One of the most common causes of women going to a gynecologist is inflammation of the female genital organs. After establishing the disease, the doctor may prescribe a broad spectrum suppository. Depending on the type of pathology and the individual characteristics of the female body, rectal or vaginal agents are prescribed.
What are vaginal and rectal suppositories
Gynecological candles, these suppositories are a form of therapeutic agents that have a local effect. By their properties, these drugs are very different from other drugs. Under conditions of room temperature, they do not change their consistency, but when they come into contact with the body, they melt. Anti-inflammatory candles in gynecology are used to treat many diseases associated with the urogenital system.
Means such as candles are injected either into the rectum or into the vagina. Rectal preparations are in the form of a cylinder or cone with a rounded end. They have a local and general effect due to their ability for high absorbability through the rectum. Vaginal suppositories may be ovoid, spherical, or flat, round. The gynecologist prescribes such drugs for various diseases of the female genital organs, including cervical erosion, inflammatory processes, fungal or other infections.
What are the advantages of anti-inflammatory candles?
The use of rectal and vaginal anti-inflammatory suppositories helps in the treatment of many pathologies. Such a high demand for drugs of this type is due to the multiple advantages of candles. Significant advantages of this dosage form are:
- ease of use, painless administration,
- lack of a negative effect on the digestive tract organs (medicinal components are absorbed directly into the blood, avoiding ingress into the digestive tract),
- the minimum number of side effects
- rendering not only anti-inflammatory, but also antiseptic action,
- minimal risk of allergies after using candles,
- quick action (active substances enter the blood after an hour of use).
In which diseases are prescribed anti-inflammatory vaginal suppositories and rectal suppositories
Only a doctor can select a suitable drug in gynecology, based on the results of the diagnosis. The doctor determines not only topical therapeutic methods, but also sets the duration of treatment. To enhance the effectiveness of suppositories, in addition to the treatment of various diseases of gynecology, antibiotics, injections, douching can be prescribed.
Preparations for cystitis in women
This disease is characterized by inflammation, which is carried out in the mucous membrane of the bladder. The main symptoms of cystitis are pain and burning during urination, frequent urge to visit the toilet. Pathology can be a consequence of a cold and occur in one of two forms: chronic or acute. For the treatment of cystitis used anti-inflammatory candles in gynecology.
If a woman does not start to treat the disease at the initial stage, as a result of which cystitis has become severe, the doctor prescribes the use of antibacterial suppositories, for example:
- synthomycin candles,
- candles with scabs,
Less severe cases are effectively treated with homeopathic anti-inflammatory drugs. The composition of suppositories may include celandine, chamomile, oak bark, belladonna, propolis, and other plant components. Such candles for cystitis can quickly relieve inflammation, in addition, they actively fight pathogenic bacteria and rarely lead to side effects.
Candles for inflammation of the female organs
In gynecology candles are widely used for inflammation of the appendages with anti-inflammatory action. Often they are prescribed as a constituent element of the complex therapy of adnexitis. There are, moreover, anti-inflammatory vaginal suppositories for the treatment of the uterus and other pelvic organs. These tools help to quickly relieve pain, burning, itching and increase the protective properties of the female body. The effect of anti-inflammatory suppositories in gynecology is comparable to injection treatment, since the components of both forms of drugs quickly enter the blood.
A doctor on the basis of anamnesis and examination results may prescribe such suppositories for inflammation in gynecology:
Not less popular remedies for the treatment of ovaries and other female genital organs are non-steroidal anti-inflammatory candles, which are able to reduce body temperature and effectively anesthetize. The most common among such drugs are:
Vaginal candles from thrush
One of the most urgent female gynecological problems is thrush. This disease is characterized by a fungal infection of the internal and external genital organs, and causes serious discomfort for women. Therapeutic measures include the use of antifungal agents. Vaginal suppositories effectively help relieve the symptoms of thrush, destroy fungal infection. The following are the names of the most effective candles for this disease:
- Zalain or Sertaconazole,
Candles for endometriosis
With this disease, anti-inflammatory suppositories are prescribed extremely rarely, since it is characterized by heavy discharge (inter-and menstrual bleeding). As a result, the active ingredients are washed out of the vagina, where the capsule was placed, and the positive therapeutic effect does not have time to manifest. In certain cases, however, gynecologists prescribe rectal suppositories for pain relief and for anti-adhesion therapy. With endometriosis, you can use these candles:
- Diklovit (cheap equivalent - Diclofenac),
Indications for use
Scope of this type of drugs is quite wide. They can be used in the treatment of the following diseases:
- cysts and polycystic
- endometritis and endometriosis,
- cervical erosion, endocervit and exocervit
- vaginitis of different nature (candidiasis, specific and non-specific colpitis, atrophic colpitis),
In addition, candles are prescribed during the recovery period, after gynecological operations or abortions, or for the prevention of infections before operations, childbirth, installation of spirals.
Types of candles
From inflammation in gynecology uses several varieties of candles:
- rectal (candles in the rectum),
- candles in the form of sticks with a rounded end (for the urethra or cervix).
For each disease, a specific kind of suppository is optimal - for some, the vaginal is more suitable, for others - rectal.
Candles for female infections and inflammations can have a different shape. Rectal candles are usually cylindrical, bullet-shaped or conical. Vaginal - ovoid, round, cylindrical or conical.
Mechanism of action
All candles combines the mechanism of their action. They consist of the active substance and the fatty base (paraffins, gelatins or glycerols). At room temperature for candles characterized by a solid state of aggregation. However, already at the temperature of the human body (at + 36ºС), the material of which the candle consists of, begins to melt. The substances contained in the candle go outside and begin their active action.
