For the treatment of inflammatory processes and female genital fungal diseases, vaginal suppositories Terminan are indicated for use.

In the composition of the suppositories, there are four active substances at once that fight bacterial problems of the vagina: prednisone, nystatin, neomycin sulfate and ternidazole.

Active components effectively suppress the number of fungi of the genus Candida, Trichomonas, and also remove anaerobic and pyogenic bacteria.

Prednisone helps relieve inflammation and other unpleasant symptoms caused by the active multiplication of microorganisms.

Read what are the cheap analogues of Terzhinan of domestic and foreign production.

Analogues of Russian production

The cost of candles is about 400 rubles per package. Terzhinan can be appointed as prophylactic or to sanitize the birth canal in the 3rd trimester of pregnancy.

Also, a remedy is prescribed before surgery to avoid unwanted infection of other organs.

Among the Russian-made generics, you can find cheaper suppositories:

1. Guitern. Available in the form of vaginal tablets, however, the duration of treatment can vary from 10 to 20 days.

   The original medication in the classic cases of the manifestation of thrush caused by fungi of the genus Candida is prescribed for a course of 7 days.

   The cost does not differ from the original - about 400 rubles per package.

2. Hexicon. Available in packs of 6 and 10 candles.

   The composition of another active ingredient is chlorhexidine, which also has an anti-inflammatory effect and fights against the breeding ground of bacteria.

   In the list of indications candidiasis, vaginitis different etiology and venereal diseases. The cost of the drug in the pharmacy is 270 rubles.

3. Elzhina. It is available in the form of tablets for insertion into the vagina. The package contains not 6, but 9 suppositories.

   Suppositories are contraindicated under the age of 18, they are not prescribed for patients with individual intolerance to the components.

   Elzhina is a close substitute in composition, the differences are insignificant. The cost in a pharmacy is 400 rubles.

The most profitable financial investment will be Geksikon, however, despite the same cost in the packaging of Elzhin's vaginal tablets, there are 3 candles more than the original.

Gitern's suppositories are similar in their mode of action, however, the composition of the perfect antiseptic substance is different.

Ukrainian generics

Ukrainian pharmaceutical companies unlike the domestic manufacturer, they can offer options even cheaper.

The list of indications also includes bacterial infections, vaginosis and disorders of the vaginal microflora of various etiologies.

You can buy suppositories of Ukrainian production in the range from 200 to 500 rubles.

Consider:

1. Neotrizol. The list of indications includes gynecological diseases of a bacterial type, which are provoked by fungi, protozoan viruses.

   Also appointed in complex therapy treatment of sexually transmitted infections as an anti-inflammatory agent. The average cost of a drug in a pharmacy is 350 rubles.

2. Meratin combi. It is indicated for use in violation of the vaginal microflora caused by fungal infections, Trichomonas and other protozoa.

   Often prescribed for prophylactic treatment before childbirth or surgery. The cost of candles is from 200 rubles per package.

3. Cervugid. The main indication is the treatment of cervicitis, which is noticeable by the consonance of the names.

   Eliminates bacterial consequences caused by protozoan microorganisms, helps to cope with the focus of inflammation in mixed diseases... The cost in a pharmacy is 500 rubles.

Ukrainian generics are cheaper than the original drug, except for Cervugid, which has more strong action, which is the reason for the high price.

However, substitutes made in Ukraine are difficult to find on sale in Russia.

Other foreign substitutes

Manufacturers of imported suppositories offer to purchase drugs with a similar composition and list of indications. The price and contraindications differ from the original suppositories of the medicine.

All of the listed vaginal tablets have virtually no side effects.

Allergic reactions can occur only in case of individual intolerance and the treatment regimen prescribed by the doctor or indicated in the instructions.

You can see the main differences in the table:

Depending on the etiology of the disease, you can choose a drug with a stronger effect or the cheap Clotrimazole, designed mainly for the treatment of thrush.

Terzhinan is excellent for vaginitis. In general, vaginitis is a terrible thing, I would not wish it on anyone. It is impossible to work or sleep with him. At first I myself read on the Internet how you can get medical treatment, but there are so many things, it is not clear what will really help. When my appointment came to the doctor, I already had severe edema. Gynecologist... Terzhinan is excellent for vaginitis. In general, vaginitis is a terrible thing, I would not wish it on anyone. It is impossible to work or sleep with him. At first I myself read on the Internet how you can get medical treatment, but there are so many things, it is not clear what will really help. When my appointment came to the doctor, I already had severe edema. The gynecologist prescribed Terzhinan and said to start on the same day. He has a course of 10 days. And he really got rid of vaginitis in these 10 days. Substances are not absorbed into the bloodstream, therefore there are no restrictions on interaction with other drugs + there is no negative effect on internal organs... For the price it is normal, as it seemed to me, it costs less than 600 rubles.

