How effective is Terzhinan for thrush?

Compound

Active ingredients: ternidazole - 200 mg, neomycin sulfate - 100 mg (65,000 IU), nystatin - 100,000 IU, prednisolone sodium metasulfobenzoate 4.7 mg ( prednisolone 3 mg).
In addition to the active ingredients, the Terzhinan vaginal tablet includes: wheat starch (Amylum tritici), colloidal silicon dioxide (Silicii dioxydum colloidale), sodium starch (type A; Natrii amylum), magnesium stearate (Magnesium stearate), lactose (Lactose).

Etiology of disease development

If the outer side of the cervical epithelium is damaged, the gynecologist diagnoses erosion. At the first stage, up to 1/3 of the total area of ​​the epithelium is affected. As the disease progresses, the entire epithelium is damaged. When examining the patient, its type is revealed:

• true;
• congenital;
• pseudo-erosion.

Rarely does the disease go away on its own in the first stage. More often, chronic erosion develops against its background, requiring urgent treatment. The congenital type of the disease cannot be treated. The treatment regimen is selected taking into account the symptoms manifested and the cause of development:

• injury;
• hormonal imbalance;
• weak immune system;
• inflammation;
• sexual infection.

https://youtu.be/lbLQXolXTh8

Taking into account the clinical picture and the identified cause, the gynecologist decides on the need to include Terzhinan in the treatment regimen. It is classified as an antiseptic and antimicrobial agent. The medicine is a corticosteroid and an imidazole derivative.

It does not eliminate erosive lesions of the cervix. The purpose of including it in the treatment regimen is to sanitize the vaginal cavity and minimize the negative impact of pathogenic microbes on the cervix.

Terzhinan in suppositories for cervical erosion is not available. The main form of release is vaginal tablets. Antiseptic is contraindicated:

• in the first trimester of pregnancy;
• if you are allergic to the constituent elements: nystatin, prednisolone, ternidazole.

The unique composition of the drug ensures the destruction of pathogenic bacteria and neutralization of inflammation.

https://youtu.be/QqP6BEZBq_c

pharmachologic effect

Terzhinan is a drug from the group of combined antimicrobial, antifungal and antiseptic drugs used in gynecological practice.

The physiological effect and pharmacological properties of the drug are determined by the activity of the active components included in its composition. During treatment with Terzhinan, pronounced:

• trichomonacid;
• antibacterial;
• antifungal;
• anti-inflammatory effects.

Composition and release form

Terzhinan is a vaginal tablet that is used in a similar way to anti-yeast suppositories. Terzhinan's shape is really more like an elongated tablet with rounded edges. There can be 6 or 10 pieces in a package and they are all hermetically sealed.

Terzhinan candles

The drug is characterized as complex, since it contains several active substances at once. The main ones among them are:

• Ternidazole. This substance actively fights bacteria such as Trichomonas, Gardenerella and anaerobic species;
• Neomycin. An antibiotic that affects bacteria such as staphylococcus, streptococcus, as well as E. coli;
• Prednisolone. An antiallergic agent. It can eliminate phenomena such as itching, swelling, redness of the skin, irritation, etc.;
• Nystatin. An antimycotic substance that has a detrimental effect on fungi of the genus Candida.

Additional components of the drug include starch, clove oil, silicon dioxide, lactose monohydrate, and purified water. Their function is to maintain normal pH levels and maintain the integrity of the internal walls of the vagina.

Pharmacodynamics and pharmacokinetics

ternidazole, which is part of Terzhinan, is aimed at the death of Trichomonas . In addition, it provokes the death of anaerobic microorganisms and, in particular, is active against facultative anaerobes of the genus Gardnerella.

Neomycin is an antibiotic from the aminoglycoside . The mechanism of its action is associated with the ability to irreversibly disrupt protein synthesis in the cells of pathogenic microorganisms .

By suppressing protein synthesis , neomycin causes disturbances in the transcription of the genetic code and provokes the death of microbial cells . It has been experimentally proven that aerobic bacteria : corynebacteria (C. amycolatum), listeria (Listeria), as well as methicillin -sensitive Staphylococcus aureus (MSSA).

In addition, it was found that gram-negative bacteria are also neomycin , including Pseudomonas aeruginosa (P. aeruginosa), which is usually resistant to the action of this antibiotic .

Nystatin is an antimycotic agent from the group of polyene antibiotics . By binding to ergosterol contained in the membranes of fungal cells , it causes their damage and thereby provokes the death of fungi.

Nystatin only affects eukaryotes . Fungi belonging to the genus Candida are sensitive to it, including strains of Candida albicans and Candida glabrata.