Some candles act exclusively locally on the mucous membranes. However, since the superficial tissues of the vagina and rectum are saturated with small blood vessels, some of the active substances enter the bloodstream and circulate in the pelvic area, while carrying out their therapeutic effects.
Absorption into the blood occurs very quickly - about half of the active component of the candle enters the blood in half an hour, and the substance becomes completely bio-available in an hour. At the same time, the active components affect the total blood flow to a very small extent and almost do not reach the liver and kidneys.
Another advantage of candles over oral dosage forms is that suppositories do not cause allergic reactions characteristic of the gastrointestinal tract.
Gynecological suppositories may have a different type of action. The most commonly used candles with the following effects:
- directed against infection
- regenerating tissue
- restoring the vaginal microflora,
There are not too many drugs that have only one type of action. Usually candles have a complex effect, that is, for example, they can simultaneously affect the causative agents of the disease and reduce inflammation. Some anti-inflammatory candles have vitamins necessary for the functioning of tissues, substances that stimulate local immunity, etc.
The components contained in suppositories can be both synthetic and natural substances. The main infectious agents that cause gynecological diseases are viruses, bacteria, fungi and protozoa. Therefore, suppositories may include antiviral components, anti-fungal agents, antibiotics and antiseptics.
Antibacterial Candle Components
They serve as various substances that kill bacteria and prevent their reproduction. Antibiotic suppositories used in gynecology usually contain drugs such as chlorhexidine, metronidazole, co-trixomazole, penicillins, macrolides, and iodine. It is important to remember that any type of antibiotic has its own indications and contraindications, and improper use of antibacterial drugs, as well as overdosing can lead to allergic reactions, as well as to the inhibition of the normal microflora of the vagina, performing protective functions.
This type of substance is active only against pathogenic fungi. Usually these components equip candles for the vagina. The most popular antifungal agents are fluconazole, clotrimazole, pimafucin. As a rule, the treatment of fungal diseases of the genital organs takes longer than antibacterial therapy.
Often in the treatment of diseases used anti-inflammatory candles. In gynecology, many drugs with similar effects are known. They are used from what is commonly called "female-like inflammation."
The main type of substances used in the treatment of gynecological inflammations of nature are non-steroidal anti-inflammatory drugs. Their purpose is to eliminate the signs of inflammation - pain and swelling. From a biochemical point of view, the mechanism of anti-inflammatory drugs is based on blocking the synthesis of prostaglandins. These may be components such as diclofenac, ichthyol or indomethacin. In some cases, candles with steroid anti-inflammatory drugs, such as prednisone, can also be prescribed by a doctor.
Natural ingredients are also often used in rectal and vaginal anti-inflammatory suppositories. Herbal candles can include extracts of chamomile, sage, belladonna, calendula, conifers, cocoa butter, eucalyptus. Greater popularity gained candles containing sea buckthorn oil. These suppositories can be used in children and old age, during pregnancy and lactation.
Features of the use of suppositories for various diseases
Briefly consider the main gynecological diseases and candles used in their treatment. In some cases, the use of suppositories are the main method of therapy, in other cases - secondary. In addition, in some cases, vaginal suppositories are more effective, in others - rectal.
Photos: Lukasz Siekierski / Shutterstock.com
The disease is inflammation of the mucous membrane of the vagina. In fact, this is not one disease, but a whole group of diseases that can be caused both by fungi and bacteria - gonococci, chlamydia, etc. Less commonly, viruses act as pathogens. Accordingly, suppositories for the treatment of colpitis may contain various antibacterial agents, for example, metronidazole, chlorhexidine, antifungal or antiprotozoal drugs.
So called colpitis, caused by pathogens that were among the microflora of the vagina before the onset of the disease and were not introduced from somewhere outside.
In most cases, nonspecific colpitis is caused by streptococci and staphylococci. Polymicrobial forms of the disease are also found.
The main method of treatment for nonspecific colpitis is douching with the help of solutions of disinfectants, including plant medicines - chlorhexidine, potassium permanganate, decoctions of chamomile, sage, lemon balm. And the use of vaginal suppositories can be an aid.
The following drugs are most popular:
- Meratin combi
Indications: with infectious-type vaginitis - fungal, nonspecific, trichomonas, mixed.
Contraindications: age up to 16 years, individual intolerance of components.
Application: Before use, keep the candle in water for half a minute. One candle is used once a day, the course of treatment is 10 days. It is best to introduce a candle in the evening.
The main active component of candles - povidone-iodine. This drug is a combination of iodine with a concentration of iodine in 1% and polyvinylpyrroliddon. Povidone-iodine has pronounced antiseptic properties and does not irritate the mucous membranes.
Product form: Candles in the form of a torpedo brown.
Indications: treatment of acute or chronic vaginitis (specific or non-specific), genital herpes, prevention of infections during gynecological manipulations.
Contraindications: thyroid disease (hyperthyroidism, adenoma), age up to one year, Dürring herpetiform dermatitis, simultaneous intake of radioactive iodine. In pregnancy, the drug can be administered only by a doctor.
Side effects: thyrotoxicosis, vaginal dysbacteriosis.
Application: acute infections of the vagina are treated with two candles per day. The course of therapy is a week. In chronic diseases, one candle is used per day, and the duration of treatment is 2 weeks. Moisten the candle before insertion. During menstruation, treatment should not be interrupted.
This disease is caused by fungi of the genus Candida, colonizing the surface of the vagina. The disease itself does not represent a great danger, but in any case it is not worth launching it.
For the treatment of candidiasis, only candles with antifungal components are used. Antibacterial drugs in this case will not work.
Among the popular suppositories used in the treatment of vulvovaginal candidiasis, it is worth noting:
Candles for treating vaginitis caused by fungal infection. The main active ingredient is ketoconazole. Also, the candle contains semi-synthetic glycerides.