Terzhinan was appointed by a gynecologist, I had vaginitis. I could hardly bear it, I even cried a couple of times, it was so bad. These pills are the only thing that saved me! They are really very effective, relieving symptoms in just 2 applications. I thought that I would sit for another 5 days in this state, but here it is so fast ... Terzhinan was appointed by a gynecologist, I had vaginitis. I could hardly bear it, I even cried a couple of times, it was so bad. These pills are the only thing that saved me! They are really very effective, relieving symptoms in just 2 applications. I thought that I would sit for another 5 days in this state, but here such a quick effect. Despite its powerful composition, the drug is practically not absorbed, therefore other organs and general state do not suffer.

Manyuta

I have a feeling that half of the terginan candle comes out unchanged. now I understand why doctors praise capsules in gelatin - while I was being treated with ecofemin, I did not even notice how these capsules dissolved. and these pills like terginan are from the last century.

The only thing I didn’t like about terginan was that it gave me a strong burning sensation. But it helps well. True, it also kills its microflora to zero, then it was restored with ecofemin for a week. On the other hand, there is a guarantee that there is no infection left.

no matter how strong it is, so that later there will be no problems, it must be combined with ecofemin or some other probiotics. then the treatment is really effective

After terzhinan, the desire to be treated with candles disappeared altogether. This is some kind of horror - such a burning sensation! Previously, it was treated with other candles, the same thing happened, after the metrogil, plus for some reason there is no burning sensation. What is added to candles?

Not my remedy. Even a penny metrogil plus was better tolerated and helped no worse, although, it would seem, this is a gel, and here are candles. I don't understand why I gave that kind of money.

I have had chronic candidiasis for many years. Once the doctor prescribed terginan with fluconazole. Now, in the period of relapse (earlier 2-3 times a year, now less often) I use the same prescription. Just like in the anatomy the first two or three days there is a burning sensation and itching, then the sensations disappear, I am treated to the end and everything is getting better. Now I clean the body with badami that to get rid of it altogether.

The course passed for 10 days, there was vaginosis, there was absolutely no burning and itching! After the treatment, I passed the tests again - everything was normal! So this drug helped me a lot !!! The course passed for 10 days, there was vaginosis, there was absolutely no burning and itching!
After the treatment, I passed the tests again - everything was normal! So this drug helped me a lot !!!

Tell me what to do. For two days I have been using these vaginal pills, a strong burning sensation, itching, a strong allergy has begun, my whole body itches, even allergy pills only help for a few hours. Holidays, March 8th and all that. Gynecologists are all resting, there is no one to even ask.

Terzhinan suppositories were prescribed to me for Trichomonas vaginitis. Of course, the sore is still the same. The treatment was very serious. In addition to Terzhinan, there are also oral antibiotics and a bunch of vitamins and preparations for the stomach and liver. It is necessary. Terzhinan is a powerful antibiotic and can cause a number of side effects, by the way, I felt it myself. I also went to the gynecologist for ... Terzhinan suppositories were prescribed to me for Trichomonas vaginitis. Of course, the sore is still the same. The treatment was very serious. In addition to Terzhinan, there are also oral antibiotics and a bunch of vitamins and preparations for the stomach and liver. It is necessary. Terzhinan is a powerful antibiotic and can cause a number of side effects, by the way, I felt it myself. I also went to the gynecologist for douching. The treatment went very well, after that several years have passed, everything is in order.
Girls, it is very important that the treatment regimen is correct and the drugs are correctly selected. It all depends on your doctor.

Terzhinan is made in vaginal tablets with active ingredients - ternidazole, nystatin, prednisolone and neomycin. The cost of the medication is quite high, so doctors very often prescribe Terzhinan analogues in therapy.

Prescribe a medication for:

• trichomoniasis;
• vaginosis of bacterial etiology;
• nonspecific vaginitis at the stage of relapse;
• candidiasis;
• mixed vaginitis, which are caused by anaerobic microorganisms - gardnerella, a yeast-like fungus.