Prednisolone is a glucocorticosteroid drug . When applied topically, its therapeutic activity is determined by its anti-inflammatory , antiallergic and antiexudative effects. The latter is due to the vasoconstrictor effect of prednisolone .

The excipients included in vaginal tablets ensure the integrity of the vaginal epithelial tissue in various infectious and inflammatory diseases , and also maintain pH balance within the physiological norm.

The pharmacokinetic characteristics of Terzhinan have not been studied, which is due to the low systemic absorption of this drug.

Terzhinan for thrush for women: how to take and contraindications

There are a huge number of medications that are used to treat thrush. But many women have contraindications to taking them. The use of such medications is prohibited during pregnancy. That is why it is necessary to use Terzhinan for thrush, which is characterized by a high level of safety.

Features of the product's impact

Candles are characterized by the presence of several active components in their composition simultaneously. Thanks to the presence of tinidazole, it has an effect on anaerobes. These are bacteria that can develop on mucous membranes characterized by low acidity.

That is why suppositories are effective in combating a variety of pathogens. The medicine can be fully taken against Trichomonas.

Terzhinan also contains neomycin, which is used to treat a variety of nonspecific infections. Due to the presence of nystatin in the drug, it can be used against fungi.

The drug is characterized by the presence of anti-inflammatory and antiseptic effects, since it contains geranium and clove oils.

Due to the unique composition of the drug, it can be used against a variety of fungi, which ensures highly effective treatment.

Indications for use of the drug

The drug is intended for women diagnosed with bacterial vaginosis. Also, this drug is highly effective for the treatment of mixed vaginitis.

Doctors very often prescribe Terzhinan to representatives of the fairer sex with vaginitis, which occurs as a result of exposure to Candida fungi.

The drug has a high effect in the treatment of vaginal trichomoniasis in women. When exposed to pyogenic or rod microflora, patients develop bacterial vaginitis, and in such cases they need to take medication.

Suppositories are absolutely safe, so they can be used during pregnancy.

The drug is prescribed for prophylactic purposes a few days before an abortion or expected birth. Before gynecological surgery, medication may also be used.

Suppositories are widely used for preventive purposes before and after procedures such as the installation of an IUD, as well as diathermocoagulation of the cervix.

Possible side effects and contraindications

Terzhinan is a safe drug, which allows it to be used even during pregnancy. When using medications in women, in rare cases, local reactions were observed, which were manifested by a burning sensation after administration.

In some cases, female representatives were diagnosed with allergic manifestations on the skin in the form of redness or rashes. If there are side effects after taking the medication, especially during pregnancy, the suppositories are replaced with other medications.

The possibility of an overdose of the drug is unlikely, which is explained by insignificant adsorption.

The drug does not penetrate into the general bloodstream and has absolutely no effect on the fetus, which allows it to be fully used during pregnancy.

Medicines against thrush are strictly prohibited from being taken by female representatives who have hypersensitivity to their components. The drug must be used in patients over 16 years of age. You can also use the drug during pregnancy, regardless of the patient’s age.

Features of the drug use

Suppositories are intended for vaginal administration. If they are used against thrush, then the fairer sex needs to carry out not only hygiene procedures, but also douching using a weak alkaline solution. The introduction of vaginal suppositories is carried out in a lying position.

Many female representatives ask how many days it is necessary to use the medicine against thrush? To treat this disease, it will be enough to administer 6 suppositories. In some cases, the dose is increased to 10 pieces.

Before using candles, they are immersed in water for half a minute. You can also hold the suppository in a damp hand for a few minutes. If the vaginal tablet is administered during the daytime, the patient must remain in a lying position for at least 10 minutes after this procedure.

Doctors recommend using the drug in the evening, before bed, which will significantly increase its effect on a certain disease. If you want to know how many days it takes to treat dysbiosis in the vagina, this is directly influenced by the clinical picture and the individual characteristics of the patient.

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When taking medication against thrush, the course of treatment can range from 6 to 20 days. After this, female representatives are recommended to undergo a re-examination to confirm the absence of the disease.

Interaction with other drugs and storage conditions

Suppositories are characterized by the absence of clinically significant interactions with other drugs. That is why they can be used to treat women who are taking other medications. Terzhinan can also be combined with other medications during pregnancy.

You can buy the medicine at any pharmacy without a prescription. The cost of the drug on average ranges from 400 to 600 rubles, which allows almost any patient to purchase it.

How many days to use the drug should be determined by the attending physician. That is why before using Terzhinan it is necessary to consult a gynecologist.

The shelf life of the drug for women after its production is three years. After its completion, the use of Terzhinan is strictly prohibited. The medicine should be stored in places where there is no exposure to moisture and light.