Dosage form: The drug is available in the form of vaginal suppositories with 200 mg of active substance.
Contraindications: the first trimester of pregnancy, age up to 12 years. In the 2 and 3 trimesters of pregnancy, during lactation, under the age of 18, candles are used with caution.
Indications: For the treatment of acute or chronic vaginal candidiasis, for the prevention of candidiasis during the course of treatment with antibacterial drugs.
Application: One candle per day is used. In acute candidiasis, the course of treatment is 3-5 days, depending on the severity of the disease, and in case of chronic candidiasis, 10 days. Candles are introduced in the supine position.
This is a type of coleitis caused by a special type of bacteria - gardnerella. Thus, the main purpose of the candles used in this disease is the destruction of these bacteria. Candles are inserted directly into the cavity of the vagina.
The most popular candles for colpitis caused by gardnerella:
- Candles with metronidazole.
Cystitis is an inflammation of the bladder, a disease characterized by unpleasant and painful symptoms for a woman. Signs of cystitis are burning and pain when urinating, and increased urge to urinate.
Anti-inflammatory therapy for cystitis may include the use of vaginal suppositories. Candles for cystitis have analgesic, anti-inflammatory, anti-bacterial and anti-inflammatory effects. When cystitis often used Palin candles and candles with syntomycin.
Effective with cystitis and candles with herbal ingredients - chamomile, belladonna, oak bark, celandine. As a rule, they are appointed in the event that the disease has not yet passed into a difficult stage.
The main active component of candles - pipemidovaya acid.This is an antibiotic belonging to the quinolone group. Not active against anaerobic microorganisms. Each candle contains 200 mg of the substance.
Indications for use: treatment of urethritis, cystitis, pyelonephritis. Prevention of infections during gynecological operations.
Contraindications: diseases of the nervous system, porphyria, severe damage to the liver and kidneys, pregnancy, lactation, age up to 14 years.
Application: one candle per day in the evening. The course of treatment is 10 days. Candles are recommended to be used with Palin tablets.
Adnexitis or inflammation of the appendages is a common gynecological disease. Most often caused by hypothermia of the body, rather than infectious causes. The disease is characterized by bouts of pain - aching, dull or cutting. The disease is often accompanied by fever, weakness, lack of appetite, which indicates a general intoxication of the body.
Rectal rather than vaginal suppositories are more commonly used to treat this disease. The fact is that from the rectum, the active components are easier to enter the bloodstream in the pelvic area and reach the appendages than from the vagina. Most often, this disease uses anti-inflammatory suppositories and suppositories with anesthetic action.
What kind of candles are recommended for use in inflammation of appendages? Here is a list of candles, often assigned with adnexitis:
- Rectal candles with belladonna,
- Meratin combi,
Anti-inflammatory candles. Available in rectal form, but can be used for vaginal administration. Contains 50 or 100 mg of the active substance of the same name. When gynecological diseases are used as an auxiliary drug.
Indications: infectious and inflammatory processes in adnexitis and cystitis.
Contraindications: pregnancy, lactation, Crohn's disease, severe renal and hepatic failure, bleeding, age up to 14 years.
Application: Suppositories are inserted into the vagina in a supine position. Candles 50 mg can be used up to three times a day, and candles 100 mg - no more than once a day. The course of treatment is usually 2 weeks, but may be shorter, depending on the severity of the disease.
Cervical erosion is a serious disease that can only be treated surgically or minimally invasively (using electrical, chemical and laser methods). Only suppositories are not able to cure him. However, suppositories can be used as an adjuvant to facilitate tissue healing and prevent the occurrence of infections. They can be appointed both before and after surgery.
Popular suppositories used in the treatment of cervical erosion:
Antimicrobial and anti-inflammatory suppositories. One vaginal suppository contains 100 mg of dexpanthenol, an analogue of vitamin B5, and 16 mg of chlorhexidine, a broad-spectrum antibacterial agent.
Product: Candles torpedo shaped white, gray or yellow.
Indications: cervical erosion, endocervites and exocervites, acute and chronic vaginitis, adjuvant therapy for operations of cryodestruction and laser destruction.
Application: The standard method of application is two candles per day. The duration of the treatment course is 10 days, if necessary, it can be doubled. The drug can be used during menstruation.
Treatment with antibiotics, no matter how it is carried out, in the form of taking pills, or in the form of using local antibacterial agents, is usually accompanied by inhibition of beneficial microflora. This applies, in particular, to the microflora that populates the surface of the vagina.
Suppositories with probiotic components are intended to eliminate this problem. They contain the necessary bacteria that could quickly colonize the vaginal mucosa and restore its protective microflora.
The most popular candles for the treatment of bacterial dysbiosis:
Candles contain 4 types of bacteria, including lactobacilli. These microorganisms colonize the surface of the mucous membrane and contribute to the displacement of pathogenic microflora.
Indications: vaginal dysbacteriosis, prevention of dysbacteriosis in the treatment with antibiotics, atrophic colpitis. Candles are also used as a means to prepare the genitals for upcoming childbirth or gynecological operations.
Contraindications: acute and erosive inflammation of the vagina.
Application: Candles are introduced before bedtime. The standard dosage is one suppository per day, the course duration is 10 days. With antibiotic therapy, the use of suppositories is best started 4-5 days after the start of antibiotics.
Endometritis and endometriosis
Endometritis is a disease caused by inflammation of a particular epithelial layer of the uterus - the endometrium. The disease can often occur after cesarean section and abortion. When it may experience an increase in temperature.
Endometriosis is a disease caused by the pathological proliferation of the endometrium. The etiology of the disease is not clear.
