Foamy Urine. Which leads to foamy urine?

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Usually these medications are not associated with this side effect * Investigations are normal like KFT, USG , urine culture, BP  monitoring RBS can be done Further, include fluid rich diet and fruit, avoid oily spicy food Gradually in follow up visits, with discussion with psychiatrist try to taper medication one by one as per symptoms profile and improvement

The psychiatric medicines listed (Mirtazapine, Bupropion, Divalproex sodium, Flupentixol, Melitracen) are not known to directly cause foamy urine as a common side effect. Since your kidney function tests, urine protein levels, and ultrasound are all normal, serious kidney problems are unlikely. Foamy urine can happen due to: • Concentrated urine from mild dehydration (common if fluid intake is low, or due to hot weather, caffeine, or certain medications that reduce appetite or increase urination). • Rapid urine flow which traps air and causes bubbles. • Benign transient proteinuria (temporary, non-harmful protein in urine). Some medicines may indirectly contribute by causing dry mouth, reduced thirst, or mild diuresis, which can lead to concentrated urine and visible foam.

Next Steps: • Ensure adequate hydration (2–2.5 L fluids/day unless restricted for another reason). • Monitor urine appearance and repeat urine protein testing if foaminess persists or worsens. • Seek review if you notice swelling in legs/face, frothy urine with reduced volume, or any new symptoms. • Continue psychiatric medicines unless your treating psychiatrist advises a change.

Helpful Tip: Foamy urine in the absence of proteinuria or abnormal kidney tests is usually benign . Keeping well hydrated often helps.