Acylact suppositories and instructions for use in gynecology

• December 10, 2019
• obstetrics and gynecology
• Svetlana Saksina

Acylact suppositories, instructions for use of which will be described in the article, contain live acidophilus bacteria. Thanks to this, the drug is effective in the treatment of female diseases accompanied by disruption of the normal microflora. Let's take a closer look at the instructions for using Acylact suppositories in gynecology, patient reviews and analogues of the product.

Description of the drug

The drug Acylact is a probiotic containing a species of live lactobacilli Lactobacillus acidophilus, which produces lactic acid, which is harmless to the human body.
The lactic acid environment effectively inhibits the activity of pathogenic microorganisms (staphylococci, Proteus, enterogenous harmful E. coli). In the production of this type of medicine, strains of lactobacilli are dried along with the habitat in which they were bred. Obtained by sublimation (sublimation in a special chamber) and soft drying, lacto-microbial raw materials are used for the manufacture of medicines and food additives - probiotics.

The medicinal effect of the drug is due to its composition, which contains lactic bacteria of 3 strains, which, when entering the body, fight the proliferation of various parasitic infectious agents in the urogenital tract, oral cavity and intestines.

In addition, Acylact has similar properties to drugs widely used in the treatment of diseases that disrupt the body's microflora.

These diseases include:

• stomatitis;
• caries;
• gingivitis;
• periodontitis;
• glossitis;
• gastroenteritis;
• vaginitis;
• ulcers;
• colitis;
• various intestinal inflammations.

The medication is used in the oral treatment of dysbiosis, pathogenic disorders of the female reproductive system and gastrointestinal tract. In addition, Acylact is used in prophylactic antibiotic therapy administered before prenatal gynecological procedures.

Drug interactions

No clinically significant interaction of Lactobacillus acidophilus with other drugs/substances has been established. Acylact tablets, lyophilisate and suppositories can be used simultaneously with antiviral, antibacterial and immunomodulatory drugs.

It is not recommended to simultaneously use Acylact suppositories and antibacterial drugs intravaginally.

Corrective therapy with Acylact can be prescribed after a course of specific bacteriophages designed to eliminate opportunistic microflora.

Indications for use

Suppositories with lactobacilli should be used for the following diseases and during certain periods:

• bacterial type vaginosis;
• colpitis;
• vaginal dysbiosis;
• rehabilitation of the birth canal;
• prevention of purulent complications after jaw surgery;
• prolonged stool disorders in children;
• ulcerative colitis of nonspecific form in a moderate to mild degree;
• glossitis;
• stomatitis;
• gingivitis;
• multiple types of caries;
• preparation for gynecological operations;
• prophylaxis after surgery to prevent complications;
• infections of an inflammatory nature (chlamydia, herpes, gonorrhea);
• Colpitis of hormonal type.

This drug can be used as a component of monotherapy or in complex treatment. Suppositories can also be used with antiviral and immunomodulatory drugs.

Application area

Indications for use of Acylact are quite broad, for example, this product is used for:

• treatment of oral infections;
• treatment of genital infections in women (thrush, inflammation);
• treatment of digestive system disorders;
• prevention of purulent inflammation;
• preparing a woman for labor and preventing the formation of purulent inflammatory processes;
• treatment of urogenital infections (herpes, gonorrhea).

For information! Acilact instructions for use have different approaches and methods of use, which depend on the form of release of the drug.

Before starting therapy with this drug, it is recommended to consult with your doctor and study the leaflet.

Instructions for use

In reviews of “Acilact” suppositories, attention is drawn to the fact that suppositories are used taking into account the specifics of the disease. Suppositories are inserted deep into the vagina in a lying position

After administration, you need to lie down for half an hour. Before the procedure, perform genital hygiene. It is advisable to administer suppositories at night, since during movement the melted components of the suppository may leak out and not have the desired effect. Features of application:

If bacterial vaginosis, vaginitis, or dysbacteriosis is diagnosed, one suppository should be administered twice a day (10 days). If you are concerned about discharge with an unpleasant odor and color, then 2 suppositories per day (from 5 days). To prevent complications after surgery - 2 pieces per day (5-10 days). If suppositories are prescribed for recovery after antibiotic treatment - 2 times within 10 days.

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The doctor prescribes a different treatment regimen.

Reviews

Most reviews about Acylact suppositories are positive. In them, patients note such advantages of the drug as:

• low cost;
• ease of use;
• high efficiency in fulfilling the task assigned to the product - restoring the vaginal microflora after taking antibiotics;
• moisturizing the mucous membrane.

But there are some disadvantages that also need to be remembered. Despite the fact that, according to the instructions, the drug does not cause side effects, some patients still noted them. They manifested themselves in the form of a local allergic reaction, which was accompanied by severe itching and burning. Also among the disadvantages of "Acilact" women note:

• inconvenient packaging that is difficult to remove;
• candles crumble too much;
• suppositories leak after use, so you need to use panty liners;
• candles melt quickly.

In some cases, an increase in thrush symptoms was also noted.

Instructions for use Acylact method and dosage

Suppositories: vaginally (introduced into the vagina) or rectally (introduced into the rectum) 1 suppository 2 times a day. The course of treatment is 5 – 20 days.

Pills. The dose is determined by the attending physician.

For diseases of the mucous membrane, the drug is used after meals, dissolving the tablet.

• For glossitis, 5 doses per day are prescribed in 2-3 doses, the course of treatment is 14-15 days. For recurrent aphthous stomatitis and necrotizing ulcerative gingivitis, treatment is carried out according to the same scheme in two courses with a break of 7 days.
• For pathological processes in the oral cavity caused by systemic diseases, 10 doses per day are prescribed in 4 doses in two courses of 14-15 days each with a break of 7 days.
• Patients with intestinal disorders are prescribed 5 doses 2-3 times a day.
• For acute inflammatory processes of the intestines, the course of treatment is 7-8 days, for protracted and recurrent forms of the disease - 14-21 days.
• If necessary, the doctor prescribes repeated courses under the control of laboratory parameters.
• For disturbances of the normal intestinal microflora in children with atopic dermatitis, 5 doses per day in courses of 20 - 25 days, with breaks of 1.5 - 2 months.
• Acylact lyophilisate must be dissolved in water before use (1 dose - 1 tsp of water, 3 or 5 doses in a bottle). Depending on the disease, the prepared solution is used for oral administration, rinsing the mouth or douching the vagina.

For each disease there is an individual dosage regimen. The dosage form of the drug, the regimen and duration of treatment are determined by the doctor.

The principle of operation of vaginal suppositories with lactobacilli

Suppositories for bacterial infections of the vagina are one of the most effective methods of treating the disease. Vaginal suppositories have virtually no side effects. Suppositories with lactobacilli are also used to normalize microflora during pregnancy. True, not all: before use, you should carefully read the list of contraindications for use. Thanks to vaginal suppositories, it is possible not only to cure dysbiosis, but also to restore the vaginal flora.

It is optimal for a regular sexual partner to also be examined by a urologist and take a course of antifungal or anti-inflammatory drugs. Because if a woman undergoes a course of treatment, and then sexual intercourse again causes infection, the therapy will be useless.

Vaginal suppositories with lactobacilli are easy to use: you should place them in the vagina several times a day. This is a completely painless process. After just a few minutes, the itching and burning will begin to subside, and the patient will feel relief. Suppositories should only be placed with clean hands, and it is important to ensure that the linen is always clean and ironed (high temperatures kill pathogenic microorganisms that can leave their microspores on the linen).

Suppositories

The drug is available in three forms: tablets, lyophilasite for solution, and suppositories. The main substance of suppositories are strains of live lactobacilli (acidophilus), which ideally populate the vaginal flora. But as a result of the pathogenic process, their number can greatly decrease, thereby upsetting the balance. Such a decrease in local immunity can lead to an infectious process. The composition of Acylact allows not only to normalize the microflora, but also to destroy pathogenic organisms, for example, staphylococcus and E. coli.

Auxiliary components are paraffin, tallow and emulsifier. Candles have an elongated shape with a cone-shaped end. The color of the suppository is grayish-yellow or beige. The candles are practically odorless, with only a slight aroma of confectionery fat. The medicine is packaged in blister packs of 5 and 10 pieces. The cardboard package may contain 1 or two packages and instructions for using the product.

Acylact is produced in three forms: tablets, lyophilasite for solution, and suppositories

The action of Acylact is based on antagonistic properties that manifest themselves against many pathogenic microorganisms. In this case, lactobacilli compete with microbes for the nutrient medium. As a result of the fact that lactobacilli multiply much faster than microbes, they soon simply die without nutrition. In the future, when there is a sufficient number of lactobacilli in the body, even if pathogenic microorganisms are ingested, infection does not develop. Therefore, it is advisable to use such drugs in gynecology also for preventive purposes.

When the microflora is restored and metabolism is restored, the immune system is strengthened. In the vagina, suppositories, or rather, active substances, promote the conversion of glycogen into lactic acid. It makes it possible to maintain an optimal (acidic) pH in the range of 3.8-4.2. Such an environment is unfavorable for microbes, but other organisms (Doderlein's bacillus) develop and maintain vaginal biocinosis in good condition. Under such conditions, opportunistic microbes are able to live and do not lead to diseases (they need an environment with a pH no higher than 7).

Description

Vaginal suppositories "Acilact" (reviews confirm this) reduce the development of pathogenic processes, and after use the number of harmful bacteria decreases. The main component of the drug is strains of live acidophilus lactobacilli that populate the vaginal microflora. If a pathological process develops, then their number decreases. This can lead to the development of an infectious disease. Lactobacilli, which are part of the Acylact suppositories (reviews claim that the composition is safe), provide an optimal balance of microflora. They destroy pathogenic microorganisms that provoke the development of various diseases.

Auxiliary components include emulsifier, paraffin and solid fat. Suppositories are elongated vaginal suppositories with a cone-shaped tip. The color of the candles is white, beige or yellow. They have a specific smell that is similar to confectionery fat. The medicine is in blisters of five or ten pieces, one or two contour cells in one package.

"Acilact" is also available in the form of dry powder and tablets. They normalize the microflora of the intestines and oral cavity. One tablet contains 10,000,000 live lactobacilli. However, they cannot be considered equivalent to their own microflora. The strains are unable to reproduce due to bioincompatibility with natural human bacteria. Perhaps this is why the result from use is either not entirely noticeable or goes away quickly.

Composition and release form

The manufacturer Acylact offers the consumer the medicine in several forms:

• pills;
• vaginal suppositories;
• dry Acylact or lyophilisate for the preparation of a solution for local and oral use.

Regardless of the release form, each product contains live lactobacilli acidophilus. Lactobacilli have a beneficial effect on the body of women, because Strains of these bacteria include vitamins, plastics and minerals that are present in dairy products. Candles contain additional auxiliary components, presented in the form of:

• emulsifier;
• solid fat;
• paraffin

This composition of the suppository allows the dry culture of lactobacilli acidophilus to be evenly distributed in the body. The tablets have no additional components; they are yellow or gray in appearance, and the suppositories are white torpedo-shaped. Candles have a specific smell, which is given to them by the solid confectionery fat in their composition.

Contraindications

Lactobacilli for the drug are obtained in laboratories, growing them in special nutrient media under completely sterile conditions. To treat thrush, Acylact is prescribed in the form of suppositories, which are commonly called suppositories.