In these diseases, anti-inflammatory vaginal suppositories are not the main method of treatment. This is due to the fact that they often have strong menstrual and intermenstrual bleeding, which wash out therapeutic substances from the vaginal cavity. However, the doctor may prescribe suppositories for uncomplicated endometriosis, when the disease has not yet reached a serious stage.
For severe bleeding, rectal suppositories can be used. Their main task is to relieve inflammation and pain.
Most often, endometriosis uses Voltaren suppositories (active ingredient diclofenac), Polygynax and Indomethacin. Very popular with endometritis and endometriosis are also homeopathic candles for women Endometrine with herbal ingredients.
Candles containing herbal ingredients - sea buckthorn, cocoa and calendula oils, homeopathic oil extract, essences of wormwood and mistletoe.
Indications: endometriosis, hormonal disorders and disorders of the menstrual cycle, adhesions and inflammation of the genital organs.
Application: One suppository is used per day (before bedtime). The duration of the course of treatment is 1-2 months.
Method of suppository application
In order to properly use the suppository, you must follow the instructions that supplied any drug. However, there are general rules for their application.
In most cases, anti-inflammatory candles are best administered in the evening, before bedtime. Before the procedure, you should take a shower or wash. It must be remembered that abundant discharge from the genitals in many cases can reduce the effect of drugs. If a rectal suppository is to be injected, it is necessary to empty the intestines beforehand. For this purpose, you can use the enema.
Hands during this procedure should also be clean, it is recommended to wash them with soap or rinse with antiseptic.
Any candles must be entered in the supine position. The suppository should be fully inserted into the cavity of the rectum or vagina. After the injection, it is necessary to lie down for about 15 minutes to allow the candle to dissolve.
Some candles before the introduction must be moistened with water. This question is better to clarify in the instructions for the drug.
Simultaneous with the introduction of suppositories should not use sanitary pads or tampons. The entrance to the vagina must be completely open so that there would be no obstacles to the exit of the discharge.
Vaginal suppositories are not recommended during menstruation (although some drugs allow such use). Also note that self-medication with suppositories is unacceptable. The fact is that many candles have contraindications for certain concomitant diseases, and their use can only bring harm. Also, not all suppositories can be used during pregnancy and in childhood.
Use of candles during pregnancy
Selection of suitable candles during pregnancy is not an easy task. What is better to use in this case, can only suggest a gynecologist. Indeed, many antibiotics contained in suppositories are able to penetrate the placental barrier, and can also be dangerous for women's health in this period. However, some drugs, especially those of natural origin, are allowed during pregnancy.
For example, during pregnancy, you can use candles on the basis of bee milk. These candles have a wound-healing effect and protect the female organs from the penetration of infections. They can be used in the recovery period after childbirth. Candles based on sea buckthorn oil are also popular.
Vaginal candles: what is it
Almost all gynecological ailments caused by pathogenic microorganisms in the complex are treated with the help of suppositories. These are solid cylinders of oblong shape, which contain the drug. They are inserted into the vagina or anus where they melt.
Vaginal suppositories consist of an antibiotic and an excipient, with which the drug retains its shape in a cool room. As soon as a candle is inserted into the body, it actively thaws, the active substance begins to stand out and acts directly in the inflammatory focus or is absorbed into the tissue, after which it enters the bloodstream directly in the affected area.
There are 3 main types of suppositories prescribed by gynecologists:
Enter into the vagina, as close as possible to the site of inflammation. Available in the form of a cone, egg, ball.
Remind rounded wand. Inserted into the ureter or into the cervix.
Have the form of the cylinder or a cone. Insert into the anus.
Antibacterial gynecological candles have antiseptic, anti-infective, antimycotic action.
IMPORTANT! Treatment with vaginal suppositories begins only after testing and establishing an accurate diagnosis. Independent use of drugs with antibiotics is unacceptable, it can lead to adverse effects.
Vaginal candles are divided into 2 groups:
- non-steroidal, which do not contain hormones,
- steroid in which there is a synthetic or natural hormonal component.
The administration of suppositories is painless and does not cause any difficulties. The most important rule is to keep your hands clean. A candle is inserted into the body cavity as deeply as possible, and then it is necessary to lie for 15–20 minutes for the candle to dissolve and the medicine to reach the site of infection.
Advantages of suppositories
In gynecological practice, vaginal suppositories inserted into the vagina are often used. The use of suppositories is sometimes compared with injections, since the active ingredient of the drug exerts its effect rather quickly, being absorbed through the walls of the vagina into the bloodstream.
The mucous membrane of the vagina has a large number of blood vessels, which contributes to the rapid penetration of the therapeutic substance from the candle into the bloodstream. This will take no more than 20 minutes. The active ingredient moves through the bloodstream and enters the inflammation, where it fights pathogenic microflora. Candles quickly contribute to the elimination of such symptoms of gynecological diseases as itching, swelling, burning, pain, discomfort.
Their main advantages are:
- low percentage of side effects
- fast absorbability
- local effect on inflammation,
- fast result
- the drug immediately enters the bloodstream, bypassing the gastrointestinal tract, there is no need to decide how to restore the intestinal microflora.
A distinctive feature of gynecological antibacterial suppositories is that the effect is only on the pelvic organs, practically does not affect the liver, kidneys, gastrointestinal tract (an insignificant part of the medicinal product gets there). Therefore, after taking antibiotics in this form, you do not need to drink drugs with bifido and lactobacilli.
The most effective vaginal candles
Antibacterial suppositories of the gynecological direction are of a wide spectrum of action, which are universal and are capable of destroying several types of pathogenic microorganisms at once, and of a narrow focus, which can get rid of a certain type of bacteria. Therefore, before use, you must carefully study the annotation to the drug, be sure to consult with your doctor. Then the treatment will be effective.
