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Drug updated on 5/31/2024

Dosage FormTablet (oral; 185 mg)
Drug ClassPenicillin class antibacterial
Ongoing and
Completed Studies


  • Indicated for the treatment of female patients 18 years of age and older with uncomplicated urinary tract infections (uUTI) caused by susceptible isolates of Escherichia coli, Proteus mirabilis and Staphylococcus saprophyticus.

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  • Pivmecillinam (Pivya) is indicated for the treatment of uncomplicated urinary tract infections in female patients aged 18 and older, caused by susceptible isolates of Escherichia coli, Proteus mirabilis and Staphylococcus saprophyticus.
  • The information provided was derived from one document of the type 'Randomized Controlled Trials'.
  • In comparison to ibuprofen, pivmecillinam showed superior efficacy in providing symptomatic relief by day 4 with a significantly higher proportion of patients feeling cured (73.6% vs 38.7%).
  • Secondary outcomes such as need for secondary antibiotic treatment and occurrence of pyelonephritis were generally in favor of pivmecillinam, indicating its effectiveness in managing uncomplicated UTIs and preventing complications.
  • Safety-wise, all cases of pyelonephritis occurred within the ibuprofen group which suggests that pivmecillinam has an advantage over ibuprofen when it comes to reducing risk factors associated with severe complications like pyelonephritis.
  • Despite more than half women recovering without antibiotics after initial use of Ibuprofen (53%), this approach carries significant risks including development serious complications like Pyelonephritis; hence Pivya should be considered as preferred initial treatment choice for adult non-pregnant women presenting symptoms related to uncomplicated UTIs caused by susceptible isolates.

Product Monograph / Prescribing Information

Document TitleYearSource
Pivya (pivmecillinam) Prescribing Information.2024Utility therapeutics Ltd., UK

Randomized Controlled Trials

Clinical Practice Guidelines