High efficiency of terzhinan candles in the fight against female diseases. Terzhinan side effects reviews
Terzhinan ® is a highly effective combined drug used for the local treatment of vaginitis of various etiologies (fungal, bacterial, mixed, etc.).
The drug contains antibacterial (ternidazole and neomycin), antifungal (nystatin) and hormonal components (prednisolone). Due to the complex composition of the suppository, the inflammatory process is quickly eliminated, and itching and swelling of the mucous membranes are also reduced.
The agent is highly effective against Trichomonas, Corynebacteria, Listeria, Staphylococci, Acinetobacter, Campylobacter, Citrobacter, Enterobacter, Escherichia coli, Haemophilus influenzae, Klebsiella, Morganella, Proteus, Providence, Salmonella, Serrations, Shigella, Yersinia, fungi of the genus Candida, etc.
The drug is intended for local use (intravaginally), therefore, it does not have such restrictions as systemic drugs. However, “assigning” it to yourself is unacceptable. Especially when it comes to the treatment of vaginitis during pregnancy. Therefore, the instructions below are information for reference, and not a self-medication guide.
Terzhinan ® is an antibiotic or not?
Yes, and not even one, but a combination of as many as three antimicrobial agents. Each of them has its own spectrum of bactericidal action, due to which the drug is successfully used in a variety of diseases of the female genital area. And since antibiotics are potent substances, it is unacceptable to use Terzhinanm during pregnancy without a doctor's prescription.
Pharmacological group
The drug is classified as an antiseptic and antimicrobial agent used in gynecology.
The composition of candles Terzhinan ®
Terzhinan ® is available as vaginal tablets. This is a multicomponent preparation for local use - a complex of two antibiotics, an antifungal agent and a hormone-glucocorticosteroid.
Active ingredient matches for Terzhinan:
- Ternidazole- a synthetic antibiotic belonging to the group of nitroimidazoles. It is used only externally, it has a pronounced bactericidal effect against gardnerella, Trichomonas, Giardia and other varieties of bacteria and protozoa.
- Neomycin- a complex antibiotic-aminoglycoside, acting bacteriostatically or (with increasing doses) bactericidal. Staphylo- and streptococci, salmonella, Escherichia coli, shigella are susceptible to it, and the fungal flora is resistant.
- Nystatin- an antifungal agent that is effective against fungi of the genus Candida that cause thrush.
- Prednisolone- dehydrated hormone-glucocorticosteroid, analogue of hydrocortisone. When applied topically, it effectively relieves swelling and inflammation, prevents the development of allergic reactions.
Thanks to this combination, the agent can be used to treat protozoal, bacterial, fungal and mixed vaginitis.
Release form
Unlike many foreign and Russian analogues, Terzhinan ® is available only in the form of vaginal tablets. Each tablet contains active ingredients in the following quantities:
- neomycin - 100 mg;
- nystatin - 100,000 units;
- ternidazole - 200 mg;
- prednisolone - 3 milligrams.
An excipient with clove and geranium oils is used as an auxiliary ingredient. Tablets are packaged in packs of 6 or 10 pieces. Producer - Laboratoires BOUCHARA-RECORDATI ® , France.
Photo of packaging of Tergynan ® tergynan in the form of vaginal tablets
Recipe in Latin
Since new rules for dispensing antibiotics from pharmacies have been introduced since January 2017, Terzhinan ® is available only by prescription. It looks like this:
D.t. d. No. 10
S. Daily insert one tablet into the vagina before going to bed, previously moistened with water.
Candles Terzhinan ® - indications for use
A wide range of antimicrobial activity of vaginal tablets allows them to be successfully used for the treatment of:
- inflammation of the vagina caused by Trichomonas;
- fungal vaginitis (candidiasis);
- bacterial vaginitis;
- mixed vaginitis.
Tablets are also used for sanitation before surgery, childbirth, diagnostic manipulations and as a prophylaxis for inflammation after them.
Contrary to popular misconception, Terzhinan ® is not used for cystitis. For the treatment of urinary tract infections, the appointment of systemic drugs is indicated, and the components of this drug practically do not enter the bloodstream.
Terzhinan ® - contraindications for use
Since the antibiotics and the hormone that are part of the drug practically do not have a systemic effect, there are few contraindications to the appointment. It is undesirable to use Terzhinan ® during pregnancy in the first three months.
Menstruation is not a contraindication for treatment: Terzhinan ® does not need to be canceled during menstruation.
Also, the drug is contraindicated in the treatment of acetylsalicylic acid.
Dosage and method of application Terzhinan ®
For the treatment of infections or their prevention, the drug is always used in the same way. Shortly before sleep, after hygiene procedures, one tablet is introduced into the vagina (in the supine position). Moisten the tablet with water immediately before administration.