A list of vaginal suppositories with antibiotics is provided below:
Terzhinan. These candles cope with a variety of pathogens. They effectively fight viruses, staphylococci, mycobacteria, Escherichia coli. With the help of candles, Terzhinan treats thrush, infection of the vagina, and bacterial vaginismus. Also, Terzhinan is used before the diagnostic and operational activities for the study of the uterus.
The composition of Terzhinan contains neomycin, nystatin, prednisone, ternidazole, sodium metasulfobenzoate, which have a powerful antihistamine, anti-inflammatory, anti-exudative effect.
Suppositories before use moistened with water and deeply inserted into the vagina overnight. During treatment, it is necessary to use feminine sanitary pads, since there is a bright yellow discharge after antibiotics, because Terzhinan is displayed along with a vaginal secretion.
Suporon Rectal and vaginal suppositories. They have an antiseptic, anti-inflammatory, analgesic effect. It copes well with endometritis, erosion, colpitis.
Betadine. It has an antiseptic and disinfectant effect. As part of there is iodine, which shallow penetrates into the tissue, destroying pathogens, fungi, viruses.
Candles with Diclofenac. Polycystosis, inflammation of the ovaries, cysts, genital infections are treated with diclofenac suppositories. As a prophylactic agent, suppositories are used after gynecological operations, after abortions and miscarriages.
Pimafucin Used to treat sulvovaginitis caused by colonies of Candida fungi. The active ingredient of the drug is natamycin - an antibiotic of the macrolide group.
Meratin combi. It is used for fungal vaginosis, trichomonas vaginitis. Candles can be used for at least 10 days, including even the days of menstruation.
Longidase This is a modern pharmacological drug that can effectively participate in the elimination of inflammatory processes of the pelvic organs. Perfectly removes puffiness, has a regenerating effect on the affected epithelium.
Livarol. One of the best suppositories that effectively fights candidiasis. It has a depressant effect on colonies of Candida fungi.
Methyluracil These antibiotic vaginal suppositories are very popular among the female population. They quickly relieve inflammation in the female urogenital and excretory systems, stimulate the healing of the epithelium, restoring the cellular structure, and contribute to an improvement in metabolism. Candles begin to act almost instantly, quickly absorbed into the vaginal mucosa.
Indomethacin. The tool is available in tablet form. Eliminates fever, fever, inflammation, great pain relief. Indomethacin suppositories are prescribed for inflammation of the appendages, myoma, cyst, and menstrual disorders. One candle can contain 50 and 100 mg of active substance.
Mikozhinaks. The drug contains powerful components. Nystatin, which destroys fungi, Dexamethasone, which has anti-inflammatory effects, Metronidazole, which kills bacteria, and chloramphenicol - fights infections.
Atsilakt. These antibiotic suppositories are made from several types of lactic acid bacteria. The drug has antimicrobial properties, quickly eliminates inflammation, is destructive for dangerous bacteria. The main useful feature of Atsilakt is that these are candles for the restoration of microflora in women. The drug is universal, it is used in the treatment of a large number of diseases of the urogenital canal.
Candles with ichthyol. The drug relieves inflammation, pain symptoms, accelerates healing of mucosal lesions.
Hexion. A popular drug that helps treat inflammation caused by pathogenic bacteria or infection. The drug is based on chlorhexidine digluconate - an antiseptic substance. Hexicon acts only in the lesion of mycobacteria or foreign microorganisms and does not violate the mucous microflora.
Polygynax These are antifungal suppositories that contain neomycin and polymyxin B. Suppositories destroy pathogenic microorganisms and fungal infections.
Polygynax kills corynebacteria, Klebsiella, fungi, Proteus, haemophilus sticks, staphylococcus.
Применяется для лечения цервиковагинита, вагинита, вульвовагинита, а также перед диагностикой заболеваний матки, перед родами, перед оперативным вмешательством.
При воспалительных процессах женской половой и выделительной системе применяются также ректальные суппозитории. In the rectum, the drug immediately enters the bloodstream and the therapeutic effect is achieved quickly. Rectal suppositories used in gynecology are Ortofen, Hexicon, Anuzol. These candles relieve inflammation, inhibit the activity of pathogenic microorganisms, reduce the temperature.
Discharge with antibiotic suppository
Women often notice that during treatment with vaginal suppositories, the amount of vaginal discharge increases. This may be due to the fact that the drug dissolves, fights microbes and its residues are excreted with the vaginal secretion, increasing the amount of secretions. But sometimes discharge after the use of an antibiotic suppository can signal disturbances in the female reproductive and excretory systems.
Consider the main characteristics of the discharge and the possible causes of their occurrence during treatment with vaginal suppositories, depending on the color of the discharge:
- Red. Highlighting of this color can signal the presence of inflammation in the cervical canal, a tumor in the ovaries, and genitals. For reddish discharge, it is better to consult a gynecologist to find out if they are a symptom of serious health problems.
- Pink. Pale pink discolorations are more likely to result from improper administration of the suppository. If you inadvertently inject the drug, you can damage the delicate vaginal mucosa, which will cause pinkish spots on the underwear. This is not a reason for panic, you just need to use suppositories more carefully.
- White. White thick discharge. Abundant transparent, odorless discharge, containing lumps, similar in appearance and grayish-white color on the mushroom champignon, not accompanied by discomfort and pain in the lower abdomen speak only about the removal of excess medication. If the discharge acquires an unpleasant sour smell and does not disappear after a week, you should consult with your doctor.
