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. 2021 Apr 1;10(4):373. doi: 10.3390/antibiotics10040373

Table 3.

Overview of potential treatments beyond antibiotics for recurrent cystitis in women.

Characteristics Hormonal Replacement Immunoactive Prophylaxis Lactobacillus Cranberry Hyaluronic Acid D-mannose
Data maturity Solid Solid Poor Poor Poor Poor
Route of Administration Vaginal Oral Oral Oral Endovesical
Oral
Oral
Adverse Events Vaginal discomfort, irritation, burning, itching None None None Burning during instillation (78%) Diarrhea (<8%)
EAU Guidelines on Urinary Tract Infections Recommended for post-menopausal women (weak) More effective than placebo (strong) Further trials are needed before recommendation for or against its use Contradictory results. No recommendation No recommendation Data indicative but not sufficient for recommendation