Each of the women at least once faced an infection of the urinary system and genitals. It causes discomfort: itching, discharge and discomfort.

It is very important for the treatment to choose a drug that will not affect the healthy microflora of the vagina, but will effectively fight pathogenic microorganisms.

Today, on the market of medicines, doctors distinguish Geksikon candles. The article will discuss the use of this drug in the treatment of cystitis, urethritis and other urological pathologies.

Composition and pharmacological action

The active component of the drug is the antiseptic substance chlorhexidine. It shows its effectiveness against many gram-positive, gram-negative and protozoa microorganisms.

Also, its action extends to the causative agent of gonorrhea, chlamydia, ureaplasmosis, syphilis, trichomoniasis, colpitis (bacterial vaginosis). The drug has a weak effect against pseudomonas and proteas, is not effective against spores, fungi, viruses and acid-resistant microorganisms.

An important point is that the active ingredient of the drug does not kill the normal microflora of the vagina, and its low activity is also noted with purulent or bloody discharge.

This drug belongs to the group of antiseptics, which are used only externally. It is worth noting that Geksikon is absolutely ineffective against thrush, but this does not prevent many women from using the drug in this direction.

This once again proves the fact that for any disease it is not necessary to self-medicate, drugs should be prescribed exclusively by a doctor.

Release form

Geksikon is produced in the form of suppositories for vaginal administration or in the form vaginal pills, each of them contains 0.016 g of active ingredient.

Suppositories are torpedo-shaped, white with a slightly yellowish tinge. Each is packed separately, in a pack of 10 candles. The tablets are oblong in individual packaging.

Also available in the form of a solution for external use (in men).

Indications for use

First of all, it should be noted that Geksikon is used in two cases: in the treatment or prevention of diseases. Any appointment is carried out exclusively by a doctor. So, these candles are used in such cases:

• for the prevention of sexually transmitted diseases, the causative agents of which are ureaplasma, gonococcus, Trichomonas, syphilis, chlamydia, etc.;
• for the prevention of the development of the inflammatory process after surgery in gynecology;
• chronic forms of exo- and endocervitis, vaginitis;
• with various (, inflammatory processes in the ureter, urethritis, etc.).

It is recommended to use one candle after unprotected contact to prevent sexually transmitted infections.

Very often doctors prescribe this drug for the complex treatment of cystitis or urethritis. This disease is of an inflammatory nature, manifests itself against the background of the presence of genital infection in the woman's body.

The active substances of Hexicon kill pathogens in the vagina, thus preventing their further spread (by urinary tract to the kidneys).

Thus, with the timely use of the drug, the development of many urological diseases can be prevented. Sometimes the distribution process can have Return trip(from the organs of the urinary system to the genitals).

It is worth noting that in the treatment of urological diseases, Geksikon does not help to eliminate the true cause, but it perfectly prevents the further spread of the infection.

Contraindications to use

Geksikon is a safe drug, its active ingredient does not have the property of being absorbed into the systemic circulation.

Among the main contraindications are sensitivity to chlorhexidine, the presence different forms dermatitis and children under 14 years of age.

Methods and duration of admission

Depending on which disease is being treated, the scheme will differ. The dosage and duration of therapy is selected by the doctor after a comprehensive examination of the patient.

Half an hour before the introduction of the suppository in the treatment of cystitis, urethritis and other urological diseases, it is necessary to carry out hygiene of the external genital organs. If applied

Geksikon immediately after washing, the risk of neutralization of the active components of the drug by the components of cosmetics increases.

For urethritis or urethroprostatitis in men, a solution is used for external administration. It is injected with a pear, 2-3 ml twice a day (morning and evening). After that, it is important not to rinse the genitals. The average course of treatment is 10 days. Processing is carried out every other day.

For the treatment of infection of the urinary or genital organs, 1 suppository is used 1-2 times a day. It is best to inject the candle before bedtime so that it can dissolve and the active substance is absorbed into the tissue. At a dosage of 2 suppositories, one is administered in the morning and one in the evening.

The suppository is inserted deep into the vagina while lying on your back. The average course of treatment is 7-10 days, in some cases, doctors can extend it up to 3 weeks.

In order to prevent sexually transmitted diseases, it is recommended to use 1 suppository after the end of sexual intercourse. It is very important to do this within the first 2 hours, otherwise there will be no effect. The instructions indicate that there is no complete guarantee of disinfection.

In the case of application of the solution for external use, the dosage for men should not exceed 3 ml, and for women - 10 ml. The drug is injected into the urethra (for male patients) or the vagina.