The optimal temperature for proper storage of the drug is 15-25 degrees. Parents should ensure that the medicine is out of reach of children.

If a female representative experiences side effects for any reason, then she needs to replace the drug with its analogues. These include drugs such as Fluomizin, Livarol, Zalain, Betadine, Hexicon, etc.

These medications are characterized by a high effect on bacteria and fungi, which guarantees the effectiveness of treatment. They have contraindications, which requires caution in their use.

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Indications for use: what Terzhinan treats and when it is advisable to prescribe it

Indications for the use of vaginal tablets are infectious diseases of the female external genitalia , caused by the entry and active activity of pathogenic microorganisms .

So, vaginal pills, what are they for? The medicine is prescribed to women who have been diagnosed with:

• vaginitis , provoked by banal pyogenic microflora ;
• chronic recurrent colpitis (nonspecific vaginitis);
• vaginal dysbiosis;
• trichomonas vaginitis;
• vaginitis caused by the activity of the fungi Candida albicans;
• vaginitis of mixed origin.

Terzhinan is also often prescribed as a prophylactic agent to prevent the development of vaginitis in women who are undergoing minor and major surgical interventions in the pelvic .

In particular, the medicine is used before childbirth, the procedure of surgical abortion , diathermocoagulation (it is advisable to administer tablets both before and after the procedure), contrast X-ray examination of the uterine cavity and the patency of the fallopian tubes ( metrosalpingography ), before the installation of intrauterine contraceptives and after this procedure and etc..

Terzhinan is also used as a means of preventing complications of antibacterial therapy .

The use of Terzhinan suppositories for ureaplasmosis

Despite the fact that the active growth of ureaplasmosis is most often associated with malfunctions of the immune system , treatment with immunomodulatory drugs does not always achieve the desired result.

In this situation, they resort to prescribing special antibacterial agents or antibiotics . Very often, for ureaplasma , doctors recommend Terzhinan, which acts on a wide range of pathogenic microorganisms and provides a pronounced anti-inflammatory effect .

A valuable property of the drug is that, while provoking the death of microbes and fungi , it does not disturb the natural microflora of the vagina.

Terzhinan for thrush

Terzhinan is recommended for the treatment of women whose thrush is accompanied by suspected secondary inflammation and/or infection with secondary microflora .

In addition, the use of Terzhinan is resorted to in cases where the symptoms are so pronounced that they should be stopped as quickly as possible.

In some cases, the drug is indicated as a substitute for complex therapy if previous treatment with other antifungal agents was ineffective.

Reviews of suppositories for thrush left by patients and practicing gynecologists suggest that Terzhinan successfully cures fungal infection without causing the development of unwanted side reactions.

Contraindications

Terzhinan is ineffective against streptococcal bacterial infection, so there is no point in using it. In addition, you need to check for the fungus’ resistance to ternidazole and nystatin; if resistance is detected, you need to find other suppositories.

Negative reactions of the body to the tablets are limited to redness and itching. In rare cases, burning and irritation may occur after the first procedure. If adverse reactions occur, the suppositories are replaced with an analogue.

Terzhinan can be used only after consulting a doctor and examination to reduce the risk of adverse reactions. If you are allergic to the components of suppositories, it is unacceptable to include them in the therapeutic course.

During treatment, it is recommended to regularly visit a specialist to determine whether Terzhinan helps with thrush, or if you should choose another medicine.

Side effects

Terzhinan quite rarely provokes side effects. Since suppositories are used topically, their constituent components are absorbed into the systemic circulation in very small concentrations.

Therefore, in most reported cases, they provoked exclusively local reactions, which were expressed in the form of allergy symptoms , burning, tingling, itching, pain and irritation at the site of drug administration.

Systemic effects during treatment with the drug occur in isolated cases. A possible reaction to the use of glucocorticosteroids (and, in particular, to prednisolone atrophic processes in the mucous membrane may also occur in some patients .

Is Terzhinan effective for thrush?

Pharmacology is developing rapidly; every day new drugs appear on the shelves of pharmacies for the treatment of many diseases, for example, candidiasis. Many gynecologists began to recommend Terzhinan to their patients for thrush.

How effective is the medicine and can it always be used?

Terzhinan for thrush is used more and more often and is considered the most effective and efficient. Moreover, the drug resists not only the Candida fungus, but also other harmful microorganisms. All this makes the drug convenient for treating combined infections, when other diseases appear along with thrush.

The price of Terzhinan vaginal tablets in Russia starts from 350 rubles (average price 400 rubles) for a pack of 6 tablets. A package of 10 tablets will cost 450-600 rubles. In Ukraine, Terzhinan costs from 100 to 200 hryvnia, depending on the number of tablets in the package.

