Terzhinan - instructions for use, reviews, analogs and formulations (vaginal suppositories or tablets) of a drug for the treatment of thrush (candidiasis), vaginitis and other infections, including during pregnancy and menstruation. Terzhinan: instruction p

Price from 313 rubles. Analog is cheaper by 31 rubles

Instructions for use for Terzhinan

Registration number: P N015129/01

Trade name: TERZHINAN

Dosage form: vaginal tablets

COMPOUND for 1 tablet

Active ingredients:

Ternidazole…………………………………………..0.2 g
Neomycin sulfate ………………………………...0.1 g or 65000 IU
Nystatin ……………………………………………100,000 IU
Prednisolone sodium metasulfobenzoate……….. 0.0047 g,
equivalent to prednisone ……………………....0.003 g

Excipients:


DESCRIPTION

Tablets are light yellow in color with possible inclusions of darker or lighter shades, flat, oblong in shape with a chamfered edge and printed in the form of the letter "T" on both sides.
PHARMACOTHERAPEUTIC GROUP
Combined antimicrobial agent (antibiotic-aminoglycoside + antimicrobial and antiprotozoal agent + antifungal agent + glucocorticosteroid).

ATX code:
PHARMACOLOGICAL PROPERTIES
Combined preparation for local use in gynecology. It has an antimicrobial, anti-inflammatory, antiprotozoal, antifungal effect; ensures the integrity of the vaginal mucosa and the constancy of pH.

Ternidazole- an antifungal agent from the group of imidazole derivatives, reduces the synthesis of ergosterol (an integral part of the cell membrane), changes the structure and properties of the cell membrane. It has a trichomonacid effect, it is also active against anaerobic bacteria, in particular gardnerella.

Neomycin- a broad-spectrum antibiotic from the group of aminoglycosides. It acts bactericidal against gram-positive (Staphylococcus, Streptococcus pneumoniae) and gram-negative (Escherichia coli, Shigella dysenteriae, Shigella flexneri, Shigella boydii, Shigella sonnei, Proteus spp.) microorganisms; against Streptococcus spp., inactive.
Microbial resistance develops slowly and to a small extent.

Nystatin- an antifungal antibiotic from the group of polyenes, highly effective against yeast-like fungi of the genus Candida, changes the permeability of cell membranes and slows down their growth.

Prednisolone- dehydrated analogue of hydrocortisone, has a pronounced anti-inflammatory, anti-allergic, anti-exudative effect.

INDICATIONS FOR USE

Treatment of vaginitis caused by microorganisms sensitive to the drug, including:

bacterial vaginitis;
- trichomoniasis of the vagina;
- vaginitis caused by fungi of the genus Candida;
- mixed vaginitis.

Prevention of vaginitis, including:

Before gynecological operations;
- before childbirth and abortion;
- before and after the installation of intrauterine devices;
- before and after diathermocoagulation of the cervix;
- before hysterography.

CONTRAINDICATIONS

Hypersensitivity to any component of the drug.

PREGNANCY AND BREASTFEEDING

It is possible to use the drug from the second trimester of pregnancy.
The use of the drug in the first trimester of pregnancy and during lactation is possible only in cases where the potential benefit to the mother outweighs the risk to the fetus or infant.

METHOD OF APPLICATION AND DOSES

For vaginal use.
One tablet is injected deep into the vagina in the "lying" position at bedtime. Before insertion into the vagina, the tablet should be held in water for 20-30 seconds.
After the introduction it is necessary to lie down for 10-15 minutes.
The average duration of the treatment course of therapy is 10 days; in case of confirmed mycosis, it can be increased up to 20 days; the average duration of the prophylactic course is 6 days.

SIDE EFFECT
Burning sensation, itching and irritation in the vagina (especially at the beginning of treatment).
In some cases, allergic reactions are possible.

OVERDOSE
There are no data on cases of overdose.

INTERACTION WITH OTHER DRUGS
Not found.

SPECIAL INSTRUCTIONS

In the case of treatment of vaginitis, trichomoniasis, simultaneous treatment of sexual partners is recommended.
Do not stop treatment during menstruation.
RELEASE FORM

Vaginal tablets.

6 or 10 tablets per strip (aluminum foil), one strip with instructions for use is packed in a cardboard box.
BEST BEFORE DATE

3 years. Do not use after the expiration date.

STORAGE CONDITIONS

Store at a temperature not exceeding 25 °C.
Keep out of the reach of children.

TERMS AND CONDITIONS OF DISCOUNT FROM PHARMACIES

On prescription.