Such a solution is used exclusively for the prevention of injections of the genitals and urinary system, as well as in the complex treatment of urological pathologies (cystitis, urethritis, etc.). It is very important not to urinate within 60 minutes after the medication is given.

Often, Hexicon solution is used in dental practice for the treatment and prevention of injection oral cavity... In this case, rinse is used 2-3 times a day for several minutes. The duration is prescribed by the doctor individually.

During pregnancy and breastfeeding

Hexicon is not prohibited for use during pregnancy and lactation, since it has no properties to penetrate the systemic circulation or breast milk.

This drug is allowed to be prescribed already in the first trimester for the treatment and prevention of urinary and genital tract infections.

Often, doctors prescribe suppositories before childbirth (for sanitation) and after them (to prevent the development of an infectious process and accelerate tissue regeneration). The active ingredient does not suppress the natural microflora of the vagina and does not cause complications.

Do not self-medicate during pregnancy, consult your doctor.

Danger of overdose

Cases of drug overdose have not been recorded. It is necessary to follow the treatment regimen prescribed by the doctor.

Interaction with other drugs

Sharing with preparations containing iodine is prohibited.

It is not recommended to use together with drugs of a detergent group (lauryl sulfate, etc.), as they inhibit the activity of the active substance of Geksikon. At joint application with ethyl alcohol, the effectiveness of suppositories increases.

Side effects

The development of unpleasant symptoms is almost impossible, however, in some cases, patients observe in themselves:

• allergies (itching, burning, redness of the skin, etc.);
• when using a gel or solution of Hexicon, dry skin occurs;
• dermatitis;
• when used in dentistry, tartar deposits, enamel sensitivity or taste disturbances are possible.

For any of the above symptoms, you must temporarily stop using Geksikon and seek medical advice.

Storage conditions and periods

Store in a dark place at room temperature, shelf life is about 2 years from the date of manufacture (indicated on the package).

Similar means

The closest analogue is Chlohexidine, which has a similar composition and effect. Other medicines include: Amident, Hibiskrab, Tsiteal, etc.

The average cost in a pharmacy chain is 230-290 rubles.

Description:

Description of the dosage form

Vaginal suppositories: white or white with a yellowish tinge, torpedo-shaped. Marbling of the surface is allowed.
Gel: colorless, transparent.
Solution for external use: colorless transparent or slightly opalescent, odorless liquid.

Characteristic

Antiseptic preparation for topical use.

pharmachologic effect

Pharmacological action - antibacterial, antiseptic.

Pharmacokinetics

And solution for external use
Practically not absorbed from the gastrointestinal tract. After accidental swallowing, 300 mg Cmax is reached after 30 minutes and is 0.206 μg / l. Displayed mainly with feces(90%), less than 1% - by the kidneys.
Pharmacodynamics
For vaginal suppositories
It is active against protozoa, gram-positive and gram-negative bacteria: Treponema pallidum, Trichomonas vaginalis, Chlamydia spp., Ureaplasma spp., Neisseria gonorrhoeae, Gardnerella vaginalis, Bacteroides fragilis. Some strains of Pseudomonas spp., Proteus spp. Are weakly sensitive to the drug, as well as acid-resistant forms of bacteria, bacterial spores. Hexicon does not interfere with the functional activity of lactobacilli. Remains active (although somewhat reduced) in the presence of blood, pus.
Active against gram-positive and gram-negative bacteria: Treponema pallidum, Chlamydia spp., Ureaplasma spp., Neisseria gonorrhoeae, Gardnerella vaginalis, Bacteroides fragilis, protozoa (Trichomonas vaginalis), herpes viruses. Remains active (although somewhat reduced) in the presence of blood, pus. When applied to the skin and mucous membranes, it has a bactericidal effect.

Indications of the drug Geksikon®

Common to vaginal suppositories and solution for external use:
prevention of sexually transmitted infections (syphilis, gonorrhea, trichomoniasis, chlamydia, ureaplasmosis, genital herpes, etc.).
For Geksikon® vaginal suppositories (optional):
itching of the vulva;
prevention of infectious and inflammatory complications in obstetrics and gynecology (before surgical treatment gynecological diseases, before childbirth and abortion, before and after the installation of an intrauterine device, before and after diathermocoagulation of the cervix, before intrauterine examinations);
exo- and endocervicitis, vaginitis (including nonspecific, mixed, Trichomonas);
treatment of bacterial vaginosis.
For vaginal suppositories Geksikon® D (optional):
treatment of colpitis (including nonspecific, mixed, gonorrheal, Trichomonas), bacterial vaginosis;
prevention of infectious and inflammatory complications in pediatric gynecology (before surgical treatment of gynecological diseases).
Common to solution for external use and gel:
in dentistry (rinsing, irrigation or application) for gingivitis, stomatitis, aphthae, periodontitis, alveolitis.
:
disinfection of purulent wounds, infected burn surfaces;
infections of the skin and mucous membranes in surgery, obstetrics and gynecology, urology (urethritis, urethroprostatitis).
For gel (optional):
in gynecology (vulvovaginitis);
in urology (balanitis, balanoposthitis);
in dermatology: treatment of skin infections, incl. pyoderma, impetigo, paronychia, panaritium, diaper rash.