Terzhinan candles have no direct analogues, since they contain several active components:

1. Nystatin – has a detrimental effect on fungi of the genus Candida;
2. Neomycin is a broad-spectrum antibiotic;
3. Ternidazole – aimed at combating anaerobic bacteria;
4. Prednisolone – has an anti-inflammatory effect.

That is why Terzhinan vaginal tablets are very often prescribed before childbirth or gynecological operations as an antiseptic.

Terzhinan suppositories: how to administer correctly?

It is necessary to administer the medicine before going to bed, but if you cannot do this, you can carry out treatment at a time convenient for you. The only and mandatory rule is no more than one candle per day.

Before starting the procedure, wash your hands thoroughly and wash your genitals with soap and water. It is not recommended to use sprays or gels at this time.

Take a package of tablets and remove one piece, put it in cool water for 20 seconds, due to this the top layer will slightly dissolve and the effect of the drug will begin immediately.

Remove the tablet from the water and then find a comfortable position. It is this point that needs to be given more attention, since the instructions indicate that the best position for insertion is lying down. However, not every woman can insert a tablet in this position, since it is small in size and it will not be possible to push it as deep as possible. That is why experts insist that it should be inserted only in the position in which it is convenient for you.

The most convenient, according to many, are:

• Squat down, spread your shins wide;
• Take a standing position, lift one leg up and place it on something;
• Lie on your back, bend your knees and gently press them to your stomach.

After a comfortable position has been taken, use the fingers of the hand that is uncomfortable for you (for right-handed people, the left hand and vice versa), spread the labia to the sides, and try to expose the entrance to the vagina. With your other hand, take the tablet and push it as deep as possible.

Remove your fingers from your vagina and lie down gently on the bed or sofa for 20-25 minutes. During this time, the tablet will have time to dissolve, and the active substances will be half absorbed into the mucous membrane. After this, you can get up and get dressed (preferably using a panty liner) and continue with your business.

Indications for use

Treatment of thrush with Terzhinan is carried out for certain indications. As a rule, gynecologists prescribe it in the following cases:

1. Thrush.
2. Colpitis.
3. For the purpose of prevention during the development of the inflammatory process.
4. After the IUD is inserted, tablets can also be administered for prophylactic purposes.
5. Inflammation of the appendages.
6. After treatment for uterine erosion.
7. Trichomonas vaginitis.

It is allowed to use the drug while pregnant, breastfeeding, and during menstruation.

Contraindications and side effects

Treatment of thrush with terzhinan almost always goes well and there are actually very few contraindications. The only limitation is hypersensitivity to any component that is included in the tablets. As a rule, the female body tolerates the drug well.

The only condition is the correct dosage, as well as the frequency of use of the medicine. If suspicious symptoms occur, you must visit a medical facility and inform your doctor.

In order for drug treatment to be justified, you must first undergo a series of examinations and pass the necessary tests. Thanks to this, it is possible to identify the exact causative agent of the disease and establish sensitivity to the drug. If during research it turns out that the pathogens are not sensitive to the drug, then it can be taken. After a course of treatment, it is necessary to undergo a re-examination to ensure that the therapy was successful.

Under no circumstances replace Terzhinan with other drugs on your own without first consulting your doctor. If you have any questions regarding the use of the drug, be sure to ask your doctor. By following all the recommendations and observing the rules of treatment, you will quickly get rid of the unpleasant disease.

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Terzhinan suppositories, instructions for use (Method and dosage)

Instructions for use of Terzhinan recommend inserting vaginal tablets deep into the vagina, one once a day, every day for ten days.

Before inserting the tablet into the vagina, it should be immersed in water for about 30 seconds (or held in a wet hand for about two minutes). If the tablet is administered during the day rather than in the evening, you should lie down for at least ten minutes after administration.

The optimal time for the procedure is evening. This is due to the fact that in the morning after the administration of Terzhinan, a yellowish discharge may appear, which is normal when undergoing a course of treatment with the drug.

If the goal of treatment is to normalize the imbalance of microflora in the vagina and relieve symptoms of inflammation , then the duration of treatment, depending on the clinical picture and the doctor’s prescription, is from six to ten days.

If the reason for using the drug is thrush , the course of therapy is increased to 20 days. Three days after its completion, it is recommended to undergo a re-examination and take tests, which will either confirm complete recovery or indicate the need for a repeat course.

During pregnancy, the dose and duration of treatment are determined by the attending physician depending on the clinical situation.

Is it possible to use suppositories during menstruation?

