Terzhinan from what week of pregnancy can you. Pregnancy planning and Terzhinan. Side effects from taking the drug and special instructions

03.07.2019

During pregnancy, the body of the expectant mother can be attacked by various bacteria and microbes that cause inflammation, the development of certain diseases, as well as exacerbation of chronic ones. These most often include diseases of a gynecological nature, which must be eliminated immediately before childbirth. Among a number of drugs prescribed by an obstetrician-gynecologist, Terzhinan can be found. Further we will talk about him.

The release form of Terzhinan vaginal tablets.

What it is?

Terzhinan is a drug aimed at combating a number of gynecological diseases. It has the following properties:

actively fights Candida bacteria;
actively fights Trichomonas bacteria;
contains an antibiotic that excludes the development of purulent diseases;
eliminates inflammation;
reduces itching, burning and redness.

The main components of Terzhinan are nystatin, ternidazole, neomycin sulfate, thanks to which it has the above properties. The preparation also includes such excipients as starch, lactose, magnesium stearate, sodium lauryl sulfate, etc. All of them are safe for the health of a pregnant woman and a baby.

Terzhinan vaginal tablet without packaging.

Terzhinan is available in the form of cream-colored oblong vaginal tablets, on which dark crumbs or the letter "T" are sometimes found. Dispensed in pharmacies without a doctor's prescription in cardboard boxes containing strips of 6 or 10 pieces.

Why are Terzhinan candles prescribed?

Due to its wide range of effects, Terzhinan is a popular drug used to treat diseases such as thrush, trichomoniasis, colpitis, vaginitis, bacterial vaginosis, etc., and is also prescribed for prophylactic purposes before childbirth to prepare the birth canal, gynecological operations, installation or removal of the spiral, abortion, etc. Terzhinan also helps to restore the vaginal microflora and normalize the pH balance.

If we consider the properties of the drug in more detail, then according to the main components of the drug, we can say that ternidazole will help fight fungi of a different nature (for example, Gardnerella); neomycin is a broad-spectrum antibiotic prescribed to combat both gram-positive and gram-negative bacteria; nystatin fights yeast, and prednisone soothes itching, burning, and inflammation.

The expectant mother should understand that Terzhinan suppositories are prescribed by a doctor, according to the tests and complaints of the pregnant woman.

The annotation to the drug says that it should be prescribed by an obstetrician-gynecologist and used only in cases where the risk to the baby's health is less than the benefits of its use.

In medical practice, no studies were carried out with pregnant women when a drug was launched on the market of medical products, but there is a practice of using it on animals and violations of embryonic development were not found. However, according to the classification of teratogenicity, the drug belongs to group C, therefore, it must be treated with caution.

The use of Terzhinan suppositories during pregnancy

The expectant mother should use the drug only under the supervision of her obstetrician - gynecologist and after his appointment. It is the doctor who will be able to assess the risks of using this drug and compare them with the health benefits of the pregnant woman and the baby.

The introduction of the vaginal tablet Terzhinan into the vagina.

The course of treatment is also carried out according to the doctor's recommendations. Most often, it varies from 10 to 20 days, depending on the degree of the disease. It is necessary to inject Terzhinan into the vagina, lying on your back as deep as possible once a day. After the introduction, you need to remain in a horizontal position for at least 15 minutes, but for the greatest effect immediately before bedtime.

The instructions for use also say that the vaginal tablet is moistened with warm water for 30 seconds before administration. This is done for the fastest dissolution in the vagina and to eliminate difficulties during the introduction. When using the drug for prophylactic purposes, it is enough to use Terzhinan twice a week.

Terzhinan when planning a pregnancy

Consultation of a pregnant woman with an obstetrician-gynecologist.

During pregnancy planning, the use of Terzhinan is possible, but only as directed by a doctor. The specialist will appoint him, if necessary, and after the tests. The drug contains an antibiotic that can disrupt the microflora of the vagina and then some problems may arise with conception.

If the doctor has prescribed treatment with Terzhinan, then it is recommended to use it before ovulation, and not after. For prophylactic purposes, when planning pregnancy, it is not recommended to use Terzhinan.

Terzhinan in the first trimester

In the first trimester of pregnancy, like many other drugs, the use of Terzhinan is not recommended. This is due to the fact that at this stage of pregnancy, the fundamental systems and organs of the baby are formed. There are no such contraindications in the annotation to the drug, however, treatment of diseases with this drug should be abandoned at the moment.

Terzhinan in the second trimester

The second trimester of pregnancy is considered the safest for the treatment of various diseases and the use of drugs. Terzhinan is no exception. In fact, it is a fairly commonly prescribed drug in pregnancy. Terzhinan is popular due to its versatility, availability and absence of contraindications.

Due to the use of the drug intravaginally, Terzhinan practically does not enter the bloodstream, thereby reducing the risks to the fetus and increasing the benefits for the mother's health. Those. it acts locally.

