Terzhinan during menstruation: is it possible to continue treatment with suppositories during menstruation?

Description of the drug

Terzhinan is produced in the form of intravaginal tablets (suppositories).
In gynecology, suppositories have found their rightful place and have been used since ancient times. Very often the medicine is used during menstruation. The main substances of the drug are presented in the table.

Component

Description

Neomycin

It is an antibiotic from the aminoglycoside group. It affects both gram-positive (Streptococcus pneumoniae, Staphylococcus spp) and gram-negative (Shigella boydii spp, Shigella dysenteria spp, Shigella sonnei spp, Shigella dysenteria spp, Proteus spp, Shigella boydii spp) microorganisms. Has bactericidal properties.

Prednisolone

Refers to a synthetic analogue of Hydrocortisone. The main properties are anti-allergenic, anti-inflammatory, and anti-exudative.

Ternidazole

Refers to antifungal agents. A group of imidazole derivatives. The effect is trichomonocidal. Effective against anaerobic bacteria.

Nystatin

Antibiotic with powerful antifungal effects. Group - polyenes. Effective in the fight against yeast fungi of the genus Candida.

In addition to these components, there are additional components - starch (wheat), sodium starch, magnesium stearate, lactose, colloidal silicon dioxide.

All these substances affect the body in a complex manner and have the following effects:

• antiprotozoal;
• antifungal;
• antimicrobial;
• anti-inflammatory.

Among the ingredients are geranium and clove oils. These components have a beneficial effect on the mucous membranes of the vagina, restore them, relieve inflammation during menstruation and on ordinary days.

Note. The drug belongs to the combination of local agents, does not irritate the vaginal mucosa, and is compatible with other medications, including hormonal ones.

General information

Terzhinan is a combined multicomponent drug, which includes:

1. Ternidazole (200 mg) is a substance that effectively fights Trichomonas and anaerobic bacteria, including Gardnerella, inhibits the synthesis of ergosterol, the main element of fungal cell membranes, as a result of which irreversible changes occur in the cell, leading to their death.
2. Neomycin sulfate (100 mg) is an antibiotic belonging to the group of aminoglycosides, effective against pyogenic microbes, gram-positive as well as gram-negative pathogenic organisms. It has a bactericidal effect by destroying the cellular proteins of staphylococcus, Escherichia, Corynebacterium, Proteus, Listeria, Shigella.
3. Nystatin (100 thousand units) is a component that actively destroys the causative agent of thrush - a fungus of the genus Candida. Has a detrimental effect on eukaryotes.
4. Prednisolone sodium metasulfobenzoate (3 mg) is a hormonal component with anti-inflammatory, anti-exudative, anti-allergic and healing effects.
5. Excipients such as talc, lactose, corn starch, povidone, magnesium stearate, sodium lauryl sulfate, anhydrous silicon dioxide, promote the distribution of the drug in the female genital organ after dissolving the suppository.

https://youtu.be/opyGEnjMsjk

The general composition of Terzhinan allows you to maintain an optimal physiological balance of vaginal pH and ensures the integrity of the mucous membrane.

It is important to note the multidirectional effects of the drug. The components are selected in such a way that there is a clear synergy (increasing the action of each other) in the fight against the causative agent of thrush and pathogenic bacteria.

The drug should be stored in the refrigerator or at a temperature not exceeding 25°C, out of the reach of children.

The average price of the drug varies between 386 rubles for 6 pieces and 440 rubles. for 10 suppositories .

Indications for use

The medicine is used not only to treat diseases, but also to prevent diseases of the female genital organs, including during menstruation. It acts exclusively on the mucous membranes of the vagina and does not enter the bloodstream.

Main indications for use:

• vaginitis of various origins (mixed, bacterial, and also caused by fungi of the genus Candida);
• recurrent colpitis of a chronic form;
• ureaplasmosis;
• vaginal dysbiosis.

For prophylactic purposes, Terzhinan may be prescribed to prevent vaginitis.

Also, the medicine is often used before:

• abortions;
• diathermacoagulation of the cervix;
• childbirth;
• installation of an intrauterine device;
• upcoming gynecological operations;
• diagnostics using hysterography.

Terzhinan is often used after surgical interventions. This helps to avoid a number of undesirable consequences associated with the occurrence of various fungal infections. If the drug is used for prophylaxis, then it can be taken on regular days, as well as during menstruation.

How does the drug "Terzhinan" work?