Very often, patients who are indicated for treatment with Terzhinan wonder whether these pills can be used during menstruation. In the instructions for the drug, the manufacturer indicates that menstruation is not an indication for stopping treatment.

Treatment of chronic candidiasis

Does Terzhinan help with chronic recurrent thrush? Only in combination with immunomodulators and drugs that help normalize the balance of mucosal microflora. It is better to initially seek medical help and get tested (smear) for subsequent laboratory testing. The main thing is to establish the current balance of microflora and which pathogenic microorganisms predominate at the moment. It should be borne in mind that candidiasis in most cases stimulates an increase in the concentration of bacteria in the mucous membrane and is often combined with inflammation of the urethra.

It should also be noted that Terzhinan effectively treats thrush only at the early stage of its manifestation, when there is no massive cheesy discharge. In an advanced stage, doctors recommend initially performing a complex of douching with antimycotic solutions, and only then using vaginal tablets or suppositories. The course of treatment with them is at least 20 days, but can be increased to 30 days (at the discretion of the attending physician). If necessary, the course is repeated after a 2-week break.

For persistent candidiasis, Terzhinan is used only in combination with oral antimycotics. The duration of therapy depends on the doctor’s instructions, since it is initially necessary to determine the extent of the spread of the fungal infection. It is worth considering that thrush can be complicated by candidal sepsis, which is the most complex form of the disease. Complex treatment is already used here, aimed at deintoxicating the body and taking narrow-spectrum antimycotics.

More interesting: Viferon for thrush

Does Terzhinan treat thrush that has spread to the urinary system (urethra, bladder)? It is suitable for symptomatic treatment, but for greater effect you should take oral antimycotics prescribed by your doctor. The patient may also be prescribed medications that stimulate the flow of urine to prevent the fungus from spreading to the ureters.

The use of the drug against invasive variations of candidiasis is not recommended, since the fungal infection grows into the deep layers of the epithelium of the genital mucosa. And the active components of Terzhinan are subject to minimal reabsorption and are effective only for non-invasive forms of thrush.

special instructions

The results of studies of the effectiveness of the components of the drug Terzhinan demonstrated that the concentrations of the active components in this drug for local therapy (but not for oral administration) are higher than the toxic concentrations that determine the development of immunity to the antibacterial component .

Under such conditions, it is assumed that the activity of strains of the infectious agent that are theoretically resistant to the active substance will be suppressed by its high concentrations.

In addition, it is very likely that high concentrations of all active components of Terzhinan can have a synergistic (enhancing effect of each other) effect on pathogenic microflora , which, in terms of its spectrum of action, is much wider than that of each individual active component.

It should be remembered that drugs containing nystatin intended for intravaginal use may damage latex contraceptives.

Considering that the active components of Terzhinan can potentially be slightly absorbed into the systemic circulation , it should be remembered that when using systemic glucocorticosteroids in patients diagnosed with osteoporosis , arterial hypertension and heart failure , supervision by specialists in the appropriate field is required.

Specialist supervision is also required for existing or history of peptic ulcers , tuberculosis , glaucoma , hypothyroidism , serious emotional disorders, myopathy provoked by the use of glucocorticosteroids , liver failure , epilepsy , diabetes mellitus , recent myocardial infarction .

Terzhinan is an effective remedy for women. What about for men?

Gynecologists constantly remind us that all infectious and inflammatory diseases for which Terzhinan is indicated must be eliminated from both the woman and the man. To do this, both partners must undergo a course of treatment with antibacterial drugs .

Neglecting this point risks the fact that all the unpleasant symptoms that appear with a particular disease will return. It is also recommended to abstain from sex for the entire period of treatment, but some doctors sometimes still allow partners to have a normal sex life.

The main conditions are the mandatory use of a condom and the complete absence of any side effects from the reproductive system (for both women and men).

For example, some women may experience a strong burning sensation during sexual intercourse (or some time after it), while complaints from men are more often associated with unpleasant sensations and some discomfort.

In any of these cases, the optimal solution is to abstain from sexual activity until the course of treatment is completed. It is important to remember that sexual intercourse must occur only before the next evening vaginal tablet is administered (not after!).

Composition of the drug Terzhinan

The standard course of treatment for thrush is a set of measures consisting of medication and the establishment of a general diet.
One of the most effective medicines in the fight against thrush is the drug Terzhinan. The main distinctive feature of the drug is the absence of possible analogues in the pharmacological environment. Almost all pharmacy names are interchangeable, but the medicinal composition of Terzhinan has no high-quality analogues in a wide range of tablets. The production of the preventive and therapeutic drug is carried out by the French laboratory of Bouchard-Recordati, which endowed the author's products with high-quality properties.

