Tips from doctors and specialists

Samuel Knuesel

Finally there is an effective agent to protect against burdensome bladder inflammation. Topwell-Pharmacist Samuel Knüsel on the subject of D-Mannose as a natural alternative to antibiotics. 

He is a smart, highly educated, medically trained 27-year-old who maintains an open attitude to natural medicine and works as a Deputy Director in the Naturewell Pharmacy at Zurich Station on the newly opened Rail Link.

Urinary tract infections are a subject that the Topwell-Pharmacist Samuel Knüsel knows very well. «An acute, uncomplicated bladder inflammation affects every second woman over their lifetime. Around a third will experience a recurring infection within the next couple of months.» The symptoms are typical: frequent, painful urination, turbid, mostly foul-smelling urine without any itchiness or discharge.

What does the shrewd pharmacist advise in such situations? Watch and wait, drink tea or antibiotics? «Definitely not watch and wait, antibiotics only in restricted circumstances, though drinking tea is actually sensible», says Samuel Knüsel. «It is totally acceptable to take a non-prescription analgesic such as Ibuprofen, kidney- and bladder-dragées and D-Mannose in an uncomplicated urinary tract infection without involvement of the kidney, that is with no fever or flank pains.

The sooner the infection is treated, the greater is the likelihood of a rapid symptomatic improvement.» The simple sugar D-Mannose is particularly capable. It binds to the protein FimH on the fimbriae of the E. coli bacteria and inactivates them. Fimbriae are hair-like structures with which the bacteria bind to the bladder mucosa. In the first instance, however, D-Mannose is an excellent, natural and especially a gentle substance, which protects against burdensome bladder inflammation. «In one study, D-Mannose was investigated as a prophylactic against bladder inflammation», says Knüsel. «In comparison to antibiotics, the simple sugar proved to be just as good at protecting against bladder inflammation. However, it did so with significantly fewer side effects and without developing resistance as antibiotics can do.»

The experiences of customers as well as professional colleagues, including doctors, with D-Mannose are very good. The preparation helped many women, who until then had tried everything to get rid of their burdensome bladder inflammation. Mannose is therefore worth trying in every case, particularly since most people nowadays are aware of the issues with resistance formation due to antibiotic use. «A woman generally knows her body very well. If she finds herself in a situation, which has previously repeatedly led to bladder inflammation, for, example after hypothermia, then an attempt at prevention with D-Mannose is advisable in every case, possibly combined from the outset with kidney- and bladder-dragées. Whilst one can take D-Mannose for extended periods without any concerns, one should not use kidney- and bladder-dragées for longer than a week.

With an approach like this, one can appreciably reduce the frequency of recurrent infections.»


Source: Protection for the bladder, Consultation Dr. Stutz, Nr. 02.2016   

Advice from doctors and specialists

Samuel Knüsel:

What does this shrewd Pharmacist’s advise for urinary tract infections? Watch and wait and drink tea, or antibiotics? «Definitely not watch and wait, and antibiotics only in particular situations, though tea drinking is sensible», says Samuel Knüsel. «It is entirely reasonable in an uncomplicated urinary tract infection not involving the kidney, that is without fever or flank pain, to take a non-prescription pain killer such as Ibuprofen, kidney- and bladder dragées and D-Mannose.

Marlies von Siebenthal:
Most women get bladder infection in bed and by not drinking enough, but not from sitting on cold stones for example.  During and after sexual intercourse, the gut bacteria have an easy time passing from the vagina via the urethra into the bladder.  


Florian Meier:
At the Adler-Pharmacy we advise patients to drink plenty and frequently. It is one of the best and most established home remedies because it washes bacteria out of the bladder. It should be at least two litres per day, and alcohol, coffee and citrus juices should be avoided since these drinks can irritate the bladder. Along with drinking plenty and flushing out goes not avoiding going to the toilet, even if this is unpleasant.

PD Dr. Daniele Perucchini 
The treatment of an acute urinary tract infection with antibiotics is routine. However, what should be done when the next inflammation arrives before the original one is fully healed? Is there an alternative to prescribing antibiotics, which is unavoidably associated with the risk of resistance formation? Yes, there is one. And it is called D-Mannose.  This is a simple sugar, which is closely related to glucose. Dr. Perucchini has many years of good experiences with D-Mannose in women with recurrent bladder inflammation.



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