ORLYNVAH is available through an exclusive partnership with Alto Pharmacy

How common uUTI cases may present

ORLYNVAH is designed for women who have limited or no alternative treatment options when treating uUTIs1

ORLYNVAH is for women with uncomplicated UTI who have:

  • A history of recurrence due to resistant pathogens and exposure to multiple antibiotic regimens2,3

  • A history of treatment failures3

  • Existence of risk factors that may lead to progression without effective treatment4-6

  • Age

  • Comorbid conditions

  • Allergies to antibiotics that limit treatment options

ORLYNVAH is for the treatment of uUTIs caused by E coli, K pneumoniae, or P mirabilis in adult women with limited or no alternative oral antibacterial options.

Limitations of Use: Not for complicated UTI or step-down treatment after IV antibacterials or complicated intra-abdominal infections or as step-down treatment after IV antibacterials.


  • A history of recurrence due to resistant pathogens and exposure to multiple antibiotic regimens2,3

  • A history of treatment failures

  • Existence of risk factors that may lead to progression without effective treatment4-6

    • Age

    • Comorbid conditions

    • Allergies to antibiotics that limit treatment options

ORLYNVAH is for the treatment of uUTIs caused by E coli, K pneumoniae, or P mirabilis in adult women with limited or no alternative oral antibacterial options.

Limitations of Use: Not for complicated UTI or step-down treatment after IV antibacterials or complicated intra-abdominal infections or as step-down treatment after IV antibacterials.

Consider ORLYNVAH for patients like these*

Chloe, 53

Married; marketing professional

uUTI diagnosis:​

Urine white blood cell count ≥10 cells/HPF

Medical history:

  • Has experienced 3 UTIs in the past 6 months, with the most recent showing quinolone-resistant Escherichia coli

  • Previously treated with multiple courses of ciprofloxacin and trimethoprim/sulfamethoxazole

  • Culture results pending, but living in a region with high rates of multidrug-resistant organisms

Symptoms over 24 hours:

  • Pain and burning on urination

  • Urinary urgency and frequency

Comorbidities:

  • Depression treated with fluoxetine

Why ORLYNVAH:

Chloe needs a treatment for her recurrent, resistant uUTIs that doesn’t require IV therapy

HPF=high power field.

Sophia, 46

Single; teacher

uUTI diagnosis:​

Acute bacterial cystitis, urinalysis positive for leukocyte esterase

Known antibiotic-resistant pathogen

Symptoms over 72 hours:

  • Urinary urgency

  • Pain and burning on urination

Comorbidities:

Type 2 diabetes that is being treated with metformin

Why ORLYNVAH:

Sophia is looking for a treatment for her uUTI so it doesn’t progress to a severe infection since she is immunosuppressed

Theresa, 66

Retired; 2 young grandchildren

uUTI diagnosis:​

Symptoms consistent with uUTI

Symptoms over 48 hours:

  • Urinary frequency

  • Pain and burning on urination

  • Suprapubic pain

Comorbidities:

High blood pressure that is controlled with a beta-blocker and mild chronic kidney disease

Why ORLYNVAH:

Theresa is looking for a treatment that will not interfere with her daily medications and will not exacerbate her comorbidities

*Not actual patient profiles, for illustrative purposes only.

Convenient, at-home dosing
A one pill, twice-daily, 5-day oral treatment1
Discover dosing
ORLYNVAH safety was evaluated in more than 1900 patients
The majority of adverse events were mild1,7,8
Learn about safety
References:
  1. ORLYNVAH. Package insert. Iterum Therapeutics U.S. Limited: Chicago, IL; 2025.
  2. Cai T. Recurrent uncomplicated urinary tract infections: definitions and risk factors. GMS Infect Dis. 2021;9:Doc03. doi:10.3205/id000072
  3. Gupta K, Hooton TM, Naber KG, et al. International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: a 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52(5):e103-e120. doi:10.1093/cid/ciq257
  4. Anger J, Lee U, Ackerman AL, et al. Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline. J Urol. 2019;202(2):282-289. doi:10.1097/JU.0000000000000296
  5. Noor S, Ismail M, Khan F. Potential drug-drug interactions in patients with urinary tract infections: a contributing factor in patient and medication safety. Front Pharmacol. 2019;10:1032. doi:10.3389/fphar.2019.01032
  6. Gupta K, Trautner BW. Diagnosis and management of recurrent urinary tract infections in non-pregnant women. BMJ. 2013;346:f3140. Published 2013 May 29. doi:10.1136/bmj.f3140
  7. Dunne MW, Aronin SI, Das AF, et al. Sulopenem or ciprofloxacin for the treatment of uncomplicated urinary tract infections in women: a phase 3, randomized trial. Clin Infect Dis. 2023;76(1):66-77. doi:10.1093/cid/ciac738
  8. Puttagunta S, Aronin SI, Gupta J, Das AF, Gupta K, Dunne MW. Sulopenem versus amoxicillin/clavulanate for the treatment of uncomplicated urinary tract infection. NEJM Evid. 2025;4(7):EVIDoa2400414. doi:10.1056/EVIDoa2400414