Cystima Medical is a formula based on D-mannose, which is an ingredient naturally present in the human metabolism. D-mannose binds to Escherichia coli bacteria and prevents them from adhering to the walls of the urinary tract. E. coli bacteria can thus be easily eliminated from the body during urination. How to use Cystima Medical? Instructions for use: As a prevention of urinary tract infections: Take 1 sachet once a day. As a treatment for urinary tract infections: Take 1 sachet twice a day. Mix the contents of the sachet in a glass of about 200ml of water, dissolve it and take it immediately orally. Do not exceed the recommended daily dose. 1 sachet contains 2g of D-mannose as active ingredient. Forte Pharma Cistima Medical ingredients: D-mannose, dextrose, sorbitol, inulin, tricalcium phosphate, berries, magnesium stearate, stevia. No added sugar. Gluten-free. Lactose-free. Warnings: Cystima Medical is well tolerated and has few side effects. Cystima Medical may cause diarrhea as a side effect, but this is very rare. There are no data on the use of Cystima Medical during pregnancy or breastfeeding. If you are pregnant or breastfeeding, consult your doctor or pharmacist before use. Do not use if you are allergic to any of the ingredients. Flatulence, stomach pain, or diarrhea may occur in case of overdose. Keep the product out of reach of small children. Do not use Cystima Medical for more than 30 days at a time for treatment. Treatment can be restarted after 4 days. This product complies with the regulations for medical devices