Can D-mannose be taken with antibiotics? (3+ benefits)
In this article, we will discuss whether D-mannose can be taken with antibiotics or not. Furthermore, we’ll explore the potential interactions between D-mannose and antibiotics, what research suggests on this, the potential benefits of combining D-mannose with antibiotics, possible side effects and risks of combining them and precautions and considerations.
Can D-mannose be taken with antibiotics?
Yes, D-mannose can be taken with certain antibiotics. However, it’s important to consult a healthcare provider before combining them to evaluate the benefits-to-risk ratio profile as everyone reacts differently to medications and supplements, especially their concurrent use. (1)
Antibiotics are a class of medications widely used in the treatment of various bacterial infections that may include respiratory tract infections (pneumonia, bronchitis or sinusitis), ear infections, urinary tract infections (UTI), skin and dental infections and some sexually transmitted diseases. (1)
D-mannose on the other hand, is a type of sugar that can be used in supplemental forms for various health purposes primarily related to urinary tract infections. (2)
If you’re taking antibiotics for a bacterial infection and you’re considering D-mannose as a supplement, do inform your doctor to rule out any risk of interactions and appropriate dose and frequency.
What’s the potential interaction between D-mannose and antibiotics?
There is very little to no well-documented evidence regarding interactions between D-mannose supplements and antibiotics. D-mannose is considered a natural sugar that is not known to interfere with the actions of antibiotics. Some people are also found to take it as a supplement alongside antibiotics to enhance the therapeutic outcome, especially when the treatment is related to urinary tract infections (UTIs). (2,3)
D-mannose is thought to work by preventing bacteria, specifically E-coli from adhering (sticking) to the walls of the urinary tract and helping to flush them out in such a manner. While antibiotics are designed to kill or inhibit the growth of bacteria. (2)
However, interactions between these two are not commonly reported but individual responses can vary. Some might take the combination well while others may show some signs of allergic reactions. So, it’s always best to first communicate with your doctor and start the treatment under their guidance.
What does research suggest?
There is limited research on the concurrent use of D-mannose and antibiotics. However, based on clinical data scientists indicated that women are more likely to suffer from UTIs. These infections caused by a range of bacteria often come back and antibiotics are becoming resistant to it. (3)
Many studies they observed show that D-mannose helps prevent UTIs from happening again. They concluded that D-mannose works as best as antibiotics in treating UTIs in women. This means it could be a good alternative to antibiotics that have become resistant to bacteria or used in combination with them to increase the efficacy of the intended outcome. (3)
In another study, researchers performed a trial on 308 women with UTI. After giving them antibiotic treatment, they split them into 3 groups. One group was given 2 grams of D-mannose daily, another was given nitrofurantoin and the third group received no preventive treatment. (3)
They found that the recurrence rate of UTI in group 1 taking D-mannose was lower (14.6%) compared to the nitrofurantoin group (20.4%) and the group without prevention (60.8%). This study shows that D-mannose reduces the risk of UTI recurrence and only 7.8% of people reported diarrhea as a side effect. (3)
What are the potential benefits of combining D-mannose with antibiotics?
Here are some potential advantages of combining D-mannose with antibiotics, particularly in the case of UTIs: (2,3)
Enhanced bacterial clearance:
D-mannose is believed to prevent bacteria, especially E-coli from adhering to the urinary tract walls. When used alongside antibiotics, it may enhance the overall clearance of bacteria from the urinary system, potentially leading to more effective treatment.
Reduced antibiotic resistance risk:
By promoting the elimination of bacteria through mechanisms other than antibiotics, D-mannose might help reduce the risk of antibiotic resistance. Antibiotic resistance is considered a serious concern in the healthcare system and using approaches like D-mannose could be an effective way to address the issue.
D-mannose is often used to relieve the severity of symptoms caused by urinary tract infections. When combined with antibiotics it could contribute to a more comprehensive approach to managing both the infection and its associated symptoms.
Prevention of recurrence:
Recurrence of infection is a major concern experienced by a lot of people once the course of antibiotics is finished. D-mannose plays a crucial role in overcoming the recurrent symptoms of UTI. Combining it with antibiotics during the treatment phase may also contribute to a reduced likelihood of UTI recurrence.
What are the possible side effects of combining D-mannose and antibiotics?
There is a limited risk of combining D-mannose with antibiotics as it is generally considered safe for most people at appropriate doses. However, it’s important to consider a few points: (4)
- Gastrointestinal effects: While taking D-mannose supplements, especially alongside antibiotics, some people can suffer gastric discomfort including bloating of the stomach and loose stools, particularly at higher doses. These effects are usually mild and temporary. Also, don’t take antacids to relieve gastric symptoms when using antibiotics without your doctor’s permission.
- Interactions with medications: While D-mannose is not known for significant interactions with antibiotics, it is advisable to consult a healthcare professional before combining any supplement with medication.
- Individual variations: People can react differently to the combination of antibiotics with supplements. Certain individual factors such as allergies or sensitivities can influence how a person responds to a particular combination.
- Antibiotic-specific side effects: The side effects associated with antibiotics are specific to the type of antibiotic being used. Some common side effects of most antibiotics may include gastric disturbances, allergic reactions and interactions with other medications.
What precautions you must take while using D-mannose with antibiotics?
When considering the combination of D mannose with antibiotics you must take certain precautions to ensure the safety and effectiveness of the treatment. Consult with your doctor before starting any new supplement including D-mannose, especially with antibiotics. They will rule out the possibilities of interaction and recommend the antibiotic that best suits this supplement with no additive side effects. (1)
Make sure to inform your doctor about your medical and medication history which may include any pre-existing health condition and use of medications be it prescribed, OTC or supplements. Stick to the recommended instructions of your provider regarding the dose, frequency and timings of medication. Do not alter the dose on your own. (2)
Be aware of your sensitivities and keep an eye on how your body is responding to the specific treatment. In case, you experience any unusual or bothersome side effects, reach out to your doctor. Make lifestyle modifications, eat a healthy and balanced diet, keep yourself hydrated and avoid overconsumption of alcohol. (1,2)
As a pharmacist, in my opinion, D-mannose supplements have been found safe and effective in the majority of patients using alone or in combination. My advice to you is just to make sure there is at least 2 hours gap between taking the intended antibiotic and the supplement to avoid the risk of interactions and GIT discomfort.
Was this helpful?
Patel P, Wermuth HR, Calhoun C, et al. Antibiotics. [Updated 2023 May 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535443/
Ala-Jaakkola R, Laitila A, Ouwehand AC, Lehtoranta L. Role of D-mannose in urinary tract infections – a narrative review. Nutr J. 2022 Mar 22;21(1):18. doi: 10.1186/s12937-022-00769-x. PMID: 35313893; PMCID: PMC8939087. Available from: https://pubmed.ncbi.nlm.nih.gov/35313893/
Wagenlehner F, Lorenz H, Ewald O, Gerke P. Why d-Mannose May Be as Efficient as Antibiotics in the Treatment of Acute Uncomplicated Lower Urinary Tract Infections-Preliminary Considerations and Conclusions from a Non-Interventional Study. Antibiotics (Basel). 2022 Feb 25;11(3):314. doi: 10.3390/antibiotics11030314. PMID: 35326777; PMCID: PMC8944421. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944421/