- Green. Green secretion indicates the correct appointment of candles with an antibiotic for infectious diseases of the urogenital system. So pathogenic bacteria are derived. In a week everything should be normal. If this does not happen, you should consult a doctor for the selection of a more suitable medication.
IMPORTANT! Allocation can be abundant, have a different color and characteristics. Some of them are considered the norm, others suggest immediate access to a doctor. It is necessary to observe the secreted during the week, and then make a decision about the consultation with the doctor.
After taking antibiotics there is a need to restore the vaginal flora. It is necessary to create ideal conditions for reproduction and increase in the number of beneficial lactic acid bacteria. Only after this normal microflora can recover. To restore the microflora, Bifidumbacterin suppositories are prescribed, which contain live bifidobacteria, Bifikol, which contains dried bifidobacteria, Lactoginal with lactic acid bacteria. If the microflora is not restored, it becomes very vulnerable to reinfection.
Suppositories with antibiotics are very often used in the treatment of gynecological problems because of their high efficiency, along with tablets, injections, vaginal cream.
The effectiveness of therapy, the restoration of microflora controls the gynecologist, based on the results of smears. As a rule, acute forms of gynecological diseases are treated faster than chronic ones.
Advantages and disadvantages of vaginal suppositories
Preparations for the treatment of gynecological pathologies are available in different forms. Candles are drugs for local treatment. They are used as a primary therapy and to relieve acute symptoms.
The main advantages of the vaginal suppository are:
- Local effects on the lesion and mucosa
- When absorbed into the mucous membrane, the concentration of the active component is almost not reduced.
- The treating substance very quickly penetrates the blood, after half an hour the concentration accumulates in it, which has a therapeutic effect
- The active ingredients are not processed in the kidneys and in the liver, which significantly reduces the load on these organs
- Do not reduce the level of immune defense
- Using them is easy and convenient.
- Do not cause complex allergic reactions
- Additional components in the form of oils and fats contribute to the long-term retention of the drug on the mucous wall of the vagina
As with any medication, vaginal suppositories also have some drawbacks:
- Candles can not always be used in the presence of diabetes mellitus of any type, hypertension, violation of the functionality of the thyroid gland
- There are no universal suppositories, each formulation is designed for a specific disease.
- Candles include pharmacological and natural ingredients that can cause a local allergic reaction.
- When thawing, a small amount of emulsion can leak and leave stains on the underwear.
To obtain the maximum effect, one should not only take into account the advantages and disadvantages of the drug, but also apply a high-quality drug. Vaginal suppositories must be purchased exclusively from pharmacies. In them, candles are kept in appropriate conditions, which fully preserves their therapeutic properties.
Types of vaginal suppositories and their use
Suppositories for gynecological diseases are widely used both in the form of self-therapy, and are included in the therapeutic complex. This form of medication is often prescribed for the following pathologies:
- Vaginal dysbacteriosis
- Bacterial vaginosis
- Inflammatory diseases of the pelvic organs
Depending on the type of pathogen, infections of the genital organs are divided into inflammatory, fungal and venereal. Therefore, vaginal suppositories are also classified into groups, depending on the active ingredient:
In general, vaginal suppositories are available as a broad spectrum agent. Therefore, the drug should be administered exclusively by a doctor, after a thorough examination.
Vaginal suppositories offered in the modern pharmacological market differ not only in their composition, but also in their optic form. Manufacturers produce this medicine ovoid, flat and spherical shape. This does not affect the efficiency, but allows you to choose the most convenient option.
Regardless of the type and shape, when using vaginal suppositories, you must observe the following rules:
- Candle is introduced immediately before bedtime
- Before use it is necessary to accept water procedures
- Wash hands thoroughly with detergent.
- Candle opens before the introduction
- In order not to stain your underwear, it is recommended to use everyday pads.
- Take a shower in the morning
If suppositories need to be used in the morning, the same pattern is observed, but after the introduction you should lie down for 30-40 minutes. To keep the underwear clean, a sanitary pad is used.
For maximum therapeutic effect, vaginal suppositories for infections are used 7-14 days. It is important to fully undergo treatment, as an independent reduction of its period can lead to the development of a chronic form of the current disease and significantly aggravate the general health condition.
Effective vaginal suppositories against infections
In practical medicine, gynecologists note a positive dynamics of recovery in most cases when using the following suppository:
- Hexicon Antiseptic agent, which is prescribed in the presence of sexually transmitted infections and as a prophylaxis of inflammatory gynecological complications.
- Terzhinan. Complex drug for the treatment of infections of different etiologies. It contains hormonal components, therefore it is used only under medical supervision.
- Genferon. Effective in the fight against fungi, trichomonads. Also with ureoplasmosis, trichomonads, genital herpes, papillomas and vaginosis. Therefore, it will be used not only as a therapeutic agent, but also as a prophylaxis during unprotected intercourse. In this case, the candle is introduced no later than two hours.
- Pimafucin Antifungal suppositories for the treatment of vulvitis, vaginitis and vulvovaginitis.
- Macmiror. Multicomponent drug that allows you to treat infections caused by different pathogens. With prolonged use is not broken natural microflora in the vagina.
- Yodoxin. It has antibacterial effects. Used in the treatment course for vaginitis. The use of the drug during menstruation is acceptable.
- Betadine. It is an antiseptic preparation. Used for the treatment of inflammatory processes and as a prophylactic during gynecological procedures.
The use of gynecological suppositories is practically not accompanied by the manifestation of side effects. But these drugs should only be prescribed by a doctor, since many of them require the right combination with other medicines.
Self-designation of the vaginal suppository during the period of gestation is strictly prohibited. Inappropriate medication can not only aggravate the condition of the woman, but also lead to a pathological pregnancy or to self-abortion.