Terzhinan in the third trimester

Obstetricians - gynecologists prescribe Terzhinan closer to childbirth, namely from the 35th week of pregnancy for preventive purposes to exclude the possibility of infection of the baby during childbirth. It is not necessary to use the drug for all expectant mothers, but only as directed by a doctor. Such a need arises if during pregnancy a woman was undergoing treatment for certain gynecological diseases, or even before pregnancy had, for example, candidiasis, colpitis, etc., which was not cured before the onset of the pregnancy itself. The duration of admission and the amount of the drug are discussed with the gynecologist.

Quite often in obstetric practice, patients are prescribed Terzhinan during pregnancy in the 3rd trimester. this medication is considered one of the few approved drugs for patients in the position. When pregnant, mothers suffer from immunodeficiencies, therefore they are defenseless against all kinds of infectious diseases. Sometimes the infection quietly waits until the patient's immune defense decreases, then favorable conditions are created, and the disease manifests itself in full force. Such ailments include such a widespread thrush, gardnerellosis, etc.

Waiting for a baby is a joyful and, at the same time, a very exciting period.

Terzhinan during pregnancy is prescribed to patients at different gestational periods. A medication is produced in the form of tablets for vaginal administration. The main elements of such tabletted suppositories are: ternidazole, nystatin, prednisolone and neomycin.

Ternidazole - the main active ingredient, has an antibacterial effect, is especially effective against Trichomonas pathogens;
Neomycin is an aminoglycoside antibiotic intended for the treatment of infections with purulent complications;
Nystatin has antifungal effect, is especially effective in the treatment of thrush;
Prednisolone is a corticosteroid anti-inflammatory substance.

Since Terzhinan contains a substance of hormonal origin (prednisolone), many patients have questions about the group of this medication - does it belong to hormonal drugs? Experts warn that Terzhinan refers to medicines of hormonal origin, therefore, use in the therapy of pregnant women is allowed only on medical prescription.

There are enough medicinal components in one Terzhinan tablet to relieve a pregnant woman from inflammation and have a positive effect on the body. It is an antifungal, antibacterial and anti-inflammatory drug that has a complex effect on the body, which helps to cope with many pathological problems.

The mechanism of action of the drug

Experts say that Terzhinan has a fairly quick therapeutic effect and copes with pathological factors in a fairly short time. At the same time, the medication is considered safe for patients in an interesting position, it does not harm the growing fetus. But even with such favorable characteristics, experts do not recommend taking the medication on their own without consulting an obstetrician-gynecologist, which is due to the not fully studied effect of the drug.

Treatment is carried out under strict medical supervision

Some women note that sometimes the medication is uncomfortably injected into the vagina, that these procedures sometimes cause painful sensations and a feeling of uncomfortable burning. Doctors note that such sensations can be caused by the fact that instructions for use during pregnancy are violated. For example, if you hold a vaginal suppository in plain water for about 15-20 seconds, it will soften a little and will be inserted without discomfort and soreness.

If you study the composition of the drug in more detail, it becomes clear how the drug acts on the patient's body. The presence of ternidazole provides Terzhinan with the ability to disrupt the cellular structure of fungal pathogens from the inside, which helps to destroy the pathogen. Neomycin acts on the ribosomes of pathogens and inhibits the synthesis of cellular proteins.

Nystatin is effective in killing yeast-like fungi. The substance binds to the membranes of fungal cells and violates their permeability. As a result, the growth of pathogenic cellular structures of the fungus slows down. The presence of prednisolone provides suppression of leukocyte functions, limiting their migration to the affected area. In addition, prednisolone inhibits phospholipase activity, which further inhibits prostaglandin and leukotriene synthesis.

What Terzhinan Cures

With the correct use of vaginal tablets, there are no negative consequences as a result. The drug can be used in the therapy of ordinary patients or women in a position, even with menstruation. Typically, indications for the use of Terzhinan are:

Vaginitis or colpitis;
For the prevention of infectious pathologies during operations;
With purulent daub from the birth canal;
Preparation for delivery or surgery;
Recovery and rehabilitation period after the treatment of cervical erosion or the introduction of an intrauterine device;
If, against the background of isthmic-cervical insufficiency, the patient underwent suturing of the cervical canal;
With trichomoniasis or genital ureaplasmosis, gardnerellosis;
For the treatment of thrush in pregnant or non-pregnant women;
To eliminate inflammatory accessory lesions;
In order to prevent inflammatory pathologies in the process of wearing an obstetric unloading pessary.

The drug has a fairly wide range of applications, since it has antiseptic, antibacterial and antifungal properties. Vaginal tablets are especially effective in dealing with thrush in pregnant women, only it is recommended to inject the tablets at night in order to prevent the drug from leaking out, thereby increasing its therapeutic effect.

