Fosfomycin (Monurol)

C. diff Risk

Low

Oral Bioavailability

Moderate

Approximate Cost

~$13.00/day

Dosing

No adjustment necessary

Intermittent Dialysis Dose post-hemodialysis

General Information

Common Usage

Urinary Tract Infection, especially involving ESBL producing organisms.

Off-label - Prostatitis.

Adverse Effects

  •  GI upset, especially diarrhea

  •  Headache

  •  Eosinophilia, neutropenia

  •  Hypokalemia

Major Interactions

No significant interactions

Pharmacology

Antimicrobial class: Phosphonic acid derivative

Pregnancy category: B

Average serum half life: 6 hours

Urine penetration: Therapeutic