In severe infections, the drug can be administered twice a day.
Terzhinan ® with gardnerellosis, trichomoniasis and other bacterial infections is usually used for 10 days. Fungal infection of the vagina may require an extension of antibiotic therapy up to 20 days. The prophylactic course is designed for 6 days (for this, there are 2 types of packing of tablets).
Side effects Terzhinan ®
With individual hypersensitivity to the components of the drug, allergic reactions may develop in the form of skin rashes. Such a side effect is extremely rare, but burning in the vagina is noted quite often.
Usually this effect disappears 15-20 minutes after the introduction of the candle. With severe irritation of the mucosa, you need to contact a gynecologist regarding the withdrawal of the drug.
Candles Terzhinan ® during pregnancy
The active components of vaginal tablets act locally, without penetrating into the systemic circulation. Therefore, there is no harmful effect on the fetus. However, given the anatomical proximity of the uterus and vagina, the drug is contraindicated in the first trimester of pregnancy.
Terzhinan ® during breastfeeding
Terzhinan ® is not recommended for breastfeeding. If necessary, the appointment of the drug for the duration of treatment, breastfeeding is stopped.
Compatibility of Terzhinan ® and alcohol
There is no direct prohibition on the use of alcoholic beverages during the course of the drug in the manufacturer's instructions. Ethanol and tablet components do not mix in the blood, since the latter do not get there. But, despite the fact that Terzhinan ® suppositories and alcohol do not directly interact, treatment should not be combined with the intake of alcoholic beverages.
Blood flow to the tissues due to the vasodilating effect of alcohol can increase the sensitivity of the mucosa and, accordingly, burning. It is also possible to increase the symptoms of candidiasis.
Analogues are cheaper than Terzhinan ® and others
These tablets do not have a completely identical substitute in structure. Polygynax ® containing nystatin with neomycin can be considered closest to the original. This analogue of Terzhinan ® is intended for women with the same diseases, but it has some features and is more expensive. According to the indications, you can also use imported drugs in the form of suppositories and tablets Neo-Penotran ® , Macmiror ® , Fluomizin ® and.
The average price for a package of 6 vaginal tablets is 400 rubles, for 10 - about 500, and imported substitutes are even more expensive. In this regard, patients are often interested in whether there are Russian analogues of Terzhinan ® at a more affordable cost. By agreement with the gynecologist, instead of the French remedy, you can buy domestic candles Hexicon ® (10 pieces for 280 rubles) or tableted Clotrimazole ® (6 pieces cost only 20 rubles). However, Clotrimazole ® is not an alternative to Terzhinan ® and can only be used for fungal vaginitis (thrush).
Terzhinan ® or Neo-Penotran ® , which is better?
In terms of cost, the French drug is more profitable: 14 German-made vaginal suppositories will cost about 800 rubles. Indications for use for both drugs are practically the same, and the composition is completely different. The active ingredients of Penotran are the antibiotic metronidazole and the fungicide miconazole.
Which is better, Macmirror ® or Terzhinan ®?
Italian suppositories called Macmirror-Complex ® consist of nystatin with nifuratel. Accordingly, they are effective in candidiasis, bacterial and fungal vaginitis. The difference between the drugs lies in the contraindications (nursing and pregnant Macmirror ® is not allowed), the absence of a burning sensation characteristic of Terzhinan ®. An Italian remedy costs about 800 rubles for a pack of 8 candles.
Terzhinan ® or Fluomizin ® , which is better?
The drugs belong to different classes: the first is an antibiotic, and the second is an antiseptic. However, its active substance (dequalinium chloride) is active against the same inflammatory pathogens. Accordingly, these tablets are prescribed for the same indications, but if Terzhinan ® does not lose its effectiveness during menstruation, then treatment with Fluomizin ® must be interrupted. Another difference is the price: a drug from Switzerland will cost 730 rubles per course.
What is better, Hexicon ® or Terzhinan ® ?
The domestic drug in the form of suppositories or tablets costs a little less than the French one (about 280 rubles for 10 pieces). Its active ingredient is the antiseptic chlorhexidine, which has a similar spectrum of antimicrobial activity. The indications are the same, during pregnancy and breastfeeding is allowed, but requires twice daily administration for at least a week. Therefore, saving in this way will not work.
In addition, patients often complain about the appearance of bloody discharge from Hexicon ® suppositories, especially during pregnancy. Slight staining in pinkish or brown color is considered the norm, and more intense requires cancellation. In this regard, the question of which is better, Hexicon ® suppositories or Terzhinan ® , it is advisable to discuss with the gynecologist in advance.
What is better, Polygynax ® or Terzhinan ® ?
