In the article, we will consider the use of Terzhinan. It is a combined preparation intended for vaginal use and having an antifungal, antiprotozoal, anti-inflammatory, antibacterial effect.
Active substances in the composition of "Terzhinan" are: neomycin sulfate, prednisone, nystatin, ternidazole. As auxiliary components are used: purified water, lactose monohydrate, magnesium stearate, sodium starch glycolate, anhydrous colloidal silicon dioxide, wheat starch.
The method of use of tablets "Terzhinan" is described in detail in the instructions.
Pharmacological effects
"Terzhinan" is a representative of the group of antiseptic, antifungal, antimicrobial, combined drugs used in the field of gynecology.
The physiological effect and pharmacological properties of the drug are due to the active influence of its main components. Therapy allows you to achieve a pronounced anti-inflammatory, antifungal, antibacterial effect.
The main thing is to study the use of Terzhinan.
Indications for use of the drug
The main indications for the use of vaginal tablets are infectious pathologies of the external genitalia in women, accompanied by inflammation and provoked by the penetration and active reproduction of pathogenic microorganisms sensitive to Terzhinan into the vagina.
The medicine is recommended for use if the following female diseases are diagnosed:
- Vaginitis, having a mixed nature of origin.
- Vaginitis provoked by microorganisms of the Candida family.
- Trichomonas vaginitis.
- Vaginal dysbiosis.
- Chronic forms of recurrent colpitis (nonspecific vaginitis).
- Vaginitis caused by pyogenic microflora.
"Terzhinan" is often used as a prophylactic to prevent the development of vaginitis in patients who have surgery on the pelvic organs.
The medicine is used before diathermocoagulation, surgical abortion, childbirth, the installation of intrauterine contraceptives.
Also, candles can be used to prevent complications that can occur during antibiotic therapy.
About the method of using candles "Terzhinan" will be described in more detail below.
Contraindications
The main contraindication that prevents the use of "Terzhinan" is the individual intolerance to the components of the drug and allergies. If an allergic response to therapy with this agent occurs, the gynecologist should replace it with a more suitable medicine.
The use of "Terzhinan" up to 16 years is also prohibited.
Negative effects of the drug
The use of the drug rarely causes negative symptoms. Suppositories are applied topically, therefore, the active components in their composition penetrate into the systemic circulation in small quantities.
In this regard, treatment usually causes local reactions, expressed by allergic symptoms, burning sensation, tingling, itching, soreness, irritation.
Only in isolated cases do systemic side effects develop. A possible reaction to the use of glucocorticosteroids is to slow the healing of cracks and wounds. Atrophic phenomena in the mucous membranes may be observed in some patients.
Method of use "Terzhinan"
The medication is intended for intravaginal use. The candle should be inserted into the vagina, lying on its back, once a day, usually at night.
Before the introduction of the tablet, it is recommended that it be kept in water for 20 seconds, so that the membrane dissolves better in the vagina.
In accordance with the manufacturer's annotation, candles are shown to be used once a day for 1 piece. After introducing it into the vagina, it is recommended that 10-15 minutes remain in a horizontal position so that the melted product does not leak. In this regard, experts recommend the introduction of a suppository before bedtime.
On average, a therapeutic course is 10 days. If a woman is diagnosed with mycosis, therapy can be extended up to 20 days. For preventive purposes, candles are used for 6 days.
At the onset of menstruation, the use of Terzhinan tablets should not be discontinued.
Analogs
There are currently no direct analogues of the drug. However, there are medicines whose effects are similar. So, for the purpose of treating vaginitis or bacterial vaginosis, instead of Terzhinan, you can use Meratin Combi, Polygynax, Neotrizol.
It is important to remember that these drugs have specific contraindications, can cause the development of negative reactions. Therefore, it is forbidden to independently replace the drug - it must be agreed with the gynecologist.
Dosage and administration of Terzhinan must be strictly observed.
Special instructions for use
It is important to remember that nystatin-based drugs intended for intravaginal administration can damage latex contraceptives.
During therapy with Terzhinan, patients suffering from epilepsy, liver failure, myopathy, severe emotional disturbances, hypothyroidism, glaucoma, tuberculosis, peptic ulcer should be observed by a specialist.
Also, medical supervision is required for patients with osteoporosis, arterial hypertension, heart failure. This need is due to the presence in the medicine of prednisone, which is a systemic glucocorticosteroid.
Drug cost
The average cost of a package of medicine containing 10 vaginal tablets will cost about 380 rubles, 6 pieces - from 210 rubles. It depends on the region.
Reviews about the pharmacological agent
Almost all women note that Terzhinan is easy to use, many are happy that the drug should be used only once a day. The cost of the medicine is relatively low, it is almost always well tolerated, with rare exceptions it causes negative manifestations.
We examined the use of Terzhinan.