Very often, when prescribing a particular doctor by a doctor, people have to look for reviews about them. As a rule, everyone is looking for positive recommendations that allow us to understand and justify the advisability of prescribing this particular drug. Concerning Terzhinan, doubts disappear as soon as you read the instructions and the spectrum of its action. This article provides information on how to use the drug, how it works.
The composition of the drug
Positive reviews about “Terzhinan”, both from doctors and patients, speak for themselves. It is a combined drug, has several active ingredients:
- Ternidazole (0.2 g) - effective in the treatment of anaerobic bacteria (gardnerella), Trichomonas.
- Nystatin (100 000 IU) - detrimental to fungi of the genus Candida, especially effective in the treatment of thrush.
- Neomycin sulfate (0.1 g) - belongs to the group of antibiotics of aminoglycosides, a wide spectrum of action, is effective against many bacteria.
- Prednisolone sodium metasulfobenzoate (0.003 g) - a hormonal drug, is a derivative of hydrocortisone, which allows you to cope with allergic and inflammatory processes.
Due to this, a quick and long-term effect in the treatment of inflammatory processes is achieved. The composition of the drug also allows you to cope with bacteria and fungi, which become the cause of the development of diseases of the female reproductive system. "Terzhinan" is practically not absorbed into the systemic circulation, so it is often prescribed for the treatment of female diseases.
Release form
The drug is produced in the form of vaginal tablets, they have a flattened shape. The product is packaged in a cardboard box, each containing 6 or 10 tablets. The color of the tablets is beige, with the capital letter “T” applied on both sides. Use the drug according to the instructions for use. Reviews of candles "Terzhinan" are mostly positive, and one package is enough for a course of treatment.
Indications for appointment
Most often, the drug is prescribed for vaginitis, inflammatory diseases of the vaginal mucosa. The cause of the occurrence may be different infections:
- Candidiasis vaginitis - is formed in connection with the activity of conditionally pathogenic microflora, which is represented by fungi of the genus Candida.
- Vaginal trichomoniasis - transmitted mainly through sexual contact, due to the development of the simplest unicellular microorganisms Trichomonas.
- Bacterial vaginitis - occurs due to a decrease in the number of beneficial lactobacilli in the vagina.
Sometimes the reason for prescribing the drug is ureaplasma, the reappearance of colpitis (it is also commonly called non-specific vaginitis). In combination with other drugs, it allows you to achieve the best result.
Preventive use of candles "Terzhinan" is also practiced. Reviews of doctors agree that the drug copes well with the task - it prevents the risk of infection in the vagina. This is especially true during the preparation for surgery, before childbirth, the introduction of an intrauterine device, abortion, and hysterography.
Treatment duration
The course of treatment usually lasts 10 days, but if it is a preventive treatment, then 6 days is enough. With thrush, the duration of treatment can be up to 20 days. Menstrual bleeding does not apply to interruption of treatment. However, for a period of heavy bleeding, a woman is still advised to interrupt the use of Terzhinan. Pregnant women, starting from the second trimester, the drug is prescribed only as prescribed by the doctor.
Drug action
Neomycin in the composition of vaginal tablets does not allow pathogenic microflora to multiply, interfering with the synthesis of proteins, thereby destroying them. Nystatin also acts destructively within the cell. Thanks to the excipients that make up the drug, a beneficial effect on the epithelial tissue occurs, the vaginal mucosa is protected, and a neutral pH balance is maintained.
How to use the drug?
Reviews about the use of "Terzhinan" mainly indicate the ease of use. Despite the shape that differs from standard suppositories, their introduction into the vagina does not cause much discomfort. Before the procedure, the tablet must be moistened in warm water so that it softens a little. A woman needs to take a comfortable position, lying on her back or squatting. The tablet is inserted deep into the vagina, as a rule, the procedure is performed before bedtime.
In order to avoid the remnants of the drug on underwear - it is recommended to use sanitary pads. Reviews about "Terzhinan" and instructions for use recommend being in a prone position for 15 minutes after administration of the tablet. This applies to cases where after application it is not possible for a long time to be at rest.
Special conditions
During the treatment of a disease associated with the female reproductive system, it is worth excluding sexual contacts. When a pair is protected with a condom, nystatin can destroy the protective functions of latex and make it unusable.
If the reason for prescribing the drug is trichomoniasis, then it is advisable to take tests to identify this pathogen and the sexual partner. Upon receipt of a positive result, treatment will need to be passed to both. The only drawback is that Terzhinan cannot be prescribed to men, it can only be used intravaginally, and in other forms the drug is not available.
During treatment with this drug, it is not recommended to drink alcoholic beverages.
In rare cases, when a woman has erosion or other open wounds in the vagina, pink discharge may appear. They also appear when the mucous membrane is damaged, when the vaginal tablet is entered incorrectly.
In what cases is the drug contraindicated?
