lh

I contend that Lion Health
are Wilfully Negligent, Incompetent and guilty of 'gross Negligence' And 'willful Misconduct' malpractice and a danger to some of their patients.

(or what I now call them "Lion hell th")

links

LionHellth = No To Hiprex in EnyapCaps

Consultant Stats YES

 
 

 

methenamine hippurate methenamine mandalate

Dr Catriona Anderson MBCHB, BSC (HONS), MRCGP, DFSRH

On ITV 15/9/2025 about Chronic UTIs

 

 

Dr Catriona Anderson founded the Focus Medical Clinic, and specialises in the more challenging cases of long-standing microbial infections, including UTIs.

HIPREX and EnyapCaps to overcome BAD TASTE

 

see Part2   3.35mins in

https://www.youtube.com/watch?v=T_8uBA1m80w
 

Part 1

https://www.youtube.com/watch?v=Sz1kF-vOFUw
 

Part 2 EnyapCap at 3min 35sc

https://www.youtube.com/watch?v=1a4ux-ftcyw
 

Part 3

Methenamine mandelate and methenamine hippurate are both forms of methenamine used to prevent and treat urinary tract infections. The main difference lies in their dosing schedules and the specific salts used, with mandelate typically taken every 6 hours and hippurate every 12 hours.

Overview of Methenamine Forms

Methenamine is available in two primary forms: methenamine mandelate and methenamine hippurate. Both are used to prevent and treat urinary tract infections (UTIs), but they differ in their dosing schedules and formulations.

 

Comparison of Methenamine Mandelate and Hippurate

Attribute Methenamine Mandelate Methenamine Hippurate
Dosage Form Enteric-coated tablet Non-coated tablet
Dosing Frequency 1 g four times daily 1 g twice daily
Common Use UTI prophylaxis UTI prophylaxis
Urine pH Requirement Requires acidic urine (pH ≤ 5.5) Requires acidic urine (pH ≤ 5.5)
Taste May have a less pronounced taste Can have a sweet, sour, or metallic taste
Availability Less commonly used More commonly prescribed

 

 

Key Considerations

Efficacy

Both forms are effective in preventing recurrent UTIs, but methenamine hippurate is more popular due to its simpler dosing schedule.

Side Effects

Side effects are generally similar for both forms, but individual responses may vary. Always consult a healthcare provider for personalized advice.

Special Populations

Dosing may need adjustment for elderly patients or those with kidney or liver issues. Always follow a doctor's guidance regarding use in these populations.

Both methenamine mandelate and hippurate require acidic urine to work effectively, so dietary adjustments may be necessary to maintain the appropriate urine pH.

Overview of Hiprex

Hiprex, also known as methenamine hippurate, is a medication primarily used to prevent recurrent urinary tract infections (UTIs). It works by creating an acidic environment in the urine, which helps inhibit bacterial growth.

Uses

  • Prevention of UTIs: Hiprex is effective in preventing ongoing or recurrent urinary tract infections.
  • Non-Antibiotic Alternative: It serves as a non-antibiotic option, reducing the risk of antibiotic resistance.

Dosage

  • Common Dosage: The typical adult dosage is 1 gram (two 500 mg tablets) taken twice daily.
  • Administration: It should be taken with a full glass of water, preferably after meals to minimize stomach upset.

Side Effects

Common Side Effects

  • Nausea
  • Vomiting
  • Stomach irritation

Serious Side Effects

  • Allergic reactions (e.g., hives, difficulty breathing)
  • Bladder irritation, which may cause pain or increased urination

Precautions

  • Contraindications: Hiprex should not be used by individuals with severe liver or kidney issues, or those who are dehydrated.
  • Consultation Required: Always consult a healthcare provider before starting Hiprex, especially if you are pregnant or have other medical conditions.

Storage

  • Store at room temperature, away from moisture and heat. Keep the bottle tightly closed when not in use.

Hiprex is available by prescription and should be used under medical supervision to ensure safety and effectiveness.

