Composition and release form
The drug is available in the form of tablets intended for vaginal administration. There are several active components:
- ternidazole has a detrimental effect on Trichomonas and anaerobic microorganisms;
- neomycin is an antibiotic, many bacteria are sensitive to it;
- nystatin has an antimycotic effect, as a result of which fungi die;
- Prednisolone sodium metasulfobenzoate is a glucocorticosteroid component that copes with severe inflammation, itching and swelling of the genital mucosa.
In addition to the active ingredients, vaginal suppositories also contain auxiliary components. They help all components to be evenly distributed and completely dissolved.
Side effects and contraindications
Terzhinan does not cause exacerbations of existing chronic pathologies. Due to the lack of systemic action, it does not interact with other medications. In rare cases, its use may cause itching and irritation of the mucous membranes. The only contraindication is individual intolerance to one or more components. Its signs:
- severe burning sensation;
- redness of the integument;
- swelling of the mucous membrane or severe pain at the injection site.
In isolated cases, Prednisolone in tablets can provoke erosive lesions of the vaginal walls. In addition, this hormone requires careful use of the drug for hypothyroidism, diabetes, and cardiovascular pathologies.
Purpose of the drug
The combined drug "Terzhinan" has antimicrobial, antifungal, anti-inflammatory and antiseptic effects on the body after use. Widely used in gynecology in the treatment of infections of the external genitalia.
It is advisable to prescribe vaginal tablets in the following cases:
- vaginitis of fungal or bacterial origin;
- vaginitis caused by the penetration of Trichomonas;
- chronic colpitis;
- vaginal dysbiosis.
Terzhinan suppositories are also effective when several infections are detected at once.
The main advantage of the drug is that during treatment there is no disruption of the microflora and the vaginal mucosa is not disturbed.
Ureaplasmosis
Often the postpartum period is accompanied by a decrease in immunity. Active growth of ureaplasmosis pathogens is beginning to be observed. Terzhinan suppositories are prescribed together with immunomodulatory drugs. The drug has a detrimental effect on most types of bacteria and relieves inflammation.
Candidiasis
In cases where thrush occurs with a secondary bacterial infection or with pronounced symptoms, the drug Terzhinan is prescribed.
Can I use it while breastfeeding?
The use of the drug during lactation is permitted when the benefits of treatment outweigh all other risks. Throughout the course of treatment, it is necessary to monitor the condition and behavior of the baby.
The duration of administration of suppositories during breastfeeding should not exceed 7 days. Only in this case will it be possible to avoid negative effects on the baby’s health. Sometimes this course is not enough to get rid of the infection, so therapy becomes ineffective.
Safe alternatives to terzhinan
There are safe analogues. The following medications are most effective:
- Pimafucin . Available in different forms: tablets, suppositories, creams. May be in tablet or cream form. It is a monocomponent drug.
- Diflucan . A single dose of the capsule is sufficient for a course of treatment of thrush. Used for the treatment of local and generalized candidiasis and vaginitis.
- Flucostat . Release form: capsules for oral administration. Can be used for urogenital fungal diseases in women.
- Fluconazole . There are forms for internal and intravenous administration. Quickly eliminates the symptoms of fungal infection. Reduces inflammation of the vaginal mucosa
- Clotrimazole . The cheapest drug of all listed. Sold in the form of suppositories or ointments. Its main purpose is to treat thrush. Unlike terzhinan, it does not act on sexually transmitted infections
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Despite the variety of medications, only a doctor can prescribe them correctly. Before nursing mothers take tablets or capsules, it is necessary to consult a specialist.
How does the medicine affect
Like any other medicine, Terzhinan can cause unwanted reactions from the patient's body. In the case of a nursing woman, reactions may also develop in the baby.
For lactation
The dose of drug components that penetrate into the systemic circulation and breast milk is insignificant. "Terzhinan" does not affect the amount of milk secreted, does not change its taste and smell.
For babies
Treatment with Terzhinan vaginal tablets cannot be started on your own. Only a doctor, taking into account the health status of the woman and child, will prescribe the correct treatment regimen.
The components that make up the medicine can cause allergic manifestations in the child in the form of rash, itching, redness of the skin, as well as intestinal colic. The child becomes restless, capricious, sleeps poorly, and appetite decreases.
Is it possible to use terzhinan during gw?
There are no contraindications to this medicine during pregnancy and lactation. If you need to take terzhinan while breastfeeding, you need to assess all the risks and consult a gynecologist. Since suppositories are intended for topical use, it must be remembered that their absorption into the systemic circulation is low. Consequently, breast milk will contain only a minimal amount of the active ingredient.
When feeding a newborn baby, the use of terzhinan suppositories usually does not interfere with breastfeeding.
During lactation, when treating a nursing woman, you need to carefully monitor the child's reaction. If a breastfed baby experiences any unusual symptoms, treatment should be stopped. These include: anxiety, refusal to eat, poor sleep. Then, after stopping Terzhinan, you need to find out the reason for this behavior of the child.
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Usually, 10 days of treatment is enough to treat common vaginitis.
For severe infections, it is possible to extend terzhinan for up to 20 days.
Terzhinan is prescribed for prophylactic purposes in a short course of 5 to 6 days. For example, before gynecological surgery or diagnostic procedures.
During lactation, the health and treatment of a nursing woman should be given special attention. The baby's health depends on this.