Pills can also be prescribed to prevent infection during childbirth or abortion. Often, Terzhinan is used before the installation of contraceptive intrauterine devices, as well as before the behavior of a diagnostic intrauterine study with vaginal sensors. During pregnancy and lactation, the medication can be used. Do not use Terzhinan in the treatment of allergies to a medication.

Terzhinan tablets are used intravaginally. They must be injected into the vagina once a day before bedtime. Before you enter the pill, it is recommended to soak it for 15-30 seconds in boiled chilled until room temperature water, and then deeply into the vagina. The average duration of therapy is 7-10 days. When treating mycosis, the duration of treatment can be increased to 15-20 days. Terzhinan can also be used during menstruation.

Terzhinan practically does not cause negative effects, sometimes patients note allergic reactions, which are manifested by itching, burning, discomfort at the injection site of the tablets.

Prices for Terzhinan and its analogues

The prices for analogues of the Terzhinan medication are quite high, only Russian-made medicines have a more affordable cost.

Popular substitutes for Terzhinan candles

The most popular substitutes for Terzhinan are medications that are not structurally analogous, but have the same therapeutic direction and effect.

Flucostat

The Russian medicine Flucostat is produced in capsules for oral administration and in a solution for intravenous injections based on fluconazole.

Prescribe pilyule_ana-097 Flucostat for lesions of the reproductive system caused by:

• Trichomonas;
• cryptococci and candida;
• onychomycosis and mycosis;
• deprive the pityriasis type.

In addition, the medication is prescribed to prevent the development of infection in patients with HIV and AIDS, as well as in cytostatic, chemotherapy and radiation therapy.

Flucostat is not used in patients allergic to medicinal composition, with lactose intolerance and lactation. It is prescribed with caution for pathologies of the kidneys and liver, for alcoholism in chronic stage, during pregnancy.

On the first day of therapy for candidiasis and other fungi, 400 mg should be taken once, from the second day the dosage is halved (200 mg). You need to take the medicine for 7-10 days.

To prevent the development of recurrent meningitis in patients with HIV and AIDS - 200 mg once a day for a long time period. At intravenous administration the patient also receives an initial dosage of 400 mg, followed by 200 mg on subsequent days.

Among adverse reactions the following are noted:

• allergy - urticaria, itchy skin, redness of the skin and rash;
• nervous system - headache and dizziness, increased fatigue;
• digestive organs - dyspepsia, abdominal and epigastric pain, diarrhea and vomiting.

Neotrizol

These are tablets for the treatment of vaginal infections of various etiologies. The medication is combined, and contains antibacterial components (neomycin and ornidazole), antifungal (miconazole) and glucocorticoid prednisolone.

The medication Neotrizol is prescribed in gynecology for:

• vaginosis and vaginitis;
• candidiasis;
• anaerobic infection;
• trichomoniasis and gardnerellosis.

Also, a medication is prescribed for the prevention of infections during the period surgical treatment gynecological organs and cleaning the vagina from infections before childbirth, abortion, as well as on the eve of intrauterine diagnostics.

You can not use Neotrizol for allergies to the constituent components of the drug, as well as in pediatrics and lactation. With great care, a medication is prescribed for such pathologies:

• colitis and ulcerative lesions of the digestive organs;
• osteoporosis;
• diabetes;
• tuberculosis;
• epilepsy and cardiac diseases;
• myopathy, hypertension and glaucoma;
• after a heart attack and with severe mental disorders.

1 tablet must be inserted into the vagina before going to bed. After the introduction of the tablet, you must be in horizontal position up to 20 minutes. At the time of menstrual flow, therapy should not be interrupted. The number of procedures for the introduction of pills is 8. If the symptoms of infection have not disappeared within 8 days, then it is necessary to undergo another eight-day course.

The body's reaction to the medication appears infrequently and is expressed by burning and itching at the injection site, as well as skin rash and urticaria, vasospasm in the head and headache. Very rarely observed increased sleepiness, edema in the peripheral regions, tremor of the limb and causeless irritability.