Terzhinan is an antifungal drug intended for the treatment of Candida infections of the female reproductive system. The medication is available in two forms: as vaginal tablets (6-10 pieces per package) and suppositories. The composition of the medicine is combined. The chemical composition of Terzhinan assumes the presence of the following components:

• ternidazole;
• neomycin;
• nystatin;
• prednisolone.

Ternidazole is active against pathogenic bacteria that multiply in an airless environment. Neomycin reduces the level of fungal resistance. The algorithm of action of neomycin is to destroy the protein structure of the pathogen, which leads to the elimination of the infection.

Nystatin is responsible for the segment of antibacterial therapy, since its work is associated with the elimination of Candida fungus. Nystatin has a destructive effect on the cell membranes of bacteria and weakens their growth. Prednisolone is recommended as a healing component that helps cope with itching, burning and irritation of the mucous membrane.

Terzhinan is a combined antibacterial, antiprotozoal and antifungal vaginal tablet that relieves inflammation of the mucous membrane.

Used in gynecology. Method: locally. Contains the following medicinal components:

• ternidazole is an antifungal active substance, effective in the fight against aerobic and anaerobic bacteria;
• neomycin sulfate is an antibiotic with a broad spectrum of action, pharmacological group is aminoglycoside. Affects gram-negative and gram-positive bacteria;
• nystatin is a polyene antibiotic that slows down the growth and membrane permeability of all types of Candida fungus;
• Prednisolone sodium metasulfobenzoate is a glucocorticoid that eliminates inflammatory and allergic processes in the vagina.

Indications for the use of Terzhinan for thrush:

• acute thrush;
• mixed vaginitis;
• chronic candidiasis.

It is also recommended for the prevention of relapses.

The drug is conditionally approved in the second and third trimesters of pregnancy, but only on condition that the dose and regimen of its use are prescribed by a doctor.

In the first months of gestation and during breastfeeding, treatment is permissible when the effectiveness of the effect on the mother’s body exceeds the risk of developing pathologies of the fetus and child.

The high effectiveness of the drug is due to the effect on the fungus of four active components, the combination of which ensures rapid recovery:

• nystatin is an antibiotic that acts against fungal infections;
• ternidazole – an antifungal substance;
• neomycin – have an inhibitory effect on pathogenic microorganisms, regardless of their origin;
• prednisolone is a hormone that has anti-inflammatory and antipruritic effects, relieves the symptoms of the disease.

Terzhinan's analogs

Many patients, having received a prescription for the drug from a doctor, try to find a cheaper alternative to Terzhinan.

Currently Terzhinan has no analogues. For women diagnosed with bacterial vaginosis or vaginitis , a number of drugs may be prescribed, for example: Neotrizol , Polygynax or Meratin Combi .

Despite the fact that they are similar in action to Terzhinan, the latter is unique in its composition and ability to have a complex effect on inflammatory and infectious processes affecting the mucous membrane of the female external genital organs .

The average price of analogues of Terzhinan candles varies from 350 to 700 rubles.

Which is better: Terzhinan or Polygynax?

The effect exerted by the drug Polygynax is identical to the effect exerted by Terzhinan. However, studies aimed at comparatively assessing the activity of the components of these two drugs in in vitro models showed that Terzhinan, unlike Polygynax , has no effect on MRSA (methicillin-resistant Staphylococcus aureus), streptococci and enterococci . At the same time, it showed great activity against Gardnerella vaginalis (G. vaginalis).

Which is better: Hexicon or Terzhinan? Terzhinan or Penotran?

Both of these drugs have a similar effect to Terzhinan, but differ from the latter in composition.

That is, the active ingredients of each of these drugs may exhibit different activity against the same microorganisms . Consequently, only the attending physician can decide which drug is better and which will be less effective in each specific case.

How to use Terzhinan for thrush?

Vaginal candidiasis or thrush can be detected as a self-occurring pathology or in combination with infections transmitted through sexual intercourse. The most effective effect in the treatment of complex forms of fungal infection is terzhinan, the targeted action of which eliminates the immediate cause of the appearance of unpleasant symptoms.

What is the drug?

The choice in the treatment of thrush with terzhinan is based on the combined composition of the drug, which has not only an antifungal effect, but also an antibacterial and antiprotozoal effect. This combination allows for a comprehensive approach to the treatment of the inflammatory process, effectively and quickly stopping its manifestation.

The drug is used only topically, despite its patented tablet form. Each has biconcave oval surfaces with the initial letter of the name imprinted on the sides. The drug does not have any other form of release, in the form of suppositories. The tablets are intended for intravaginal administration and are not used rectally for the treatment of pathologies of the rectum.

