Herbal urinary-tract supplement

Cranberry fruit extract (مستخلص التوت البري)

Cranberry products are supplements that may help some people reduce recurrent urinary tract infections, but benefit varies between products and evidence is not conclusive. They do not treat an existing infection or replace antibiotics when needed.

What it is used for

  • Potentially helping reduce recurrent urinary tract infections in some people
  • Use as a urinary-health supplement while recognising that evidence is limited
  • It is not used to treat current cystitis or kidney infection

How it is used

  • Swallow capsules or tablets with water, or use syrup or an effervescent product as directed by the leaflet
  • Choose a reliable product because active constituents vary greatly between products
  • Drink adequate fluids if your clinician has not restricted them, and never use the supplement instead of prescribed treatment
  • Check every ingredient in combination products to avoid duplicating vitamins or minerals

Possible side effects

  • Stomach upset or nausea
  • Diarrhoea with large amounts
  • Rarely, rash or an allergic reaction
  • It may increase the tendency to form selected kidney stones in susceptible people

Who should not use it

  • Allergy to cranberry or any ingredient in the product
  • A history of recurrent oxalate stones requires medical advice before use

Before and while using it

  • Seek medical assessment for urinary burning or frequency with fever, flank pain, blood in urine or vomiting
  • Do not delay antibiotics or medical review when a urinary infection is diagnosed
  • Evidence does not guarantee prevention and products are not equivalent in content
  • People with kidney disease or fluid or potassium restrictions should ask a clinician
  • Some syrups and effervescent products contain added sugar or salts

Medicine interactions

  • It may increase warfarin's effect in some people; tell your clinician and attend clotting monitoring
  • Tell your clinician about kidney medicines, diuretics and all supplements

Pregnancy and breastfeeding

  • Ask a clinician before using a concentrated supplement during pregnancy or breastfeeding because information on different products is limited

How to store it

  • Store as directed by the leaflet away from heat, moisture and children's reach, and discard syrup after the stated period following opening

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.