BOUCARD-RECORDAT Labs
68, rue Marjolin 92300
Levallois-Perret, France

Produced:
SOFARTEX
21, rue du Presso, 28500 VERNOUYER, France

Helps

Benefits: Efficiency

Cons: didn't find

During my second pregnancy, I faced the problem of candidiasis, or thrush, to put it simply. The gynecologist said that this is a common problem in women due to a violation of the microflora of the mucous membranes during the period of bearing a child. The specialist prescribed Terzhinan suppository tablets. In the pharmacy, I was surprised by their price, after all, 600 rubles is a little expensive for such a drug, but our health is generally priceless, so I decided to purchase Terzhinan, and not its analogues. After ten things (I was prescribed one a day), I went for tests - there was no trace of the thrush! In addition, the tablets are good because they relieve swelling and itching of the mucosa. More recently, my friend also complained about candidiasis, I advised her Terzhinan, he also helped her, after 5 applications the thrush was gone.

My positive experience

Benefits: effect

Cons: price, inconvenience to use

Probably, somewhere in the thirty-fourth week of pregnancy, a huge amount of leukocytes was found in my smear. The gynecologist said that it was urgent to get rid of the infection and prescribed Terzhinan. When I saw the price tag in the pharmacy, I thought that I would faint right there and crash. Despite the exorbitant price, I bought tablets and started using them. I put them on just before bed. I didn't have any pain, itching or burning. In general, the treatment went smoothly, so to speak, without unpleasant surprises. And two weeks later, the results of repeated analyzes arrived in time and they turned out to be good. And this means that Terzhinan helped me.

Effective but not the most comfortable

Benefits: Efficiency

Cons: itching in the vagina

Terzhinan was prescribed by a gynecologist as a combined remedy for thrush. This problem can be dealt with with conventional pills, but those that are inserted into the vagina are much safer because they do not damage the liver. Therefore, the choice was stopped on this drug. Yes, the remedy can be called effective, after 10 days of treatment, the problem was dealt with. I am especially pleased that I did not have to buy a new package, just 10 tablets are needed for the course. The only negative is not the most comfortable feeling when using. Introducing the remedy is half the trouble, because it is a pill, not a candle, the main feature is itching in the vagina. As you use it, it stops being intense, but still unpleasant. I didn't notice any other side effects.

Helped and not

Benefits: Help

Cons: Feel bad

I encountered these suppositories back in the maternity hospital, they found bacterial vaginitis in smears, in other words, thrush. They prescribed tablets that are used vaginally, called Terzhinan. The packages are different, there are 6 pieces, and there are 10 each. There are no unpleasant sensations when administered, though later, when the tablet dissolves, it feels like it is leaking out. After putting down candles for 5 days, everything remained unchanged in the smears. But the thrush did not cause me any problems, I simply did not feel it. Then, after giving birth, after 4 months, the thrush began to bother me, I still had the pills and I applied them again, they helped quickly, the itching disappeared, the discharge became less. Then she took a smear, and it turned out to be clean.

Antiseptic vaginal tablets

Benefits: Fast and effective action

Cons: Potential side effects

Terzhinan was prescribed to me by a gynecologist before cauterization of erosion. They did tests, there were a lot of leukocytes, which means there is an inflammatory process. I was prescribed treatment for a course of 10 days. Before going to bed, it was first necessary to douche with a weak solution of potassium permanganate, and then inject a pill. It needs to be moistened with a little water for a few seconds. The night was saved calmly, the candle began to flow out only in the morning in a small amount, so the presence of a gasket is mandatory. There were no unpleasant sensations in the form of burning and itching. The drug suited me perfectly and the results of the analysis after a ten-day course of treatment were excellent, no inflammation, everything was clean.

The treatment process is not very pleasant, but the result is impressive

Benefits: Fast acting, very effective, no major side effects

Disadvantages: Not cheap, not sold everywhere, causes a very strong burning sensation

Nuclear remedy against candidiasis! Flucostat and other brethren had only a temporary effect, the disease returned after a while, but Terzhinan was able to cure me completely. And it happened quite quickly - it only took 4 days. The wild itching became much less after a day - I have not yet received such an effect from any drug. Other symptoms like burning, soreness and swelling also began to melt before our eyes, and as a result, for four days there was not even a reminder of candidiasis. But there are no ideals, and Terzhinan is very sad because of the pain and burning it causes, especially in the first days of use. I introduced it at night, and in the middle of the night on the first day I woke up with the feeling that it was not a pill inside, but acid in general. Gradually, this discomfort weakens, by the fourth tablet it was barely perceptible, but it was very hard for two days, so I advise you to be patient when using it.