Contraindications

Common to all dosage forms
Hypersensitivity to the components of the drug.
For external solution and gel (optional)
Dermatitis.
For external solution (optional)
Allergic reactions.
For vaginal suppositories Geksikon® (optional)
With caution - children's age.
Side effects of the drug Geksikon®
Common to vaginal suppositories
Possible allergic reactions, itching. They pass after discontinuation of the drug.
Common to external solution and gel
Allergic reactions, itching, dry skin, dermatitis, photosensitivity. In the treatment of gingivitis - staining of tooth enamel, tartar deposition, taste disturbance.
For external solution (optional)
Stickiness of the skin of the hands (within 3-5 minutes).

Interaction

Common to all dosage forms
Incompatible with detergents containing anionic group (saponins, sodium lauryl sulfate, sodium carboxymethyl cellulose). Simultaneous use with iodine is not recommended.
For vaginal suppositories
Incompatible with soaps (with intravaginal administration).
The toilet of the external genital organs does not affect the effectiveness and tolerability of vaginal suppositories Geksikon® and Geksikon® D, because the drug is used intravaginally.
For external solution and gel
The presence of soap can inactivate chlorhexidine; therefore, soap residues must be thoroughly washed off before using the drug. Ethanol enhances the effectiveness of the drug.

Method of administration and dosage

Intravaginally, intraurethrally, externally, locally.
Hexicon®
Geksikon® D
Vaginal suppositories. For treatment - 1 supp. 2 times a day. The course of treatment is 7-10 days, if necessary, it is possible to extend the course of treatment up to 20 days. For the prevention of sexually transmitted diseases - 1 supp., No later than 2 hours after intercourse.
Hexicon®
Solution for external use. For the prevention of sexually transmitted infections, Geksikon® is effective if it is applied no later than 2 hours after intercourse.
Introduce the contents of the bottle into the urethra (2-3 ml), women (1-2 ml) and into the vagina (5-10 ml) using a nozzle and hold for 2-3 minutes.
Treat the skin of the inner surfaces of the thighs, pubis, genitals with a solution. After the procedure, you should not urinate for 2 hours.
Comprehensive treatment urethritis and urethroprostatitis are carried out by injecting 2-3 ml of Hexicon® solution into the urethra 1-2 times a day, the course is 10 days. The procedures are prescribed every other day.
The Hexicon® solution is also used in the form of irrigation, rinsing and applications - 5-10 ml of the solution is applied to the affected surface of the skin or mucous membranes with an exposure of 1-3 minutes 2-3 times a day (on a tampon or by irrigation).
Gel. Treatment of vulvitis, balanitis, balanoposthitis - the gel is applied to the affected surfaces 2 times a day for 7-10 days.
Treatment of skin infections - the gel is applied in a thin layer to the affected areas 2-3 times a day, the duration of the course of treatment depends on clinical picture.
In dentistry (in the form of applications) for the treatment of gingivitis, periodontitis and other diseases - with an exposure of 1-3 minutes 2-3 times a day, the duration of the course depends on the clinical picture.

special instructions

Avoid getting the solution inside the wound in patients with open head injury, injuries spinal cord, perforation eardrum.
If the solution or gel gets on the mucous membranes of the eye, they should be quickly and thoroughly rinsed with water.
The contact of hypochlorite bleaching agents on fabrics that have previously been in contact with drugs containing chlorhexidine can contribute to the appearance of brown stains on them.
For solution for external use. The bactericidal effect increases with increasing temperature. At temperatures above 100 ° C, the drug is partially decomposed.
Shelf life of the drug Geksikon®
2 years.

Storage conditions of the drug Geksikon®

In a dark place at a temperature not exceeding 20 ° C.

Latin name: Hexiconum®
ATX code: G01AX
Active substance: Chlorhexidine
Manufacturer: Nizhpharm OJSC, RF
Pharmacy release condition: Over the counter

Antiseptic Geksikon is designed to combat infectious pathologies caused by most Gramplus and Gramminus bacteria. Contains the main active ingredient chlorhexidine. It is applied externally, suitable for use during pregnancy. Distinctive feature means that it is available in the form of intravaginal tablets for women and urethral solution for men. In spite of local application medications, compatibility with alcohol is negative.