Contraindications and scope of use of the drug

Terzhinan is indicated for the treatment of the following types of diseases affecting the internal structures of female reproduction:

• Vaginal candidiasis. During the course not only in the acute period of the obvious form of development of thrush, but also during the secondary attachment of the pathogen or combined infection, when diagnosing the process is difficult.
• Trichomonas infection, gardnerellosis.
• Bacterial colpitis, vaginitis.
• Salpingo-oophoritis, inflammation of the adnexal structures.

In addition to the above, the drug is used for prophylactic purposes in the postoperative period, upon completion of treatment of the erosive process, after installation of the spiral, as well as when the initially used drugs for the treatment of thrush are ineffective. The drug should not be used if any of the components that may cause signs of an allergic reaction are individually unacceptable.

How to administer tablets correctly?

Due to the difference in the structural composition and shape of the tablet from the suppository, it has a completely dry surface, which makes it difficult to freely insert it into the vaginal lumen. Therefore, when using terzhinan for thrush, you must first moisten the tablet with water, and only then carefully immerse it inside the vagina.

The frequency of administration is one tablet daily in the evening, preferably before bedtime. If there is a need to use the drug during the day, after immersing the tablet, you must remain in a horizontal position for some time. This allows the mucosal tissues to more fully absorb the components of terzhinan, thereby ensuring the best result of therapeutic actions. Before administration and after the procedure, be sure to wash your hands.

The duration of use of the tablets is determined by the attending physician, based on the severity of the ongoing process, the intensity of the manifestation of disturbing symptoms and the individual characteristics of the female body. In most cases, this interval takes from 6 days to 3 weeks, without interruption for the period of cyclic blood loss.

Features of use during pregnancy

Treatment of thrush with terzhinan is limited to the first trimester, i.e. only after the embryo is fully formed. From the second trimester, the dosage and regimen of use of the drug is determined by a specialist on an individual basis.

The use of tablets at the beginning of gestation and during breastfeeding is allowed only if the risks of the toxic effects of fungal infection are not comparable with the possibility of pathologies in the child. The regimen for using the drug and the frequency of administration into the vagina are standard: 1 tablet per day with preliminary wetting.

Important points

The use of terzhinan for thrush, in quite rare cases, can cause the development of side effects in the form of symptoms:

1. Itching and burning of the vaginal mucosa;
2. Formation of rashes;
3. Tissue swelling;
4. The secreted secretion acquires a yellowish tint and an unpleasant odor.

Symptoms at the beginning of using the drug are allowed and go away on their own within 3 days. If the inflammation process progresses, it is necessary to urgently consult with your doctor. When prescribed strictly, Terzhinan tablets have confirmed a high level of effectiveness in the treatment of not only thrush, but also other pathologies of a bacterial and fungal nature.

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Reviews about Terzhinan

In their reviews of Terzhinan suppositories, almost all women note that the main advantages of this drug are that the latter is very easy to use, accessible (Terzhinan tablets are relatively inexpensive medicines), in the vast majority of cases well tolerated and extremely rarely provokes the development of complications and unwanted side reactions.

If we talk about the effectiveness of the drug for thrush , then reviews of Terzhinan on the forums allow us to conclude that this drug has established itself as an effective and safe remedy that allows you to quickly cure chronic thrush .

Reviews of Terzhinan during pregnancy and breastfeeding indicate that very often this drug turns out to be an effective remedy (even in cases where other drugs did not help solve the problem).

Negative reviews are mainly associated with hypersensitivity reactions to the components of the drug.

Some women also write that they began to experience spotting after taking one or more Terzhinan tablets. Gynecologists assure that this phenomenon has nothing to do with the use of the drug and to establish the cause of its origin it is necessary to undergo additional examination.

Reviews from those who have already used Terzhinan

Terzhinan tablets and suppositories for thrush have been used in medical practice for over 12 years, so on the forums you can find hundreds of reviews from women who have used this drug in practice. Some of them can be cited as examples.

Angela, 26 years old, Chelyabinsk:

I first learned about thrush after giving birth. Before that, I thought that the disease only occurs in young children. She also thought that I had some kind of postpartum problems. The gynecologist at the local hospital reassured me and prescribed Terzhinan, and also recommended using high-quality underwear. I used 1.5 packs of tablets and didn’t remember any more about thrush. Fortunately, the child didn’t have anything like that either.