They need to be stored in the refrigerator, since living bacteria do not tolerate heat above 10 degrees. Due to the fact that the drug contains substances that are harmless to humans, Acylact has virtually no contraindications. The exceptions are:

• Individual intolerance to the components of the drug: both primary and auxiliary.
• Acute period of vulvovaginal candidiasis, before or during the use of antifungal drugs. In this case, Acylact may not have the desired effect.
• Children's age - due to anatomical and physiological characteristics.

But pregnancy and lactation are not contraindications for the use of Acylact. This drug can be used during these periods, but only as prescribed by a doctor.

Indications for use

Oral diseases (lyophilisate and tablets):

• aphthous stomatitis, glossitis, necrotizing ulcerative gingivitis, other inflammations of the oral mucosa;
• pathologies of the oral mucosa accompanying systemic diseases such as erythema multiforme, lichen planus, Sjögren's disease;
• multiple caries, periodontitis, galvanism and other oral diseases associated with dysbacteriosis;
• the period of preparation for planned maxillofacial surgical interventions (to prevent complications of a purulent-inflammatory nature).

Diseases of the gastrointestinal tract (lyophilisate and tablets):

• food toxic infections of unknown etiology or caused by opportunistic microbes, acute intestinal infections, rotavirus gastroenteritis;
• prolonged intestinal disorders, especially in early childhood;
• colitis and enterocolitis, prolonged/chronic, of both infectious and non-infectious etiology, with microflora disturbance;
• nonspecific ulcerative colitis in adults in moderate and mild form;
• weakness, frequent illnesses in children and adults with symptoms of dysbacteriosis, including those accompanied by a state of immunodeficiency;
• atopic dermatitis in children with intestinal dysbiosis (as part of complex therapy).

Diseases of the female genital area (suppositories and lyophilisate):

• colpitis (vaginitis), except trichomonas, gonococcal and candidiasis etiology (Acilact is prescribed after completion of antibacterial therapy as an independent drug);
• vaginal dysbiosis due to inflammation of the body, appendages and cervix (after completion of antibacterial therapy);
• the period of preparation for planned gynecological surgical interventions in order to prevent postoperative infections;
• the period of prenatal preparation of pregnant women at risk for the development of purulent-septic postpartum complications, for the purpose of prevention/therapy of vaginal dysbiosis.

"Makmiror" in gynecology: instructions and principle of action

The main active component of these vaginal suppositories is the local antibiotic nystatin and lactobacilli nifuratel. Thanks to this composition, the use of suppositories allows you to get rid of only pathogenic flora, while beneficial bacteria remain on the walls of the mucous membrane.

There are no contraindications to the use of suppositories, with the exception of rare allergic reactions.

Reviews of these vaginal suppositories with lactobacilli nifuratel are positive. However, women most often use Macmiror as part of complex therapy with antibacterial tablets. This comprehensive approach allows you to achieve relief from unpleasant symptoms already on the second or third day after the start of therapy.

Acylact instructions

The medication is a probitic agent that contains antagonistic active live acidophilus Latobacteria.

The drug has an antagonistic effect against opportunistic and pathogenic microorganisms, including Shigella, Staphylococcus, Proteus and enteropathological Escherichia coli. With its use, the bacteriocenosis of the intestines and oral cavity is restored, the severity of inflammatory processes that are caused by dysbiosis is reduced, and local immunity is slightly increased. In addition, thanks to the normalization of intestinal microflora, metabolic processes and the immune response improve.

What is thrush

The Candida fungus is constantly present in the human body and only under favorable conditions for it begins to multiply intensively, affecting the mucous membranes. It can settle in the digestive tract, mouth, rectum and colon, from where it easily enters the vagina.

Currently, this disease affects almost all representatives of the fair sex, causing many unpleasant moments. Candidiasis can occur for several reasons:

1. Weakened immunity due to illness.
2. Hormonal imbalance in a woman’s body. This could be pregnancy, abortion, menopause, and even adolescence.
3. Metabolic disorders in diabetes mellitus.
4. Use of low-quality personal intimate hygiene products. It is advisable to purchase this product in pharmacies.
5. Underwear should not be tight and should breathe well.
6. Taking antibiotics. Treatment with these drugs must be accompanied by probiotics and prebiotics so as not to kill beneficial microflora.
7. Long-term use of hormonal drugs entails changes in hormonal levels.
8. Changes in climate and water are often a prerequisite for the appearance of thrush.
9. Uncontrolled drinking and smoking. All this leads to a decrease in immunity, and the fungus begins to multiply intensively.

The disease is accompanied by the following symptoms:

• itching and burning in the vagina and perineum;
• painful urination;
• curdled discharge, similar to the “foam” of boiled milk.

Instructions for using Acylact: method and dosage

Depending on the disease, various dosage forms of Acylact are used topically, orally and intravaginally.

When using a lyophilisate to prepare a suspension, the contents of the bottle must be dissolved in boiled water at room temperature at the rate of 1 teaspoon of water per 1 dose of Acylact. A small amount of measured water is added to the medicine bottle and shaken well. The powder dissolves on average in 5 minutes, resulting in the formation of a beige homogeneous suspension, which must be mixed in the water remaining in the glass. Please note that the prepared solution cannot be stored.

Depending on the severity of dysbacteriosis and the clinical form of the disease, the doctor determines the daily dose and method of use of Acylact.

The drug is used as an aqueous suspension for rinsing after meals for the following diseases of the oral mucosa:

• Glossitis: usually prescribed for two weeks, 5 doses up to 3 times a day;
• Necrotizing ulcerative gingivitis and recurrent aphthous stomatitis: take the drug for two weeks, 5 doses up to 3 times a day, conduct two courses of treatment with Acylact with a break of a week;
• Pathological processes in the oral cavity caused by systemic diseases such as Sjogren's disease, lichen planus and exudative erythema multiforme: two courses of 2 weeks, 10 doses per day, divided into 4 doses, with a break between courses of at least 7 days.

For intestinal disorders, oral administration of Acylact half an hour before meals is most effective. Children under six months of age are prescribed 5 doses per day, divided into 2 doses; children over 6 months and adults – 5 doses 2-3 times a day. The drug is taken for acute inflammatory processes for a week, for recurrent and protracted forms of the disease - from two to three weeks.

For atopic dermatitis in children, accompanied by a disturbance of the normal intestinal microflora, several courses of Acylact are prescribed, 5 doses per day for 20-25 days, with intervals of two months.

Acylact vaginal suppositories are used for diseases of the female genital organs, 1 suppository twice a day for 5-10 days. You can also irrigate with an aqueous suspension of the lyophilisate to prepare a suspension or insert a tampon soaked in it.

Acylact: reviews

In general, reviews of acylact are positive. Most patients who use this drug for medicinal purposes are satisfied with the result. But there are also negative reviews about the drug, especially which is available in the form of vaginal suppositories.

• Evgenia: I suffered from bacterial vaginosis. My doctor prescribed me Acylact suppositories. At first I treated this drug with distrust, because I thought that for my illness the best medicine could only be antibiotics. But after using Acylact, I was convinced of the opposite: after several days of using the suppositories, my health improved, the symptoms began to disappear along with the discomfort. After completing the course of treatment, the disease passed and the symptoms of the disease have not returned for more than a year. I am very pleased with the drug!
• Lily: An effective and inexpensive remedy! I used acylact to restore flora after thrush. My treating gynecologist prescribed this remedy to me. I felt the result very quickly, and the tests also confirmed this. I did not experience any side effects or discomfort after use. Excellent tool!
• Irina: I was not impressed with the quality of the acylact (I used suppositories) - the drug crumbled, but the result from their use is real. The product perfectly treats dysbiosis and contains lactobacilli. In addition, the price of the drug is not high.

Acylact is an excellent antimicrobial agent. Many gynecologists recommend using it for disorders of the vaginal microflora. But, like any other drug, it is not recommended to prescribe Acylact yourself. Do not neglect the consultation of a qualified specialist!

Instructions for use in gynecology

Intravaginal administration

Most often, the medicine Acilact in the form of suppositories is prescribed for women to treat gynecological problems.

In this case, they are administered predominantly vaginally, although rectal administration is not a contraindication to improve intestinal microflora.

Typically, the duration of therapy does not exceed 10 days

, but cannot be
less than 5 days
. A week later, repeated probiotic treatment may be prescribed.

two a day

intravaginal administration:
1 suppository
(twice a day).

It is recommended to drink the drug Acylact in tablets no later than half an hour

before meals
2 to 3 times a day
in the amount of 1 dose.

What do the doctor's say

Gynecologists claim that Acilact suppositories are safe and reliable. They have proven their effectiveness more than once. With their help, you can really restore the vaginal microflora, get rid of unpleasant sensations, and eliminate pathogenic microorganisms. However, it should be understood that sometimes, as an independent treatment, “Acilact” does not help. It is better to use it in combination with other drugs to improve the effect. In addition, it is prescribed only by a gynecologist, so it is not suitable as a preventive measure.

How to take Acylact tablets correctly

Acylact tablets are not a monotherapy; they are prescribed only in combination with other medications. The dosage and administration order are developed individually for each patient. This suggests that self-prescription and uncontrolled use of Acylact tablets are unacceptable.

In the annotation for "Acilact" the manufacturer provides basic recommendations for taking the tablets. The instructions recommend

• taking one tablet with 5 doses no more than 3 times a day,
• the duration of treatment for intestinal problems is no more than 7 days,
• for chronic dysbacteriosis, the duration of therapy is 14-21 days,
• for diseases of the oral cavity, 4 to 6 doses should be dissolved per day.

Regardless of the type of disease, before starting to take Acilact, you must consult with a medical specialist and obtain his approval.

In most cases, the basic recommendations of the drug manufacturer are adjusted to suit the patient, and an individual regimen for taking Acylact tablets is developed.

It is important to understand that there are contraindications to taking Acylact; side effects may develop during treatment, and adjustments to therapy may be required

Contraindications to taking Acylact tablets

The drug "Acilact" in the form of tablets has no contraindications as such. It is not recommended to take it only if you have diabetes, since it contains sugar granules, and if you are intolerant to one of the components included in the tablet form.

The absence of contraindications is not a reason for self-prescription and uncontrolled use of drugs based on live lactobacilli. If the intestinal microflora is in order, the indicators are normal, then therapy can cause harm rather than the desired benefit.

Whether the patient has indications for taking Acylact should be decided by a medical specialist based on a detailed examination of the patient. Diagnosis should begin with a survey and a medical history; in most cases, more in-depth research is required - taking the patient’s biomaterials and studying them.

Advice and recommendations from colleagues, acquaintances and even relatives, a pharmacist at a pharmacy chain cannot be the basis for therapy with Acylact tablets - it is important to be aware of this and not risk your health by following a peculiar fashionable trend in terms of preventing health problems or rejuvenation.

Analogs

In gynecology, Acylact suppositories (doctors' reviews confirm this) are often used. They are cheap, easy to use, do not cause adverse reactions, and quickly have the desired effect. However, they also have analogues. Among them are the following drugs: “Lactonorm”, “Bifidumbacterin”, “Vagilak”, “Ecofemin Floravag”, “Vaginorm-S”, “Lactozhinal”. The difference is that Acilakt analogues are several times more expensive.