 

 

 

 

 

 

Hit back to return

HIGLEY, Rachel (Ms), LION HEALTH 22 Aug 2025
Comment :

    DW PBP SB regarding enyapcaps husband is using to aid Margaret to take her hipprex. She too agrees we can not recommend he uses these as they may well alter the tablets formula and potential for alteration of absorbancy, thus efficacy.
    I have already advised husband during the visit that we can not advise he uses these but I will call back to advise husband of Pharmacist advice.
************

HIGLEY, Rachel (Ms), LION HEALTH 22 Aug 2025
History :

    HV to review as per triage below. On arrival, alert, dressed, speaking in full sentences and sitting in lounge. Husband informed me he called yesterday and said he had 'been playing up' for good reason he said. Recurrent utIs and trialled hipprex but couldn't take them and informed me the hospital put her on proohylactic abx of cefalexin.

Comment :

    Reports having found enyapcaps to put hipprex in so Margaret can take more easily. Task to PBPs about these,
    Inform me that hipprex works on Ph and dosen't activate until it is in her bowels.
    I advised the enyapcaps appear like plastic shell and I can't suggest that he should use these as I don't know what harm they can cause to Margarets insides.
    Husband still adamant he is going to use these.
    Advised me Margaret has started her new antibiotics.
    Husband upset that he wasn't told that there was not enough urine in the last sample he sent
    Support worker from crystal gateway outreach present and Margaret get 8.5hrs weekly.
    Support worker has also noted increased confusion from Margaret.
    Started new course of antibioitcs today.
    Advised to call back if no improvment or sooner if has deterioration- nausea, vomiting, fever or pain or increased confusion.

Examination :

    Tympanic temperature: 36.4degrees C
    SpO2 (oxygen percent saturation in capillary blood) by pulse oximetry: 96%
    Pulse rate: 68beats/min
    O/E - blood pressure reading
    Appetite reduced but is drinking.
    No vomiting.
    Passing urine - dysuria.
*********************

HIGLEY, Rachel (Ms), LION HEALTH 22 Aug 2025
History :

    TC to discuss HV- reports Margaret was very confused lastnight and thought she was in America.

Comment :

    Agreed f2f visit today to review.
*****************************

 

SIMPSON, Claire (Dr), LION HEALTH 20 Aug 2025
History :                                                                                  LIEs

  • Emergency appointment
  • Called 18.22
  • Spoke with hb following Anima form
  • Feels she still has a UTI
  • I note was seen by Urology earlier this yr - cystoscopy debris only. Started on hiprex
  • Was unable to tolerate this so was switched to cefalaxin -> this was later stopped as hb felt unhelpful
  • The above it a Lie
  • On this occasion feels ongoing UTI. No better despite TMP and ciprofloxacin
  • Using sample was obtained but not a large enugh sample to be sent so no culture
  • Says wife "speaking jibberish", also very tearful - says gradually progressive but worse this last
  • Is managing to get her to take hipprex - been back on this last 10/7
  • Has managed to get a urine sample - dipped it himself but wonders if it was contaminated - tells me was positive everything - for blood, nititres, protein, since discarded the sample
  • C/o dysuria, no visible blood
  • BO as normal
  • Getting a lot of pain ? down below
  • Hb says looks normal down below though and feels certain this is a further UTI
  • ? abdo pains - hb unsure
  • No fevers
  • E+D less than usual but hb still feels having reasonable amounts of fluids

Comment :

  • Explained that culture is needed to guide treatment
  • Is happy to provide a further urine sample tomorrow morning - understands needs to be reasonable size - will ask on call to contact once back to discuss next steps ? micro for advice if compelling dip ? await MSU
  • Hb doesn't feel she needs a F2F - says nothing to see down below and feels sure this is a UTI again

 

 

 

Hit back to return

15/12/2025 Urology Consultant Mr Mathews

 

Mr Mathews said At 7:40 Happy to go on record = "Yes to EnyapCaps DEF NOT a PROBLEM"

At 10:01 Lionhellth cancelled antibiotic = Mr Mathews said - "They shouldn’t have done that".