These highly effective vaginal tablets are used for the treatment and prevention of inflammatory diseases of the female genital area. The tinidazole and neomycin contained in the drug act on many pathogens, including the difficult-to-eradicate Trichomonas, which makes it effective even in mixed infections. The nystatin contained in the tablets eliminates fungal colonies, while prednisolone relieves swelling, itching and contributes to the extinction of the inflammatory process. In addition, Terzhinan vaginal tablets contain clove and geranium oils, which have an anti-inflammatory effect and help restore the vaginal mucosa. Terzhinan is compatible with hormonal drugs, for example, with Progestogel gel.

Side effects when using Terzhinan vaginal tablets are extremely rare; they usually occur within a few minutes after administration and manifest themselves in the form of a burning sensation.

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Advantages of Terzhinan

The drug is quite well known among doctors in many clinics around the world. The medicine was manufactured in France using the latest equipment, using a specially developed unique technology.

The advantages of Terzhinan are as follows:

• Safe and has virtually no contraindications;
• Quite easy to use;
• You can use Terzhinan during menstruation (even with heavy discharge);
• Acts faster than some analogue drugs;
• Possibility of using suppositories during pregnancy.

If you take Terzhinan during menstruation, the result in some cases is better than on normal days. This is explained by the fact that during menstruation, hidden infections of various types often appear. It is at this moment that Terzhinan begins its “attack”, prevents the proliferation of pathogenic bacteria, and treats existing pathologies.

Can Terzhinan be used during menstruation?

Often girls ask a question on forums about whether it is possible to use Terzhinan suppositories during menstruation and pregnancy. This fact is an advantage of suppositories, since they are used even after the onset of menstruation, the main thing is to administer the suppositories correctly so as not to re-infect the patient and not damage the vaginal microflora. Since during menstruation the body’s protective functions are enhanced, and infection and fungus become susceptible, Terzhinan is able to act on the pathogen quickly.

Also, suppositories can be used during pregnancy, but before this you need to consult a doctor, since the examination will show how safe the use of the drug is for the fetus. Not only during pregnancy, but also before prescribing the drug in other cases, the doctor must examine the woman and take tests to clarify the cause of the infection and the symptoms of the disease. Terzhinan can be prescribed at different periods of pregnancy, except for the initial stages, under the close attention of a doctor. If symptoms of irritation, allergy and redness appear, use of the drug should be stopped and advice should be sought.

Features of use during menstruation

Many medications are not intended for use during menstruation. This is due to the fact that the active substances included in the drugs are ineffective during this period and do not provide any benefit.

Most often, the course of treatment lasts a certain amount of time, and it cannot be interrupted even during menstruation, since then the course will need to be started again. In this regard, many are interested in the question: is it possible to use Terzhinan during menstruation?

Yes, it can be used during menstruation without interrupting the therapeutic course. This is another advantage of this drug. During menstruation, Terzhinan is as effective as on ordinary days.

Dosages and methods of application

To achieve the maximum therapeutic effect in a short time, it is necessary to use Terzhinan suppositories correctly.

During menstruation, you can take Terzhinan as follows:

• Before insertion, the candle must be kept under water for 20-30 seconds;
• Terzhinan should be placed in the “lying” position deep in the vagina;
• It is best to insert Terzhinan during menstruation immediately before bedtime;
• If the suppository is used during the day, then after its administration you need to lie down for 20-30 minutes. This is necessary so that the active ingredients have time to be absorbed into the mucous membranes of the vagina;
• Therapeutic course - 10 days. 1 candle 1 ruble/day.

In some cases, for example, with thrush, the course of treatment can last up to 20 days. You cannot prescribe or discontinue the drug yourself, as undesirable consequences are possible. Any prescription must be made by the attending physician based on the test results.

Note. Treatment with Terzhinan continues even with heavy periods; interruption of the course of treatment is not required. The suppositories are quickly absorbed into the mucous membranes and do not come out with menstrual blood.

Purpose and contraindications

The drug in question is in demand in gynecology. It is produced by a French company. The manufacturer notes that Terzhinan can be taken during menstruation . It effectively affects the infection detected in the female body, and is well tolerated by patients.

The medicine does not affect the abundance of menstrual blood, but before therapy it is recommended to ask your doctor whether Terzhinan can be injected into the uterine cavity during menstruation . It has been proven that suppositories:

• do not lead to cycle failure;
• do not harm pregnancy;
• do not affect the development of the embryo.

Another advantage of the product in question is its reasonable price. The main indication for use by gynecologists is inflammation of the vaginal mucosa, provoked by various infectious pathogens. Candles should be inserted if thrush, bacterial vaginosis and vaginitis, trichomoniasis, ureaplasmosis, mixed colpitis are detected.

Contraindications and side effects

Terzhinan is highly not recommended for use after drinking alcoholic beverages.