Cervugid

Cervugid is a substitute for Terzhinan with active ingredients: chloramphenicol, metronidazole, nystatin and hydrocortisone acetate. The components are able to cleanse wounds and necrotic tissues from the accumulation of pus in them, and also have the properties of blocking the development of microorganisms and the spread of infection. Prescribe a medication for such diseases:

• pathologies provoked by anaerobic and aerobic gram-negative or gram-positive microorganisms - clostridia, shigella, streptococcus, staphylococcus;
• trichomoniasis, mycoplasmosis and chlamydia;
• candidiasis;
• cervicitis.

Pessaries are also placed for the prevention and treatment of infections after treatment with immunosuppressants or corticosteroid hormonal medications, after radiation and chemotherapy, as well as before surgical treatment gynecological organs or before intravaginal examination.

Do not prescribe medicine for:

• allergies to the ingredients of the drug;
• pathologies in the hemostasis system;
• dysfunction of the liver and kidneys;
• pregnancy, hepatitis B and in pediatrics (up to 14 years).

Prescribe 1 pessary per day on the eve of bedtime for 7 days. With cystitis, burdened with ulcers and scarring, 1 pessary is prescribed twice a day for 7 days. If a severe infectious pathology, then, in addition to topical application, systemic use of antibacterial medications is necessary.

The medication provokes the development of such side pathologies:

• erythema, skin reactions, burning at the injection site;
• changes in work in the digestive tract - dyspepsia, epigastric and abdominal pain;
• neuropathy and encephalopathy, dizziness and headache;
• mental disorders and hallucinations;
• disturbances in the work of hemostasis, liver function, gallbladder and kidney function;
• staining urine in a red tint.

Analogs for men

For men, the pharmacological market offers antibacterial medicines for local and systemic use, which are therapeutic analogues of Terzhinan.

Pimafucin

Pimafucin is produced in cream, in suppositories and in tablets, with the main component natamycin. Pimafucin is used for:

• long-term therapy with cytostatics or glucocoticosteroid drugs;
• fungal infection of the digestive system;
• vulvovaginitis of candidiasis;
• damage to the skin and nail plates by a fungus.

Quite often, Pimafucin is included in the combination therapy of various fungal infections.

Do not prescribe medication for allergies to the ingredients of the medication. During pregnancy, in childhood from 7 years old and in the period breastfeeding there are no specific application restrictions.

When treating candidiasis in the digestive tract, you need to take four times a day, 1 tablet for a week. For children, the dosage is halved.

In the treatment of candidiasis nail plate it is necessary to apply cream on it and take pills. The frequency of the procedure per day of cream and pills is 4 procedures. Duration of admission is 2-3 months. The cream is used to treat dermatosis - 1-4 application procedures for 15-20 days.

At the initial stage of therapy, the patient may experience digestive disorders - diarrhea, flatulence, vomiting, gastralgia and nausea. Also, the following allergy symptoms are often noted:

• redness and burning at the site of application of the medication;
• severe itching of the skin and hives;
• dizziness or headache.

Clotrimazole

Clotrimazole is made in the form of vaginal tablets and suppositories, spray, paste, cream, ointment and solution for external use. Active ingredient- clotrimazole. The drug is a substitute for Terzhinan and has an antifungal effect on gram-positive and gram-negative bacteria of aerobic and anaerobic types. Prescribe a medication for such diseases:

• onychomycosis, versicolor versicolor and mycosis of the foot;
• mycosis of folds on the skin and erythrasma;
• candidiasis and dermatophytes;
• pyoderma, urogenital infections;
• trichomoniasis, candidiasis;
• vulvovaginitis;

It is also used to sanitize the birth canal just before childbirth.

You can not use the medicine for the following reasons:

• hypersensitivity to the components of the drug;
• 1 trimester of pregnancy;
• at the time of menstruation;
• in pediatrics up to 16 years old and during lactation.

The medication must be applied to the foci of the development of a fungal infection 1-3 times a day. Medicine for external use (ointment, paste, cream, solution, spray) is applied in an even thin layer and rubbed thoroughly into the affected area. The skin at the site of application of the medication should be washed and dried.

Side reactions of the body are quite rare and are most often expressed by skin allergies - rash, itching and hives, as well as a burning sensation, tingling sensation at the place where the medicine is applied to the skin. Also, women notice a burning sensation inside the vagina after the introduction of vaginal tablets and suppositories or vaginal gel.

The cheapest similar products for women

Terzhinan is in a high price segment, therefore, for many patients, the course of therapy with Terzhinan is very expensive. There are analogues of Terzhinan, which are several times cheaper than the original.