Evgenia, 36 years old, Bakal:

Several years ago I was diagnosed with a recurrent form of candidiasis. I didn’t consider it a big problem, and the pain went away on its own over time. But it got to the point where the burning was so strong that I couldn’t stand it anymore. And it always worsened mainly before the end of the menstrual cycle. I really thought that I wasn’t taking good care of myself, so I started using special decoctions and washing my face 3-4 times a day. There was some benefit from this, but it was minimal. And then I went to see a doctor. A week later I was diagnosed with persistent chronic candidiasis. As the doctor explained, this is when thrush gets stronger and weaker, but does not go away. That is, the infection is always in the vagina. I immediately used chlorhexidine solutions to remove plaque, and after 3 days I introduced Terzhinan suppositories. After 6-7 days I already felt an improvement in my health. The entire course took a little over a month. So far (and 6 months have already passed) I don’t remember the sore. The only thing I remember is that at the beginning of the treatment there was severe irritation. The gynecologist said that this is a local reaction and there is nothing wrong with it.

Terzhinan price, where to buy

How much do candles cost in Russia?

The price of Terzhinan No. 10 tablets is from 510 to 580 rubles. The price of Terzhinan No. 6 candles is from 430 rubles. You can find out the exact cost of 6 or 10 tablets either on the website of a specific pharmacy chain or by calling the desired pharmacy.

Terzhinan price in Ukraine

The average price of Terzhinan No. 10 candles in Ukraine is 190-230 UAH. You can buy tablets No. 6 for an average of 160 UAH: in Odessa they sell for 140 to 165 UAH, in Kyiv pharmacies for 150-166 UAH, in Kharkov the price of the drug is 145-162 UAH.

• Online pharmacies in RussiaRussia
• Online pharmacies in UkraineUkraine
• Online pharmacies in KazakhstanKazakhstan

ZdravCity

• Terzhinan tablets vaginal.
  6 pcs. Sofartex 461 rub. order
• Terzhinan tablets vaginal. 10 pcs.Sofartex

  RUR 543 order

Pharmacy Dialogue

• Terzhinan vaginal tablets No. 10Lab.Bouchara-Recordati

  RUB 636 order

• Terzhinan (tab. vag. No. 6)Lab.Bouchara-Recordati

  RUR 517 order

Europharm* 4% discount using promo code medside11

• Terzhinan vaginal tablets n6Sofartex/Bouchara Lab.

  550 rub. order

• Terzhinan vaginal tablets 10 pcs Sofartex/Bouchara Lab.

  RUR 696 order

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Pharmacy24

• Terzhinan N10 tablets Sofartex, France
  194 UAH. order
• Terzhinan N6 tablets Sofartex, France

  147 UAH order

PaniPharmacy

• Terzhinan tablets Terzhinan vaginal tablets No. 6 France, Sofartex

  159 UAH order

• Terzhinan tablets Terzhinan vaginal tablets No. 10 France, Sofartex

  224 UAH order

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Terzhinan for pregnant women

https://www.youtube.com/watch?v=GJU7JhS2SSQ

Terzhinan does not cause concern among pregnant women and gynecologists, since its safety for the fetus has been proven by many years of experience in medical use. During the period of waiting for the baby, candles have advantages over competitors:

• even with prolonged use, the substances do not accumulate in the body and are practically not absorbed into the blood, so the drug has no effect on the child;
• high efficiency makes it possible to quickly get rid of the unpleasant symptoms of thrush within a couple of days after starting treatment, which during pregnancy is no less important than proper treatment;
• suppositories have a wide spectrum of action and are effective against many pathogenic microorganisms, which makes it possible to use just one drug to treat several diseases.

Terzhinan is prescribed from the second trimester of pregnancy, but studies conducted in Europe have shown that the drug does not affect the fetus in the early stages. But precaution in our country comes first, so tablets are not prescribed earlier than 12 weeks and are not allowed for use for a long time.

The drug is not contraindicated during lactation. A young mother may not stop breastfeeding during treatment.

Contraindications and side effects

If you have thrush, you should not take Terzhinan only if the woman is intolerant to the components that make up the drug. There are no other contraindications: Terzhinan is not absorbed through the mucous membrane and does not enter the general bloodstream, so it is prescribed even to pregnant and lactating women.

Despite the good tolerability of Terzhinan, some women, instead of reducing the symptoms of thrush, experience increased discomfort. They intensify:

• itching;
• burning.

Vaginal pain or increased discharge may occur. This is due to the fact that Terzhinan provoked the development of adverse reactions.

Some ladies, despite the discomfort that has arisen, continue to administer Terzhinan throughout the course of treatment for thrush, but this should not be done. The appearance of uncomfortable symptoms indicates that an allergy to Terzhinan is developing and continuation of therapy can provoke negative complications. If there are signs of adverse reactions, you should consult a gynecologist about changing the drug.