Contraindications include:

• Hypersensitivity to the components that make up Terzhinan;
• adolescence up to 16 years;
• early stages of pregnancy.

Side effects during the use of the drug are extremely rare.

In isolated cases, the following phenomena are possible:

• burning;
• itching is possible;
• tingling;
• painful sensations;
• irritation.

Despite the fact that the contraindications are minor, Terzhinan should be used after consultation with a specialist. Only in this case can positive results be achieved. Uncontrolled self-medication most often leads to the opposite effect, and sometimes complications.

According to numerous reviews from women on various Internet resources, Terzhinan is an effective treatment method during menstruation and more. In addition to the effectiveness of the drug, it can be noted that, compared to other drugs, it is relatively inexpensive and is available in almost every pharmacy.

Terms of use

In order for the product to be as effective as possible, it must be used at night.

When inserting a vaginal tablet, you must follow the instructions:

1. Wash your hands thoroughly with soap or treat them with an antiseptic (alternatively, use disposable gloves).
2. Keep the tablet in water for 30 seconds.
3. Lie on your back, bend your knees or squat down.
4. Gently insert the tablet into the vagina.
5. If the drug is used during the day, then after completing the procedure you need to lie quietly for 15–20 minutes.

When using the product for the first time, local allergic reactions are possible: severe itching, redness or burning sensation. These deviations are normal and there is no need to stop treatment.

If there is a persistent manifestation of unpleasant sensations, you should seek advice from the doctor who prescribed the drug.

How to properly use suppositories for thrush during menstruation?

Having figured out what local remedies can be used in the treatment of genital candidiasis during menstruation, let’s familiarize ourselves with the rules for their use:

• Before using any medicinal product, you must wash your hands thoroughly.
• For intimate hygiene, it is recommended to use only plain water or soap for children, as they do not cause irritation and do not aggravate the symptoms of the disease.
• During menstruation, personal hygiene products should be fragrance-free and replaced quite often.
• Before inserting the suppository, the woman should take a comfortable position, lying on her back with her legs slightly apart and bent at the knees.
• You can insert candles with your fingers or a special applicator, if available. Inserted into the vaginal cavity to the maximum possible depth with slow and gentle movements.
• It is advisable to carry out the procedure immediately before bedtime. If this happens during the day, then at the end the woman should remain in a horizontal position for at least 20 minutes.

Compound

The active ingredients of Terzhinan are the following components:

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

Nystatin is an antifungal component. It is not absorbed into the blood and acts only on the vaginal mucosa. Nystatin is effective against Candida fungi because it slows down their growth.

Neomycin is an antibacterial substance effective against staphylococcus, listeria, Pseudomonas aeruginosa and aerobes. Ternidazole is an antifungal, trichomonacid agent. It works successfully against gardnerella.

Prednisolone is a glucocorticoid hormone. It has a pronounced anti-inflammatory and antihistamine effect.

During pregnancy and breastfeeding

Treatment with Terzhinan suppositories is possible during pregnancy only if the benefit to the mother significantly outweighs the likely harm to the child.

Every woman should adhere to this rule in the first trimester of pregnancy (up to 12 weeks inclusive) . In the second period, the drug can be used to treat various inflammatory diseases, including thrush.

And in the last trimester, the drug is used not only for the treatment of candidiasis, but also for prenatal sanitation of the birth canal in order to prevent infection of the newborn with candidiasis.

Terzhinan is practically not absorbed into the systemic bloodstream, and therefore does not enter the body of a developing child .

Breastfeeding is not a contraindication to the use of Terzhinan, since the components of the drug do not pass into breast milk and thus do not have a negative effect on the child.

Menstrual period

Topical suppositories, as a rule, are not used during menstruation, since all active medicinal particles are washed away along with the discharge. Treatment with such drugs during menstruation is absolutely ineffective and useless, so use is resumed only after their cessation.

Clinical studies of patients showed that a positive result was achieved due to the absence of a break in use during menstruation. Experts call this the main advantage in effective treatment. A gynecologist who uses drug treatment in practice knows all the advantages and explains them to his patients.

Is it possible to put candles during menstruation?

If you are not sure whether you should use Terzhinan suppositories during menstruation, it is recommended to look at the instructions for use. It says that menstruation is not a contraindication for using the drug. The advantage of Terzhinan tablets is that, unlike ordinary suppositories, they dissolve very slowly and are not washed out even in the case of heavy discharge. The components of the drug have antifungal, antibacterial and anti-inflammatory effects.