Polygynax ® , as already mentioned, is the closest analogue. It contains the same nystatin and neomycin, as well as polymyxin B ® . There is no hormonal component in it, respectively, and the anti-inflammatory effect is less, and the price is higher - almost 700 rubles for a course of therapy (12 suppositories). Contraindicated in pregnant women in the first 3 months and lactating.
What is better, Terzhinan ® or Klion-D ® ?
Hungarian-made vaginal tablets at a price of about 370 rubles per pack of 10 pcs. the composition is the same as that of Neo-Penotran ® . If there are no contraindications (pregnancy, 1st trimester or lactation), you can use an analogue.
One of the fastest ways to treat gynecological diseases in women is the use of vaginal suppositories. They save from itching, burning and unpleasant odor, eliminate the cause of inflammatory processes and destroy the pathogenic flora. To find out what type of bacteria affected the reproductive system, tests help doctors.
Subsequently, experts select drugs that can suppress the activity of fungi, Trichomonas, anaerobic microorganisms and other pathogens. Among them, a separate place is occupied by Terzhinan - a combined medicine with fungicidal, antiseptic and antimicrobial properties.
Tergynan: composition and pharmacological properties
Terzhinan, often referred to as suppositories by consumers, is actually an intravaginal tablet. They have a flat oblong shape and cream color. Each suppository is labeled "T" on both sides.
Packed tablets in the amount of 6 or 10 pieces. To know exactly what to ask at the pharmacy, look at the photo - this is what Terzhinan looks like.
The composition of the tablets is based on the following ingredients:
- Ternidazole.
- Nystatin.
- Sodium starch glycolate.
- neomycin sulfate.
- magnesium stearate.
- Wheat starch.
- lactose monohydrate.
- Purified water.
- Oils of geranium and cloves.
- Silicon dioxide colloidal (anhydrous).
- Prednisolone sodium metasulfobenzoate.
Nystatin is an antibiotic of the polyene group that effectively fights candidal fungi and successfully treats thrush. Neomycin sulfate also belongs to antibiotics, but it is detrimental to Proteus, Escherichia coli, staphylococci and Shigella - the causative agents of bacterial vaginosis, nonspecific colpitis and vaginitis.
Prednisolone is a glucocorticoid hormone with anti-inflammatory properties. It suppresses all inflammatory foci, regardless of the causes of formation. In combination with antibacterial, fungicidal and antiprotozoal substances, the hormone helps to qualitatively treat vulvovaginitis and colpitis of any nature.
Geranium and clove oils are an excipient that evenly distributes medicinal substances throughout the volume of the entire tablet and ensures better penetration of the active ingredients into the cells of the vaginal mucosa. The combination of substances destroys the protozoa that live inside the vaginal mucosa.
Indications for the use of candles
The main indications for the use of Terzhinan suppositories consist of therapeutic and prophylactic purposes with a tendency to infectious and inflammatory diseases of the vagina.
Vaginitis is treated with the drug in cases where the pathologies are mixed (fungi, Trichomonas, bacteria and gardnerella in different proportions) or if vaginitis is caused by the activity of one type of microorganism. Also, tablets are used in the complex therapy of colpitis associated with chlamydia.
As a prophylactic, Tergynan tablets are used in the following cases:
There is only one contraindication to the use of Terzhinan - individual intolerance to the components of the suppositories. During pregnancy, the drug can be used only from 13 weeks. During lactation, vaginal tablets are prescribed with clear benefits for the mother and minimal risks for the baby.
Terzhinan candles: how to be treated for women
The instructions for use describe the method of treatment with Terzhinan in detail. Tablets are injected deep into the vagina for 6 to 10 days, using one medicinal unit per day. Previously, the candle is kept in warm water for 20 - 30 seconds or in a wet palm for 2 minutes.
If the procedure is performed during the day, and there is no way to lie down for a long time, it is enough to lie on your back for a quarter of an hour after the administration of the medicine. Otherwise, the medicine will immediately leak out and stain the laundry. With proper manipulation, Terzhinan is quickly absorbed by the tissues of the vagina, but subsequently, women develop yellowish discharge, which is considered the norm. Panty liners will help protect panties from dirt.
During menstruation, you can use Terzhinan suppositories - the instructions for use allow the appointment of the drug for the period of "critical days".
Side effects in the treatment of vaginal dysbiosis, vaginitis, chlamydia and other diseases with Terzhinan are very rare. The active substances of the drug enter the bloodstream in small concentrations. However, hypersensitive patients may experience burning, itching, tingling and some soreness in the problem area.
Instruction
If Terzhinan in tablets is not suitable for a woman for any reason, it is replaced with synonyms (the medicine has no real analogues):
- Penotran.
- Ginalgin.
- Pimafucin.
- Neotrizol.
- Meratin Combi.
- Vagisept.
- Metromicon-Neo.
- Clomegel.
