Introduction About EVAFOS POWDER

EVAFOS POWDER contains Fosfomycin, which belongs to the group of medicines called Antibiotics. It is used to manage or manage uncomplicated infections of the bladder in women and female adolescents. It is also used as an antibiotic prophylaxis for transrectal prostate biopsy in men.

EVAFOS POWDER should not be used in patients who have severe kidney problems or are on haemodialysis. It should be used cautiously in patients who have persistent infections of the bladder and who have experienced symptoms of diarrhoea after taking any other antibiotics.

EVAFOS POWDER is not recommended for use in pregnant women unless considered necessary and is not recommended for use in breastfeeding women as it may pass through the breast milk. EVAFOS POWDER is generally not recommended for use in children (under 12 years of age) and should be used with caution in elderly patients. The most common side effects are headaches, dizziness, diarrhoea, nausea and indigestion. If any of these symptoms worsen, contact your doctor.

Uses Of EVAFOS POWDER

• Manage or manages uncomplicated infection of the bladder in women and female adolescents
• Prophylactic management of transrectal prostate biopsy in adult man

How EVAFOS POWDER Works

EVAFOS POWDER works by killing bacteria through the inactivation of an enzyme involved in bacterial cell wall synthesis and reduces adherence of the bacteria to the cells lining the urinary tract. This kind of action helps to manage uncomplicated urinary tract infections and manage infections after prostate biopsy.

How to use EVAFOS POWDER

Take EVAFOS POWDER as advised by your physician. Check the label for directions before use. Your doctor will decide the correct dose and duration for you depending on your age, body weight and disease condition.

Side Effects Of EVAFOS POWDER

How To Manage Side Effects

Dizziness:

Sit down or lie down slowly when you are feeling dizzy. Take some time to rest and drink plenty of water. Avoid coffee and other carbonated drinks. If there is no improvement in the symptom, contact your doctor.

Headache:

Try to rest and relax. Apply pain balm to the head to ease the pain. Sip on some hot water or ginger tea. If your symptoms do not improve, contact your doctor immediately.

Nausea:

Take EVAFOS POWDER with or just after, meals. Stick to simple meals and avoid eating foods rich in oil or spicy foods. If your symptoms do not improve, contact your doctor immediately.

Indigestion:

Take your meal at the right time, drink lots of water and go for a walk after each meal. If the symptom does not improve, contact your doctor immediately.

Diarrhoea:

Increase your intake of fluids, such as water or fruit juice, to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor immediately.

Stomach pain:

Take a rest and relax. Eat and drink slowly or try to have smaller and more frequent meals. Place a heating pad on your stomach. If the symptom does not improve, contact your doctor immediately.

Warning & Precautions

Pregnancy

EVAFOS POWDER is not recommended for use by pregnant women unless recommended by your doctor. Consult your doctor before taking it.

Breastfeeding

EVAFOS POWDER should not be used by breastfeeding women because it may pass through the breast milk. Consult your doctor before taking it.

Driving and Using Machines

Do not drive or operate any machines if you feel dizzy or fatigued after taking EVAFOS POWDER.

Kidney

EVAFOS POWDER is not recommended for use in patients with severe kidney problems, undergoing haemodialysis (a procedure used to clean the blood by removing waste and extra fluids when the kidneys are not functioning), etc. It should be used with caution in patients with other kidney problems. Consult your doctor before taking it.

Liver

EVAFOS POWDER should be taken with caution in patients with liver disease. Consult your doctor before taking it.

Allergy

Do not take EVAFOS POWDER if you are allergic to Fosfomycin or any of the other ingredients of this medicine.

Interactions

A. Drug-Drug interactions:

Before taking EVAFOS POWDER, inform your doctor if you are taking any of the following medicine:

• metoclopramide (medicine that increases the movement of food through the stomach and intestines)
• anticoagulants (used to manage blood clots)
• cimetidine (used to manage ulcers)

Overdosage:

If you or anyone else accidentally take too much of EVAFOS POWDER, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are vestibular loss, impaired hearing, metallic taste and a general decline in taste perception.

Synopsis

More Information

• Keep EVAFOS POWDER out of reach of children
• Store at room temperature

FAQs About EVAFOS POWDER

Can EVAFOS POWDER cause diarrhoea?

Yes, EVAFOS POWDER may cause diarrhoea in some individuals. Increase your intake of fluids, such as water or fruit juice, to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor.

How long does EVAFOS POWDER take to act?

After taking EVAFOS POWDER exactly as instructed by your doctor, your symptoms should improve in 2–3 days. If the symptoms do not improve, contact your doctor immediately.

Can we use EVAFOS POWDER for people with kidney problems?

EVAFOS POWDER is not recommended for use in patients with severe kidney problems, those undergoing haemodialysis management (a procedure used to clean the blood by removing waste and extra fluids when the kidneys are not functioning), etc. It should be used with caution in patients with other kidney problems. Consult your doctor before taking it.

What should I do if I forget to take EVAFOS POWDER?

Take the missed dose of EVAFOS POWDER as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Can I take EVAFOS POWDER during pregnancy?

No, EVAFOS POWDER should not be used in pregnant women unless prescribed by a doctor. Consult your doctor before taking it.

References

1. KD Tripathi. Antimicrobial Drugs. Essentials of medical pharmacology. 8th editions. 2019. Page – 731.

2. George G. Zhanel, Andrew J. Walkty, and James A. Karlowsky. Fosfomycin: A First-Line Oral Therapy for Acute Uncomplicated Cystitis, NIH National Library of Medicine, National Center for Biotechnology Information. PMC, PubMed Central. May 2016. [Accessed on 13th June 2022]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904571/

3. Lynn L. Silver. Fosfomycin: Mechanism and Resistance. NIH National Library of Medicine, National Center for Biotechnology Information. PMC, PubMed Central. February 2017. [Accessed on 13th June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5287057/

4. Zambon. Fosfomycin. [Accessed on 13th June 2022] https://biosupply.fffenterprises.com/fosfomycin-tromethamine-3gm.html

5. Special Product’s Line S.p.A. Electronic Medicines Compendium (EMC). [Revised in November 2017] [Accessed on 13th June 2022] https://www.medicines.org.uk/emc/files/pil.7219.pdf

6. Zambon S.p.A. Health Products Regulatory Authority (HPRA). [Revised in June 2020] [Accessed on 13th June 2022] http://www.hpra.ie/img/uploaded/swedocuments/075c78a7-31e0-4d29-8dcb-901d014d64b1.pdf

7. Ciplamed. Fosirol. [Revised in May 2016] [Accessed on 13th June 2022] https://www.ciplamed.com/content/fosirol-powder

Useful Diagnostic Tests

• Complete Blood Count
• Urine Routine & Microscopy

Author Details

Written By Dr. Dhivakaran R - BDS

Reviewed By Dr. Sankara Babu Gorle - MBBS, MD(Pharmacology) View profile

Last updated on 14 Dec 2022 | 02:41 PM(IST)