Indications

Geksikon solution and tablets (vaginal suppositories) are prescribed for the treatment of the following diseases:

• Prostatitis and urethritis
• Pathologies of the epidermis and mucous membranes
• Wounds and burns with exudate
• In dentistry: gingivitis, stomatitis, periodontal disease, ulceration of the oral mucosa associated with trauma
• Prevention of genital infections
• Treatment of vulvitis, colpitis and vaginitis in gynecological practice
• Dermatology: impetigo, diaper rash, pyoderma, bedsores
• Balanitis gangrenous in men
• Alveolar infections, aphthae in dentistry
• The inflammatory process associated with the intrauterine contraceptive
• Erosive manifestations on the neck.

Composition

Hexicon tablets contain the main active component chlorhexidine and include additional components: cellulose, povidone, stearate to maintain shape and ensure density.

The solution consists of an active element in liquid form and purified water.

Healing properties

Chlorhexidine in Hexicon belongs to the group of cationic biguanides. Penetrates through the membranes of bacteria, combines with cytoplasmic bonds, changes the structure of the membranes of strains. The substance blocks the flow of oxygen, which is the reason for a decrease in the amount of adenosine triphosphates, without which the virus loses its ability to reproduce and dies. Long-term antimicrobial properties persist for 6 hours after starting treatment.

Hexicon is active in therapeutic measures against the following pathogens:

• Treponema
• Chlamydia
• Ureaplasma
• Neisseri
• Bacteroides
• Gardnerella
• Trichomonas
• Gonorrhoeae
• Candida Herpesviridae types 1 and 2.

Proteus and pseudomonads, acid-resistant species and protozoa show resistance to the Hexicon. In the presence of blood and exudate, the properties of the drug are somewhat reduced. The tool does not affect the microflora, does not change the number of lactobacilli. Does not penetrate healthy tissue, practically is not absorbed from the digestive system. The drug is 90% removed by peristalsis, more than 1.5% is excreted through the kidney system.

Hexicon tablets

Price 280-300 rubles

Pills for vaginal use are harder than suppositories, spread less, so it is better to use them during the day. They are made in the form of an oval, rounded on both sides, and have a yellowish tint. Inserted in double-sided blisters made of polypropylene or foil-clad material, 5 pieces each. Pale pink cardboard box with a picture of chamomile. The package contains 2 plates and instructions.

Mode of application

The drug is injected into the cavity, one unit at a time, twice a day. Better pills apply during the daytime. The method of use for both forms is absolutely the same: they are inserted into the vagina while lying or sitting. The course is two weeks, in case of indications it can be extended up to 25 days.

For the prevention of infectious infections, 1 vaginal tablet is used.

Hexicon solution

Price 120-140 rubles

A solution of 0.05% is poured into plastic bottles with a polymer dispensing nozzle of 100 ml. The liquid is colorless or has a slight opalescent effect, odorless. In a white pack with blue stains put 1 bottle and instructions. The bottle has a similar label.

Mode of application

To apply the solution, the tip is inserted into the vagina, or the urethral canal, and the bottle is pressed. The dose for women is 2-3 ml, for men - 1-2 ml. After that, it is necessary to process the external organs and skin. The toilet can be used 2 hours after the procedure.

In the treatment of urethritis and infectious prostatitis, a liquid is injected in an amount of 2-3 ml. Manipulations are carried out every other day for 10 days.

In case of lesions of the epidermis, the solution is applied to the affected tissues with a tampon or applications are made.

For the treatment of gum disease, irrigation is performed, the dosage is 5-10 ml. The mucous membranes are rinsed 3 times at knocks for a period of 5 to 10 days.

Use during pregnancy

The universal drug Gekiskon helps to protect against infection or cure an existing pathology at any time. Since during this period the composition of the microflora changes and immunity decreases, women during pregnancy are most at risk of attack by pathogens. Inflammation can begin, vaginosis can be connected.

Geksikon is absolutely safe, but requires preliminary testing for allergic reactions. If there is no negative effect on chlorhexidine, the use of the drug is allowed from the first days of pregnancy.

When the tablets are used externally, the dosage is usually 1 administration per day.

You can also irrigate your mouth, treat wounds and burns. For the prevention of genital infections, both forms of the drug are prescribed.

In the 2nd and 3rd semester of pregnancy, it is better to use the solution as protection, and tablets for treatment.