Vaginal infections should be treated by a woman together with her sexual partner. Due to physiology, a man can only take oral forms of drugs, for example, Flucostat, Kanefron, Orungal, Diflucan.
Where to buy Terzhinan
In Russian pharmacies, when asked how much Terzhinan candles cost, pharmacists give the following answer - 390 - 450 rubles. The medication is dispensed without a prescription. In Ukraine and other countries, patients can easily find where to buy Terzhinan. The tool is sold in pharmacies at the price and currency that corresponds to the financial policy of the medical institution and the country itself.
For example, in Ukraine, a medicine costs from 110 to 230 hryvnias. In Kazakhstan, the price of Terzhinan is 2425 tenge. In Belarus, the drug is sold for 20 local rubles.
Reviews
As the main advantage of the patient, they highlight the availability and ease of use of suppositories, and also note the acceptable cost and normal tolerance by the body. In the rarest cases, treatment with the drug entailed adverse reactions or complications.
Women who used Terzhinan tablets during pregnancy and lactation write in reviews about the high effectiveness of the drug. Compared with other medicines, Terzhinan showed the best pharmacological properties. The drug did not cause harm to the mother or child.
As a cure for thrush, Terzhinan is also widely used. Women of childbearing age use pills at home and quickly restore the vaginal biocenosis.
Negative reviews on Terzhinan suppositories are associated with the hypersensitivity of individual patients to the composition of the drug. Also, some women complain of spotting that appears during the period of treatment with pills. But doctors do not see a link between bleeding and medicine and urge women to take their annual medical examination more seriously.
Angela, 27 years old: I treated thrush with Terzhinan tablets. I soaked the drug in water and inserted it into the vagina at night. I used 10 tablets in total. A follow-up smear showed complete recovery.
In gynecology, the complex, antifungal, antibacterial drug Terzhinan is widely used. This effective tool is able to resist pathogenic bacteria, fungal infections that are in the vagina of the female body.
The use of Terzhinan as vaginal tablets is very effective in bacterial vaginitis, infection with Trichomonas, candidiasis, colpitis - inflammatory processes in the vaginal wall. The composition of this drug includes a wide spectrum of effects neomycin, nystatin, the antifungal component ternidazole, which actively resists bacterial processes in the vagina. Before prescribing this drug, the gynecologist prescribes a special laboratory test to accurately determine the positive individual effect of Terzhinan on a woman.
Self-medication, which is called blindly, is dangerous. A medicinal drug of this direction with extraordinary ease can remove all the available beneficial microflora of a woman's vagina. At the same time, conditionally pathogenic and pathogenic microflora will grow unusually.
The widespread use of Terzhinan for the treatment of vaginal dysbacteriosis is prescribed under conditions where the inflammatory process does not yet exist, but the opportunistic flora has multiplied in an amount that threatens the woman's health. In this case, abundant discharge with an extremely unpleasant "fish-cheese" smell is observed. In this case, it is recommended to use this drug, which helps to restore the normal microflora of the vagina. Normal microflora effectively protects against further development of infection, it creates an acidic environment that is unfavorable for the development of representatives of opportunistic flora.
Terzhinan tablets contribute to the resistance of Trichomonas vaginalis, they are able to easily cope even with a fairly advanced form of the disease. In general, trichomoniasis is extremely dangerous with a long course in a latent form, sometimes a woman is not even aware of her disease. A neglected disease can lead to damage to the internal genital organs, infertility against the background of obstruction of the fallopian tubes.
The use of Terzhinan is quite effective in case of thrush caused by damage to the vaginal microflora by yeast-like fungi of the genus Candida. The main cause of this widespread disease is considered to be women. Also, gynecologists note as the cause of thrush in women a significant deterioration in the environmental situation, the monotony of nutrition, the regular use of rather harmful diets for weight loss, containing the minimum amount of essential vitamins. An increase in psychological stress on the body also undoubtedly provokes numerous female diseases. As a result of these factors, fungi of the genus Candida conquer more and more new territories. The use of Terzhinan makes it possible to overcome these difficulties of the modern life of a woman, especially during pregnancy, when a decrease in immunity is a completely natural factor, a physiological reaction of a weakened female body. It should be noted again that the use of this drug is possible only after consultation with a gynecologist.
Quite often, this drug is recommended for use as a prevention of female diseases. Terzhinan is a wonderful prophylactic during operations or other gynecological procedures. Sometimes prevention requires various diagnostic procedures. For example, when examining the uterus with the help of special optical equipment or when X-raying the uterus, Terzhinan is usually used. In such cases, the drug must be deeply injected into the vagina at night. Tablets should be pre-moistened with water, the course of treatment includes approximately 2 to 3 weeks.