In this article, you can read the instructions for using the drug Terzhinan. Reviews of site visitors - consumers of this medicine, as well as opinions of doctors of specialists on the use of Terzhinan in their practice are presented. We kindly ask you to actively add your reviews about the drug: the medicine helped or did not help get rid of the disease, what complications and side effects were observed, perhaps not declared by the manufacturer in the annotation. Analogues of Terzhinan in the presence of existing structural analogues. Use for the treatment of thrush (candidiasis), vaginitis, vaginosis, trichomoniasis and other infectious diseases of the female genital area, including during pregnancy and lactation. Menstruation and discharge while taking the drug. Can I have sex while taking medication.

Terzhinan- combined preparation for local use in gynecology. The action of the drug is due to the properties of its constituent components.

The composition and action of the components of the drug

Ternidazole - an imidazole derivative - has a trichomonacid effect, is also active against anaerobic bacteria, in particular Gardnerella spp.

Neomycin sulfate is a broad-spectrum antibiotic from the group of aminoglycosides.

Nystatin is an antifungal antibiotic from the group of polyenes, highly active against fungi of the genus Candida.

Prednisolone is a glucocorticoid that has a pronounced anti-inflammatory effect.

The composition of the excipient ensures the integrity of the vaginal mucosa and the constancy of pH.

Pharmacokinetics

Studies of the pharmacokinetics of the drug Terzhinan were not conducted due to low systemic absorption.

Indications

Treatment of vaginitis caused by microorganisms sensitive to the drug:

• bacterial vaginosis;
• bacterial vaginitis caused by banal pyogenic or conditionally pathogenic rod microflora;
• trichomoniasis of the vagina;
• vaginitis caused by fungi of the genus Candida;
• mixed vaginitis.

Prevention of vaginitis:

• before gynecological operations;
• before childbirth or abortion;
• before and after the installation of the IUD;
• before and after diathermocoagulation of the cervix;
• before hysterography.

Release form

Vaginal tablets, in packs of 6 and 10 tablets (sometimes erroneously called vaginal suppositories).

Instructions for use and dosing regimen

Assign 1 vaginal tablet (candle) per day before bedtime. The average duration of the course of therapy is 10 days; in case of confirmed mycosis, it can be increased up to 20 days. Do not stop treatment during menstruation.

Before insertion into the vagina, the tablet should be held in water for 20-30 seconds.

Side effect

• burning sensation;
• local irritation (especially at the beginning of therapy);
• allergic reactions.

Allocations when using the drug are not typical, you should contact your doctor for advice.

Contraindications

• hypersensitivity to the components of the drug.

Use during pregnancy and lactation

It is possible to use Terzhinan during pregnancy and lactation (breastfeeding) according to indications.

special instructions

It is necessary to conduct simultaneous treatment of the sexual partner because of the risk of re-infection. Also, at the time of treatment with Terzhinan, sexual contacts (sex) with a partner should be excluded.

drug interaction

No clinically significant drug interactions of Terzhinan with other drugs have been identified.

Analogues of the drug Terzhinan

Terzhinan has no structural analogues for the active substance.

In the absence of analogues of the drug for the active substance, you can follow the links below to the diseases that the corresponding drug helps with and see the available analogues for the therapeutic effect.

For treatment and prevention, it is necessary to administer one tablet once a day for the period of time prescribed by the doctor.

The tablet must be removed from the package immediately before use and inserted into the vagina as soon as possible, otherwise it may begin to soften and melt. A soft pill is much more difficult to properly insert into the vagina. To remove Terzhinan from the package, the foil must be torn along the length of the tablet or cut with scissors.

Terzhinan should always be administered with freshly washed hands with soap or with sterile surgical gloves. Do not handle with dirty hands. Moreover, hands that have not been washed for an hour are considered dirty, even if the woman was at home or in a relatively clean room.

Before the introduction of the Terzhinan tablet, it is recommended to wash your hands with soap - solid or liquid, and not use various commercially available lotions, waters, foaming formulations, emulsions and other products designed to remove contaminants from the skin of the hands. The only product that can be used to wash and sanitize hands before inserting pills into the vagina is antiseptic or antibacterial liquids.

In addition, it is necessary to avoid touching the anus with your fingers during the insertion of the tablet into the vagina, as this can lead to additional infection.