Alcohol compatibility

Alcoholic drinks are a serious provocateur that reduces the properties of any drug and increases the risk of complications. Since Geksikon is an external remedy, it is believed that there should be no harm from alcohol intake. But it is worth considering that there are capillaries and blood vessels in any area of ​​the body. Alcohol, getting into the bloodstream, spreads through all systems. When combined with the main active ingredient chlorhekisdine, alcohol can cause malfunctions. nervous system, allergies, failure of the liver and blood vessels, respiratory depression. Each person has individual reactions, so it is better to avoid complications.

With a long course of treatment, you must completely stop taking drinks. If the therapy is short-term, you need to consult a doctor, but it is worth considering that alcohol consumption is permissible in very small quantities.

Contraindications and precautions

Geksikon is not prescribed for children under 12 years of age. It is forbidden to use when identifying intolerance to the components. You can not use suppositories and solution for some types of dermatitis.

When processing injured or infected tissues in patients with injuries of the skull and spine, perforation of the ear membrane, it is not recommended to allow the composition to penetrate into the wound.

Drug interactions

Hexicon is not compatible with detergents containing anionic substances, therefore it does not interact with soap. Before using the medication, it is better to thoroughly rinse the skin, since cosmetics serve as a chlorhexidine deactivator. When used with ethanol, the properties of the drug are enhanced.

Side effects

With the introduction of suppositories in the cavity, burning and itching may occur, dryness of the mucous membranes, which quickly passes, so treatment cancellation is not required.

After irrigation of the gums, staining of the enamel and the appearance of calculus on the teeth are sometimes noted.

Overdose

No cases of excess were observed.

Conditions and shelf life

The composition is valid for 3 years. It must be kept at a temperature of 20 to 25 0 С in a darkened place, closed from children.

Analogs

Amident

PharmStandard, Russia

Price: solution 0.15% 100 ml - 70-90 rubles.

150 ml - 80-100 rubles.

Antiseptic for external use. The main component chlorhexidine is intended for the treatment of diseases in the gynecological and venereal diseases. Suitable for the use of preventive postoperative measures in dentistry. Helps in disinfecting wounds and burns, including in the presence of exudate. Effective treatment of work surfaces and devices in medical offices. Contraindicated when allergies are detected, allowed during pregnancy, not recommended to be combined with alcohol.

The solution is used for irrigation of cavities, application to damaged epidermis. During pregnancy, douching is recommended twice a day for 10 days.

The liquid is poured into brown vials with a plastic cap. The kit includes a dispenser. The pack is cardboard, white, with blue stripes, contains 1 bottle and instructions. The solution is colorless and odorless.

Advantages:

• Acceptable price
• There are no contraindications for pregnancy.

Disadvantages:

• Forbidden for the treatment of children under 12 years of age
• May cause dryness of the mucous membranes.

Depantol

Nizhpharm, Russia

Price: Tab. vag. No. 10 - 450-490 rubles.

Cream 30 gm - 230-250 rubles.

Anti-inflammatory and antimicrobial agent with chlorhexidine and depanthenol as active ingredients. Active against gram-positive and negative pathogens, dermatophytes, yeast-like protozoa, herpes virus.

When applied, it releases pantothene, which promotes cell regeneration, acceleration metabolic processes... Absorption when used externally is insignificant, the product does not negative influence on the body. Can be used during pregnancy.

It is prescribed for infectious vanginitis, inflammation of the cervical lumen, erosive manifestations of the cervix. It is not recommended to combine with alcohol intake.

The tablets are recommended for intravaginal use. The dosage is two injections per day, one unit at a time. The course of treatment is 10 days, if necessary, it can be extended. The ointment is used to treat the skin for infected wounds and burns, for the treatment of dermatosis, diaper rash. During therapy, it is better to refrain from drinking alcohol or, in consultation with your doctor, reduce the intake to a minimum amount.

The candles are oblong with one pointed end. They are placed in a polystyrene blister of 5 pieces. The carton contains 2 cells and instructions. The ointment is packaged in small tubes of aluminum alloy, closed with a cap with a perforated tip and a protective film.

Advantages:

• The activity of lactobacilli is not disturbed
• The drug is approved during pregnancy.

Disadvantages:

• Incompatibility with anionic group compounds
• Not used in pediatric practice.

InfaMed, Russia

Price: solution of 0.01% 50 ml - 200-230 rubles.

150 ml - 370-400 rubles.

500 ml - 750-800 rubles

Antiseptic that has a hydrophobic effect on the cytoplasm of the membrane walls of pathogens. Increases the permeability of the shells and destroys them. Effective against most gram-positive and negative pathogens, including viruses that cause sexually transmitted infections. Stimulates immune processes, promoting faster healing.

The agent is prescribed for the treatment of gynecological, urological, dental, dermatological diseases. Suitable for treating wounds and burns. It can be used during pregnancy, since the drug is practically not absorbed into the bloodstream. It is recommended to stop drinking alcohol in case of long-term therapy.