Numerous studies conducted by scientists to determine the effectiveness of Terzhinan showed the high quality of the proposed medicinal product. Patients quite easily get used to its use. A noticeable favorable use of Terzhinan was noted in a comparative analysis of other gynecological preparations of a similar purpose. Terzhinan in the form of suppositories, applied daily at night for a 10-day course, showed remarkable results using this drug. Even in severe cases of gynecological diseases, Terzhinan has excellent performance. This is a drug worthy of the best characteristics, a real scientific breakthrough in gynecological medicine.
Pharmacology is developing rapidly, every day new drugs appear on the shelves of pharmacies for the treatment of many diseases, for example, candidiasis. Many gynecologists began to recommend Terzhinan to their patients with thrush. But how effective is the medicine and can it always be used?
Terzhinan from thrush is used more and more often and is considered the most effective and effective. In this case, the drug resists not only the Candida fungus, but also other harmful microorganisms. All this makes the drug convenient in order to cure combined infections, when other diseases appear along with thrush.
The price of Terzhinan vaginal tablets in Russia starts from 350 rubles (average price 400 rubles) for a pack of 6 tablets. Packing 10 tablets will cost 450-600 rubles. In Ukraine, Terzhinan costs from 100 to 200 hryvnia, depending on the number of tablets in the package.
Candles Terzhinan do not have direct analogues, since they include several active components at once:
- Nystatin - has a detrimental effect on fungi of the genus Candida;
- Neomycin is a broad-spectrum antibiotic;
- Ternidazole - aimed at combating anaerobic bacteria;
- Prednisolone - has an anti-inflammatory effect.
That is why Terzhinan vaginal tablets are very often prescribed before childbirth or gynecological operations as an antiseptic.
1 Terzhinan candles: how to enter correctly?
It is necessary to administer the drug at bedtime, but if you cannot do this, you can carry out the treatment at a convenient time of day for you. The only and obligatory rule is no more than one candle per day.
Wash your hands thoroughly and wash your genitals with soap and water before starting the procedure. It is not recommended to use sprays or gels at this point.
Take a package of tablets and take one piece, put it in cool water for 20 seconds, thanks to this, the top layer will dissolve slightly and the drug will begin to work immediately.
Remove the tablet from the water, and then take a comfortable position. It is this moment that needs to be given more attention, since the instructions indicate that the best position for insertion is lying down. However, not every woman can inject a pill in this position, since it is small in size and it will not work to push it as deep as possible. That is why experts insist that you need to enter it only in the position in which it is convenient for you.
It is allowed to use the drug at the time of bearing the baby, breastfeeding, as well as during menstruation.
3 Contraindications and side effects
Treatment of thrush with terzhinan almost always goes well and there are actually very few contraindications. The only limitation is hypersensitivity to any component that is part of the tablets. As a rule, the female body tolerates the drug well.
The only condition is the correct dosage, as well as the frequency of use of the drug. If you experience suspicious symptoms, you must visit a medical facility and inform your doctor.
In order for the treatment of the drug to be justified, you first need to undergo a series of examinations and pass the necessary tests. Thanks to this, it is possible to identify the exact causative agent of the disease and establish sensitivity to the drug.
If during the research it turns out that the pathogens are not sensitive to the drug, then it can be taken. After the course of treatment, it is necessary to undergo a second study and make sure that the therapy was successful.
In no case do not replace Terzhinan yourself with other drugs without first consulting a doctor. If you have any questions regarding the use of the drug, be sure to ask your doctor. By following all the recommendations and observing the rules of treatment, you will quickly get rid of an unpleasant disease.
Terzhinan and pregnancy
Author: Nastenka21 , Rostov-on-DonHow to be? I was prescribed TERZHINAN for 10 days. I am planning a pregnancy. Tell me, can anyone come across how long it takes to get pregnant after taking this medication? How can he influence?
I was told by a smear that there is a small inflammation and therefore this drug was prescribed
I would apply Terzhinan after M 10 days before Ovulation. But after that you don't need to. My gynecologist said that during pregnancy you should not use anything. I had thrush, and she tormented me, she said - be patient. And the truth is it's gone. I recovered well and gave birth. But I got pregnant 2 times. There were white discharge. So the doctor (already different) prescribed Betadine Suppositories for me, although I did not itch and there was no thrush. A few days after taking the candles, a miscarriage began ...
Why didn't you ask your doctor these questions? There are no experts here to help you. Here everyone expresses their subjective opinion. Everything is very individual, you yourself probably know this. This drug may have helped someone, but it did not fit someone. I wish you pregnancy in your first treatment cycle! And there, as God wills
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During pregnancy, a woman's immunity decreases, that is, she is in an immunodeficient state. This is necessary so that the immune system does not reject and destroy the emerging life. In 70-80% of pregnant women, the opportunistic flora is activated, which in the normal state does not cause any pathology. But when immunity is suppressed, the development of bacteria is not limited by anything, they flourish, as well as the reproduction of microbes, fungi, protozoa that develop on the mucous membranes of the vagina. Diseases can develop that threaten to infect the baby, causing pregnancy complications.