If part of the course of treatment with Terzhinan tablets falls on the period of menstrual bleeding, then it should not be interrupted. In other words, tablets must continue to be inserted into the vagina during menstrual bleeding, since their effectiveness is not reduced. But during menstruation, you should especially carefully observe the rules of hygiene when administering tablets.

If a woman has been diagnosed with vaginitis, then it is recommended to undergo a course of therapy not only for her, but also for her sexual partner. This recommendation should be considered mandatory in the case of trichomoniasis. In other situations, the treatment of the sexual partner is advisory.

During the entire period of therapy, it is necessary to refrain from sexual intercourse and not to use lubricants, lubricants, gels, ointments and any other means intended for insertion into the vagina, since they can completely neutralize the therapeutic effect of Terzhinan.

How to administer Terzhinan vaginally?

First, before the introduction of the tablet, you should wash the external genital organs and the perineum, including the anus, with warm water and soap. It is not recommended to use any gels or other hygiene products for washing. Then you need to wash your hands also with soap or treat them with an antiseptic liquid. If for some reason it is impossible to wash your hands, then you should put on sterile surgical gloves, which are sold in pharmacies.

After that, the tablet is removed from the package and dipped in a cup of clean, cool boiled water for 20-30 seconds, so that the top layer dissolves a little, and the drug begins to act immediately.

The tablet is removed from the cup and taken in a comfortable position for administration. At this point, you should dwell in more detail, since the instructions for use indicate that you need to administer the tablet in the supine position. However, it is not convenient for all women to administer the drug while lying on their backs, since the tablet is quite small and difficult to push into the collapsed vagina. Therefore, doctors recommend administering the drug in the position in which it is most convenient to do this, but in the immediate vicinity of the bed or sofa, on which it will be necessary to lie down a bit after the manipulation.

The most convenient for the introduction of Terzhinan tablets are the following positions:
1. Squatting with knees wide apart.
2. Standing, with one leg raised and resting on a chair or other elevation.
3. Lying on your back with knees and hips bent and legs drawn to the stomach.

Having chosen the optimal position, it is necessary with the fingers of a non-working hand (left for right-handers and right for left-handers) to gently part the labia to the sides and expose the entrance to the vagina. Then, with the index finger of the working hand, push the tablet deeply forward until it stops advancing.

After that, the finger must be removed from the vagina and, making a minimum of movements, lie on your back on a bed or sofa. In this position, you should lie down for 10-20 minutes so that the tablet completely dissolves and the active substances begin to be absorbed into the cells of the vaginal mucosa.

After 10 - 20 minutes, you can get up, put on your underpants, putting a panty liner on them, as discharge may appear, and go about your business.

How long does the treatment take?

Application of Terzhinan during the day

That is, Terzhinan tablets can be inserted into the vagina during the day, in the morning, and in the early evening, etc. But in this case, after the manipulation, you should definitely lie down for 10-20 minutes on your back on a flat surface, and only after that get up or sit down. Also, when Terzhinan tablets are administered during the daytime, daily pads should be used, since a small part of the melted medicine will flow out under the influence of gravity. In addition, it is morally and psychologically necessary to tune in to the fact that with the daily administration of Terzhinan tablets, it is necessary to increase the duration of therapy by about 1/4 - 1/3 in order to compensate for the leaked volume of the drug. That is, if a 10-day course of Terzhinan is prescribed, then with the introduction of tablets during the day, it should be increased to 12-13 days, etc.

After Terzhinan

In some women, Terzhinan causes severe itching, which they mistake for a recurrence of thrush. However, this drug is not able to provoke thrush, since it contains components that have a detrimental effect on fungi of the genus Candida, which are the causative agents of the disease. Therefore, the cause of itching and discharge during the use of Terzhinan are other factors.

So, normally, in the first days of treatment, tablets can really cause itching, which gradually decreases, and completely disappears by the end of therapy. If the itching does not decrease and does not disappear, then most likely this is a manifestation of an allergic reaction, which requires the abolition of Terzhinan.

After using Terzhinan, many doctors recommend putting down a course of any suppositories containing lactobacilli and bifidobacteria for the speedy restoration of microflora. Most often, candles Vagisan, Atsilakt, Bifidumbacterin and others are used for this purpose. Separately, it should be noted the drug Vagilak, which is a capsule for oral administration containing strains of lactobacilli that penetrate well from the intestine into the vagina and take root well in it. Also, to restore the microflora of the vagina after treatment with Terzhinan, you can take ordinary probiotics, since the normalization of the intestinal microflora will accelerate this process in the genitals.