Meratin Combi

Meratin Combi is an antibacterial and antiseptic medication that is effectively used in gynecology. The following microorganisms are sensitive to the medication:

• Trichomonas and Giardia;
• amoebas and anaerobic microorganisms - clostridia, cocci, bacteroids.

The drug destroys the membranes of microbes, which leads to their death. Prescribe a medicine for the treatment of such pathologies:

• vaginitis and vaginosis of bacterial etiology;
• trichomoniasis and candidiasis.

Also, the drug is used for prophylaxis before the surgical treatment of gynecological diseases, the procedure for establishing intrauterine devices and vaginal diagnostics, as well as for numbing the birth canal on the eve of childbirth or before an abortion procedure.

Do not prescribe a medication:

• in case of allergy to components in the medicine;
• women in the 1st trimester of pregnancy.

With a restriction, you can use Meratin Kombi suppositories in therapy for women in the 2nd and 3rd trimesters of pregnancy and at the time of breastfeeding.

It is necessary to inject the pill into the vagina using the applicator once a day before going to bed, after soaking it for several seconds in warm water. After its introduction, you need to lie down for 12-20 minutes. At the time of menstrual flow, do not interrupt treatment. The standard medication course lasts 10 days.

Very rarely, women report side effects from the use of the drug, but the manufacturer noted the following negative effects of the medication:

• skin allergies;
• discomfort and burning at the injection site;
• the formation of intravaginal erosion;
• atrophy of the vaginal mucosa;
• slowing down wound healing.

Polygynax

Polygynax vaginal capsules are made on the basis of active ingredients - nystatin, neomycin and polymyxin B. Polygynax is used for the treatment of such infectious and inflammatory pathologies:

• vulvovaginitis and cervicovaginitis;
• vaginitis of fungal genesis;
• vaginitis caused by mixed infections.

Also, the drug Polygynax is used to prevent the development of infection:

• during surgical treatment;
• after intrauterine diagnosis;
• during the procedure for installing an intrauterine device;
• to cleanse the birth canal before childbirth;
• before the abortion procedure.

It is forbidden to prescribe Polygynax to women in the 1st trimester of pregnancy and with hypersensitivity to the drug. With high caution, it is prescribed in the 2nd and 3rd trimester, as well as for women during the hepatitis B period. When using a medication in treatment, it is necessary to focus on the fact that the medication reduces or completely blocks the effect of local contraceptives, and there is also a high risk of damaging the condom. Treatment with Polygynax increases the risk of unwanted pregnancy.

Polygynax is used by the method of intravaginal injection of a capsule, which is inserted deep into the vagina before going to bed. After the introduction of a vaginal capsule (1 pc.), You need to lie down in a horizontal position for 10-15 minutes. Therapy can last 10-12 days. For prophylaxis, Polygynax can be taken for 5-6 days.

When using capsules, side effects may develop:

• itching and burning;
• hyperemia of the vaginal mucosa;
• development of allergic erythema.

Symptoms may also appear allergic reactions on the skin - hives, redness of the areas and itching of the skin.

Effective and affordable Terzhinan substitutes

Many women of reproductive age may experience female genital ailments. Gynecological diseases can be triggered by the appearance of bacteria that have invaded the vagina. Against this kind of diseases, doctors recommend Terzhinan vaginal tablets. Given the high cost of the drug, most patients are forced to look for more affordable similar drugs. The reference contains a sufficient number of inexpensive substitutes, both Russian and imported.

Pharmacological effect and composition

Terzhinan is a combination drug for use in gynecological sphere... The medication is able to fight microbes, inflammation and fungi and ensure the integrity of the mucous membrane of the female genital organ.

The honey product contains four components. First - ternidazole... This agent allows you to resist fungal infections and fights anaerobic bacteria.

Also a component of the medication is neomycin, an antibiotic that is part of the aminoglycoside group. Eliminates bacteria such as staphylococcus, streptococcus, Escherichia coli, Shigella dysentery, Shigella Flexner, Shigella Boyd and Proteus.

Another integral element of the drug in question is nystatin... It is an antibiotic that fights against candidal fungus.

The last component is prednisone. Its properties are to relieve inflammation (including exudative ones), prevent allergies.

What Terzhinan treats: indications for use

• Vaginitis;
• Trichomoniasis;
• Candidiasis.

In addition, the drug can be prescribed before gynecological operations, abortion and childbirth, before and after the installation of an intrauterine device and before x-ray hysterography.