Terzhinan during pregnancy is prescribed as a combination drug, which is used both for the prevention and treatment of emerging diseases. The composition of Terzhinan includes: antibiotic Nystatin (suppresses the growth of Candida fungus), antiseptic Ternidazole (inhibits the development of anaerobic bacteria), Neomcin sulfate (kills aerobic microbes - staphylococci, E. coli, Enterobacter, Klebsiella), hormone prednisolone (removes local inflammatory manifestations, relieves swelling , pain, itching), excipients that help maintain the bactericidal acidity of the vaginal mucosa and protect it from damage (wheat starch, colloidal silicon dioxide, magnesium stearate).
The appointment of Terzhinan during pregnancy
Terzhinan during pregnancy used for the prevention and treatment of diseases that are caused by microflora sensitive to its active constituents. Tezhinan should be prescribed only after the isolation of specific microorganisms from a smear from the mucous membrane, determining their sensitivity to antimicrobial and antifungal drugs.
Indications for the appointment of Terzhinan during pregnancy: bacterial vaginosis, vaginitis, colpitis, candidal lesions, the condition of the uterus after suturing due to isthmic-cervical insufficiency, administration before childbirth in order to prevent infection of the fetus at the time of passage through the mother's birth canal.
Terzhinan is used in the form of vaginal suppositories. Rinse with water for 30 seconds before use. After the introduction, rest is required for at least 15 minutes. He is prescribed one candle per day. The course of treatment is 10 days for inflammatory processes; with candidiasis - up to 20 days. To prevent the development of vaginosis or vaginitis - use no more than twice a week.
Side effects of Terzhinan
The composition of Terzhinan includes components that are practically not absorbed from the vaginal mucosa and do not enter the bloodstream. The use of Terzhinan practically does not give side effects. Due to the wide spectrum of antimicrobial and anti-inflammatory action, Terzhinan allows its use as the only drug and does not require additional prescription of other drugs. Terzhinan can be used in the second and third trimester of pregnancy.
Of the side effects, it is worth paying attention only to local reactions in the form of increased itching or burning sensation after the tablet is inserted into the vagina. This is due to the increased sensitivity of the inflamed mucosa. Cancellation of Terzhinan does not require, within a few days the soreness disappears, and the inflammatory manifestation also disappears.
The only contraindication to the use of Terzhinan is individual intolerance to any of its components, which manifests itself in the form of an allergic reaction. In the first trimester of pregnancy, the use of Terzhinan requires additional consultations with a doctor.
Candles terzhinan during pregnancy
Treatment of candidiasis in pregnant women is associated with a number of difficulties. First of all, this applies to expectant mothers who are in early pregnancy. The appointment of drugs in the first trimester of pregnancy has a number of limitations due to the great danger in their use for the woman and the fetus.
Starting from the second trimester of pregnancy, terzhinan can be used to treat vaginal infections, primarily thrush.
The use of terzhinan during pregnancy
There is some inconsistency in the prescribing of terzhinan by doctors during pregnancy. While some gynecologists prescribe terzhinan in the first trimester of pregnancy, others recommend it to their patients no earlier than 12-14 weeks. Perhaps this discrepancy in opinion is explained by the fact that in the specialized medical literature in 2003-2004, on the basis of studies, recommendations were given on the appointment of terzhinan to pregnant women in the first trimester. But already in 2008, publications appeared, according to which it is possible to use terzhinan for pregnant women only from the second trimester.
According to the instructions for medical use, terzhinan suppositories during pregnancy can be used from the second trimester. The appointment of the drug terzhinan, as the instructions say, during pregnancy in the first trimester is justified only if the potential benefit to the mother outweighs the risk to the fetus.
In any case, expectant mothers can use any drug only as directed by a doctor, and all emerging issues should be resolved only with him.
Candles terzhinan during pregnancy are recommended to be inserted into the vagina at night, after wetting them with water. After the introduction, you need to lie down for at least 15-20 minutes for better penetration of the drug. Terzhinan during pregnancy for the treatment of thrush is used once a day. If the symptoms of the disease are severe - severe itching, swelling worries, and gives the woman severe discomfort, you should not wait for the evening. You can enter the medicine during the day, but it is necessary to lie down for the necessary time, otherwise there will be no proper effect. The duration of the use of terzhinan suppositories during pregnancy is determined by the doctor. Self-regulation of the drug is unacceptable.
Some expectant mothers note that when using terzhinan, there are discharges that are not typical during pregnancy. In this case, you should definitely consult a doctor without delaying this issue.