Influence on the ability to control mechanisms

Overdose

Interaction with other drugs

Treatment with Terzhinan - effective regimens

So, for the relief of itching and the prevention of trovorous secretions similar to thrush that occur in the first days of Terzhinan's use, it is recommended to put down Pimafucin suppositories for 3 to 5 days before that. This tactic makes the use of Terzhinan comfortable and almost invisible.

To stop the discomfort that occurs after treatment with Terzhinan, which in most cases are due to the absence of normal vaginal microflora, since the pathological one was destroyed during therapy, and the normal one has not yet had time to settle, microsyringes with antiseptic Tantum Rose or probiotic preparations are used. Among probiotics, the most effective are Vagisan, Vagilak, Acipol and others.

Separately, it is worth noting Vagilak, which is a capsule for oral administration, which is very convenient, since you do not need to insert something into the vagina again. These capsules contain lactobacilli that can penetrate the vagina through the intestinal wall, quickly populate it and take root, due to which Vagilak quickly restores normal microflora.

Application for thrush

If this treatment regimen is followed, thrush is completely cured and its relapses do not bother the woman for several years.

Terzhinan during pregnancy and breastfeeding

From the second trimester of pregnancy and up to childbirth, Terzhinan can be used without fear, since during these periods of childbearing the drug is no longer able to have a negative effect on the fetus.

During breastfeeding, it is not recommended to use Terzhinan, however, if there are indications and a clear excess of benefits over risks, the drug is allowed to be used.

Side effects

• Feeling of itching, burning and irritation in the vagina;
• Allergic reactions (rash, urticaria, skin itching, etc.).

Contraindications for use

Tablets (candles) Terzhinan: release form, composition, indications, instructions for use, dosages, contraindications, side effects - video

Analogues

Terzhinan's analogues are the following drugs:

• Vagisept vaginal suppositories;
• Vagiferon vaginal suppositories;
• Gynomax vaginal suppositories;
• Ginalgin vaginal tablets;
• Giterna vaginal tablets;
• Klion-D 100 vaginal tablets;
• Clomegel gel vaginal;
• Metrogyl Plus vaginal gel;
• Metromicon-Neo vaginal suppositories;
• Neo-Penotran, Neo-Penotran forte and Neo-Penotran forte L vaginal suppositories;
• Polygynax vaginal capsules;
• Polygynax Virgo emulsion for insertion into the vagina;
• Elzhina vaginal tablets.

Cheaper analogues of Terzhinan

• Vagisept - 209 - 230 rubles;
• Ginalgin - 230 - 300 rubles;
• Clomegel - 60 - 120 rubles;
• Metromicon-Neo - 300 - 400 rubles for 14 tablets.

What is better than Terzhinan?

Terzhinan is an effective drug, well suited to many women, so it is considered a "good" remedy. If any woman at this particular moment did not fit the drug, then you will have to try using analogues. And the analogue that turns out to be the most suitable and effective, and will be the best for this particular woman at the current time.

According to the reviews of doctors and women, Vagisept, Polygynax, Gaynomax and Elzhina are good analogues of Terzhinan. Therefore, if Terzhinan for some reason did not suit the woman or was not effective enough, then it is recommended to try these drugs, which are highly likely to be better.

Candles Terzhinan are a combined preparation, which is characterized by the presence of antifungal and bactericidal properties.

Many users ask what Terzhinan candles are, what they help with.

With the help of this medication, you can get rid of anaerobic microorganisms, pyogenic bacteria, fungi, etc.

Due to the presence of a substance called ternidazole in the composition of this drug, it is used to produce a high-quality fight against Trichomonas. When using the drug, anaerobic microorganisms also die.

The destruction of protein synthesis in the cells of pathogenic microorganisms is carried out with the help of neomycin. This also contributes to the fact that the transcription of the genetic code is disrupted.

As a result, microbial cells die. Some people have a question, what are Terzhinan candles made of, what are they from? This medication fully fights corynebacteria, Staphylococcus aureus, methicillin, listeria. All these microorganisms belong to the category of anaerobic bacteria.

As a result of the study of suppositories, the sensitivity of gram-negative bacteria to it was noticed. Pseudomonas aeruginosa is one of the bacteria that this medication destroys.

Terzhinan is characterized by the presence in its composition of nystatin, which is an antimycotic agent. That is why when using the drug, binding of nystatin and ergosterol, which is a component of the fungal cell membrane, is observed.