The solution is poured into translucent plastic bottles. The liquid is colorless and odorless. Includes urogenital applicator and irrigation spray. A pack of cardboard, white, with green circles, contains 1 bottle and instructions.

Advantages:

• Antibiotic resistance of strains decreases
• The convenience of use.

Disadvantages:

• Short-term burning and itching may occur
• Contraindicated in case of susceptibility to components.

In recent decades, gynecologists have noted a progressive increase in the number of inflammatory pathologies of the vagina. They are most often caused by nonspecific microflora, and are especially common in adolescent girls and young women. The reason for this is the frequent use antibacterial drugs, disturbing normal microflora... One of the most effective antimicrobial agents that do not violate the vaginal microflora is Hexicon. Below is an instruction for the use of candles "Geksikon".

• 1 Causes of inflammation of the "female organs"
• 2 Benefits of topical preparations
• 3 What is this medicine
• 4 For what diseases are prescribed
• 5 Candles "Geksikon": instructions for use
• 6 Side effects and contraindications
• 7 Purchase and analogues

Normally, the protection of the vaginal mucous membranes from infections is provided by certain immune and humoral factors. An important role in this is played by the composition of the microflora, represented by more than 20 species of various microorganisms. Violation of these defense mechanisms leads to the activation of opportunistic microflora and the occurrence of inflammatory changes.

Causes of inflammation of the "female organs"

Vulvovaginitis and vaginitis are most often caused by the following types of microorganisms:

• staphylococci;
• streptococci;
• enterococci;
• corynebacteria;
• colibacillus;
• gardnerella.

Basically, the pathology is caused by the bacteria that inhabit the intestines - enterobacteria, coliform microorganisms. Less commonly, vulvovaginitis provokes gram-positive cocci, Pseudomonas aeruginosa, corynebacteria.

Recently, it has been established that often inflammatory changes in the vagina are provoked by two or three, and sometimes a large number of pathogens at once. Vaginitis of mixed etiology is diagnosed in more than a third of patients.

Not so rarely, simultaneously with opportunistic microflora, sexually transmitted infections (STIs) are detected. Most often, in smears in patients with vulvovaginitis, chlamydia, Trichomonas, ureaplasma, gonococcal infection are detected. Inflammatory diseases of the vagina and external genital organs caused by a mixed infection are especially difficult. Under certain conditions, they can lead to complications in the form of the spread of infection to other parts of the woman's reproductive system. In addition, diseases of mixed etiology are especially prone to chronicity of the process with the occurrence of frequent relapses.

Benefits of topical preparations

That is why the treatment of such pathologies requires the appointment of antimicrobial agents. wide range actions. However, most of the antibacterial pharmaceuticals are not suitable for therapy. chronic forms diseases, moreover, they often cause a violation of the microflora of the vagina. In addition, most pathogens become resistant to some antibiotics over time. This is especially true for drugs of systemic action, administered orally or parenterally.

Topical preparations are optimal for the treatment of vaginitis in women. The main advantages of using them are as follows:

• lack of a large number of side effects;
• simplicity, ease of use;
• minimum of contraindications.

All these requirements are fully met by the drug "Geksikon", produced in the form of suppositories. It is effective for inflammatory diseases of the genital organs and at the same time is safe for the woman's body.

What is this medicine

"Geksikon" is a drug that has antimicrobial and antiprotozoal activity. It can be used both to treat and prevent infections of the vagina and external genitalia. "Geksikon" in candles can only be used locally.

The main active ingredient of this pharmaceutical is chlorhexidine bigluconate, a substance with a strong antimicrobial effect. One candle "Geksikona" contains 0.016 g of chlorhexidine. Additionally, the composition includes a filler (macrogol), which dissolves under the influence of heat and ensures an even distribution of the drug.

In the pharmacy chain you can also find the drug "Hexicon D", which contains only 0.008 g of chlorhexidine. It is intended for the treatment of female patients childhood and girls who are not sexually active.

The spectrum of antimicrobial activity of "Geksikon" is quite extensive. It is effective against the following pathogens:

• pale treponema;
• chlamydia;
• ureaplasma;
• gonococcus;
• gardnerella;
• bacteroids;
• Trichomonas;
• herpes simplex virus.

The mechanism of action of chlorhexidine is the formation of its active forms in the lumen of the vagina. The drug interacts with the membranes of bacteria and leads to disruption of the transport of potassium and phosphorus ions and the death of bacteria.

