A UTI answer at 2am that knows which antibiotic actually worked last time.

Wisp will prescribe a UTI antibiotic quickly, but its visit doesn't read your chart or your prior urine cultures, and its $65 course is medication bundled cash-pay through Wisp. Your regular doctor can read your chart, but probably can't see you at 2am on a Sunday. Clara combines both: instant AI reasoning against your full chart (including your last culture's sensitivity profile), our doctor signs off, and the prescription goes to your pharmacy where it may be covered by your insurance. Can your old doctor read your entire chart and your last three urine cultures every time you message them? Clara can. And if the symptoms suggest pyelonephritis or something else, Clara sends you in. It doesn't pretend every UTI-like symptom is a UTI.

Fever above 100.4°F, flank or back pain, nausea or vomiting, pregnancy, blood in the urine that's not improving, a UTI in a man, immunocompromise, or a UTI that didn't respond to a recent antibiotic course all need in-person evaluation. Clara's AI is explicitly trained to flag these and route you to urgent care or your primary-care office. If there is any concern for a kidney infection (pyelonephritis) or sepsis, the safe answer is always in-person care, not a prescription over the phone. Clara also coordinates with our AI primary care practice for ongoing follow-up once the infection is treated.

Yes, for uncomplicated lower UTIs in non-pregnant adult women, empiric treatment without a urine culture is standard of care per IDSA guidelines¹. Clara uses your symptoms, your prior culture history, local resistance patterns, and your medication list to pick an appropriate first-line antibiotic; our doctor signs off before anything is called in. For complicated UTI, pyelonephritis, pregnancy, or male UTI, a culture and in-person evaluation are appropriate.

Three or more UTIs in a year is recurrent UTI. Clara pulls your complete UTI history across connected records, checks whether your recurrences have been the same organism, and walks through prevention options with you: post-coital single-dose prophylaxis, low-dose daily prophylaxis, vaginal estrogen for postmenopausal patients, and behavioral adjustments. Our doctor signs off on any prescription plan. If the pattern suggests something more than classic recurrent cystitis, Clara routes to a urology referral.

For acute UTI treatment, no. Cranberry and D-mannose are not treatments and won't clear an active infection. For prevention, the evidence is mixed but generally favorable for cranberry products in reducing recurrence in women prone to UTIs². D-mannose has less rigorous evidence. Neither is a substitute for antibiotics during a symptomatic infection.

Yes. Clara is licensed in all 50 states. Every prescription, lab order, and diagnosis is reviewed and signed off by a licensed physician. Clara's AI handles intake, clinical reasoning, triage, and follow-up; our clinicians provide the medical oversight required by state law.

Clara is HIPAA compliant. Your records are used to personalize your care and are never sold or used to train public AI models.

Yes. Clara is full-service AI-first primary care. One membership covers UTIs alongside acid reflux, allergies, respiratory infections, chronic conditions, labs, preventive care, and everything else.