If a fungal infection is detected, its treatment should not be neglected. Candidiasis is caused by special yeast-like fungi. In a woman who is breastfeeding, these pathogenic microorganisms can enter the bloodstream. From the blood they pass into breast milk. Your baby may develop oral thrush.
The use of terzhinan is actively used in pregnant and lactating women. Sometimes it is prescribed immediately after childbirth to prevent secondary infection.
Dosage and instructions for use
The standard treatment regimen involves inserting a tablet deep into the vagina once a day for 10 days. It is advisable to carry out the procedure before bedtime. If the drug is administered during the day, you should not get up for 12 minutes.
Immediately before administering the tablet, it must be dipped in a container of warm boiled water for 25 seconds. This helps dissolve the top layer, and the medicine will act faster.
In order for the candle to penetrate as deeply as possible into the vagina, you need to take the appropriate position. Administer the drug, preferably in a squatting position or lying on your back, with your legs bent at the knees and pressed to your stomach. If thrush is detected, the course of treatment can be extended to three weeks. After a couple of days, they take a test and, if necessary, repeat the course of treatment.
When is it prescribed?
Doctors prescribe Terzhinan during breastfeeding for the treatment of various types of bacterial and fungal vaginitis (including thrush), prevention and treatment of purulent and inflammatory processes before surgical procedures. Terzhinan is used before the installation of intrauterine devices of contraception and after their removal, before operations to terminate pregnancy or childbirth.
Directions for use and dosage
The drug is administered locally into the vagina. Before administration, the tablet should be moistened with water for 20–30 seconds for better dissolution. The procedure is carried out once a day before bedtime.
If, for some reason, a young mother is forced to undergo treatment during the day, then after administering the pill she should lie down for a while. The full course of therapy is at least 10 days. Treatment for thrush lasts about 20 days. If necessary, both partners are treated simultaneously.
If menstruation begins during therapy, it should not be interrupted.
Side effects and contraindications
Terzhinan during lactation is contraindicated for mothers prone to allergies to one or more components in the composition of the medicine.
Side effects include reactions such as itching and burning. Most often, such manifestations occur at the beginning of the course of treatment.
How to be treated so as not to harm the baby
The official instructions say that it is not prohibited to take tablets for thrush during breastfeeding, but doctors often argue about this. Such disagreement leads to confusion among mothers, and they do not understand how safe terzhinan is.
In this regard, not every nursing woman takes risks and agrees to such methods of treating thrush and infections.
There is a little trick that will help the mother cope with the problem and will not harm the baby.
The percentage of the drug in the blood, and therefore in breast milk, is very low. If you choose the longest time interval when the child does not eat, it will become even lower.
The longest break in food for a child is at night (some children even sleep without interruption). If you administer a terzhinan tablet immediately after the last feeding, by the morning its concentration will become negligible.
Effect of the drug on the child
Recently, in most countries of the world, the issue of the safety of infants has become very acute. Cases have become more frequent when children’s health has deteriorated significantly due to the mother’s taking certain medications.
The largest organizations in European countries and America conduct a lot of drug research. Terzhinan was also subjected to such tests. Based on the results, they concluded that it is allowed to use it during breastfeeding if the benefit to the mother is much more significant than the possible harm.
Reviews from women and doctors about the drug
Judging by the number of prescriptions, doctors like the medicine for thrush. According to statistics, in 80% of cases Terzhinan is prescribed. Popularity is associated with relative safety for a small person and effectiveness in treating diseases.
Women who were treated for thrush with tablets and who were breastfeeding were satisfied. Everyone noted excellent results in the shortest possible time, ease of use, reasonable cost and, most importantly, safety for the baby.
You cannot take any medications, even the most proven and harmless ones, without permission. Don't forget, they affect not only your health, but also the crumbs.
Before use, you should definitely consult a gynecologist. Before your appointment, the doctor will send you for a blood test, take a smear for microflora, and test for allergens (included in the composition). After receiving all the results, the doctor will prescribe or prohibit Terzhinan. It is important to understand that in this matter you should exclude the advice of friends, familiar mothers and other people.
It is strictly forbidden to drink alcoholic beverages during the treatment period. Such hobbies will minimize the entire effect and the infection will not leave the body and will reappear over time.
There is no clear, unambiguous answer about the possibility of using terzhinan during breastfeeding. It all depends on the general condition of the patient, the stage of the disease and its complexity and a number of other factors. If there is an option to cure the infection or infection using other, safer methods, then it is worth using them.
In what cases is it prohibited to use the medication?
The drug "Terzhinan" is contraindicated for use in case of allergic manifestations and hypersensitivity to the constituent components. The restriction is age under 16 years.
During the postpartum period, a woman is bothered by discharge - lochia. In most cases they are abundant. Until the lochia discharge completely stops, the drug cannot be administered.
Reviews about the application
Many reviews note the quick help of the drug and the absence of any negative effects on the health of the baby and the mother herself.
Galina, 34 years old: “In the second month of breastfeeding, thrush appeared. Severe burning and itching did not give me peace. The doctor prescribed Terzhinan. The drug turned out to be expensive, but effective. The discomfort and severe itching disappeared on the second day. “There was no negative impact on the baby.”
Irina, 30 years old: “For bacterial vaginosis, the doctor prescribed me Terzhinan suppositories.” Before him, the doctor prescribed me other drugs that are allowed during breastfeeding, but there was no effect or it was short-lived. Already after the first Terzhinan candle I felt relief. True, immediately after the injection there was a feeling of heat and tingling, but after a while the symptoms went away. The drug had no effect on the baby.”