It is important to read about contraindications in the instructions, and only then study the reviews of "Terzhinan" on the Web. According to the instructions, this tool has only one contraindication - individual intolerance to individual components. This allows you to prescribe the drug to many women and get a result within a short period of treatment.
A qualified specialist knows which components can adversely affect the well-being of a woman, and selects a drug based on the current picture of the disease. Therefore, it is not recommended to prescribe it yourself to eliminate symptoms. This threatens with the fact that suspecting one disease, you can lose sight of another.
Moreover, it is worth considering that these pills are not prescribed for girls under the age of 16 years and during lactation.
Side effects
Negative reviews about Terzhinan tablets, in particular about the occurrence of side effects as a result of their use, are rare. However, even if a woman feels itching or burning during the use of the drug, this is not an indication for drug withdrawal. Such symptoms are characteristic at the beginning of their use, by the end of the course they usually go away on their own.
Local allergic reactions are extremely rare, and they should be reported to the attending physician. Perhaps if as a result of the use of the drug there will be a strong deterioration in well-being, then the medicine will need to be replaced. In general, most reviews of "Terzhinan" indicate good tolerance to the components of the drug.
Interaction with other medicines
Due to the fact that part of the active substances can enter the circulatory system, the appointment of this drug must be reported to the doctor, in whom the person is observed regarding other diseases. It can be tuberculosis, peptic ulcer, hypothyroidism, myopathy, glaucoma, serious nervous diseases, diabetes mellitus. While taking glucocorticosteroids, concomitant consultation with the attending physician is necessary.
If an overdose occurs
For one use, only one vaginal tablet is used, therefore, as a result of the use of the drug, there are no cases of overdose. Those who used Terzhinan suppositories according to the instructions did not describe cases of drug overdose in the reviews. Therefore, you should adhere to the recommendations of a doctor and monitor how the body responds to the use of tablets.
What can be replaced?
The drug "Polygynax" is considered to be similar in its effect to the candles "Terzhinan." Reviews about it more relate to the treatment of gardnerella vaginalis, enterococci and streptococci. It contains more antibiotics, but they can not cope with Trichomonas. And in this case, you will have to abandon the use of Polygynax. In the case of determining the sensitivity to antibiotics, it can be revealed that the body does not respond to neomycin, which is part of the original drug, so the search for an analogue will be relevant, even despite the positive reviews about the candles “Terzhinan”.
There is another analogue - Neotrizol. It copes well with fungi of the genus Candіda albіcans, trichomoniasis, is effective in the treatment of vaginitis, bacterial vaginosis. Also used for prophylaxis before surgery, childbirth, intrauterine examination, abortion. It has a small list of contraindications and side effects.
"Nystatin" has a positive effect in the treatment of signs of thrush. Therefore, despite the fact that it has the same active substance as Terzhinan, the instructions and reviews on the application indicate that it has a narrower radius of action. Therefore, it is not worth considering it as a full-fledged analogue of “Terzhinan”. Due to the fact that Nystatin is available in several forms, it is suitable for both sexual partners. Instead of candles, a man can use ointment or pills.
"Clotrimazole" is effective in the treatment of streptococcus, staphylococcus, gardnerella, corynebacteria, as well as fungus, which leads to the formation of thrush. The drug has an active substance that is different from "Terzhinan", which is the name of the drug - clotrimazole. It has a small list of contraindications, despite this, it can only be prescribed by the attending physician.
Vaginal suppositories "Neo-Penotran" are prescribed in combination with adjuvant therapy for the treatment of gardnerellosis, chlamydia, thrush and other genital infections that affect the pelvic organs, vagina and vulva.
Antiseptic suppositories “Hexicon” incorporate chlorhexidine bigluconate. Despite the excellent composition from “Terzhinan”, reviews about him are also mostly positive. Its use has a positive effect on the treatment of trichomoniasis, ureaplasmosis, chlamydia, syphilis, bacterial vaginosis, gonorrhea. However, it is completely useless against acid-resistant bacteria, viruses, fungi and bacterial spores. The drug can be used 2 times a day, it can be used during pregnancy and lactation.
Consumer Reviews
Many are interested in how to use Terzhinan during pregnancy. Reviews of women and doctors agree that it is first necessary to consult an observing gynecologist about the appropriateness of their use. It is advisable to first undergo a more gentle treatment. If he did not give positive results and the gestational age "crossed" the first trimester, then this drug can be prescribed.
Women who for a long time could not find a suitable drug for the treatment of sexually transmitted infections, recommend an analysis of sensitivity to antibiotics. Most likely the reason lies in the fact that the body has previously received therapy and viruses have developed immunity against the active components. By the way, experienced doctors adhere to the same opinion.
A large number of positive reviews from gynecologists who prescribe Terzhinan to their patients in combination with other drugs was also noted. Especially if they include immunomodulating agents, lactobacilli. Together, they allow you to achieve a positive effect and at the same time do not harm the body.