would not advise her to take

SELF-CARE DURING CYSTITIS DO DON'T
Take paracetamol or ibuprofen at regular intervals for pain relief, if suitable5
Consider a urine alkaliniser such as CanesOasis® or Cystopurin®, to give relief from burning and stinging symptoms of cystitis
Drink plenty of fluids (around 6-8 glasses) throughout the day to encourage regular urination5
PREVENTING CYSTITIS DO DON'T
Drink excessive alcohol and caffeine1
Have lots of sugary foods or drinks1
Wait to pass urine, when there is an urgency to go1
Rush when urinating1
Wash the external vaginal area with water before and after sex to wash away any bacteria that may be near the urethra opening1
Have a shower rather than a bath to avoid exposing the genitals to cleaning products for extended periods1
Use scented soap, bubble bath or talcum powder near or in the vagina1
Wipe from front (vagina) to back (bottom) after using the toilet to stop bacteria spreading from the bowel to the bladder1
Keep the genital area clean and dry
Change incontinence pads or soiled nappies promptly
Use spermicide with diaphragms or condoms
SUBMIT YOUR ANSWERS

References

1. NHS. Urinary tract infections (UTIs).2025. Available at: https://www.nhs.uk/conditions/urinary-tract-infections-utis/

2. Bonkat, G. et al., 2025. EAU Guidelines on Urological Infections. Arnhem, Netherlands: European Association of Urology.
ISBN 978-94-92671-29-5. Available at: https://d56bochluxqnz.cloudfront.net/documents/full-guideline/EAU-Guidelines-on-Urological-infections-2025.pdf

3. GOV.uk. Women’s Health Strategy for England. 2022. Available at:
https://www.gov.uk/government/publications/womens-health-strategy-for-england/womens-health-strategy-for-england

4. NHS England. Pharmacy First Clinical Pathways. 2025. Available at:
https://www.nhsbsa.nhs.uk/sites/default/files/2025-09/PRN00936_ii_Pharmacy-First-Clinical-Pathways-v.1.6.pdf

5. NHS England. Target UTI Women Under 65 Leaflet for community pharmacies. 2022.
Available at: https://elearning.rcgp.org.uk/mod/book/view.php?id=13511&chapterid=786

Online references last accessed February 2026.

Product information

Click here for CanesOasis® Cystitis Relief 4g granules for oral solution Product Information
RRP (excl. VAT): 6 sachets (GSL) £6.58

Click here for Cystopurin® 3g granules for oral solution Product Information
RRP (excl. VAT): 6 sachets £7.49

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard.
Adverse events should also be reported to Bayer plc on 0118 206 3500 or at pvuk@bayer.com

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