This process is also facilitated by the filler included in the drug. It actively adsorbs secretions and potentiates the antimicrobial properties of chlorhexidine. Therefore, the drug works just as well in the presence of pus or blood. It is allowed to use "Geksikon" during menstruation, moreover, if treatment is started earlier, it is not recommended to stop it.

After insertion into the vagina, the drug binds well to the structures of the vaginal mucosa. Moreover, it is practically not absorbed into the systemic circulation. It was found in experiments that even with accidental ingestion of chlorhexidine, only a very small amount of it is absorbed into the blood.

"Geksikon" has low toxicity and can be used in women with different somatic status, as well as in pregnant women. Also, a great advantage of the drug is that it does not have a negative effect on beneficial lacto- and bifidobacteria. After treatment with this drug, there is no violation of the vaginal microflora, which does not require the additional appointment of probiotics.

What diseases are prescribed

The main indications for the use of "Geksikon" are as follows:

• vaginosis with gardnerellosis;
• vaginitis;
• colpitis;
• cervicitis;
• vulvitis, vulvovaginitis and associated cystitis;
• with erosion of the cervix in complex therapy.

Also, the medicine is actively used in preventive purposes... Assign "Geksikon" for:

• prevention of STIs after unprotected intercourse;
• before gynecological operations;
• with the introduction of an intrauterine device;
• after diathermocoagulation for cervical erosion;
• before childbirth at elevated leukocytes in a smear;
• with a pessary installed;
• after operations on the genitals.

Reviews of vaginal suppositories "Geksikon" testify to its good effectiveness precisely in inflammation of the vaginal mucosa and cervix. The drug can be included in combination treatment regimens along with other drugs.

Candles "Geksikon": instructions for use

Suppositories "Geksikon" are used only vaginally. It is not recommended to use suppositories rectally or as an ointment.

• Administration of the drug. Before their introduction, it is necessary to conduct a toilet of the genitals. After that, you need to carefully remove the suppository from the package; for better administration, it can be moistened with water. A suppository with chlorhexidine is injected deep into the vagina.
• Course treatment. According to official instructions, v medicinal purposes you need to apply candles twice a day, in the morning and in the evening. Usually, the duration of therapy does not exceed ten days.
• Application in children. For the treatment of children, you can also use candles "Geksikon" with a dosage of 0.016 g. Before the introduction, the candle is cut lengthwise into two parts and then hands give it a torpedo shape.
• For prevention. If the medicine is used for prophylactic purposes after accidental intercourse, then the dosage regimen is somewhat different. In this case, only one candle is injected during the next two hours, but not later. Combine "Geksikon" and sexual intercourse only in individual cases, much safer will be the use of barrier methods of contraception (condom).

After the candle is inserted, a small transparent discharge may be observed, caused by its dissolution. Purulent or bloody discharge after "Geksikon" indicates the presence of gynecological pathology, and is in no way associated with the use of this medication.

Side effects and contraindications

According to doctors, the drug is very well tolerated. Occasionally there may be side effects local character:

• a burning sensation in the vagina;
• allergic manifestations in the form of edema, redness, rash.

A contraindication to the use of the drug is only an individual intolerance to chlorhexidine or a filler. Also, do not use "Geksikon" simultaneously with cosmetic preparations containing detergents. This is true in the case of intravaginal use of such funds.

Hygiene of the external genital organs does not affect the effectiveness of "Geksikon". For the entire period of use of the drug, not a single case of its overdose was recorded.

Acquisition and analogues

You can buy "Geksikon" candles in any pharmacy chain. Considering that they are of domestic production, their cost is low. A pack of ten candles will cost 260-280 rubles (data for October 2017).

Also, a pharmacist can offer analogs:

• Chlorhexidine;
• "Depantol".

Suppositories "Chlorhekisdin", as well as "Hexicon", contain chlorhexidine bigluconate. The composition of suppositories "Depantol", in addition to chlorhexidine, also includes dexpanthenol, which has a regenerating effect on the vaginal mucosa.

Long-term use of "Geksikon" in gynecology has made it possible to study well all its positive aspects. In the clinical research its safety and effectiveness in inflammatory diseases of the female genital organs have been proven. Given the lack of systemic action, it can be used even during pregnancy or lactation. An important advantage of this medication is the absence of a negative effect on the vaginal microflora. Unlike tablets, "Geksikon" suppositories do not have a harmful effect on the body and act exclusively locally. Therefore, they can be used not only for medicinal purposes, but also for prophylactic purposes.

Candles "Geksikon": effectiveness in the treatment of vaginitis (instructions for use) - all about and for health on KrasotaDiet.ru

Treatment different types bacterial vaginitis in women is complicated by the fact that many drugs have contraindications. The problem is especially relevant during pregnancy and breastfeeding. Women in these categories have to carefully select medicines, one of which is vaginal candles Geksikon-D or Hexicon-16. We will give instructions for use in gynecology and tell you about the features of therapy with this remedy.

