Using Waterfall D-Mannose for Prevention/Maintenance
The preventative measure varies according to your propensity for infection… You’ll probably find what suits you best through trial and error. These are suggestions.
Suggested maintenance regime for first 3 months:
- Occasional sufferers (every few months) – 1 level teaspoon a day.
- Regular sufferers (every few weeks) – 2 – 3 heaped teaspoons a day.
- Interstitial cystitis and Painful Bladder Syndrome sufferers: 2 – 3 heaped teaspoons a day.
- Catheterising and indwelling catheter sufferers: 3 – 6 level teaspoons a day. Use more around fresh catheter fitting.
- cystitis related to sexual activity only: 1 level to heaped teaspoonful an hour before sex. Don’t urinate until after sex. Then take another level teaspoon of Waterfall D-Mannose . The following morning take another. Timing is important. It takes an hour for 90% of the d-mannose you take to get into your urine, so if you don’t follow the regime properly, for at least the first 3 months of treatment, an infection is likely to start. After 3 months (approx) with no infection, it is usually safe to be a little more daring, and occasionally just take the product after sex. But on the whole, be careful!
Episodes related to Sex
Suggested routine:
- Take 1 level to heaped teaspoonful of Waterfall D-Mannose one hour before sexual activity.
- It is important to get the timing right – better to lose a bit of spontaneity than get an infection.
- Don’t urinate until afterwards.
- Immediately afterwards, go and urinate and take another teaspoonful of the product.
- The following day, if your typical attacks tend to happen 18 to 24 hours after sex (common) take a level teaspoonful every six hours.
- If despite this, you feel an attack of cystitis beginning, take a heaped teaspoonful immediately, then another one an hour later. Usually this will stop an attack in its tracks. If not, go on to the normal dose of a level teaspoonful every three hours until symptoms abate, then reduce to half that dose for the next day or two until you are sure you are totally clear.
- Keep up the normal hygiene standards.
- After using Waterfall D-Mannose like this for a few months, you may occasionally risk sex without taking the product beforehand. However, if you do this, best to take some extra afterwards.
- Gradually, you should be able to return to a normal sex life.
Men: Waterfall D-Mannose appears to work as well for men as for women, but infections after sex are less of a problem for men. However, men with a propensity for cystitis will probably find it beneficial to urinate after sex.
Men with normal healthy bladders usually won’t need to take Waterfall D-Mannose as a preventative as often as women. Some just take it when the feel the symptoms coming on. Others take a couple of measures a week. We suggest trial and error.
Note: Cystitis problems in men may be an indication of a prostate condition, so you should never just self-treat the condition unless you’ve been thoroughly checked out by a doctor and you know you are dealing with a simple bacterial infection. However, Waterfall D-Mannose won’t harm you, so it is safe to take while you are waiting for an appointment. If it clears up your problem meanwhile, that’s a bonus.