This leads to damage to the shell and to the death of fungi.
Sensitivity to this drug is also shown by fungi that belong to the category of the genus. With the help of Terjignan, you can fully fight against eukaryotes.

Some patients have a question, one hundred such candles Terzhinan, from what they are prescribed? Due to the presence of prenisolone in the preparation, it is characterized by the presence of anti-allergic, anti-inflammatory and anti-exudative action.

During the reception of this drug, there is no damage to the vaginal tissue of the epithelium. The pharmacokinetics of the drug has not been studied. This is due to the fact that Terzhinan has a low systemic absorption.

Candles Terzhinan are characterized by very good absorption, which allows them to be fully used for the treatment of various fungal and bacterial infectious diseases. More about Terzhinan will tell on the video:

Reasons for using Terzhinan

Due to the unique composition of this medication, it is used to combat various diseases of the external genital organs of female representatives, which are characterized by an infectious nature.

This medication is prescribed to patients in the presence of vaginitis, which occurs as a result of exposure to pyogenic microflora. Also, this drug is prescribed by doctors for recurrent colpitis, which belongs to the category of non-specific vaginitis.

With trichomonas vaginitis and vaginal dysbiosis, Terzhinan is also prescribed. If, as a result of the activity of fungi of the genus Candida, a female representative has vaginitis, then taking this medication is recommended by doctors.

With vaginitis, which have a mixed nature of origin, Terzhinan can also be used.

The drug is a prophylactic that is widely used to prevent the appearance of female representatives, who will later undergo various surgical interventions.

This medication is most often taken before the process of childbirth, abortion. If the patient is prescribed diathermocoagulation, then she needs to use suppositories not only before the procedure, but also after it.

Before conducting such a study as metrosalpinography, this drug is also used.

Terzhinan is used if the patient will be administered intrauterine. This medication in this case is used not only before the procedure, but also after it. With complications of antibiotic therapy, suppositories can also be used.

Candles Terzhinan are a broad-spectrum drug, which allows them to be used to treat various diseases.

Features of taking the drug

This medication is used when patients have:

• Vaganitov
• Vulvovaginitis
• , which are characterized by non-specific origin.

In order to prevent infections before operations, childbirth, candles are also used. Terzhinal is characterized by a high level of effectiveness and therefore it is widely used for preventive purposes.

Taking the drug is quite simple. Candles must be inserted into the vagina after taking hygiene procedures. This drug is taken for 10 days. At a time, a female representative must be inserted into the vagina one candle at a time.

In order for the suppository to soak, it is soaked in water for one minute before insertion into the vagina. After that, it should dry out a little.

When using this medication for the treatment of thrush, they must be used within 20 days. At the end of taking suppositories after three days, the patient must re-test, with the help of which the doctor can determine the effectiveness of the treatment.

The course of taking Te5rzhinan suppositories is determined depending on the type of disease and the individual characteristics of the female representative.

Treatment of any disease with the help of this medication should not be done independently, as this can lead to disastrous consequences. In this case, you must first consult a specialist.

Possibility of side effects and contraindications of Terzhinan

Like any other drug, this drug is characterized by the presence of actions. They happen on very rare occasions. The introduction of this drug is carried out locally.

That is why the absorption of the drug is carried out in the systemic circulation in a very low concentration.

In the reported cases of side effects of Terzhinan, the presence of allergic symptoms in the vaginal area and external genitalia is observed. In some cases, female representatives complained of a burning sensation during the use of this drug.

Also, during use, tingling may be observed. Discomfort for women during the use of the drug brings itching. During the use of suppositories, female representatives experienced irritation in the pelvic area.

A very rare side effect while taking this medication is poor wound healing. Atrophy of the mucous membranes of the vagina was observed in isolated cases of taking this medication.

In order to avoid side effects while taking this medication, it is necessary not to take it if there are pronounced contraindications.

Terzhinan is forbidden to be taken by women who have pronounced allergic reactions.

The use of the drug is carried out by female representatives, whose age is more than 16 years.

Terzhinan is a universal drug that is widely used to treat diseases in women. The drug is characterized by ease of use and high impact.

A drug of combined composition, which is related to the group of antimicrobial drugs, is called "Terzhinan".

This drug actively fights against various fungal infections and prevents decay. It is used in medicine, and in particular in the practice of treating gynecological diseases directly.

The pharmacological properties of the drug are determined by the biocomponents that make up its composition. "Terzhinan" has a clear effect against fungal, bacterial diseases, and is also effective against protozoa. In addition, it has a pronounced anti-inflammatory property.