It is worth highlighting several reasons why this medication can be used during menstruation:

• The medicine does not affect the course of the menstrual cycle;
• Discontinuation of therapy may cause the entire previous effect to disappear, which may require significantly more time for subsequent treatment;
• It is not recommended to stop treatment during menstruation, since the body is then exposed to microorganisms.

Therapy using Terzhinan suppositories is very effective and allows you to get rid of the disease in a short period of time. It is safe to say that this drug is not only possible, but also should be used during menstruation.

Features of use

Terzhinan suppositories are purchased strictly according to a doctor's prescription. Here are some of their features:

• suppositories are also used by virgins, in adolescence, but under the supervision of a specialist;
• treatment of both partners is necessary to avoid relapses;
• It is recommended to store candles in the refrigerator;
• It is undesirable to drink alcohol during treatment;
• the use of the drug does not affect driving;
• No side effects were found when interacting with other medications.

Reviews about the drug on the Internet are positive. Many women felt the effect after the first use. But in some cases the drug may not work. In such a situation, it is recommended to consult with your doctor.

Indications for use and rules of treatment with Terzhinan

In gynecology, vaginal tablets are used for monotherapy and combination treatment of the following diseases:

• Ureaplasmosis.
• Candidiasis is acute and recurrent.
• Vaginal inflammation of fungal origin.
• Trichomonas vaginitis.
• Bacterial vaginosis.
• Mixed forms of pathologies.
• Vaginitis due to damage to the genital tract by pyogenic flora.

Terzhinan can be used more effectively during menstruation at night, when the body is in a lying position for a long time.

The instructions for use of the drug suggest adhering to the following rules:

1. Wash your hands with soap and wipe with an antiseptic (or wear rubber gloves).
2. Dip the tablet in water for half a minute.
3. Lie down in bed or squat down.
4. Insert a moistened tablet into the vagina.
5. When performing the procedure in the daytime, lie down for at least 15–20 minutes.

At first, the product may cause adverse reactions in the form of severe itching, burning and redness of the genitals. There is no need to cancel treatment, since these phenomena are normal. Sustained discomfort and its intensification require medical consultation.

Vaginal infections are a common problem among female audiences. Doctors use Tergynan tablets quite often. Traditionally, treatment is prescribed for 10–20 days. Naturally, menstruation may begin at this time. If Terzhinan is prescribed for therapeutic and prophylactic purposes, “can I use suppositories during menstruation” will be a pressing question for the patient.

Here's what doctors say:

• The tablets are not washed away by secretions and do their job fully.
• During critical days, the body is weakened and more susceptible to infection, so it makes sense to continue treatment.
• Tergynan does not affect the intensity of discharge and does not disrupt the cycle.
• One, but continuous course of use of the drug allows you to get rid of the disease.

As a drug for the sanitation of the internal genital organs, Terzhinan is used before childbirth, installation and removal of an intrauterine device, hysterography, diathermocoagulation and gynecological operations.

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Price and analogues

Terzhinan is available in pharmacies over the counter, and its price depends on the number of tablets in the package. There can be 6 or 10 of them in one pack.

In Russia, the average cost of tablets is 360 rubles and 480 rubles (for 6 and 10 pieces, respectively). In Ukrainian pharmacies, the price of the drug varies between 100 – 240 hryvnia and 200 – 400 hryvnia.

If the suppositories do not suit the patient’s indications or are not satisfied with their price, the doctor may recommend cheap analogues of Terzhinan:

1. Clomegel costs 60 - 120 rubles.
2. Vagisept – price from 210 rub.
3. Ginalgin - can be bought for 230 - 300 rubles.
4. Metromicon Neo - 14 tablets are sold at a price of 300 - 400 rubles.

Terzhinan’s range of analogues is quite wide. Despite the fact that the drugs contain other active substances, they have similar pharmacological effects. Tergynan has no synonyms.

What other analogues of the vaginal drug Tergynan are there:

• Klion-D.
• Gainomax.
• Giterna.
• Elzhina.
• Neo-Penotran.
• Metrogyl Plus.
• Polygynax Virgo for virgins.
• Polygynax in capsules.
• Vagiferon.

Range of applications

Vaginal tablets Terzhinan are used in gynecological practice, both separately and as part of combination therapy for the treatment of:

• Bacterial vaginosis.
• Vaginitis caused by banal pyogenic flora (staphylococcal, streptococcal, etc.).
• Trichomonas vaginitis (inflammation of the vaginal walls due to exposure to the microorganism Trichomonas vaginalis).
• For vaginal inflammation of fungal etiology.
• For mixed forms of the disease (caused by bacteria, yeast-like fungi and Trichomonas).