"Lactonorm". This is a drug that includes lactobacilli acidophilus strains belonging to representatives of the natural human microflora. The product normalizes and regulates vaginal pH. The main indication for treatment with Laktonorm is vaginal dysbiosis. In addition, it is prescribed for acute and chronic vulvitis, vaginitis, bacterial vaginosis, for the prevention of infections, and sanitization of the vagina. The drug can be used during pregnancy. Available in the form of vaginal capsules. "Bifidumbacterin". This is a probiotic that regulates the balance of intestinal microflora. It is prescribed as monotherapy and in combination. Recommended for intestinal dysbiosis, chronic constipation, acute respiratory viral infections, and for the prevention of infections. "Vagilak". A drug that helps increase the number of lactobacilli normalizes the vaginal microflora in women. Sold in the form of capsules, soap and gel. Eliminates vaginal dysbiosis, maintains healthy mucous membranes. Vagilak is a dietary supplement, not a medicine. "Vaginorm-S". Vaginal tablets that restore the normal balance of vaginal microflora support it. Suppresses the growth of anaerobic bacteria. Acceptable for use during pregnancy. The advantage of the drug is that adverse reactions occur very rarely. "Lactozhinal". Vaginal capsules that restore normal vaginal microflora after antibiotic therapy. Prescribed for the sanitation of the birth canal before childbirth, for the prevention of vulvovaginal candidiasis. May cause allergic reactions in the form of itching, burning, and irritation of mucous membranes. "Ecofemin Floravag". This is a probiotic complex consisting of three types of lactobacilli. The advantage of the drug is that its composition is as close as possible to the natural microflora of the vagina. The drug eliminates dry mucous membranes, dysbacteriosis, burning sensation, unpleasant odor, regulates the amount of discharge, maintains vaginal health, and strengthens local immunity. Effective for vaginitis, vulvitis, vaginal bacteriosis, genital tract infections.

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Unlike the listed imported products, Acylact also copes with its tasks, but for less money. The cost of these analogues is above 500 rubles. They should be prescribed by a specialist after laboratory diagnosis.

"Ecofemin"

The drug is marketed in the form of vaginal capsules with lactobacilli acidophilus as the active ingredient.

The drug is prescribed:

• during the period of prenatal preparation in order to avoid ascending infection during the birth process;
• for the prevention of infectious complications before diagnostic invasive procedures or gynecological operations;
• to restore vaginal microflora after antibiotic therapy (both local and systemic);
• for the treatment and prevention of diseases associated with imbalance of vaginal microflora (hormone-dependent colpitis, bacterial vaginosis, nonspecific vulvovaginitis);
• in order to normalize the vaginal microflora.

"Ecofemin" is not prescribed to patients with vaginal candidiasis. During pregnancy and breastfeeding, its use is permitted.

For prevention purposes, patients are prescribed to take 1 capsule per day (before bedtime). The course of treatment is from three days to a week.

When treating various diseases, it is necessary to use 1 capsule twice a day. The minimum course of treatment is 6 days, after which it can be extended.

The use of the drug (both for preventive and therapeutic purposes) should be started either before the expected menstruation or immediately after it.

If the doses indicated in the instructions were followed, no side effects were found.

Therapeutic indications

Acylact tablets and lyophilisate are prescribed for intestinal dysbiosis leading to digestive problems. Suppositories are usually used in the treatment of gynecological diseases that cause disturbances in the vaginal microflora such as gonorrhea, vaginitis, herpes, chlamydial infections.

Regardless of the dosage form of Acylact, the dosage of the drug is determined by the number of lactobacilli. Fermented lactic acid bacilli are a compact, microbial cluster. They are measured in colony-forming units (CFU).

When CFU are transferred to a medium saturated with nutrients, they actively multiply. One standard dose of the drug in question contains at least 10 mil. acidophilus bacteria.

Consequently, the number of standard doses in tablets and lyophilisate varies. Therefore, bottles of lyophilized powder are labeled with the exact quantity of standard dosage quantities.

The drug Acylact in the form of tablets and lyophilisate is indicated in the presence of the following diseases:

• infectious pathologies of the oral cavity - aphthous stomatitis, glossitis, exudative erythema, Wilson's lichen, Sjögren's syndrome, caries. In addition, the medication is prescribed for preventive purposes at the preparatory stage of planned maxillofacial surgery, to prevent purulent-inflammatory complications;
• diseases affecting the gastrointestinal tract - food toxic-infectious pathologies, rotavirus gastroenteritis, colitis, dysbacteriosis, atopic dermatitis.

Indications for the use of Acylact in the form of intravaginal suppositories:

• inflammation of the vaginal mucosa of various etiologies (except for candidiasis, gonococcal and trichomonas);
• vaginal dysbiosis caused by inflammation of the cervix and appendages after completing an antibacterial treatment course.

Also, suppositories are used in preparation for planned gynecological surgery for anti-infective preventive purposes.

Indications

The instructions for the Acylact suppositories (reviews from patients and doctors are presented at the end of the article) say that they are prescribed for the following diseases:

• colpitis;
• bacterial vaginosis;
• vaginal dysbiosis;
• for sexually transmitted infections accompanied by an inflammatory process (herpes, gonorrhea, ureaplasmosis, chlamydia);
• in preparation for minor operations;
• hormonal colpitis;
• for sanitization of the vagina before childbirth.

Suppositories can be prescribed as an independent medicine or as part of a therapy.

Instructions for use

The instructions for use indicate that Acylact contains at least 10 million live acidophilic lactobacilli in 1 dose. A tablet or suppository contains 1 dose of the drug.

Suppositories are used intravaginally - in the form of irrigations, applications and suppositories:

1. In order to prevent purulent-septic complications, use 1 suppository 1-2 times a day for 5-10 days (before the proposed operation or delivery).
2. For inflammatory processes of the urogenital tract - 5 doses (in the form of a solution) or 1 dose (1 suppository) 2 times a day for 5-10 days.
3. Rehabilitation therapy after the use of antibiotics - rectally, 1 suppository 1-2 times a day for 10 days. The course is repeated for 3-4 months with an interval of 10-20 days.
4. In case of violation of the purity of vaginal secretions in pregnant women up to III-IV stage. – 1 suppository 1-2 times a day for 5-10 days or more, until clinical symptoms disappear and the purity of vaginal secretion is restored to grade I-II.

Acylact in the form of tablets is taken orally, 30-40 minutes before meals, 2-3 times a day. For acute inflammatory processes, infants - 2-3 doses, older children and adults - 5 doses for 7-8 days; for prolonged and recurrent forms of the disease, infants - 2-3 doses, older children and adults - 5 doses for 14-25 days.

How to use Acylact correctly?

The dosage form in tablets involves taking 1 dose of lactobacilli 40 minutes before meals, 3 times a day. It is worth noting that the composition of the drug allows it to be used in infants during acute inflammatory processes, at a dosage of 3 doses per dose. If a child has difficulties taking Acilact tablets, he may be prescribed therapy with Acipol, which has a special children's release form. When treating oral infections, the dosage of tablets is the same for both children and adults.

For information! Acylact should not be used during menstruation, because mucus and blood completely cover the vaginal walls, which prevents lactobacilli from gaining a foothold and neutralizing the virus or fungus.

To treat thrush in women, suppositories are used. According to the instructions for use of Acylact suppositories in gynecology, it is recommended to administer 1 suppository vaginally once a day. The course of therapy lasts 10 days, then you need to take a break for 20 days and repeat the course of treatment again. Acylact during menstruation can be prescribed in the form of tablets or treatment can be carried out after the end of menstruation. This is due to the fact that during menstruation the uterus is open and there is a high risk of infection or fungus. Girls who are not sexually active administer suppositories rectally. It is recommended to administer the suppository before bedtime, and to enhance the therapeutic effect, you can combine tablets or lyophilisate. Compatibility of Acylact with other drugs related to antiviral, immunomodulatory and antimicrobial agents is possible if they are taken orally. But it is not recommended to treat simultaneously with antibiotics.

Important! Acylact and alcohol are strictly prohibited; ethanol products can cause irreversible internal processes. Alcohol consumption is allowed 24 hours before the start of therapy.

Mechanism of action

https://youtube.com/watch?v=PlKOYvb1S34

The product itself does not have sufficient antibacterial activity, so it is usually used in combination with antibiotics or antiseptics. This allows for a double impact effect, increasing the effectiveness of treatment. Antimicrobial drugs destroy pathogenic microorganisms, and probiotics immediately populate the mucous membrane with beneficial lactobacilli.

Therefore, the disorder or disease no longer has a chance to return - the place is already occupied by natural microflora. And this beneficial effect is realized in Acylact candles as follows:

• Each unit of the drug (one candle) contains at least 10 million live acidophilic lactic acid rods.
• Their main feature is the ability to live in symbiosis with the human body, receiving nutrients in return.
• Unlike harmful and opportunistic bacteria, lactobacilli are capable of damaging or destroying mucous membranes.
• For nutrition, they use glycogen, which is continuously released into the surface mucus from multilayered epithelial cells.
• During the breakdown of this substance, a large amount of lactic acid is formed - a natural metabolic product. As a result, the acidity in the vagina increases significantly - the pH is normally maintained at a level of 3.8 to 4.2.
• Thus, lactobacilli create an optimal living environment for themselves, in which other microorganisms cannot live or actively reproduce.

Acylact suppositories are used to implement the effect of biological displacement, which allows you to remove opportunistic and harmful microflora. Moreover, it is achieved not through direct struggle, but by creating unbearable living conditions for the “enemy.”

Patient reviews

Approximately 79% of women who used Acylact confirm its effectiveness. The advantages of the drug include effectiveness and price. Suppositories quickly restore the normal balance of microflora, bring undoubted benefits, and help when used correctly. They populate the flora with beneficial lactobacilli and moisturize the mucous membrane. Suppositories treat dysbacteriosis, relieve discomfort in the vagina, are easy to use, and of high quality.

According to reviews, Acylact suppositories do not help with thrush. Among the disadvantages, women note:

• candles are not sold everywhere;
• after them oily discharge;
• sometimes cause thrush;
• do not cope with candidiasis;
• melt quickly;
• provoke chronic diseases;
• after them, discharge begins;
• itching bothers you;
• It’s not very convenient to take candles out of the packaging;
• leak from the vagina;
• crumble;
• stain underwear;
• leave greasy marks that are difficult to remove;
• individual intolerance is possible;
• the likelihood of allergic reactions;
• are not always sold in pharmacies.

In addition, these suppositories do not cope with complex cases.

Release forms and composition

Acylact is available in 3 dosage forms:

• tablet - round tablets with a slightly convex surface of a yellowish-gray or beige color. Available in plastic containers containing 20, 30 or 60 tablets;
• lyophilized - powdery mass in bottles for preparing a suspension solution;
• suppository - intravaginal suppositories of cylindrical or cone shape. Light yellow suppositories have a specific odor and are produced in blister packs of 5 or 10 pcs. in each.

In addition to bacteria, the drug contains minerals, vitamins and auxiliary components. The drug is often prescribed after a course of taking antimicrobial agents. A single dose of Acylact contains more than a million beneficial bacteria that are able to regulate the functioning of internal organs.

