In the article, we consider the instructions for use for the candles "Terzhinan".
This medication is a medicine used in the gynecological field and has a complex effect to eliminate fungal and other pathologies.
Thanks to "Terzhinan" improves the health of women, it eliminates the influence of harmful organisms. At the same time, this is an excellent preventive measure. The drug has a unique composition, so its structural analogues do not exist.
Release form, packaging and composition
According to the instructions Terzhinan is a vaginal tablet, often called a suppository. Their shape is oval, the color is yellowish white. Six and ten pieces are produced in blisters. They are packed in a cardboard box, which also contains instructions for use.
The composition of the drug includes four active substances, which ensures its high efficiency.
- Neomycin is an antibiotic whose action is observed in relation to some gram-negative and gram-positive bacteria. The advantage of it as an antibacterial agent is that it almost does not cause addiction in the patient, that is, it can be used for regular therapy.
- Ternidazole is an antifungal component that is active against various microorganisms. Often used in medicines for vaginitis and other female diseases that are accompanied by an inflammatory process of the genitourinary system.
- Prednisolone - a local type of agent that has a clear anti-inflammatory effect, gets directly into the inflamed area.
- Nystatin. This antibiotic has an antifungal effect. It locally affects harmful microorganisms and is not absorbed in the blood, and therefore is widely used in the treatment of various kinds of candidiasis, including vaginal.
Additional substances in the composition of the drug are as follows: lactose; starch glycolate; magnesium stearate; starches; silicon dioxide.
Purpose of application
According to the instructions, “Terzhinan” is used in gynecology for the treatment of vaginitis of various origins: Trichomonas, recurrent nonspecific, bacterial, mixed, fungal, etc.
The drug is prescribed when, as a result of diagnostic measures, it was confirmed that vaginitis is caused by the influence of microorganisms that are sensitive to its antibacterial composition.
These are the main testimonies of Terzhinan. In some situations, the medicine may be used for prophylaxis. For example, preventive measures of bacterial infection are necessary before abortion, childbirth and other gynecological interventions. In addition, specialists often prescribe "Terzhinan" before the introduction of intrauterine contraception.
pharmachologic effect
According to the instructions, Terzhinan has a pharmacological effect based on the activity of its main substances. It is expressed in several aspects:
- Anti-inflammatory. Along with vaginitis, the inflammatory process of the vaginal mucosa occurs. It is expressed by such signs as burning, transparent discharge with a bad smell, itching, pain. The effect of prednisolone and antifungal components in the composition of the drug is aimed at eliminating such symptoms.
- Antifungal. The nystatin, ternidazole and neomycin present in the preparation inhibit the cellular membrane of the harmful microorganism, due to which its structural changes occur, the processes required for reproduction and vital activity become dull, resulting in the death of the fungus.
- Antiprotozoal. Terzhinan tablets are effective against the activity of protozoa: the substances in its composition destroy their cells, similar to the case with fungi, and they eventually die.
In addition, the drug helps to maintain the integrity of the vaginal mucosa and maintains normal acidity.
Instructions for use
In accordance with the instructions to Terzhinan, a suppository (or vaginal tablet) is inserted deep into the vagina. This should be done slowly, in order to avoid pain. During the procedure, it is advisable to lie on your side, but some are more comfortable standing.
Immediately after the introduction of the candle, you should take a horizontal position. It is best to carry out the procedure before bedtime so that you no longer get out of bed. In the absence of such an opportunity, after administration of the tablet, it is necessary to lie down for at least fifteen minutes.
One candle is applied per day. The duration of therapy is determined by the nature and degree of vaginitis, most often it is ten days. When the disease is caused by fungi, the drug must be used until they are completely eliminated, often this takes about three weeks.
When prescribing "Terzhinan" for prophylaxis, for example, before a gynecological intervention, the duration of its use is determined individually. It can vary from several days to several weeks.
The drug can be used during menstruation, however, it is better to start a treatment course so that the blood discharge does not coincide with the introduction of tablets. If it was not possible to postpone treatment or critical days began suddenly, the candles should be administered according to the general instructions for use of Terzhinan candles. But at the same time, a decrease in the effectiveness of therapy is possible.
Contraindications of the drug and side effects
The main contraindication to the use of the drug is intolerance to any of the substances in its composition. Otherwise, some side effects may occur:
- more severe burning and itching in the vagina, characteristic of vaginitis;
- allergic reactions in the form of rashes and in the vaginal area, and in other skin areas.
If side effects were found, the use of the drug should be discontinued and consult a gynecologist to prescribe another medicine. If the side effect did not disappear within a few days, you need to go to the doctor again and take a referral to a dermatologist. Many are interested in whether Terzhinan can be used during pregnancy.
Pregnancy
During pregnancy, "Terzhinan" is allowed. But patients who have a baby should be constantly monitored by a gynecologist throughout the treatment, since their body can react in a new way to the drug. It happened that the use of suppositories in women was successful, but during pregnancy Terzhinan caused an allergic reaction, and therapy had to be canceled.
special instructions
The drug contains prednisone in its composition, and therefore it is not recommended to combine the use of vaginal tablets and the use of alcoholic beverages. Even a small amount of alcohol can reduce the effectiveness of the treatment.
When using Terzhinan tablets to eliminate Trichomonas vaginitis, the effectiveness will be preserved only with the simultaneous therapy of a sexual partner. The disease will resume if, after the end of treatment, sexual contact occurs with the carrier of this type of bacteria. The specialist may advise partners to be treated jointly in a number of other cases.
Although an overdose of this drug is excluded, since it is not absorbed into the blood, it is not necessary to exceed the maximum daily rate specified in the instructions. Because of this, side symptoms may appear.
Analogues of "Terzhinana"
In the gynecological area, other medicines are also used that have the same effect, and are prescribed for vaginitis. Among the most common and popular vaginal tablets, which are analogues of Terzhinan, include Neotrizol, Cervugide, Meratin.
Reviews
Specialists speak of Terzhinan as an effective three-component medication that is remarkably tolerated by patients and is convenient for administration. Its effect is noticeable in the treatment of STIs and vaginitis. The drug quickly eliminates the inflammatory reaction and itching. A fairly good ratio of cost and quality is noted. An excellent remedy for the rehabilitation of pregnant women.
According to reviews, any side effects of Terzhinan are rarely observed (in isolated cases, patients complain of a slight burning sensation). Symptoms are relieved almost after the first use, however, for effective therapy, course treatment is always prescribed.
Some patients attribute its high price to the disadvantages of the drug in comparison with analogues, but its effectiveness has been proven.