In addition, this drug is used in the treatment of candidiasis, which every third woman has suffered once in her life, as well as for prevention in the recurrent form of the disease.

Composition and action of "Terzhinan"

The mucous membrane of a woman’s genital organs is a favorable environment for the development of fungi and infections. The ingredients contained in the tablets have a wide spectrum of action and are actively used by gynecologists to treat inflammation. A successfully selected combination of components eliminates the cause and focus of the emerging female disease.

The drug is produced on the basis of:

• neomycin, which is a potent substance. This is a universal antibiotic that fights harmful bacteria that are resistant to other drugs;
• prednisolone, which has an anti-inflammatory effect. Hormonal agent with hypoallergenic and healing effects;
• ternidazole, which eliminates microbial cells, incl. trichomonas infection;
• nystatin, which actively affects candida fungi, leading to the destruction of their shell and the complete death of the infection.

The drug effectively fights various poorly curable viruses and infections. The composition allows it to be used to eliminate inflammation during pregnancy or breastfeeding. It is well tolerated and safe for the health of women and children. The medicine has a convenient form for administration and allows local elimination of the source of infection, helps restore existing disturbances in a woman’s physiology.

Taking terzhinan during menstruation does not stop, and therefore problems go away faster than with the use of other medications.

The medicine is prescribed in the following cases:

• with colpitis;
• vaginitis caused by unsatisfactory microflora and its prevention;
• in the presence of Trichomonas;
• with increased activity of candida fungi, thrush;
• for prophylaxis during antibacterial therapy;
• with ureaplasmosis;
• during prenatal therapy;
• before examining the internal cavities of the pelvic organs.

The drug is used before surgical operations, this reduces the severity of postoperative consequences and complications. All ingredients included in the drug are hypoallergenic and this is a serious advantage of the product. The instructions in the package will give detailed information about its features, dosage and answer the question “can terzhinan be used during the menstrual cycle” and how to do it correctly.

Composition and complex effect of terzhinan on various infections

A drug with a wide spectrum of effects is successfully used in gynecology to treat diseases caused by various infections and fungi. Carefully selected combinations of components have an active complex effect on the cause of the disease, eliminating it quickly and effectively.

Terzhinan contains:

• neomycin sulfate is the main active ingredient, a universal antibiotic that eliminates bacteria and rods, even the most resistant to antibiotics;
• prednisolone is an anti-inflammatory hormonal drug with antiallergic and healing effects;
• ternidazole - inhibits microbial cells and completely eliminates Trichomonas infection;
• nystatin - has an active effect on candida fungi, destroying their shell, which leads to the complete death of the fungal infection.

The effect of this drug covers almost all the most serious and intractable infectious diseases. In addition, the drug is easily tolerated and safe for pregnant women. A convenient form of release of the medicine Terzhinan - suppositories during menstruation allows not only to effectively eliminate the source of infection, but also to restore existing physiological disorders.

How to use correctly

Since these tablets act only locally, the patient does not have to worry about any side effects that are associated with the release of the drug components into the blood. The treatment method is quite simple. You need to insert one tablet into the vagina for 10 days in a row, and in order to increase its effectiveness, you need to keep it in water for about twenty to thirty seconds. Terzhinan can be used along with physiotherapy.

It is recommended to take Terzhinan at night. When inserting the vaginal tablet, you must follow the following instructions for use:

1. Wash your hands;
2. Hold the tablet in water for thirty seconds;
3. Lie on your back with your knees bent or squat down;
4. Gently insert the medication into the vagina;
5. If the drug is used during the daytime, you need to lie down for fifteen to twenty minutes after finishing the procedure.

Terzhinan and menstruation are absolutely compatible. It cannot in any way lead to cycle disruption. In addition, even the instructions say that it is highly not recommended to interrupt therapy during menstruation. You should consult a qualified physician for further advice.

Instructions for use

It is preferable to use Terzhinan at night. This will increase the healing effect. Before inserting the suppository, you need to prepare: take a shower, wash your genitals thoroughly.

The candle should be kept in water for 20-30 seconds and then, in a lying or squatting position, it can be inserted deeply into the vagina.

You need to place it carefully, without accidentally touching the anus, and then wash your hands with soap. After the procedure, it is important to immediately lie down on the bed and spend at least 10 minutes in this position, and it is better not to get up for longer.

It is permissible to use no more than 2 tablets at one time. The course of treatment is 10 days, but according to indications the doctor can extend it.

Terzhinan suppositories and menstruation are compatible. The official instructions for the drug indicate that there is no need to interrupt treatment. It does not disrupt the menstrual cycle.