Compound

The composition of 1 tablet, designed for 5 doses, includes the main active substance, including a complex of acidophilic bacteria (for life support purposes, live strains of bacteria are lyophilized together with the cultivation medium, then pressed into tablets).

In addition to the main active ingredient, the tablets contain additional components:

• stearic calcium;
• milk sugar;
• talc.

One bottle of the drug (for 5 doses) of the lyophilisate dosage form contains strains of live acidophilic lactobacilli Lactobacillus acidophilus, dried in a cultivation medium in an amount of at least 50 ml. CFU. The composition of 1 intravaginal suppository includes active lacto-microbial substances Lactobacillus acidophilus NK1, K3Sh24 and 100ash - CFU.

The candle also contains the following excipients:

• edible fat;
• purified paraffin;
• emulsifier.

Acylact suppositories during pregnancy - instructions for using the medicine

Since most of the vaginal microflora is represented by lactic acid bacteria, the elimination of the disturbance in the natural balance of the intimate zone - vaginal dysbiosis - should also occur with the participation of these bacteria themselves. It is lactobacilli that prevent the growth of pathogenic flora.

Composition and form of production of Acylact

The action of Acylact is based on the “work” of live acidophilic lactobacilli, present in each vaginal suppository in an amount of at least 107. The declared lactobacilli belong to three strains, which are designated as 100 H, NK11, K3Ш24. Additional substances are solid fat (giving a specific odor), paraffin and emulsifier. The candles are cylindrical in shape with a cone-shaped end. The color of suppositories varies from beige to yellowish-gray. It may be patchy, which is also normal. 1 package contains 10 candles. This can be 1 blister for 10 candles or 2 blisters of 5 candles each.

Describing a drug such as Acylact in general, one cannot fail to mention that the forms of production of this product allow it to be used not only to eliminate ailments of the female intimate area. In addition to suppositories for vaginal administration, Acylact is also presented in the form of pills for oral administration, as well as in the form of a powder for preparing a solution. The latter can be either drunk or used for external treatment of affected areas.

Pharmacological action of Acilact suppositories

The therapeutic effect of Acylact was provided by the lactobacilli that are part of it. So the remedy:

• Shows aggressiveness against pathogenic and conditionally pathogenic forms (including staphylococcus, Proteus, enteropathogenic Escherichia coli).
• It has an antimicrobial effect, which allows the drug to be used in the fight against several infections simultaneously.
• During feeding, lactobacilli absorb glycogen, transforming it into lactic acid. As a result, the acidity of the vagina increases (normally, this indicator varies in the range of 3.8 to 4.2). It is thanks to the presence of the required amount of lactic acid that the optimal pH level is achieved, at which pathogenic flora cannot begin its active development.

That. The mechanism of operation of candles is based on the principle of biological displacement. Achieving the desired result occurs not through the direct destruction of pathogenic microorganisms, but through the creation of conditions unbearable for their life.

As for the forms of the drug for oral administration, the purpose of their use is also to eliminate dysbiosis, but in the intestines. The mucous membranes of the oral cavity are most often treated externally (with Acylact solution).

Acylact suppositories during pregnancy - why the drug is prescribed

It is worth noting that Acylact is not used as a monotherapy in the treatment of infectious lesions in the intimate area of ​​the expectant mother. Suppositories are an auxiliary therapeutic measure during an antibacterial or antiviral course. Also, lactobacilli cannot cope on their own with an active inflammatory process in the vagina. The treatment will be ineffective.

In what cases is it advisable to prescribe Acilact suppositories?

• Inflammatory lesions of the vaginal mucosa - colpitis (exceptions are lesions of Trichomonas, gonococcal and candidal origin). Suppositories are administered as an independent drug after completion of the antimicrobial course.
• Colpitis of a hormonally dependent nature. Acylact can be administered as part of complex therapy or as a monotherapy.
• Disturbance of the vaginal microflora (dysbacteriosis), provoked by the activity of Gardnerella vaginalis. In this case, the expectant mother often complains of the appearance of a fishy odor, itching and burning in the intimate area. Treatment is prescribed comprehensively. Acylact is prescribed more often after the end of the main therapy to stabilize the vaginal microflora (however, parallel use of suppositories and antibacterial agents is possible).
• As part of complex treatment with specific drugs for diseases such as chlamydia, gonorrhea, urogenital herpes.
• Suppositories can also be prescribed as part of the prenatal sanitation of a woman’s birth canal with grades 3 and 4 of vaginal cleanliness.

The decision to prescribe the drug is made based on the result of at least a general smear.

Restrictions on the use of Acylact suppositories during pregnancy

The main limitation to treating an expectant mother with Acylact suppositories is the presence of individual hypersensitivity to their components. You should also not undergo drug therapy if you have:

• Severe inflammatory process. The drug will not be effective.
• Candidiasis (acute or recurrent). In this case, the woman must undergo antifungal treatment.

When you try to use suppositories in the treatment of thrush (or against the background of the chronic course of the latter), an exacerbation of candidiasis occurs. Already after 1-2 administrations of suppositories, acute symptoms of the disease occur, such as itching, burning, and possible hyperemia and swelling of the mucous membrane.

Particularity

Can pregnant women use Acylact suppositories? Due to the fact that the drug contains lactobacilli, which are not capable of harming the body, doctors prescribe this drug at different stages of gestation. If the application can be compared with a large amount of consumed fermented milk product. Therefore, for women who often suffer from dysbiosis, such suppositories are very useful. If a pregnant woman’s smear is not completely clean, this may mean that dysbiosis is developing. This means that the growth of opportunistic microorganisms begins, which can lead to inflammation of the cervix and vagina. This can lead to infection of the newborn or poor healing of the sutures of the mother. Therefore, many gynecologists prescribe Acylact Suppositories during pregnancy as a sanitation before delivery. In addition, this procedure promotes better tissue extensibility, which helps prevent ruptures. It is enough to put one candle a week and a half before giving birth.

The substances that make up Acylact are harmless to the body, which is why doctors prescribe this drug at different stages of pregnancy

How to use Acylact during menstruation? As the instructions say, candles cannot be used during this period. The fact is that the walls of the vagina during menstruation are covered with blood and mucus, which does not allow the lactobacilli to attach and begin its active reproduction. At the same time, the uterus itself is open and the risk of spreading the infection deeper increases. If a woman begins to menstruate during treatment, it is recommended to temporarily replace the suppositories with pills. Suppositories will need to be delivered after they are finished.

Analogs

There are drugs that are similar in their therapeutic effect to Acylact. These include:

• Lactobacterin;
• Bifidumbacterin (capsules);
• Biobakton;
• Hexicon;
• Betadine;
• Bifinorm (tablets);
• Chlorhexidine;
• Povidone-iodine.

How much do rectal suppositories cost? The price of Acylact in the pharmacy is quite different. You can buy the drug at a pharmacy at a cost of 115-160 rubles. The shelf life is 1 year. Storage conditions: dark place, temperature from 2 to 10*C.

Use during pregnancy

Due to the non-toxic composition of the drug, Acilact suppositories and other forms of medication can be used during pregnancy. Lactobacilli are not capable of harming the fetus and the health of the woman. According to women, it is during pregnancy that there is a greater risk of developing thrush and vaginal dysbiosis. Such a violation can cause complications during labor, cause prolonged healing of sutures and infect the newborn.

For information! The use of Acylact during pregnancy has a beneficial effect on a woman’s health and prepares the vagina for childbirth. Lactobacilli sanitize the vaginal walls, normalize the microflora, eliminate minor damage, which entails better tissue stretching.

Reviews from women who have used Acylact suppositories as a preparatory remedy for childbirth are quite positive. The drug quickly eliminated the unpleasant sensation in the vagina caused by dysbacteriosis.

Treatment of thrush with Acylact

At the first signs of the disease, you should immediately contact a gynecologist who will conduct an examination and prescribe adequate treatment. In the acute course of the pathology, it is even possible to have an increase in temperature and pain in the lower abdomen. Properly prescribed medications will quickly help relieve all symptoms.

With the help of modern medications, which include Acylact, recovery occurs in 1-3 days. But you shouldn’t relax, because, unfortunately, candidiasis is dangerous due to frequent relapses. It appears suddenly and brings a lot of anxiety. Therefore, you should consult a doctor at its first manifestations and not self-medicate. With improper therapy, the disease becomes chronic and it becomes almost impossible to get rid of it. The disease will slowly but surely destroy the body, causing great harm to health.

The following drugs are used to treat candidiasis:

1. Tablets - to destroy the fungus inside the body.
2. Vaginal tablets and suppositories - eliminate candida in the vagina.
3. Antifungal ointments, creams and gels are administered vaginally.
4. Medicines, such as Acylact suppositories, restore the vaginal microflora and prevent the proliferation of fungus. Therapy should begin at the second stage, after the destruction of the pathogen with antifungal agents, since after their use the balance of the vaginal microflora is disrupted.

Medicines must be taken in combination and sequentially, only then the course of administration will be effective. The duration of treatment indicated by the doctor cannot be reduced independently when the symptoms of the disease disappear, so as not to transfer the disease to a latent form.

Gynecologists recommend using Acylact suppositories in complex treatment. To achieve the desired effect in eliminating candidiasis, it is suggested to use auxiliary means, such as douching with a soda solution at the rate of 1 tbsp. l. for 1 liter of water or herbal infusion - lemon balm, chamomile, oak bark. It is recommended to wash the perineum with a solution of honey and water to relieve symptoms of candidiasis. Thrush is not a sexually transmitted disease, but infection occurs through sexual contact, so both partners must take treatment.

Capsules with lactobacilli: how they work, when they are prescribed

After entering the vagina, the capsule begins to slowly dissolve. This releases the gelatin component and glycerin, which help moisturize and soften the epithelial walls. When the outer shell is completely dissolved, live cultures of lactobacilli enter the prepared medium and begin active reproduction.

Suppositories for restoring microflora in gynecology are rarely replaced with capsules, since they have a higher price or contain additional components in the form of interferon or hormones.

Lactozhinal

Lactobacilli are used as the main component.

Laktozhinal is recommended for use:

• before surgical interventions in the pelvic area;
• before delivery;
• to restore vaginal flora after antibacterial therapy;
• for the prevention of vaginitis, colpitis and candidiasis. Lactozhinal

The product is not used:

• when detecting vaginal candidiasis;
• if the patient is under 18 years of age;
• in case of hypersensitivity to the components.

The drug should be used only intravaginally.

The dosage of the drug depends on the severity of the disease:

• 1 capsule 2 times a day. The duration of treatment is 7 days.
• 1 capsule per day. Duration of use: 2 weeks.

Before childbirth or surgery, it is necessary to administer 2 capsules per day - morning and evening.

Cost of Laktozhinal capsules (14 suppositories) in pharmacies:

Lactonorm

The main component of the drug is a culture of living microorganisms Lactobacillus acidophilus.

Capsules are prescribed:

• to prevent and treat disorders of the bacterial composition of the vaginal flora;
• in combination therapy of vulvitis and vaginitis;
• with atrophy of the vaginal wall;
• with bacterial dysbiosis;
• for the prevention of infection after gynecological operations;
• before and after labor.

  Lactonorm

The only contraindication is the presence of Candida type bacteria. Lactonorm is intended for insertion into the vagina in a horizontal position using hands or an applicator.