The composition of the drug is formed by: ternidazole, neominicin sulfate, nystatin, prednisolone. Any of the components of the drug successfully fights certain groups of diseases.

Ternidazole - causes the death of protozoa, in particular Trichomonas and gardenel. That is why it is used to treat trichomoniasis and gardenelosis.

Nystatin is an antibiotic that has an antimicrobial effect. It tends to bind in the integument of fungal cells, causing biodamage in fungi and their further death.

Many species of fungi of the genus Candida, which cause candidiasis, are particularly susceptible to nystatin.

Neomycin is an antibiotic that is a representative of a group of organic substances in the structure of which there are amino sugar molecules. The action of neomycin is aimed at disrupting the formation of proteins in the cells of microorganisms that cause pathological processes.

In experiments conducted by scientists, it became known that the greatest susceptibility to neomycin is distinguished by:

• Corynebacterium
• Listeria
• Staphylococcus aureus
• Pseudomonas aeruginosa

Prednisolone is a drug of the glucocorticosteroid group. It has a clear anti-inflammatory, anti-allergic and anti-exudative effect. The anti-exudative effect is characterized by the prevention and reduction of the amount of edema.

In addition, directly in the composition of the tablets themselves are additional substances - geranium and clove oils, which, in turn, create the integrity of the vaginal tissues of the epithelium during all kinds of inflammatory and infectious processes. They also tend to maintain acid-base balance data in the vaginal environment. In addition, the presence of auxiliary agents ensures better penetration of active substances into the mucous membranes, since usually the protozoa are located inside the cells of the mucous membrane of the vulva and vagina, the brightest representatives are chlamydia and Trichomonas.

The drug is produced exclusively in the form of a tablet form. But since these tablets are intended for insertion into the vagina, they are sometimes called suppositories.

You can hear the name "Terzhinan 10" or "Terzhinan 6", the number means the number of tablets in one package and has no other meaning.

The drug "Terzhinan" is practically not absorbed by the cells of the human body.

What is treated with the drug "Terzhinan"

They are very popular among vaginal tablets, as they are the best method of dealing with the occurrence of inflammatory pathological processes that form in the female reproductive organs under the influence of harmful microorganisms. The trapped microorganisms begin to multiply actively and cause pathological processes.

These diseases are:

• vaginitis caused by pyogenic microflora
• colpitis, turning into a chronic stage, and from time to time recurrent
• dysbacteriosis occurring in the vagina
• trichomonas vaginitis
• candidal vaginitis caused by mixed pathogenic microflora

Vaginal tablets are prescribed immediately before the birth itself, as well as before planned operations in the pelvic organs, as one of the means for prevention.

The use of "Terzhinan" helps to prevent the development of the disease - vaginitis.

Apply before the following manipulations and processes:

• birth process
• surgical abortion
• treatment of cervical pathologies
• x-ray with contrast agent
• before installing uterine contraceptives

"Terzhinan": instructions for use

In the prescription for the drug "Terzhinan" for cystitis, it is recommended to introduce vaginal tablets deep enough into the vagina, once a course of 10 days.

Introducing the drug, you should try not to touch the anus in order to exclude the ingress of additional pathological microflora.

Before directly introducing the Terzhinan tablet into the vaginal opening, you must first lower it into clean water for 30-40 seconds or hold it in a wet palm for a couple of minutes. The time of administration of "Terzhinan" is very important, if the drug is administered during the daytime, then in this case it is necessary, if possible, to take a vertical position for a quarter of an hour. Naturally, the administration of the drug at bedtime will be best. The fact is that, in the morning, yellow discharge may appear after Terzhinan, which is a normal phenomenon during the course of a therapeutic course.

In addition, candidiasis, manifested in men by balanoposthitis and trichomoniasis, are considered common infections. With identified trichomoniasis and candidiasis, the course of therapy is not only a woman. Vaginal tablets "Terzhinan" are also used in the treatment of trichomoniasis in men. To normalize dysbacteriosis in the microflora of the vaginal environment and remove signs of obvious inflammation, it is necessary to prescribe a doctor who will accurately adjust the number of days of treatment.

Applying "Terzhinan" for thrush, the therapeutic course is doubled and is about 20 days. After completing the full course, it is necessary to pass tests and undergo some additional examinations to confirm recovery or to prescribe the duration of treatment.

"Terzhinan" with ureaplasma

Ureaplasmosis is an infectious disease caused by microorganisms - ureaplasmas. In the normal state, these microorganisms live on the mucous membranes of the genital organs of men and women. But in the event of a malfunction in the body's immunity, they begin to actively and uncontrollably multiply, which causes discomfort to the carrier. Despite the fact that with the disease ureaplasmosis, immunomodulatory drugs are used, their action does not always allow absolute results to be achieved.