Candles vaginal infections: reviews
After the onset of menopause, I periodically get thrush. The doctor prescribed me candles Pimafutsin. Unpleasant itching and burning are already after the first day of use. The rapid effect and the result of treatment is satisfied.
It so happened that I had to take antibiotics in pill form over a long period. On the forums I have repeatedly read that taking antimicrobial drugs negatively affects the vaginal microflora, which leads to the development of inflammation and fungal infections. I went to the gynecologist, and he assigned me Betadine as a prophylaxis. The result was pleased.
I was prescribed McMiror to treat bacterial vaginosis. These candles are relatively expensive, but did not dare to experiment with analogs, as I was very worried about my condition. The first improvements noticed after the second day of treatment. Somewhere in the middle of the course, itching, heavy discharge and odor disappeared, but the treatment was fully completed. Control tests confirmed the absence of infection.
While watching the video you will learn about candles for women.
Vaginal suppositories for infection are used to treat women of different age categories. Their effectiveness depends not only on the active substance, but also on the correct selection. Therefore, before treatment should be examined by a gynecologist with a laboratory examination.
Suppositories in gynecology
For uncharacteristic vaginal discharge, doctors often resort to the appointment of candles. This is due to the fact that the drugs in this group have a local effect and help to eliminate directly the foci of inflammation. These tools are effective in combating various infections in which there is a secretion with an unpleasant odor.
When an unpleasant smell emanates from the secreted secretion, doctors often prescribe rectal suppositories that are inserted into the anus. The difference between these drugs is that after placing the funds in the rectum, it resolves and penetrates into the lesion, and does not flow out.
For the treatment of adnexitis, the following agents are used:
These are nonsteroidal anti-inflammatory drugs that can eliminate inflammation, reduce fever and suppress pain.
When revealing candidiasis prescribe such medications:
With the penetration of infection into the mucous membranes of the vagina are often resorted to the use of ichthyol candles. They have anti-inflammatory, analgesic and antiseptic action. With their help, puffiness is removed and pain is stopped.
To therapy was effective and short, rectal suppositories are recommended to be used in combination with vaginal.
Ternidazole contained in Terzhinan has a detrimental effect on Trichomonas. It also eliminates anaerobic microorganisms.
Neomycin (an antibiotic belonging to the aminoglycoside group) at the ribosomal level destroys protein synthesis in pathogenic microorganisms.
The antimycotic element nystatin is included in the group of polyene antibiotics. It combines with ergosterol, located in the cell membrane of the fungus, thereby destroying them and contributing to the death of the fungus.
The drug component from the group of glucocorticosteroids - prednisone - has an anti-inflammatory, anti-allergic, anti-allergic effect.
The excipients contained in the candles from the secretions help restore the integrity of the vaginal epithelium after inflammation and infection, and maintain the pH balance within the limits necessary for the body.
Dalatsin contains the active element clindamycin. Intravaginally administered (dosage 100 mg / day) in the form of a candle, it is absorbed by 30% (6-70%) in 3 days in the circulatory system. The serum concentration reaches the maximum limit approximately 5 hours after the candle has been inserted into the vagina. By the 3rd day, this indicator is equal to 0.27 µg / ml (within 0.03-0.67 µg / ml). Clindamycin with intravaginal administration has little effect on the body. Its pharmacokinetics does not depend on age indicators.
Using candles from excretion during pregnancy
During pregnancy, women are very susceptible to various infections, as the hormones in the body varies. In this case, diseases often affect the genitals. It should be understood that if the inflammatory process is started and not cured in a timely manner, the infection may affect the baby.
In this position, you can only use drugs that do not adversely affect the fetus. It is necessary to select drugs that will be effective, and at the same time completely safe for the child.
Candles from Hexicon excretions are one of the best options. They act locally, so they do not enter the bloodstream - thus, a negative impact on the baby and his development is completely excluded.
The same characteristics has the drug Terzhinan - it is not absorbed into the blood, so it can be prescribed for vaginal infections during pregnancy.
If thrush occurs in the 1st trimester of pregnancy, you can also use Pimafucin.
Betadine should not be used, starting from the 3rd month of pregnancy, as well as during breastfeeding. If treatment with this drug is necessary, it should occur under the individual supervision of a physician.
Candles for secretions are contraindicated in case of an allergic reaction or hypersensitivity to the components of the drugs (Dalacin, for example, should not be prescribed if there is sensitivity to lincomycin and clindamycin). They are also not prescribed to girls under the age of 16 (the drug Terzhinan).
Drugs Metromikon-neo, Neo-Penotran and Neo-Penotran forte are not prescribed to children under 12 years old, in the 1st trimester of pregnancy, with hepatic insufficiency, low white blood cell count. They are also not recommended for use if there are irregularities in the microcirculation, or if a woman has diabetes.
Candles from the discharge usually do not cause side effects - since they are applied topically, their substances are very poorly absorbed into the circulatory system. Therefore, usually in such cases only local manifestations are observed - an allergic reaction, tingling, burning, itching, irritation and pain at the site of the suppository.
Sometimes in the course of treatment systemic effects can occur - for example, prednisone can cause slowing down the healing processes of various wounds and cracks. Sometimes atrophic processes can occur in the vaginal mucosa.
In rare cases, side effects are possible:
- Urinary system: pain in the vagina, irritation of the mucous membrane of the vagina and vulva, irregularities in the menstrual cycle, thrush, pyelonephritis, dysuria,
- Gastrointestinal tract: nausea and vomiting, as well as diarrhea,
- Skin: itching and rash on the skin, as well as pain and itching in the vagina,
- General: cramps and abdominal pain, nausea, headache and dizziness, fever, the appearance of a fungal infection, a change in taste, the appearance of a metallic taste in the mouth.