Product dosage:

• for treatment, 1 capsule is administered twice a day;
• for prevention - 1 capsule at night;

Cost of Laktonorm capsules:

Ecofemin

The main component of the drug is a culture of lactic acidophilus bacteria.

Ecofemin is used:

• with systematic violations of the bacterial composition of the vaginal flora;
• to prevent pathologies and infections caused by microflora imbalance;
• before and after surgical interventions and examinations in gynecology;
• in the prenatal and postpartum period to prevent infections;
• with a bacterial change in the vaginal microflora after taking antibiotics.

  Ecofemin

The product is not approved for use if thrush or an acute allergic response to its constituent components is detected. If therapy with Ecofemin is necessary, the maximum daily dosage is 2 capsules. They must be used morning and evening.

For preventive purposes, it is recommended to use 1 capsule before bedtime. The duration of treatment is at least 6 days, prophylaxis is up to 5 days. The product must be administered while lying on your back using a finger or a special disposable applicator.

Cost of Ecofemin capsules (12 capsules) in pharmacies:

Interaction with other drugs

• It is not recommended to use the probiotic Acylact with medications from the group of intravaginal antibiotics.
• But it is allowed to combine the use of Acylact with antiviral drugs, immunomodulatory drugs and antimicrobial agents.

Each dosage form of Acylact has certain nuances regarding the instructions for using the drug.
Therefore, we will consider the correct use of each form of the drug separately. Treatment with Acylact is possible individually in each form and in combination with a suppository tablet.

It can be used with drugs that have antimicrobial, antiviral and immunomodulatory effects.

The only limitation is that it is only effective for the general use of Acylact suppositories with other intravaginal agents with antibacterial effects.

Specialists use the drug “Acylact” to restore the natural microflora of the cavities of the human body in the following cases:

• preoperative preparation – on the structures of the oral cavity, head;
• dysbacteriosis in the area of ​​digestive structures;
• non-infectious etiology of colpitis;
• a disorder in the composition of natural microorganisms, formed as a result of severe systemic pathologies;
• preparation for gynecological surgical interventions;
• exacerbation of chronic pathologies of obstetric organs in gynecology;
• prevention of purulent complications after maxillofacial surgical interventions;
• preparatory stage for women giving birth;
• diagnosed bacterial vaginosis;
• long-term course of colpitis, as well as enterocolitis;
• dysbacteriosis of structures of the urogenital tract;
• colpitis of hormonal etiology;
• recovery stage after a course of antibiotic therapy;
• long-term intestinal disorders in children;
• atopic form of dermatitis;
• complex therapy of sexually transmitted pathologies;
• dysbacteriosis due to immunodeficiency;
• aphthous stomatitis;
• periodontitis;
• rotavirus gastroenteritis.

Only a specialist should make an informed decision about the need to take lactobacilli.

Complete analogues in composition:

1. Ecofemin.
2. Vagilak.
3. Lactobacterin.
4. Lactonorm.

The combined use of suppositories is allowed

with antimicrobial, antiviral and immunomodulatory drugs.

The simultaneous use of Acylact with intravaginal forms of antibiotics is not advisable.

Acylact tablets, as well as powder, are aimed at restoring the microflora of the oral cavity and intestines. A solution is prepared from the lyophilisate by adding the powder to clean (not boiled) water and then taken either topically or orally, depending on the need.

To prepare the product, take one dose and mix it in 5 ml of liquid. If the number of doses is indicated on the bottle - 3, then you need to take 15 ml, if there are 5 doses, then 25 ml. It is best to mix directly into the bottle with the drug.

The dosage is determined by the attending physician in the same way as the duration of the course of taking the drug. The main situations in which the use of a tablet form or solution is indicated are:

• inflammatory process in the oral cavity;
• dysbiosis in the mouth and subsequent diseases;
• colitis, including ulcerative;
• enterocolitis;
• stool disorders;
• infectious diseases of the digestive system;
• viral gastroenteritis;
• dysbiosis in the vagina;
• inflammation of the uterus (body, appendages or cervix).

Experts may recommend taking the drug during the preparatory stage for gynecological operations. The same applies to situations where a pregnant woman is at risk of developing purulent diseases during the prenatal period.

On average, up to 5 standard doses three times per day can be prescribed. The course can last up to two weeks, with a break of a week. The dosage and method of administration depend on the diagnosis and complexity of the disease.

Tablets are taken 1 piece up to 3 times a day 30–40 minutes before meals. The maximum per day is also 5 doses. For problems in the oral cavity, the drug in tablet form should not be swallowed whole, but dissolved.

Pharmacokinetics

The maximum effect is achieved if you take the drug during meals with a sufficient amount of water. Due to the fact that this food additive contains Streptococcus thermophilus, the ability of lactobacilli to reproduce becomes significantly higher. If you look for reviews of Vagilak on behalf of doctors, they note another positive property of the drug - it is not absorbed into the circulatory system and does not have a harmful effect on it.

Lactobacilli and lactic acid streptococcus (which actually creates favorable conditions for their reproduction) together contribute to the development of normal microflora.

Using Acylact suppositories

The suppository for thrush Acylact is used vaginally or rectally. To restore the natural microflora, the suppository is inserted into the vagina, and the number of doses per day should not exceed 2 times. Duration of treatment is up to 20 days. Depending on the severity of the condition, the attending physician may revise the timing and dosage of the drug.

Before starting the procedure, you must follow these rules:

• wash thoroughly without using hygiene products;
• Wash the hands;
• For washing and douching, it is recommended to use potassium permanganate, soda, furatsilin, and herbal decoctions with antimicrobial effects.

In addition to drug treatment, for candidiasis you need to follow a diet:

• eat fruits and vegetables;
• exclude fried and smoked foods from the diet.

You should also give up smoking and alcohol.

Frequent walks outside, strict adherence to personal hygiene rules and physical exercise help strengthen the immune system and permanently overcome thrush. However, when the immune system is weakened, relapses of the disease are possible.

Suppositories for restoring microflora after treatment of thrush - a review of drugs with lactobacilli

The vaginal mucosa is constantly moistened with special secretions.
Thanks to them, beneficial bacteria can exist and multiply on the shells. Vaginal microflora almost entirely (up to 98%) consists of lactobacilli. These microbes convert nutrients (sugars) into lactic acid. Thanks to them, the acidic reaction of the environment in the vagina is maintained. Lactic acid protects the mucous membrane of the vagina and vulva from infections. Most pathogens (including fungi and protozoa) cannot reproduce in acidic environments. With a sufficient number of beneficial bacteria, sugars are processed in a timely manner and harmful microbes simply have nothing to feed on.

About 5% of all bacteria in the vagina are microorganisms of the coccus group, enterobacteria, rods, and fungi. They are classified as opportunistic. These microbes are not dangerous in small quantities, but in large quantities they cause various diseases. With a sufficient number of lactobacilli, the number of potentially dangerous microorganisms never increases above normal.

Suppositories, vaginal capsules or gels should be prescribed by a doctor. The composition may contain components that can cause allergies, accelerated growth of the endometrium and other undesirable effects. Before using any suppositories for intimate microflora, you should consult a specialist.

Suppositories and capsules should not be used during menstruation. During the treatment period, you should avoid using scented pads, toilet paper, and synthetic underwear. Preparations for intravaginal use are introduced into the vagina using a special applicator or with a finger, after hygiene procedures.

Before use, soak the medicine (capsules or tablets) in cold boiled water. This will speed up the dissolution of the shell. The best time to introduce suppositories is before bed. Some substances in capsules and tablets may not dissolve in the vagina. In this case, they will come out with normal secretions. This does not affect the effectiveness of the drugs and should not alarm the woman.

When using suppositories to restore microflora in the vagina, a woman should pay attention to other aspects of treatment. It is important to eliminate the cause of the violations. If this is not done, dysbiosis will reappear soon after the end of treatment. In some cases, to achieve a sustainable result, it is necessary to undergo several courses of therapy, with an interval of 1-2 weeks. The treatment process should be supervised by a gynecologist. Before each repeated course of suppositories, it is necessary to study the composition of the vaginal microflora.

Women's suppositories for restoring the vaginal microflora become necessary when the body itself cannot regulate the ratio of bacteria. The causes of this condition may be previous infectious diseases, poor hygiene, hypothermia or changes in climatic conditions.

Female dysbiosis, or a violation of the female microflora, leads to the fact that the vaginal flora, which normally should help the immune system fight harmful bacteria, viruses and fungi, ceases to cope with its functions. This leads to decreased immunity, frequent diseases of the genitourinary system, and unpleasant sensations in the genitals - burning, itching, pain, dryness, irritation.

Now there are a large number of vaginal suppositories that will help cope with the problem.

Vagical

Vagikal is a female suppository whose active ingredient is of plant origin. Thanks to calendula, which is part of the drug, the suppositories act as an anti-inflammatory and bactericidal agent. Women's suppositories promote rapid regeneration of the vaginal mucosa, and also increase the body's protective function from external irritants.

The composition of medicinal calendula includes acids: salicylic and pentadecyl. Thanks to their action, streptococcus and staphylococcus bacteria stop multiplying and die. But at the same time, calendula does not act on the female body as aggressively as antibiotics; it restores dead mucosal cells and prevents scars from forming.

Women's suppositories improve blood circulation in the pelvic organs, so inflammation goes away faster. The drug is able to heal erosions of the genital tract.

The female drug Vagikal improves the quality of life of women who are in menopause. Thanks to calendula extract, rich in plant mucilage and polysaccharides, the drug fights dryness, irritation and itching.

Before insertion into the vagina, a woman should moisten the suppository with warm boiled water. The candle quickly dissolves. The daily dose of the medication is prescribed by the attending physician, in most cases it is 2 suppositories per day. The course of treatment lasts about a week.

Vagical is prescribed in the following cases

• with nonspecific discharge and inflammation;
• for colpitis in women during menopause;
• for candidiasis (as an additional drug);
• in complex treatment of erosion.

Side effects include an allergic reaction to the composition of the drug. It can manifest as itching and vaginal dryness.

Suppositories for improving female microflora have no contraindications. During pregnancy and breastfeeding, a woman should consult a doctor before using suppositories.

Women's Vakigal candles are produced in Poland, available in packs of 10 pcs. Approximate price: 110 rubles.

Gynoflor

Gynoflor - women's tablets for the treatment of vaginal dysbiosis, normalization of microflora. They contain beneficial lactobacilli and the synthetic hormone estriol.

Lactobacilli, settling in the vagina, normalize the microflora, create acidity, which prevents harmful microorganisms from multiplying. A sufficient amount of lactic acid is produced to regenerate and protect the mucous membrane of the genital tract.

During the activity of lactobacilli, which are included in women's pills, bacteriocins are produced. They have an inhibitory effect on pathogenic microorganisms.

Estriol is an analogue of estrogen produced by the ovaries. This substance is necessary in the preparation in order to stimulate the growth of mucosal cells for speedy regeneration. This improves the condition of the vaginal walls. Estriol helps fight unpleasant symptoms during menopause.

Gynoflor increases the ability of the female body to resist external irritants due to the barrier function of the vaginal mucosa.

Women's pills are effective for the following conditions:

• after treatment with antibiotics;
• after chemotherapy;
• during menopause;
• with nonspecific discharge;
• for the treatment of candidiasis (as an adjuvant);
• with vaginitis.