The drug terzhinan is also widely used in obstetrics in the treatment of the birth canal, in order to avoid infection of the infant with candidiasis. Terzhinan is also used when planning pregnancy - if a woman suffers from vaginal infections, then before the desired pregnancy, it is necessary to undergo a full course of treatment. If this is not done, then during pregnancy the disease will manifest itself in a more severe form and will be dangerous not only for the woman, but also for the unborn child. In addition, the course of treatment with terzhinan during pregnancy, like any other drug, will be gentle, without additional prescriptions. This means that recovery will come more slowly.
A future mother should always remember that she is responsible not only for her life, but also for the life of her unborn baby. Therefore, before using any drug, be sure to consult your doctor.
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The use of Terzhinan during pregnancy
The drug terzhinan is indicated not only for the treatment of thrush, but also for the fight against diseases such as bacterial vaginosis, trichomoniasis and many other diseases, the causes of which are an imbalance in the vaginal microflora. Terzhinan has an antifungal, antibacterial, antiprotozoal and anti-inflammatory effect. The drug is completely safe to use during pregnancy, as it is considered a local medicine and is not absorbed into the blood. Due to this, it can be used at any stage of pregnancy and even during breastfeeding. Terzhinan is also indicated for women with pathogenic flora of the birth canal, for preventive purposes. This is necessary so that the baby does not become infected in the last trimester of pregnancy or during the birth itself.How to take terzhinan
Terzhinan is available in the form of rectal suppositories. It is necessary to insert suppositories into the vagina while lying down. It is best to do the procedure before going to bed. The drug in this case will be in the body much longer and its therapeutic effect will be more effective. If you decide to administer terzhinan at a different time of the day, try to lie down for three hours after the administration. Candles are administered once a day.Terzhinan contraindications and side effects
All contraindications to the use of this drug are reduced only to individual sensitivity or intolerance to the components of the drug. In order to determine this, you need to consult with your doctor. The use of suppositories can provoke a burning sensation in the genital tract, this is a normal reaction of the body, but if the discomfort drags on indefinitely, discuss this issue with the doctor. Despite all the usefulness and good reviews about terzhinan, be sure to consult your doctor before using it. It is strictly forbidden to prescribe candles for yourself. If during the use of the drug you experience any symptoms that did not appear before you started taking the medicine, be vigilant. Do not delay your visit to the doctor. Do not forget that not a single online article can replace a full-fledged appointment with a doctor, so do not risk your health.| I like0 |
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Good afternoon! I ask you for help! Please tell me, my blood titers for chlamydia (ifa) indicate the presence of an active infection: ig a 1:40, ig g 1:320, ig m-negative, momp ... anonymously, more than a year agoGood afternoon. I am 32 years old, planning a second pregnancy. Has handed over analyzes on the latent infections - it is negative. Of the diagnoses, chronic andexitis, indirect signs of adhesions (according to ultrasound). Passed a smear on the flora, discovered ... anonymously, more than a year ago Hello! We are planning a baby. I got the test results, I'm sitting at home, panicking. There is no doctor in the clinic now, no one can explain. Explain, please, what does this mean? Chlamydia DNA, mycoplasma genitalium, ureaplasma spp, HPV... anonymously, more than a year ago Hello doctor, pregnancy is planned, I have been taking folic vitamins for three months, etc. I am 23 years old. Treated with L-thyroxine, slightly increased TSH (now normal), also Pew Jess for 2 months (increased ... anonymously, more than a year ago Hello! Advise how to act. Throughout my life there was and is the only partner (for 7 years ), who had unprotected sex before me. I lost my virginity with him at 15 ... anonymously, more than a year ago Hello, Irina Valentinovna! We are planning a pregnancy! Please tell me some time ago I was at the gynecologist (a familiar woman), she took tests, after which she prescribed with her husband to drink Trichopolum for 10 days ... anonymously, more than a year ago
Terzhinan is a drug with an antibacterial, anti-inflammatory effect, in addition, the drug has an antiprotozoal, antifungal effect. The drug is used topically in gynecology. For readers of "Popular about Health" I will present instructions for the use of this pharmaceutical product.
So, Terzhinan's instruction:
Composition and form of release
Terzhinan is produced by the pharmaceutical industry in light yellow vaginal tablets, they are flat, their shape is oblong, there is a chamfer, and there is also an engraving in the form of a "T" on both sides. The active substances of the drug are as follows: ternidazole, prednisolone sodium metasulfobenzoate, neomycin sulfate, and nystatin is also present.
Terzhinan contains auxiliary substances: wheat starch, magnesium stearate is added, lactose monohydrate in the right amount, colloidal silicon dioxide, sodium carboxymethyl starch is present.
