D-mannose is sometimes used as a dietary supplement to treat or prevent urinary tract infections (UTIs). While it can’t replace medical treatment in all cases, some studies suggest it could be helpful when used alongside standard treatment.
Research suggests that D-mannose may help improve UTI symptoms after about 10 days, and it can be effective for completely curing a UTI when used in conjunction with antibiotics.
That said, newer findings in a small study suggest the supplement may be a useful alternative to antibiotics. Other research finds that it can help prevent recurrent infections.
:max_bytes(150000):strip_icc()/d-mannose-for-bladder-health-89443-v1-ebab78bdc69f4033845683ae237da146.png "Can D-Mannose Cure a UTI and How Long Does It Take? (1)")
In the United States, the Food and Drug Administration (FDA) does not regulate supplements the way it regulates prescription drugs. That means some supplement products may not contain what the label says. When choosing a supplement, look for third-party tested products and consult a healthcare provider, registered dietitian nutritionist (RD or RDN), or pharmacist.
What Is D-Mannose?
D-mannose in its natural form is a type of sugar found in certain fruits and vegetables, including cranberries,cabbage, and tomatoes. It's also produced in the body from glucose, another form of sugar. D-mannose is also called mannose.
As a supplement, D-mannose comes in the form of capsules and powders. D-mannose powder is mixed with water or unsweetened juice and taken as a liquid.
Supplement Facts
- Active ingredient(s): D-Mannose
- Alternate name(s): Mannose
- Legal status:Recognized as a dietary supplement by the FDA, not intended to prevent or treat UTI
- Suggested dose: D-mannose dosages ranging from 420 milligrams (mg) daily to 3 grams (g) have been used in studies. Follow the instructions on the supplement label and consult your healthcare provider.
- Safety considerations: It can cause mild side effects; people with certain health conditions should use caution; not enough is known about its safety to support use during pregnancy, breastfeeding, or in children.
How D-Mannose Is Used for UTIs
There is some evidence that D-mannose may prevent or treat UTIs. A number of small studies have suggested that D-mannose may help keep E. coli —the bacteria responsible forthe vast majority of these infections—from sticking to the cells lining the urinary tract. More research is needed to confirm these effects. It should not be used to replace traditional treatment.
More than 7 million healthcare provider visits a year are due to UTIs. Frequent UTIs are usually treated with a low-dose antibiotic taken for six months or longer.
Can D-Mannose Replace Antibiotics for a UTI?
Recent research suggests that D-mannose might be an effective alternative to antibiotics for some people. Studies have also shown that, when used in addition to antibiotics, it may help improve symptoms.
It's important to remember that supplements should not replace traditional medical treatment. If you think you have a UTI, seek medical advice from a healthcare provider.
While some research has suggested the supplement may help when used in addition to antibiotics, remember that these studies are often small and low in quality.
The following studies examined the use of D-mannose for treating UTIs:
- A 2022 study compared the cure rate of 36 women who took D-mannose for a UTI to the average cure rate of UTIs treated with antibiotics, as estimated through an analysis of several studies. The researchers' analysis suggested that those treated with D-mannose had a similar cure rate to those treated with antibiotics.
- A small pilot study of 43 women found that D-mannose taken twice daily for three days during an infection followed by once a day for 10 days resulted in a significant improvement in symptoms, UTI resolution, and quality of life. Those who received D-mannose for six months following treatment had a lower recurrence rate than those who took nothing.
- A systematic review of seven studies suggested that D-mannose may help improve UTI symptoms in the short term. However, the researchers noted that the findings were based on a limited number of small studies and should be considered cautiously.
- A review published in 2015 concluded that there is a lack of strong evidence that D-mannose—and other remedies like cranberry juice and vitamin C—should be used as a replacement for antibiotics in treating UTIs.
Research is ongoing and more studies are needed.
UTI Prevention
Some research has suggested that D-mannose supplementation helps prevent recurrent UTIs when compared with a placebo. It may also be similarly effective to antibiotics for preventive use.
Several studies have looked at the use of D-mannose to prevent returning UTIs:
- A study published in the World Journal of Urology examined the use of D-mannose compared with the antibiotic nitrofurantoin or no treatment for six months in 308 women with a history of recurrent UTIs. After one week of initial treatment, people in the supplement group and the antibiotic group had a significantly lower risk of recurrent UTIs compared to the no-treatment group. Still, it did not prevent recurrent UTIs in all women in the study. The people in this study used a powder formulation of D-mannose.
- One systematic review of seven studies could not determine if taking D-mannose long-term compared with no treatment, other supplements, or antibiotics reduced the number of repeated UTIs.
- Another systematic review of eight studies showed that D-mannose appears to have a protective effect against recurrent UTIs compared with placebo. The review also suggested that D-mannose may be similarly effective to antibiotics for prevention. However, the researchers cautioned that not enough studies are available to confirm this, and existing studies are small in size and vary in study design and quality.
When used as a supplement, D-mannose may help prevent recurrent UTIs. However, larger, high-quality studies are needed to confirm these findings.
:max_bytes(150000):strip_icc()/GettyImages-928213068-bf15fe5cc08942f3bd312ca31e5e9656.jpg "Can D-Mannose Cure a UTI and How Long Does It Take? (2)")
What Are the Side Effects of D-Mannose?
Common side effects of D-mannose reported in studies include:
- Bloating
- Loose stools
- Diarrhea
Precautions for Using D-Mannose
Since D-mannose exits the body in urine, there is some concern that high doses may injure or impair the kidneys.
D-mannose can also potentially affect blood glucose levels in people with diabetes.
Not enough is known about the safety of the supplement during pregnancy or breastfeeding, so it should be avoided. Children shouldn't take D-mannose either.
You should not self-treat a UTI with D-mannose or otherwise avoid or delay standard care, as doing so can lead to serious complications, including a kidney infection and even permanent kidney damage.
Is It OK to Take D-Mannose Every Day?
While D-mannoseis typically considered safebecause it occurs naturally in many foods, doses higher than consumed through a normal diet may be toxic or otherwise harmful. In addition, little is known about the long-term safety of D-mannose taken daily or at any dose.
There are currently no standard guidelines for D-mannose dosages. In studies, D-mannose dosages have ranged from as little as 420 milligrams per day to 3 grams daily in various supplement forms.
Consult your healthcare provider before taking D-mannose to confirm how much you should take.
When to Talk With a Healthcare Provider
If you experience recurrent UTIs, make an appointment with your healthcare provider to determine your best plan of action.
As with any new supplement, if you're thinking about trying a D-mannose supplement, talk with your healthcare provider first. They can help identify any risks or benefits specific to your health conditions.
Summary
Preliminary studies suggest that D-mannose holds promise as a way to help prevent UTIs. However, larger, high-quality studies are needed to confirm the findings and the safety of D-mannose supplements.
If you're still thinking of trying D-mannose to prevent UTIs, talk with your healthcare provider first to weigh the pros and cons and decide whether it's a good option for you.