Before use, female tablets are moistened with water and inserted into the vagina. The doctor prescribes 1–2 tablets per day. The course of treatment lasts from 7 to 14 days.

During the course of treatment you should abstain from sexual intercourse.

Side effects occur in case of intolerance to the substances that are included in the drug. This may cause swelling of the mucous membrane, burning and itching. In this case, it is better to stop treatment and consult a doctor.

Gynoflor is contraindicated:

• with bleeding;
• in the presence of tumors of the reproductive system or breast;
• with endometriosis.
• It is not recommended for use by women who have not reached puberty.

The country of origin of the product for improving female microflora is Switzerland. The medication is available in 12 tablets per package. Approximate price: 950 rubles.

Analogues of the product:

• Hexicon;
• Venro Kit;
• Gynekit;
• McMiror.

Bifidumbacterin

Bifidumbacterin is a product that is available in the form of rectal-vaginal suppositories. It contains anaerobic bifidobacteria. They kill harmful microflora, maintain the necessary acidity in the female body, and increase the barrier protective function.

The product removes toxins from the body. Bifidobacteria stimulate the production of lactic acid, vitamins B and K, and strengthen local immunity.

The drug can be prescribed as an additional drug in the treatment of chlamydia, gonorrhea, and genital herpes.

Prescribed by a doctor after undergoing operations on the genitourinary system, to prevent complications. During menopause, the drug helps combat excessive vaginal dryness or excessive discharge.

Suppositories treat dysbacteriosis after long-term use of antibiotics and bring female microflora back to normal.

Approved for use in pediatrics, pregnant women and nursing mothers.

The doctor prescribes 1–2 suppositories per day. The course of treatment ranges from 7 to 12 days.

When taken simultaneously with antibiotics, Bifidumbacterin can reduce the effectiveness of the latter.

Increases the effect of vitamin-containing products.

Available in a package of 10 pieces, the manufacturer of the drug is Russia. Approximate price: 390 rubles.

Vaginorm

Vaginorm-S is an antimicrobial and antiseptic agent that improves female microflora. The main active ingredient is ascorbic acid. Its content in 1 suppository is 250 mg.

The product can increase the acidity of the vagina, which prevents further proliferation of pathogens.

At the same time, lactobacilli and bifidobacteria continue their vital activity. In this way, the microflora inside the genital organs is normalized.

Women's pills increase immunity and act as an anti-inflammatory agent.

The doctor prescribes the drug for the following diseases:

• colpitis;
• vaginitis;
• dysbiosis.

It is not recommended to use for candidal colpitis, since increasing the pH can aggravate the situation. There is no need to stop taking Vaginorm during menstruation and infectious diseases. The drug reduces the effectiveness of anticoagulants. You can use women's tablets to normalize microflora during pregnancy and lactation.

The doctor prescribes 1 tablet in the evening for a week.

Side effects may occur in the form of:

• burning;
• itching;
• nonspecific discharge;
• candidiasis.

The manufacturer of the tablets is Germany, there are 6 pieces in one package. Approximate price: 620 rubles.

Analogues of the drug:

• Lactonorm;
• Lactobacterin;
• Acylact;
• Vagilak.

Kipferon

Means for normalizing microflora after thrush

For the treatment of candidiasis and its consequences, any means intended to restore the bacterial composition of the vagina are used.

These include:

• Fluconazole;
• Flucostat;
• Nystatin;
• Pimafucin;
• Bifidumbacterin.

These products help control the proliferation of Candida fungi, normalize the acid level of the vaginal mucosa and create a nutrient medium for the growth of beneficial microorganisms. Nystatin and Bifidumbacterin are strictly forbidden to be used without prior consultation with a gynecologist and the results of culture of the vaginal flora, as this can lead to the development of bacterial vaginosis or gardnerellosis.

The use of suppositories to normalize the bacterial composition of the vagina helps prevent serious complications and gynecological pathologies of the reproductive system. It must be remembered that self-medication can be harmful to health and worsen the patient’s condition, so you should visit a specialist to select the necessary medications.

Beneficial features

The drug eliminates inflammation of the vaginal mucosa.
The medical drug "Acilact" exhibits the following effectiveness:

• Restores the vaginal epithelium.
• Acts in the fight against pathogenic microbes and creates a protective layer for their penetration.
• It has an antitumor effect and thereby prevents the development of cancer cells in the rectum.
• Creates an acidic environment in the vagina, which stops the growth of bacteria.
• Boosts the immune system and improves intestinal motility and metabolism.
• Produces substances that have an antibacterial effect and have a detrimental effect on various bacteria and candida.

pharmachologic effect

• The use of Vagilak promotes the effective restoration of microflora and the production of biologically active substances that are destructive to opportunistic microorganisms and pathogenic microbes. The strains of lactobacilli included in the drug have a high ability to effectively engraft into the vagina.
• After the capsule enters the stomach, its gelatin shell dissolves. At the same time, live lactobacilli continue to be protected by a special gel consisting of a polysaccharide matrix. Once in the small intestine, lactobacilli are released from this membrane, absorb moisture and thereby rehydrate.
• Then lactobacilli are absorbed into the intestinal walls and, through the system of blood vessels, enter the vaginal area, where they begin to gradually multiply, displacing opportunistic microflora and pathogenic microorganisms. This allows you to eliminate bacterial vaginosis and prevent the development of relapses of infectious and inflammatory processes.

Intimate gels for restoring vaginal flora

This type of gynecological means has a local effect. They are easy to apply, have a long-lasting effect and are a breeding ground for microorganisms. Gels also promote additional hydration of the mucous membrane, healing of microcracks, increasing the acidity of the environment and creating optimal conditions for the proliferation of beneficial bacteria.

Floragin gel

Suppositories for restoring microflora in gynecology can be replaced with gel-like preparations.

Floragin has several forms of release, which contain lacto- and bifidobacteria:

• Bulgaricus;
• Bifidus;
• Thermophilus;
• Helveticus.

  Floragin gel

In the form of a gel, these microorganisms are dissolved in a nutrient medium. Also active ingredients include vitamin A, castor oil, glycerin, elastin and chlorhexidine.

Floragin gel is used for:

• changes in the vaginal environment during menopause;
• increased vaginal dryness and sensitivity due to stressful situations, taking antibacterial agents or menstruation;
• with microflora disturbances, accompanied by thick discharge and a specific odor.

It is recommended to stop using the drug if any allergic manifestations occur. Floragin gel is used intravaginally, 1 bottle per day. The duration of treatment is 6 days.

Cost of the drug (6 bottles of 9 ml each) in different pharmacies:

Lactagel

Lactic acid is used as the active ingredient of the drug. Lactagel is used to maintain optimal vaginal microflora and to treat vaginosis. Of the contraindications, the instructions indicate only intolerance to the components included in the product.

In the treatment of vaginosis and for the prevention of violations during antibiotic therapy, it is necessary to use 1 tube per day. Duration of use of the product is up to 7 days.

Price for the drug (7 disposable packages of 5 ml):

Multi-gin Actigel

The product includes:

• hydrogel with dissolved polysaccharides of increased biological activity;
• xanthan;
• coconut glycol.

  Multi-gin Actigel

The gel has low acidity, about 4.1. It blocks the ability to reproduce pathogenic microorganisms and improves the condition of the mucous membrane, restoring the necessary bacterial composition of the vagina. The drug is not recommended for use if you are allergic to its components.

You need to use Multi-Gyn Actigel 2 times a day, squeezing out about 1 cm of gel.

Cost of the drug (50 ml tube):

Gel Vagilak

The main substance of the drug is lactic acid.

The drug is prescribed:

• with increased dryness of the vaginal mucosa;
• as part of the combined treatment of gynecological pathologies and inflammatory processes;
• in the treatment of vaginal dysbiosis;
• to improve the condition of the vaginal microflora after antibiotics;
• for the prevention of bacterial disorders after and during hormonal therapy.

  Gel Vagilak

The gel is not allowed to be used for:

• acute allergic reactions to substances included in the composition;
• ulcerative and erosive lesions of the mucous membrane;
• inflammatory processes on the cervix.

Vagilac in gel form is used only intravaginally 2 times a day. The duration of use is determined by the gynecologist.

Cost of the drug (50 g tube):

Contraindications, drug analogues

For children of any age, the instructions for use of the drug prohibit giving Lactobacterin to patients with candidiasis and avoid taking the tablet form of the drug until 7-8 years of age. For adult patients, there are the following restrictions on the use of the dosage form:

Instructions for the use of Taktivin injections and analogues

• The presence of fungal microorganisms (candidiasis). Medicine is possible only after the fungus is cured, in order to restore the microflora of the organ with lactic acid bacteria;
• Individual intolerance to the drug.

Important! Despite the fact that the instructions for use allow the drug to be given to children, consultation with a pediatrician is necessary!

During pregnancy and lactation, Lactobacterin is taken only for individual indications. When suppositories are prescribed for treatment, it is allowed to simultaneously take antibacterial, antiviral, immunomodulating drugs, as well as chemotherapy. Side effects from taking the medicine are extremely rare. In strictly individual cases, allergies may occur: burning, redness of the genitals.

Important! Candles with damaged packaging and/or with a distinct aroma of rancid oil are strictly prohibited.

In gynecology, it is allowed to replace Lactobacterin with other medicinal compounds according to indications. Analogues: Acylact, Laktonorm, Ecofemin.

Contraindications and side effects

Vagilak has its own contraindications, which are included in the instructions for the tablets. Despite the natural composition of Vagilac, some patients may experience local side effects during treatment. Their list includes burning or redness of varying degrees, caused by individual intolerance or excessive sensitivity of the mucous membranes. Vagilak capsules for normalizing microflora in women in most cases do not cause unpleasant symptoms.

If negative manifestations of taking the drug are detected, it is advisable to stop the treatment process and consult a doctor who can choose another option. Side effects of Vagilak are observed in very rare cases, most often the therapy is quite successful. You need to know that if women have a number of pathologies, taking Vagilac tablets is prohibited in order to avoid aggravating the situation. The list of contraindications includes:

• acute inflammation of the mucous membrane;
• the presence of erosions on the vaginal mucosa;
• intolerance to the main or additional components of the drug.

Why does the composition of microflora change?

The woman's reproductive system is very sensitive to change. The composition of the microflora and the acidity of the vagina depend on the ratio of female hormones in the body. Natural fluctuations in the intimate biocenosis (microflora) occur several times during one cycle. Significant changes accompany hormonal changes in the body - during puberty, pregnancy, before childbirth, after breastfeeding, during the premenopausal period, and also during menopause. The composition of the microflora can also be changed by other factors:

• acute and chronic systemic infections;
• decreased immunity due to diseases of the blood and hematopoietic organs;
• treatment with certain drugs (antibiotics, cytostatics, hormonal agents);
• in case of violation of intimate hygiene rules;
• after douching;
• when using aggressive detergents;
• with irregular replacement of pads and tampons;
• after a change in climatic conditions;
• after shocks and stress;
• against the background of exhaustion of the body (malnutrition, vitamin deficiency);
• with frequent changes of sexual partners;
• after contact with the mucous membrane of STI pathogens;
• in case of dietary violations, switch to simple carbohydrates.

A woman’s task is to promptly notice adverse changes and reverse them. Otherwise, her reproductive health will be at risk.

