Cystitis is an inflammation of the bladder, for the treatment of which today there are many really good, effective drugs. I would like to talk about one of them now. Quite often, Trichopolum is prescribed for cystitis.
What is this drug? What is its composition? What is the principle of action? What is the instructions for use? Are there any side effects? These and many other questions should now be answered.
Structure
"Trichopolum" is an antiprotozoal drug with antibacterial activity. Its active substance is metronidazole. This component violates the DNA structure of sensitive microorganisms, being active against various bacteria of parasitic origin, as well as anaerobic.
With cystitis, Trichopolum is effective, but it does not affect fungi and viruses. Also, this medication increases the sensitivity of tumors to radiation and stimulates reparative processes.
The most popular drug is in the form of white round flat tablets with a yellowish tinge. Excipients that are part of the composition are starch, molasses, gelatin and magnesium stearate.
There is also Trichopolum in the form of vaginal tablets, injection, suspension and powder.
Instructions for use
It is best taken with Trichopol cystitis in the form of tablets. Suspension and suppositories are indicated for people suffering from diseases of the liver, kidneys and gastrointestinal tract. Injections are applicable only in the presence of complications.
It is important to note that some tablets contain 500 mg of the active substance, while others contain 250 mg. Because the choice of dosage is exclusively a doctor. It takes into account the general condition of the body, the weight of the patient, as well as the severity of the pathology and the specifics of the symptoms.
Based on these data, the scheme and duration of treatment are selected. The instructions also say that you need to take 2-3 times a day, 1 tablet containing 250 mg of the active substance. The course lasts 7 days. In some cases, 10.
The methods of taking the medication are different. You can drink a whole tablet with water or milk, or chew and swallow. But be sure to eat.
With cystitis in women, Trichopol is recommended to be taken both in the form of tablets and in the form of vaginal suppositories.
Indications
"Trichopolum" is prescribed not only for cystitis. Also, a number of indications include:
- Trichomoniasis
- Periodontium (including acute ulcerative gingivitis).
- Amoebiasis of all forms.
- Vaginosis of a bacterial nature.
- Giardiasis
- Bacterial anaerobic infections.
- Sepsis, central nervous system infections, endocarditis, respiratory diseases.
Also, this drug can be prescribed before surgery on the gastrointestinal tract or reproductive organs.
It also helps to cope with infections caused by a duodenal ulcer or stomach. But in this case, this drug is combined with medications containing bismuth.
Feasible side effects
Each drug has them. Every person who treats cystitis with Trichopolum should be aware of them. Here is some of them:
- Gastrointestinal tract - diarrhea, nausea, vomiting, epigastric pain, intestinal colic, constipation, taste disturbance, anorexia, dry mouth, stomatitis, glossitis.
- CNS - headache, irritability, irritability, depression, drowsiness, sleep disturbance, weakness, impaired coordination of movements, very rarely confusion.
- Urinary system - staining of urine in a brown-red color, increased urination.
- Musculoskeletal system - arthralgia and myalgia.
- The hematopoietic system is leukopenia, in extreme cases - neutropenia, pancytopenia, agranulocytosis and thrombocytopenia.
With individual intolerance, itching, skin rash, nasal congestion, urticaria, as well as multiforme exudative erythema and even fever are possible. Therefore, it is so important to undergo an examination and pass tests before starting treatment of cystitis with Trichopolum.
Contraindications
How to avoid unpleasant consequences from taking with Trichopol cystitis? You can simply familiarize yourself with the contraindications in advance. These include:
- Leukopenia
- Organic lesions of the central nervous system. Epilepsy including.
- Liver failure.
- The period of breastfeeding.
- The first trimester of pregnancy.
- Hypersensitivity to nitroimidazole derivatives. To metronidazole in particular.
- Age to three years.
With caution, it is necessary to take the drug in the 2nd and 3rd trimester of pregnancy, as well as in the presence of renal failure.
Pregnancy
How to apply Trichopolum for cystitis, if the woman is in position? It is undesirable to use during this period. In the first trimester, it is completely prohibited. Because the active substance of the drug penetrates the placental barrier.
