The Basics

What is Methenamine Mandelate?

Used to prevent or control returning urinary tract infections.

Brand names for Methenamine Mandelate

Hiprex, Mandelamine, Urex, Urasal

How Methenamine Mandelate is classified

Anti-Infective Agents – Urinary, Antibacterial Agents

Methenamine Mandelate During Pregnancy

Methenamine Mandelate pregnancy category

Category CNote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.

What we know about taking Methenamine Mandelate while pregnant

N/A

Taking Methenamine Mandelate While Breastfeeding

What are recommendations for lactation if you're taking Methenamine Mandelate?

Both methenamine and mandelic acid pass into milk in small quantities. Methenamine mandelate appears acceptable to use, even while nursing a newborn.

Maternal / infant drug levels

Both methenamine and mandelic acid pass into milk in small quantities. Methenamine mandelate appears acceptable to use, even while nursing a newborn.

Possible effects of Methenamine Mandelate on milk supply

Relevant published information was not found as of the revision date.

Possible alternatives to Methenamine Mandelate

Methenamine Hippurate.

List of References

Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Allgen LG, Holmberg G, Persson B et al. Biological fate of methenamine in man. Acta Obstet Gynecol Scand. 1979;58:287-93. PMID: 484222
2. Berger H. Excretion of mandelic acid in breast milk. Am J Dis Child. 1941;61:256-61.

Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.

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