General rules for the use of drugs for microflora

Suppositories, vaginal capsules or gels should be prescribed by a doctor. The composition may contain components that can cause allergies, accelerated growth of the endometrium and other undesirable effects. Before using any suppositories for intimate microflora, you should consult a specialist.

Suppositories and capsules should not be used during menstruation. During the treatment period, you should avoid using scented pads, toilet paper, and synthetic underwear. Preparations for intravaginal use are introduced into the vagina using a special applicator or with a finger, after hygiene procedures. Before use, soak the medicine (capsules or tablets) in cold boiled water. This will speed up the dissolution of the shell. The best time to introduce suppositories is before bed. Some substances in capsules and tablets may not dissolve in the vagina. In this case, they will come out with normal secretions. This does not affect the effectiveness of the drugs and should not alarm the woman.

When using suppositories to restore microflora in the vagina, a woman should pay attention to other aspects of treatment. It is important to eliminate the cause of the violations. If this is not done, dysbiosis will reappear soon after the end of treatment. In some cases, to achieve a sustainable result, it is necessary to undergo several courses of therapy, with an interval of 1-2 weeks. The treatment process should be supervised by a gynecologist. Before each repeated course of suppositories, it is necessary to study the composition of the vaginal microflora.

The main stages in the treatment of candidiasis

Thrush is considered a disease that is difficult to get rid of. The disease is characterized by frequent relapses, which is due to a general decrease in immunity, dietary errors, and abuse of antibacterial drugs. Women often begin treatment with advertised medications on their own, without a doctor’s prescription. However, self-medication is not always successful.

In the treatment of genital candidiasis, antifungal and antimicrobial drugs are used. No less important is the use of local preparations containing beneficial lacto- and bifidobacteria. The main stages of treatment of candidiasis:

• suppression of fungal flora and other opportunistic microorganisms;
• populating the correct flora;
• increasing local and general immunity.

The full course of treatment may take a month or longer; sometimes it becomes necessary to periodically repeat medications to maintain optimal microflora.

Treatment of genital candidiasis should be presented in the form of complex therapy, because if the disease is not treated, it will take a chronic form. Therapy for candidiasis takes place in two stages:

1. Complete destruction of the fungus. At the onset of the disease, it is necessary to take antifungal agents that destroy pathogenic microorganisms that cause thrush. Prebiotics such as Acylact only increase the acidity of the vagina, which creates excellent conditions for the growth of Candida fungus. Therefore, during the first stage of thrush, prebiotics are not prescribed.
2. Restoration of vaginal microflora. At this stage, the woman already needs to be treated with prebiotics, since candidiasis therapy does not end with removing the fungus from the body. With the help of Acylact, you can restore the vaginal microflora disturbed by antifungal agents. Otherwise, the pathogen may soon become active again.

The duration of therapy for candidiasis should be monitored by the attending physician.

Preliminary characteristics: cost of the drug and its composition

The instructions position “Acilact” (tablets) as a eubiotic or probiotic, calling it a drug for regulating intestinal microflora. The medicine is produced in Russia. offers to purchase capsules for oral use or vaginal suppositories "Acilact".

Tablets are sold in packs of 30 pieces. Their cost varies from 300 to 350 rubles (depending on the region where you are located). For this price you will receive a package containing the drug and annotation. Please read it carefully before use. The instructions will tell you that the medication contains live strains of lactobacilli acidophilus. One dose contains at least 10^7 microorganisms. The bacteria are previously lyophilized in a cultured medium, after which sucrose and milk components are added to them. The manufacturer uses talc, lactose and calcium stearate as additional substances. This type of drug is intended for oral administration.

How to spot a bacterial imbalance

If the composition of the microflora is disrupted, the number of lactobacilli decreases. Their place is immediately taken by opportunistic microbes. A decrease in the concentration of beneficial bacteria leads to an alkalization of the environment in the vagina. Unprocessed nutrients remain on the mucous membranes, which can be used as food by pathogenic bacteria and fungi. Thus, favorable conditions arise for them - a moderately acidic or alkaline environment, humidity, warmth, and an abundance of nutrients.

An increase in the concentration of dangerous microbes leads to the development of infectious or inflammatory diseases of the vagina. Reproductive organs located inside the pelvis can also be damaged. The uterus, ovaries and other structures begin to function incorrectly. Bacteria cause inflammation of the vaginal mucosa, and the production of cleansing secretions is disrupted.

A change in the ratio of beneficial and potentially dangerous bacteria is called bacterial vaginosis, dysbiosis or vaginal dysbiosis. Most often, violations occur asymptomatically. In some cases, they “hide behind” the symptoms of STIs and inflammatory diseases of the reproductive system (pain, cheesy discharge due to thrush, etc.).

Symptoms that may indicate dysbacteriosis are as follows:

• discomfort in the vagina during sexual intercourse;
• burning sensation during urination;
• change in the nature or volume of vaginal discharge;
• change in the smell of vaginal secretions.

Vaginal dysbiosis always accompanies fungal vaginitis and vulvovaginitis (inflammation of the vagina and vulva), chronic infectious diseases in the field of gynecology. A change in the composition of the microflora is likely during treatment with antibiotics. These drugs kill not only pathogenic bacteria, but also beneficial bacteria.

To confirm vaginal dysbiosis, microscopic examination of smears is prescribed. Studying intimate secretions can confirm or deny the presence of a sexually transmitted infection. The results indicate the ratio of beneficial and harmful bacteria, which is calculated after assessing the number of both microbes.

With normal functioning of the immune system, as well as in the absence of STIs, the composition of the vaginal biocenosis is restored independently. In other cases, treatment with special medications will be required. If a woman has an infection, a short course of antibiotics or antifungal medications is prescribed. Only after its completion, suppositories are prescribed to restore the microflora in women.

The optimal form of release of such products is vaginal suppositories, tablets or capsules. They act directly at the source of disorders - they populate the mucous membrane with beneficial bacteria or lower the pH, after which their own bacteria can multiply unhindered. The most popular drugs against vaginal dysbiosis:

• Lactozhinal. Contains various strains of lactobacilli. Available in the form of vaginal capsules, 14 pieces per package. Apply 1-2 times a day for 7-14 days.
• Gynoflor. Available in the form of vaginal tablets. In addition to beneficial bacilli, they contain the female hormone estriol, which restores the process of mucosal renewal and regulates the activity of local immunity. There are 6 tablets in a package. Apply 1-2 per day, for 6-12 days.
• Ecofemin. Vaginal capsules containing lactobacilli. Sold in packs of 12 pieces. Use 1-2 capsules per day. The course of treatment lasts 6-12 days.
• Vaginorm S. Vaginal tablets containing ascorbic acid. Available in 6 pieces per pack. The active component normalizes the acidity of the environment, giving its own bacteria the opportunity to actively reproduce. Use 1 tablet per day for 6 days.

To normalize the balance of bacteria, tablets for oral administration (Vagilak), gels for washing and moisturizers for the vagina may be prescribed.

Gynocomfort gel is popular. This product contains herbal ingredients (chamomile, mallow extracts, tea tree oil), panthenol and lactic acid. The drug stimulates the regeneration of the mucous membrane, eliminates pathogenic bacteria, equalizes the acidity of the environment, and has a moisturizing effect in intimate areas. Inserted into the vagina using the applicator included in the kit, 1-2 times a day.

Description and indications for use

The popular Vagilak tablets hold the title of the first oral probiotic in the world, which was developed specifically to stabilize the vaginal microflora in women and girls. This medicine helps if the microflora has been disturbed due to long-term use of antibiotics, stressful conditions, gynecological diseases and other serious pathologies. Vagilak is produced under the international name "Laktogin" and contains two probiotic strains of the most effective lactobacilli.

The composition of Vagilac in capsule form, the instructions for which include all the necessary information, includes the bacteria Lactobacillus Rhamnosus GR-1 and Lactobacillus Reuteri RC-14, which are present in the healthy female microflora. One capsule of the medicine contains over one billion lactobacilli, as well as additional components that protect beneficial bacteria after they enter the body. The use of the drug Vagilak is allowed in the presence of the following diseases and conditions:

• dysbacteriosis;
• bacterial vaginosis;
• hormonal or age-related colpitis;
• chronic diseases of the female genital organs;
• vaginal dysbiosis;
• before preparing the vagina for the birth process, various procedures and surgical interventions;
• with excessive vaginal dryness;
• during the period of taking oral contraceptives;
• as part of complex treatment.

Contraindications and unforeseen situations

To avoid negative consequences and side reactions, you should not look for a cheap analogue of Vagilak on your own. If necessary, consult your doctor first. All medications described above are prohibited for use in case of hypersensitivity. Some vaginal suppositories are not used for thrush in the acute stage. Depending on the composition of the medication, it may be prohibited for use during pregnancy and lactation.

Most sources do not describe adverse reactions. But patients still report them. Vaginal suppositories often cause burning and itching. Reviews from women say that these unpleasant symptoms go away on their own after a few days of use. Also, some prevailing opinions say that oral probiotics cause abdominal discomfort, increase gas production and provoke nausea.

Which is better: suppositories, vaginal capsules or gel?

Suppositories for restoring microflora, capsules, tablets or gels in gynecology differ only in ease of use, since the composition of all products is absolutely identical, and the effectiveness depends only on the concentration of the components. Vaginal suppositories are more convenient to insert than capsules or tablets, since the latter must first be immersed in boiled water.

However, suppositories tend to leak.

Capsules have a number of advantages over candles:

• they are inserted into the vagina without prior preparation;
• do not melt in your hands;
• promote additional hydration of the mucous membrane;
• do not cause heavy discharge;
• have a long-lasting effect.

Among their disadvantages are the inconvenience of insertion due to a lack of vaginal lubrication and the long process of dissolving the capsular film. Gel is a less convenient form of gynecological drugs than suppositories or tablets, since they require a special applicator for application.

Their use is also limited to the evening, as they have a liquid structure and can leak. The form of any drug should be selected together with the patient, taking into account the characteristics of the body, lifestyle and severity of the pathology.

How to use probiotics for thrush and after treatment?

Candidiasis is a disease caused by fungal flora, which is part of the natural microflora of the human body. The pathological process can be localized on the mucous membranes of the genital organs, in the intestines, and on the skin. Until recently, mainly antimycotic drugs were used to treat the disease.

Probiotics for thrush are a new word in the treatment of the disease. The method has proven to be highly effective. The products are used both locally and orally, having a positive effect on the entire body. So what are these miracle drugs?

What are probiotics?

Probiotics are substances of microbial or other origin, as well as living microorganisms that inhabit the human body and perform important functions. They can be present in foods and also in medicines.

Until relatively recently, no one even thought about such useful substances. After all, they all entered the human body with food in the required quantities. But scientific and technological progress has changed our lives so much, interfering even with the quality of seemingly natural products, that the need arose to artificially reproduce these useful elements.

Pharmacological properties, indications, dosage

In the treatment of thrush, Acylact has a complex effect:

• destroys pathogenic flora: fungi of the genus candida, Proteus, staphylococcus, E. coli;
• promotes the growth of beneficial microflora, creating optimal conditions for this;
• restores and increases immune strength, promotes more intense metabolism.

