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Methenamine

Prescription
Urinary Antiseptic
Last reviewed 22 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
2 available
Formulations
1

Mechanism of action

Prodrug hydrolyzed to formaldehyde in acidic urine (pH <5.5), which denatures bacterial proteins and nucleic acids. Only works in the bladder — requires acidic urine. Used for chronic UTI prevention, not acute treatment.

At a glance

Class
Urinary Antiseptic
Schedule
Prescription
Storage
Store at room temperature, protect from moisture

Dosing

🐕

Dog

Used for chronic/recurrent UTI prophylaxis — NOT for acute UTI treatment
Dose
10–20 mg/kg
Route
PO
Frequency
q12h
🐈

Cat

Used for recurrent UTI prevention in cats
Dose
250–500 mg/cat
Route
PO
Frequency
q12h
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💊

Other — 1

Strength

Storage

Store at room temperature, protect from moisture

Safety

Monitoring parameters

Urine pH (must be <6.5 for efficacy)Urine culture q1–3 monthsRenal function
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

No documented interactions.

Brands

Other markets

Hiprex
Mandelamine

FAQs

Frequently asked questions

What is Methenamine?
Methenamine is a urinary antiseptic used in pets. Prodrug hydrolyzed to formaldehyde in acidic urine (pH <5.5), which denatures bacterial proteins and nucleic acids. Only works in the bladder — requires acidic urine. Used for chronic UTI prevention, not acute treatment.
What is Methenamine used for in pets?
Methenamine is used in veterinary medicine for: Used for chronic/recurrent UTI prophylaxis — NOT for acute UTI treatment; Used for recurrent UTI prevention in cats.
What is the Methenamine dose for dogs?
For dogs, Methenamine is typically dosed as follows — Used for chronic/recurrent UTI prophylaxis — NOT for acute UTI treatment: 10–20 mg/kg PO q12h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Methenamine dose for cats?
For cats, Methenamine is typically dosed as follows — Used for recurrent UTI prevention in cats: 250–500 mg/cat PO q12h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
Does Methenamine need a prescription?
Yes. Methenamine is a prescription medication and should only be administered under veterinary supervision.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database

Related medicines

Other medicines in the same class (Urinary Antiseptic).

Methenamine (Hexamine)
Rx
Hydrolyzes to formaldehyde in acidic urine (pH < 6.0), which is bactericidal; requires urinary acidification to be effective
dogcat
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