Who is contraindicated for?

Refuse treatment with this medication should be those who have an intolerance to its integral components.

Use by pregnant and lactating women

It is allowed to be used by the fairer sex in position and during the period of breastfeeding. However, you should first get medical advice. The doctor will be able to authorize treatment with Terzhinan if the benefits of the medication are significantly greater than the risk to the fetus or child.

Use can begin during the second trimester of pregnancy.

Possible Concurrent Undesirable Effects

After the suppository has been inserted into the vagina, itching, burning, and minor irritation may begin.

The development of mild allergies is not excluded.

Application rules

It is inserted vaginally. Before the tablet is introduced into the female genital organ, it must be placed in a container of water for 30 seconds. The introduction process must be carried out while lying on the bed before going to bed. After this event, you should lie down for 15 minutes.

Specific instructions during therapy

When a woman is diagnosed with vaginitis or trichomoniasis, it is necessary to carry out parallel therapy for the sexual partner, since he can also be infected.

When menstruation occurs, it is allowed not to suspend the administration of suppositories.

How much does Terzhinan cost: price in a pharmacy

This pharmaceutical product can be purchased at any pharmacy store in every Russian region. This can be done through a specialized website for the sale of medicines - apteka.ru. On this resource, his the price ranges from 396 to 484 rubles... The amount is really impressive, which is why not all patients will be able to afford treatment with such a pharmaceutical product.

List of Russian and imported inexpensive synonyms

Further on the list will be presented domestic and one foreign generics at a more affordable price. The table was formed thanks to the collection of data from the largest Internet sites for the sale of medicines. All substitutes presented are in the form of vaginal suppositories.

Elzhina - (manufacturer - Russian Federation)

Effectively fights against vaginitis of bacterial origin, vulvaginal mycoses, candidiasis.

It is not worth using this medication for those who are hypersensitive to the composition and underage patients. In addition, its use by pregnant women and those in the lactation stage is prohibited.

Edema, rash on the skin of the body, itching and dryness of the genital organ can become harmful parallel reactions.

Ekofutsin - (domestic analogue)

One more medicine from a Russian manufacturer, which is less common on the shelves of pharmacies than other drugs considered in this material. It is prescribed against candidiasis and various kinds of vaginal inflammation caused by infection.

Ecofucin should not be used by those who have problems with the safe assimilation of its composition. The instructions for admission indicate that during therapy, a woman is allowed to have sex. However, it is recommended to visit a doctor for a medical examination of a sexual partner. This is due to the possibility of developing candidal diseases in him.

During use, a slight itching may occur in the female genital organ.

Geksikon - (analogue of Russian production)

Medproduct stands out among others in that it has a wider list of indications. He is prescribed to prevent gonorrhea, chlamydia, genital herpes and syphilitic disease. Also, these suppositories are used by gynecologists to prepare for an abortion or childbirth. Effective in the treatment of inflammation of the vaginal mucosa of various genesis and course.

Geksikon is contraindicated in people with negative absorption of its active and auxiliary substances.

The development of adverse reactions is not excluded. They usually occur after the candle has been inserted into the female genital organ. Allergies are less common - rash, hives, redness of the skin.

Pimafucin - (Italian generic)

Forbidden to people with sensitivity to the ingredients of the medicinal product. The difference between Pimafucin is the admission to therapy for women who are expecting a baby and are in the period of breastfeeding.

As a side effect, the patient may experience a rash, a burning sensation in the vagina.

Syntomycin - (Russia)

It has a similar list of indications for the drugs considered in the article. Qualitatively fights colpitis, cervicitis. In addition, it does not allow the development of other ailments of the female genital organ that are inflammatory in nature. It is used for gynecological measures - the installation of a spiral in the uterus, the preparatory stage of childbirth or artificial termination of pregnancy.

Synthomycin differs markedly from other pharmaceutical products considered in the article with its voluminous list of prohibitions for admission. They concern those who do not tolerate its constituent components poorly, have severe ailments of the renal or hepatic system and all sorts of fungal infections of the vagina. The drug is not prescribed to those under the age of 18 and who have not begun sexual activity. Women during the period of expectation of a child and lactation are allowed this medication.