The advantage of suppositories is that the acidophilic lactobacilli included in the composition have increased survival and multiply quickly, displacing fungus and other pathogenic flora. An acidic environment is created in the vagina, in which Dederline bacilli multiply quickly, and candida fungi cannot exist in such conditions. Moreover, the drug is absolutely safe for women, including expectant mothers.

The indication for the use of suppositories is not only candidiasis, but also other diseases of the female reproductive system:

• colpitis (non-infectious, hormonal, infectious);
• vaginal dysbiosis;
• chronic diseases: metroendometritis, endometriosis;
• in complex therapy of infectious diseases: chladidiosis, gardnerellosis, ureaplozosis.

In the treatment of thrush, Acylact can be prescribed either alone or in combination with other drugs (if other pathogenic microbes are found in the smear). In the treatment of chronic recurrent thrush, the use of suppositories is combined with vaginal tablets Terzhinan or Polygynax.

The dosage of Acylact for thrush is simple: one suppository is used at night, the course of treatment depends on the severity of the disease, more often it takes at least 10 days to get rid of thrush. In the chronic form, it is possible to use Acylact for up to 2 weeks with periodic repetition of courses.

There are practically no contraindications to use; Acylact suppositories are used to treat candidiasis in pregnant women - there is no negative effect on the fetus. Gynecologists often prescribe a drug to prevent candidiasis before childbirth - the so-called “sanitation” of the genital tract. There were no cases of allergic reactions to suppositories.

For candidiasis, Acylact vaginal suppositories can only be used with the permission of the attending physician. Moreover, at the initial stage of the disease, these suppositories will not only not destroy the fungal infection that caused the disease, but will also increase unpleasant symptoms in women:

• burning sensation localized on the external genitalia;
• itching in the vagina and around the clitoris;
• vaginal discharge due to candidiasis.

That is why Acylact can only be used simultaneously with antifungal drugs, since suppositories help to quickly restore the vaginal microflora. Also, these suppositories can be used after complete recovery to prevent relapse of the disease.

Treatment with Acylact suppositories is not worthwhile in the following cases:

• simultaneously with the use of local antimicrobial or antibacterial compounds;
• during menstruation, since the active substance of the medicine will not be able to completely penetrate the site of the disease;
• simultaneously with alcoholic products, since it disrupts the vaginal microflora and there will be no positive effect from the treatment.

As a rule, therapy with Acilact suppositories does not produce any side effects, however, some patients may experience individual intolerance to the components of the drug, which is expressed by severe itching and redness of the outer genital organs. The reason for this phenomenon may be the presence of paraffin in the composition of the candles.

1. Atsilakt suppositories

   Acylact suppositories can be called a multifunctional remedy that can treat various forms of thrush, diseases of the digestive tract caused by the proliferation of bacteria and fungi, as well as various infections of the genitourinary system.

2. Acylact is available in various forms, but first of all it is worth considering the use of vaginal suppositories for candidiasis.
3. All offered drugs contain the main substance Lactobacillus acidophilus. They are specially grown in a certain environment, rich in vitamins, minerals and natural substances that are harmless to human health. After obtaining the active substance, it is added to a product used against the proliferation of yeast infections or other viruses and bacteria.
4. We can say that Acylact is the safest drug for candidiasis, which does not have side effects.
5. The main task of Acylact is the direct destruction of pathogenic fungi and bacteria. It is a broad-spectrum antimicrobial agent that affects the restoration of the immune system.
6. Suppositories are used to normalize the vaginal microflora and prevent further growth of the fungus. Creating an acidic environment helps suppress bacterial growth. The suppositories also have an antimicrobial effect and counteract the development of staphylococcal infections and, as a consequence, the occurrence of colpitis in women.
7. Acylact Vitapharma

   Acylact suppositories are used for various forms of fungal infection of the body, vaginitis, colpitis, gynecological diseases associated with various infections, to prevent infection of the fetus during pregnancy and childbirth, sexually transmitted diseases, herpes.

8. Before using Acylact suppositories, you must be examined for the presence of fungus and related diseases. Only an accurate diagnosis will make it possible to correctly prescribe treatment and determine its duration. Suppositories can be used both vaginally and rectally. This makes it possible to use Acylact at any age, especially in children and adolescents.
9. Suppositories are used in the morning and evening, in each case a different dosage is prescribed. On average, treatment lasts a week, but can be extended if necessary, especially for the treatment of thrush after a course of antibiotics. In these cases, therapy may last two or three weeks. Sometimes, to enhance the local effect in the form of suppositories, it is necessary to add tablets that have a broad effect on the entire body.
10. Douching with soda

    Before using suppositories, you need to carry out hygienic procedures that will prepare the vaginal mucosa for administration of the drug. For this purpose, washing or douching is done using soda, potassium permanganate, furatsilin or decoctions of medicinal plants that have antimicrobial and disinfectant effects. When using candles before bed, it is advisable to use sanitary pads at night so as not to stain your underwear with possible discharge. It is not recommended to use tampons during treatment.

11. Suppositories are also not used during the menstrual cycle due to the fact that the active substance cannot completely penetrate the vagina and be absorbed into the mucous membrane. Therefore, treatment should begin immediately after the end of the monthly cycle.
12. Acylact suppositories have proven themselves very well as a prophylactic agent before childbirth. They are able to cleanse the vagina of microorganisms and prevent infection of the fetus and the occurrence of staphylococcal infections in the postpartum period.

Antifungal tablets Fluconazole

Specialists who prescribe a course of treatment for candidiasis recommend suppositories as part of complex therapy. Immediately before starting to use Acylact, it is better to take tablets that have an antifungal effect and only after that continue complex treatment with suppositories or other forms of the drug.

This will make it possible to influence not only the proliferation of the fungus, but also help eliminate other concomitant diseases of the digestive tract or genitourinary system. This drug allows you to restore the body after suffering infectious diseases. The positive effect of Acylact lies precisely in restoring the balance of microflora in the internal organs, which contributes to the restoration, first of all, of the immune system.

Unbearable itching, burning in the genital area, copious cheesy discharge, increased irritability - all these are symptoms of thrush. And it is caused by the fungus Candida. Thrush is also the first signal that there is a problem in the body. They lead to an imbalance in the microflora of the vagina and intestines.

Favorable conditions are created for the growth and reproduction of fungi and bacteria, which normally live in our body, but in small quantities. Therefore, when treating thrush, its cause is identified. They also help the body restore normal microflora of the digestive and reproductive systems. Acylact for thrush serves precisely this purpose.

Man exists in symbiosis with microorganisms. The former provides shelter and food, the latter take care of their owner and protect him from pathogenic microbes. There are about 2 kg of microorganisms in our body. They live in the intestines, mouth, vagina, skin, etc.

They form biofilms, which envelop the human body like a cover and do not allow pathogenic (disease-causing) microorganisms to disrupt his health. If this balance is disturbed, diseases appear. Probiotics are used to restore it.

A newborn girl's vagina is sterile. By the end of the first day of her life, it is populated by microorganisms. Bifidobacteria predominate in their composition.

With the onset of puberty, under the influence of hormones, the vagina is colonized by lactobacilli, bifidobacteria and propionibacteria. They are collectively called Doderlein sticks.

Doderlein sticks

Doderlein sticks:

1. Glycogen located in the vagina is converted into lactic acid, which creates an acidic environment. Vaginal pH is 3.8-4.02. Most microorganisms pathogenic to humans are not able to exist in an acidic environment.
2. Supports local immunity.
3. Produce hydrogen peroxide.
4. They produce biocins that have an antibacterial effect.
5. Synthesize vitamins.

Drugs for pregnant women

When complaints of smelly leucorrhoea appear during pregnancy, it is imperative to inform your doctor about this. Correctly prescribed treatment will guarantee that mother and baby will not have serious problems.

Vagisan

Vagisan has an antiseptic effect and has a positive effect on the vaginal microflora. It fights discomfort and does not harm the mucous membrane. The active components of the product are lactobacilli and lactic acid, which have a complex effect and normalize the acid-base balance. They form the correct acidic environment.

Indications:

• weakened immune system;
• genital tract infections;
• stress disorders;
• taking contraceptives.

Contraindications include allergies to substances in the product. The medication is administered intravaginally as deep as possible using an applicator once a day, preferably at night. The product is sold without a prescription, price from 380 rubles.

Vagilak

The product is intended for the treatment of sexually transmitted infections and their prevention. It has several types and forms of release and normalizes hormonal levels. The product contains several types of lactobacilli, which normalize the vaginal microflora. The medicine is used in the treatment of inflammatory processes, in preparation for childbirth and before surgery.

Indications:

• vaginal dysbiosis;
• chronic inflammation of the genital organs;
• treatment of thrush;
• vaginal dryness.

The product is administered once a day into the vagina using an applicator. The course of therapy is determined by the doctor.

Contraindications:

• age up to 10 years;
• allergy to substances in the product;
• acute inflammation of the vagina.

Available analogues

On the official website dedicated to Vagilak, you can find available analogues that are suitable for those who know what such dietary supplements can help with. The vast majority of similar products contain bifidobacteria and lactobacilli, which are taken from the gastrointestinal tract of healthy people, and this is their main difference from the drug Vagilac. Natural Vagilak tablets contain only those lactobacilli that are present in the urogenital tract of women who do not have health problems.

If we compare Vagilak and another drug Bifidumbacterin, then Vagilak is clearly superior to it in its pharmacological properties. The list of other similar products also includes Acylact, Prolit, Normolyzer and a number of additional drugs with a similar spectrum of action. When comparing Vagilac with other medications, it is worth considering not only its price, but also other factors, including speed and effectiveness of action. Convenient drops or capsules of Vagilak can quickly normalize the balance of a woman’s vaginal microflora.

Normal microflora

By the end of the first day of a newborn girl’s life, microorganisms in which bifidobacteria predominate are colonized in her vagina. The remaining beneficial bacteria are colonized from the onset of puberty. Thus, up to 98% of beneficial microorganisms are found in the female genital organs, and the rest are opportunistic microorganisms. This ratio of bacteria is not capable of causing any pathologies, but if their number is disturbed, infectious diseases of the female genital organs and urinary system begin to develop. Most often, women are faced with such an unpleasant illness as thrush (candidiasis), which is caused by yeast-like fungi of the genus Candida. Candidiasis is characterized by severe vaginal itching, burning, dryness and copious whitish discharge.

What causes candida to multiply?

Thrush can develop as a result of the use of antibacterial therapy.
Fungal infections are provoked by various factors, and most often a weakened immune system contributes to the activation of the Candida fungus. A decrease in the immune system occurs due to long-term use of cytostatic drugs, radiation therapy, vitamin deficiency and as a result of severe stress. But also the appearance of fungus in the female genital organs is caused by disturbed microflora of the vagina and intestines. The reasons for the imbalance of beneficial and pathogenic bacteria are:

• Wearing tight, poor-quality clothing and underwear.
• Taking antibiotics, which have a detrimental effect not only on infectious agents, but also on lacto- and bifidobacteria. The result is an excellent environment for fungal growth.
• The use of cosmetics for the care of the intimate area that contain antibacterial additives.
• Intestinal dysbiosis.
• Smoking and poor diet.
• Use of hormonal contraceptives.

Diabetes can cause a fungal infection that causes thrush. With this pathology, the level of glucose in the blood and urine increases significantly, and a sweet environment is formed, which serves as a source of nutrition for candida. Thrush often develops in women with thyroid pathologies.