In the 2nd and 3rd trimester, a doctor can prescribe him only if the expected benefits to the expectant mother exceed the potential risk.
And since metronidazole is excreted along with breast milk (and in concentrations that are close to the content of this substance in the blood plasma), if necessary, use it during lactation should stop breast-feeding.
Use for other health problems
Caution should be taken to use Trichopolum if there are impaired liver function. Because due to a slowdown in metabolism, the plasma concentration of metronidazole, as well as its metabolites, increases.
The same goes for patients with kidney failure. If a person has a severe degree (CC less than 10 ml / min), then the daily dose is halved.
And children with cystitis "Trichopolum" should be given with caution. The drug is prohibited to anyone under three years of age. And for more adult children and adolescents, the dosage is selected by the doctor.
And we must remember that in elderly patients, metronidazole is much more slowly excreted by the kidneys from the body.
Also, with caution, it is necessary to take the drug for people who have depression of the central nervous system and bone marrow hematopoiesis.
Overdose
You can be poisoned with any medicine. “Trichopol” is no exception. With an overdose of this drug, the following symptoms occur:
- Nausea.
- Vomiting
- Dizziness.
- Ataxia, convulsions and paresthesia.
The lethal dose is unknown. But after the internal single use of the drug in the amount of 15 grams, the above symptoms are already observed.
There is no specific antidote to this drug. Treatment consists of symptomatic and supportive therapy.
Analogs
The principles of using Trichopolum for cystitis and the instructions for the drug were discussed in detail above. Now you should list the analogues of this medication.
The most popular drug is called the active substance "Trichopolum". It is known as Metronidazole. Available in a package of 20 tablets.
If we talk about foreign counterparts, we can note the attention of “Metroksan”, “Flagil”, “Klion”, “Deflamon” and “Metrogil”. The second of the listed is the most expensive. Flagil is an original French drug. And the cheapest is Metrogil, manufactured in India.
Many analogues, like Trichopol, exist in several forms. There are vaginal tablets and suppositories, special gel, as well as cream.
Drug interaction
"Trichopolum" is a serious preparation. It should be taken with caution simultaneously with medications containing lithium. It is also necessary to control the concentration of creatinine and lithium in the blood plasma. And it is categorically not recommended to take "Trichopolum" for cystitis along with indirect anticoagulants.
If the joint prescription is indicated by a doctor, then you need to carefully monitor the prothrombin time and dosages of the anticoagulant drug. But at the same time with terfenadine or astemizole, this remedy can not be used.
And you also need to know that it is forbidden to use Trichopolum for two weeks after completing the course of disulfiram.
Doctors about the drug
Doctors, as a rule, prescribe "Trichopolum" for cystitis along with other medicines. It is rarely used independently. Doctors also warn all of their patients about the most common side effect. It is an unpleasant aftertaste in the mouth that resembles metal. It is extremely difficult to get rid of it.
But the obvious advantage of the drug, which doctors also talk about, is its effectiveness. It is effective in treating inflammation, so it is prescribed not only for the treatment of cystitis, but also for the elimination of vaginitis, gonorrhea, chlamydia, colpitis, endometritis and other diseases.
Doctors also consider this drug a good tool in preparation for surgical treatment. It is effective as a restorative medication in the postoperative period.
Real reviews
It is worth paying attention to the reviews of women left about Trichopol. With cystitis, all girls have a problem - how to treat it and how to get rid of it faster? If you believe their comments, then this drug is an excellent choice. This is what many reviews say:
- Significant relief is observed already on the second day after the start of use.
- After the course, repeated tests demonstrate the complete absence of parasitic microorganisms.
- The drug quickly eliminates unpleasant symptoms even in case of chronic cystitis.
- This medicine has a very low price. Only 85 rubles per pack (20 tablets).
- The only drawback is the unpleasant, bitter taste of the pill. Therefore, girls who have undergone a course of the drug recommend swallowing the medicine quickly, immediately with milk. By the way, it helps to neutralize the very metallic aftertaste.
But some girls who started taking the medication without a doctor's prescription complain of side effects. To avoid this trouble and disappointment in the drug, you do not need to self-medicate.