In such cases, specific agents are prescribed that are aimed at combating bacteria and all kinds of fungi.

A valuable property of the medicinal product is that causing the death of fungal pathogens and pathogenic microbes, "Terzhinan" does not violate the microflora in the vaginal environment.

Specialists prescribe the drug "Terzhinan", as it successfully exerts its anti-inflammatory effect, and also fights against a wide range of pathogenic microorganisms.

The use of the drug "Terzhinan" during menstruation

Those who have problems with the microflora directly in the vagina are interested in the question of whether Terzhinan can be used during menstruation.

The instruction to the drug does not prohibit the use of the drug during critical days, but the quality of treatment will decrease significantly, since a large amount of the active substance will be washed out along with the excreted menstrual blood. At the same time, hygiene measures should be carefully observed.

"Terzhinan" and its use for the treatment of thrush

It is recommended to use a drug for the treatment of thrush in women, which may be accompanied by the presence of secondary microflora. In addition, treatment should be started as early as possible if the symptoms are sufficiently pronounced.

In some cases, the drug is used to replace the complex therapy that was previously used and turned out to be ineffective.

Specialists note a positive trend in the treatment of thrush with this drug, since after the course of therapy, no adverse reactions are noted.

"Terzhinan" during pregnancy and nursing mothers

The instructions do not describe situations prohibiting the use of the drug "Terzhinan" during pregnancy and lactation, but the supervision of a leading gynecologist is necessary.

"Terzhinan" in the early stages of pregnancy is strictly prohibited. In the following months of pregnancy, "Terzhinan" is prescribed when inflammatory processes occur directly in the vagina, caused by several pathogens of inflammation.

Not significantly adsorbed into the bloodstream, the likelihood of an overdose of the drug is excluded, as well as the possibility of getting through the umbilical cord and the fetoplacental barrier to the fetus.

"Terzhinan" candles used during pregnancy do not have an adverse effect on the unborn baby. In addition, an important criterion when choosing this drug for treatment is that it does not have the ability to enter into interaction reactions with other components of the medications used.

"Terzhinan" is also used during breastfeeding, the main thing is a correctly defined diagnosis, which really proves the need for therapy. A medicine is prescribed if other more gentle methods of treatment have not had the desired effect.

"Terzhinan" during lactation and pregnancy should be taken only after a mandatory consultation with your gynecologist and should not be used without an extra reason.

Contraindications

Like all medications, Terzhinan has certain limitations, which include:

• personal intolerance to the components of the drug
• the patient is under 16 years of age
• allergic reactions accompanied by itching, burning and discomfort

Side effects

This drug in extremely rare cases causes the manifestation of adverse reactions. Due to the fact that suppositories are used in regional therapy, the components included in their composition are not fully absorbed by the bloodstream.

This is what causes the manifestation of allergies at the site of use, characterized by burning, tingling, sometimes itching and soreness at the injection site of the drug.

In some cases, problems with body systems may occur, such as:

• atrophic changes in the mucous membrane
• delayed healing of wound surfaces
• delayed crack healing

Overdose

There is currently no information on an overdose of Terzhinan.

The fact is that the constituent substances of the drug have poor absorption into the human bloodstream, so the possibility of an overdose of the drug is considered impossible.

special instructions

The conducted studies have shown that in the drug "Terzhinan" there is an accumulation of active substances of the drug higher than the possible toxic concentrations. This implies that the pathogens of the infectious process are suppressed by the high content of substances in Terzhinan. In addition, there is a possibility of a synergistic effect, in other words, an increase in the action of each drug. Each individual substance that is part of Terzhinan has a narrow spectrum of action.

It is important to know that nystatin, and directly drugs containing it, have the ability to damage latex contraceptives.

Special attention should be paid to patients who have the following diseases:

• skeletal diseases
• hypertension
• heart failure

This is due to the fact that in the pathological conditions described above, one should be wary of the use of glucocorticosteroids, which are part of Terzhinan.

In addition, special care should be taken when using the drug for people who have the following diseases:

• peptic ulcers
• tuberculosis
• optic nerve atrophy
• persistent deficiency of thyroid hormones
• emotional turmoil
• neuromuscular disorders
• chronic neurological disorders
• diabetes
• myocardial infarction.

It is important to remember that Terzhinan and alcohol do not combine.