The names of the candles from the selection
Since whites themselves are different and can be a symptom of various gynecological diseases, there are many names of candles from the discharge.
Antiseptic agent Hexicon is used in the treatment of diseases such as vaginitis and bacterial vaginosis, as well as for the prevention of STDs.
Candles Betadine, produced on the basis of iodine. Thanks to this element, this drug fights well with various microorganisms that cause excretions - fungi, viruses, bacteria.
Preparations Metromikon-neo, Neo-Penotran, Neo-Penotran forte are used in the local treatment of vaginitis of infectious origin.
Свечи от выделений Генферон используются при трихомониазе, молочнице, а также прочих гинекологических инфекциях. Обычно их применяют в комплексной терапии.
Вагинальные свечи от выделений
The effectiveness of the treatment and prevention of vaginal diseases is largely dependent on the use of local medicines such as suppositories. These drugs can effectively eliminate pathogens, while not having side effects.
In the treatment of vaginal candidiasis (thrush) often use vaginal suppositories for secretions of Livarol. It is an antifungal agent with a wide range of effects. It effectively eliminates the fungi that contribute to the development of thrush, and in addition, staphylo-and streptococci that appear when fungal infections.
In case of vaginal discharge due to thrush or vaginitis, Isoconazole and Dalacin (clindamycin) also work effectively.
Candles from yellow discharge
If the vaginal discharges have got a dirty gray or yellow color, they have an admixture of pus and they have an unpleasant smell, then, most likely, this is inflammation of the vagina, or colpitis, cervicitis (inflammation of the cervix). In addition, the symptoms may be burning, itching, pain during intercourse and urination.
When yellow secretions appear due to non-specific flora (for example, Escherichia coli), suppositories for secretions of Tersinan, McMiror or Polygynax may be prescribed.
In case of bacterial vaginosis with yellow secretions, Klion D100 suppositories or Neo Penotran forte help. These medicines contain miconazole and metronidazole. The first eliminates thrush (it often accompanies bacterial vaginosis), and the second removes pathogens of the underlying disease. Treatment with candles in this case lasts for 7-10 days.
Candles from blood and watery secretions
Spotting may occur in case of menstrual disorders, erosion or cervical cancer, due to endometriosis (adenomyosis).
Watery discharge, appearing in very large quantities and not ceasing, as well as causing redness and burning, is a symptom of some kind of inflammation. This may be adnexitis (inflammation of the uterine appendages), colpitis (inflammation of the vaginal mucosa) or endometritis (inflammation of the uterine lining).
In such cases, candles from the secretions of Suporon, which have a biostimulating, healing, anti-inflammatory effect, will be an effective remedy. They are used to treat cervical erosion, thrush, cervicitis, vaginitis, colpitis and endometritis.
The drug Depantol has a metabolic, restorative, antiseptic effect. It can be used to treat the above diseases, in which there are blood or watery discharge, as well as ectopia.
Candle candles are one of the most effective drugs for treating cervical erosion. They are made on the basis of natural elements (from medicinal herbs), therefore they have no contraindications.
Candles from cheesy discharge
Cheesy vaginal discharge triggered by Candida-type fungi is eliminated with antifungal medications. They act in this way: by binding with the elements of the cell of the fungus, they are embedded in the membrane, thereby destroying its integrity.
In the mild form of the disease, candles from cheesy discharge are used as a local treatment. Drugs that include clotrimazole, nystatin, miconazole, cope with thrush for 6-7 days. Candles of a new generation (for example, Betadine, Pimafutsin or Klion-D) are able to remove the fungus in 1-3 days.
With a tendency to dysbacteriosis need to use candles that do not alter the vaginal microflora. Among these are antimycotic drugs like Gyno-Dactanol. But the candles Poliginaks and Verzhinan can violate the microflora and have some side effects, so they can be used only after consulting a doctor and his permission.
Characteristics of candles from secretions are considered on the example of drugs Terzhinan and Dalatsin.
Ways to use candles from secretions
Candles Terzhinan introduced deep into the vagina 1 time / day for 10 days. Before the introduction of the candle, you need to hold it for about half a minute in the water so that it softens a little. The procedure is recommended to be carried out in the evening (this time of day is considered optimal, because after the administration of the drug yellow discharges may appear after the treatment - this is normal during treatment with Terzhinan), and if it is done during the day, after the suppository is injected it is necessary to lie for at least 10 minutes
The duration of the drug may vary, and it depends on the cause of treatment.
If candles are used to stabilize the balance of the vaginal microflora and eliminate the manifestations of inflammation, this period can last 6-10 days (depending on the doctor's prescription and the clinical picture of the disease).
In the treatment of thrush treatment lasts longer - it can be 20 days. After 3 days after completion of treatment, you need to re-examine and once again pass the tests. This is necessary to confirm recovery. If the treatment did not produce an effect, a second course may be prescribed.
The duration of treatment and the dosage during pregnancy are prescribed by a doctor - they depend on the clinical picture of the disease.
Candles from the discharge Terzhinan allowed for use during menstruation.
Dalacin is inserted into the vagina 1 time / day. within 3 days. The procedure is recommended at bedtime. Candles are introduced with or without an applicator.
The drug Hexicon is applied for 7-10 days - you need to enter 1 candle 1-2 times / day. In some cases, treatment can be extended up to 20 days.
The most effective candles from female secretions
Candles from the discharge have a local effect, making the relief of the disease begins almost from the first day of treatment. In addition, local treatment blocks the spread of infection in the uterus and cervical canal. Vaginal suppositories treat these types of pathogens:
The most effective candles from female secretions are able to cope with microbes belonging to several types of pathogens.