Description and composition

Geksikon is a torpedo-shaped suppository of white color, sometimes with a pale yellow or marble tint. The suppository contains hexidine bigluconate - a strong antiseptic with low absorption into the systemic circulation. Due to this, Geksikon has very minor contraindications.

Auxiliary components are polyethylene oxide. This substance has no particular effect on the woman's body, does not heal gynecological diseases, but helps to maintain the shape of the suppositories and provides the best action of hexidine.

Application in gynecology

Geksikon is an antiseptic drug used exclusively intravaginally. Active substance medicinal product severely weakens the function of many pathogens, including:

• triponem;
• chlamydia;
• ureaplasma;
• gardnerell;
• Trichomonas.

Geksikon also helps to fight human papillomavirus types 1 and 2 (HPV-1 and HPV-2). At the same time, the drug does not have a negative effect on lactobacilli, therefore it can be used in the treatment of vaginitis and vaginosis of various etiologies.

In addition to the above diseases, Geksikon is used in the following cases:

• for the prevention of STDs;
• before intrauterine studies;
• front surgical treatment gynecological diseases;
• during endometritis;
• with endocervicitis;
• in the treatment of thrush;
• in the treatment of cervical erosion.

Hexicon is well tolerated female body and almost never causes side effects. However, for women who are going to use these candles at home, it is better to consult a gynecologist.

Contraindications and side effects

The peculiarity of the drug is a small number of contraindications and side effects. The first includes hypersensitivity to the active substance and existing allergic reactions.

Occasionally, women turn to a gynecologist for side effects:

• itching;
• burning sensation;
• rashes on the pubis and genitals

Hexidine penetrates the mucous membrane in negligible doses, therefore it does not have a noticeable effect on vital organs and systems. There were no cases of overdose with suppositories.

Dosage and course of treatment

In most cases, the doctor adheres to the instructions for use, according to which the prophylactic dose is 1 suppository per day, the therapeutic dose is 1-2 suppositories. The duration of treatment in the second case is up to 10 days, only in rare cases this period is increased to 20 days.

However, sometimes doctors deviate from the manufacturer's prescriptions. This is due to the peculiarities of the course of the disease and the health conditions of the sick woman.

Features of treatment with candles Geksikon

Vaginal suppositories Geksikon D provide local action, therefore, have few features in the application. Determined that active substance(DV) is rapidly excreted from the body, does not enter the systemic circulation, and therefore does not pass into breast milk. The likelihood of DV penetration through the placenta and the negative impact on the development of the fetus are also minimal.

When treating with suppositories, the following points should be considered:

1. During pregnancy, the risk of allergy to Hexicon increases, it is good to consult an allergist before the course.
2. It is undesirable to start the course 2-3 days before the onset of menstruation - during menstruation, the effectiveness of suppositories decreases. The optimal period is the middle of the cycle.
3. During treatment, it is better to wash with baby soap. Many cosmetics contain SLS and SLES components. They affect the foaming of products, but are incompatible with Hexicon.
4. Douching with any solution, including soap, is strictly prohibited.
5. Sexual intercourse during the treatment with Geksikon is not recommended.
6. Hexicon reduces the effectiveness of latex condoms.
7. The active substance of the suppository is not combined with iodine and preparations in which it is present.

Also, during therapy, it should be borne in mind that purulent discharge, as well as leucorrhoea or blood, reduce the effectiveness of suppositories. If necessary, your doctor may prescribe an anti-inflammatory drug. general use or take action to remove barriers to adequate treatment.

Candle analogs

Geksikon candles have analogues in composition - alcohol solution Chlorhexidine and Amident solution. But the use of these compounds in gynecology is very limited: with inflammatory processes in the area of ​​the cervix, it is better to use suppositories.

As for suppositories, similar actions have:

• Iodovidone;
• Betadine;
• McMiror;
• Iodoxide;
• Povidone-Iodine;
• Lactoginal capsules.

At the same time, preparations with iodine are contraindicated during pregnancy, and all of these drugs have different side effects... Therefore, if the question about analogues is asked in order to find a cheaper drug, it is better not to save money. Especially if the treatment is prescribed to a pregnant or lactating woman.

Price and terms of sale

Geksikon-D and Geksikon-16 are sold in Russian pharmacies without a prescription. The cost of the drug depends on the country, region of residence and retail network. Some pharmacies can buy one suppository, which is beneficial for short courses. You can compare prices in Russia and Ukraine using the table.