A similar remedy has a large number of undesirable concomitant effects - problems associated with the hematopoietic system, dermal reactions, an increase in the area of ​​the fungus, a slight stabbing and cutting pain during a trip to the toilet. It is worth noting that the sexual partner of a woman who uses Syntomycin may also suffer. A member of a young man may get irritated during copulation.

Atzilakt - (Russia)

Well resists vaginal dysbiosis and other inflammatory processes that affect the genital area female body... Acylact is used in preparation for planned gynecological surgical interventions to prevent further complications.

It is worth highlighting the absence of contraindications. However, in the presence of vulvovaginal candidiasis - the use is not recommended.

Clotrimazole - (the most affordable domestic substitute)

Enough effective remedy, which almost every patient who is faced with diseases of the reproductive system can afford. It is indicated against candidiasis, vaginitis, as well as for preventive measures before carrying out various procedures in the field of gynecology.

Avoid therapy with this pharmaceutical product should be those who are sensitive to its composition and are in the early stages of pregnancy.

Parallel negative manifestations are pain in the lower sections. gastrointestinal tract, rash and itching.

Conclusions on affordable generic medicines

The studied French-made medication has a sufficient number of positive reviews from the fairer sex who used it. Of the shortcomings, only its high cost was noted, which does not allow less affluent patients to purchase the drug. But the Russian pharmacy market has a fair share of manufacturers producing more affordable generics. This allows the treatment process to be carried out with low financial costs. Gynecological diseases should not be “shelved”, but treated as soon as possible. Before that, you need to visit a doctor who can accurately diagnose and determine the appropriate medicine.

It has anti-inflammatory and anti-allergic effects, suppresses exudation in the focus of inflammation.

Terzhinan has proven itself well in the treatment of vaginal dysbiosis. Due to the thoughtful combination of components, the drug is active against the most characteristic pathogenic microflora of the vagina and prevents the growth and reproduction of candida. The presence in the composition of prednisolone - a powerful anti-inflammatory agent - determines the effectiveness of the drug in bacterial or yeast vulvovaginitis. Associated infections are another specialty of Terzhinan. As a rule, in the patients of a dermatovenerologist who applied for a specific infection, several more associated ones are identified. In such situations, it is not recommended to prescribe only systemic antibiotic therapy: more medicines providing local action on the vaginal microflora. And Terzhinan comes in handy with its anti-inflammatory and antibacterial properties. The drug is also used during preoperative preparation before cryodestruction, excision of the cervix, conization, cauterization of erosion - it is prescribed within 10 days before the upcoming procedure. This is done to suppress the concomitant underlying disease inflammatory process in order to prevent morphological changes in the epithelium of the cervix and vaginal mucosa.

Pharmacology

Combined preparation for topical use in gynecology. Provides antimicrobial, anti-inflammatory, antiprotozoal, antifungal action; ensures the integrity of the vaginal mucosa and the constancy of pH.

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

Neomycin is an antibiotic wide range actions from the aminoglycoside group. Acts bactericidal against gram-positive (Staphylococcus, Streptococcus pneumoniae) and gram-negative (Escherichia coli, Shigella dysenteriae, Shigella flexneri, Shigella boydii, Shigella sonnei, Proteus spp.) Microorganisms; inactive against Streptococcus spp. Resistance of microorganisms develops slowly and to a small extent.

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

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

Pharmacokinetics

Release form

Vaginal tablets are light yellow in color, with possible inclusions of darker or lighter shades, flat, oblong, beveled at the edges and printed in the form of the letter "T" on both sides.

Excipients: wheat starch - 264 mg, lactose monohydrate - q.s. up to 1.2 g, colloidal silicon dioxide - 6 mg, magnesium stearate - 10 mg, sodium carboxymethyl starch - 48 mg.

6 pcs. - strips (1) - cardboard packs.
10 pieces. - strips (1) - cardboard packs.

Dosage

For vaginal administration.

1 tablet is injected deep into the vagina in the supine position before bedtime. Before the introduction, the tablet should be held in water for 20-30 seconds. After the introduction, you must lie for 10-15 minutes.

The average duration of a treatment course is 10 days; in the case of confirmed mycosis, the duration of treatment can be increased to 20 days; average duration preventive course - 6 days.

Overdose

There are no data on cases of overdose.

Interaction

Drug interaction of the drug Terzhinan has not been identified.

Side effects

Local reactions: rarely - a burning sensation, itching and irritation in the vagina (especially at the beginning of therapy).

Others: in some cases - allergic reactions.