Pharmacological action Terzhinan
The pharmaceutical preparation Terzhinan is a combined remedy, as it contains several active compounds. Use this tool in gynecological practice. The drug has different actions: antimicrobial, antifungal, anti-inflammatory, antiprotozoal, in addition, when introduced into the vagina, it ensures the integrity of the mucous membrane and maintains a constant pH.
One of the active ingredients is ternidazole, an antifungal pharmaceutical belonging to the group of imidazole derivatives. This compound reduces the biosynthesis of ergosterol, changes the structure of the cell membrane and its properties, and also has a trichomonacid effect. This component is active against Gardnerella spp., as well as other anaerobic bacteria.
Another active ingredient in vaginal tablets is neomycin, a broad-spectrum antibiotic belonging to the aminoglycoside group. It acts bactericidal, that is, it causes the death of pathogenic microorganisms, in particular: Staphylococcus, Shigella boydii, Streptococcus pneumoniae, Escherichia coli, Shigella dysenteriae, and Shigella sonnei, in addition, Proteus spp., Shigella flexneri.
The next active substance of the drug is represented by the antifungal antibiotic nystatin, it belongs to the group of polyenes. It is highly effective against Candida fungi, slows down their development, and also helps to change the permeability of cell membranes.
An analogue of hydrocortisone is prednisolone, a hormonal agent that has a clear anti-inflammatory effect, has an anti-allergic effect, and this compound also has an anti-exudative effect. Due to the combined action of all the listed active components, Terzhinan is used to treat certain gynecological pathologies, as well as for prevention.
What treats Terzhinan?
Terzhinan's indications include the treatment of vaginitis, which is caused by bacteria sensitive to the pharmaceutical preparation, including bacterial and mixed vaginitis, vaginal trichomoniasis, and inflammation of the vagina caused by Candida fungi.
In addition, the indications for the use of Terzhinan contain information about its use for prophylactic purposes against vaginitis, as well as urogenital infections before gynecological surgery, before hysterography, before childbirth, before abortion, before installing an intrauterine device.
Contraindications for use
Terzhinan is a contraindication for hypersensitivity to any of the compounds of this medication.
Application Terzhinan, dosage
The drug Terzhinan is intended for vaginal administration. In this case, it is recommended to introduce one tablet deep enough into the vagina, while the woman should be in a prone position. It is better to use the medicine at bedtime.
Before direct administration, the tablet should be held for twenty seconds in warm water, and after the administration of the dosage form, it is important to lie down for at least ten minutes. Usually, the therapeutic course lasts ten days, and for prophylactic purposes, the medication is prescribed for six days.
Side effects
Side effects of Terzhinan are possible, which will be expressed in the form of a burning sensation, itching, some irritation in the vaginal area. As for systemic negative manifestations, they will be expressed in the form of allergic reactions.
Overdose Terzhinan
Due to the low absorption of the medicinal pharmaceutical preparation, the occurrence of an overdose is unlikely. In case of accidental swallowing of tablets, vomiting should be promptly provoked. If then the patient feels unwell, any other symptoms join, then it is recommended to seek qualified help from the medical staff.
special instructions
In the case of therapeutic measures for vaginitis, trichomoniasis, it is definitely recommended to conduct simultaneous treatment of sexual partners. Instructions for use informs that therapy should not be canceled during menstruation.
How to replace Terzhinan?
Currently, Terzhinan vaginal tablets have no analogues.
Conclusion
Before carrying out treatment with Terzhinan, it is recommended to consult a gynecologist.
Very strange. The situation was like this. I am postpartum and I have uterine erosion. So far, I am a nursing mother and can not solve this issue. A year has passed. Went to the gynecologist. At the same time, I felt quite normal. She took a swab and found thrush. I went through a course of treatment, I came back. Inflammation. Has written out to me terzhinan. I used it and had problems. Stomach hurt... Very strange. The situation was like this. I am postpartum and I have uterine erosion. So far, I am a nursing mother and can not solve this issue. A year has passed. Went to the gynecologist. At the same time, I felt quite normal. She took a swab and found thrush. I went through a course of treatment, I came back. Inflammation. Has written out to me terzhinan. I used it and had problems. Stomach hurts like menstruation. 3 days of bleeding. I went to a paid doctor. Looked. They did an ultrasound. He said everything was fine, that this painful ovulation began after childbirth. I was sick for another 5 days. He prescribed me Terzhinan again. Treated for 10 days. I come to my doctor, inflammation. What the hell (sorry). Doubtful this medicine is terzhinan. After reading the reviews, now I'm starting to think that painful ovulation began just because of him. Because I am still breastfeeding and have not had my period. And then, for no reason at all, ovulation began. And what. With an explosion, literally. I was bent over for a week. Now I think it would not harm my daughter. She just turned a year old.