Is it safe for pregnant women

For patients carrying a child, Terzhinan is usually prescribed strictly according to indications and exclusively by a specialist, always taking into account the interesting position of the woman. In the presence of the strictest indications, the gynecologist may prescribe Terzhinan during pregnancy for 1 trimester, since the medication is considered topical and does not penetrate into the systemic circulatory network. The active elements are not able to get through the placental barrier, therefore Terzhinan in the first trimester of pregnancy does not pose a danger to the fetal organism and does not have a toxic effect.

It's important to remember the benefits of moderate exercise

A distinctive feature of the drug is considered to be the possibility of its use in the treatment of pregnant women in the 1st trimester, although more often vaginal tablets are prescribed for pregnant women at the 2nd or 3rd trimester of registration. The tablets effectively normalize the vaginal microflora. Some mothers are afraid to use such drugs in therapy. Doctors reassure that Terzhinan is distinguished by a local nature of the action, bypassing the blood flow, therefore there is no negative effect on the fetus.

It is allowed to take Terzhinan during pregnancy in the 2nd trimester and in the rest of the gestational periods, even with hepatitis B, because medicinal elements are not able to penetrate into milk. Often, a medication is prescribed to pregnant women in the first trimester for the purpose of prophylactic action, especially for those patients who already have pathologies of the vaginal mucous membranes in the anamnesis, in order to prevent their possible relapse or exacerbation.

If there are certain pathologies at the stage of the second or third trimester, then Terzhinan is prescribed to pregnant women to prevent fetal infection, including during labor, when the baby will move through the birth canal. Do not be afraid of the appearance of foamy whitish discharge as a result of the use of the medication, since such a reaction indicates the activity of the active ingredients and the cleansing of the vaginal mucosa.

How to use the medication for pregnant patients

When using Terzhinan in the treatment of pregnant patients, obstetrician-gynecologists are always guided by a simple rule: the medication must have a therapeutic effect that is many times greater than the possible harm to the child.

Some experts are inclined to attribute Terzhinan to drugs that are prohibited in the early gestational stages. At this time, fetal structures are formed and laid, therefore it is necessary to exclude all possible negative effects, including medicinal ones.
At the second stage of the gestational period, all restrictions on the use of Terzhinan are removed, although the medication belongs to the category of antibiotics. Its use is allowed due to the intravaginal administration of the drug, in which penetration into the bloodstream is negligible.
One of the safest times to take vaginal pills is during the third gestational period. He especially helps mothers with thrush, who need to get rid of the disease before childbirth, so that the baby does not become infected during delivery.

This is a fairly effective medication used to prevent and eliminate infectious and inflammatory pathologies.

Instructions

Usually, vaginal tablets are prescribed one candle at a time, they should be injected twice or three times a day, for a ten-day course. This is a standard regimen of use, which is indicated in the annotation attached to the drug. If necessary, the doctor can extend the treatment period up to a 20-day course.

A positive attitude can help you overcome temporary difficulties.

If it is necessary to use Terzhinan for prophylactic purposes, then suppositories are administered two to three times a day, one at a time, but already within a 5-6-day therapeutic course of treatment. To minimize the uncomfortable, and in some patients even painful sensations when the tablets are injected, the suppository should be moistened in water for half a minute, and only then inserted into the vagina. After administration, in order to prevent leakage of the medicinal substance, it is recommended to lie down for at least a quarter of an hour.

Side effects

Only a specialist can prescribe the use of a medication for pregnant women, because the drug is capable of provoking some side effects. Usually, a similar reaction occurs in the first few days of the course. In women, there is a burning sensation and itching sensations, but after a few days all negative symptoms disappear.

The first thing that scares pregnant women is a frothy white discharge. In such a situation, there is nothing to be afraid of, usually the remains of the drug are released in this way and pathogenic microorganisms are washed out. Vaginal mucous structures cannot absorb all the components of the drug, because some of them come out. You just need to use a pantyliner to protect your laundry.

Another frightening moment when using Terzhinan vaginal tablets is the appearance of pronounced itching and burning sensations. But after a couple of days of admission, such phenomena disappear on their own, since the inflammation gradually decreases. If there is some kind of hypersensitivity or intolerance, then the side symptoms will only become more intense. Then you need to contact the doctor with a question about replacing the medication.

Sometimes mothers, due to the use of vaginal tablets, develop hyper-edema and hyperemia of the genital mucous membranes, rashes or soreness after administration, erosive processes in the reproductive system. Such phenomena require additional consultation with an obstetrician-gynecologist. Suppositories have a local, local effect, therefore, an overdose as a result of their use cannot occur. To avoid complications, you must follow exactly the recommendations of the obstetrician-gynecologist who prescribed the medication.

Who is contraindicated in the use of Terzhinan

If you have to undergo treatment with Terzhinan, you should familiarize yourself with the list of contraindications to this medication.

Experts recommend that you stop using vaginal pills in the first gestational weeks. It has already been specified that the formation of vital intraorganic fetal structures requires the elimination of any unfavorable factors, which include medications.
If the condition is severe, and the benefits of the medication will significantly exceed the likely risk for the crumbs, then the doctor may prescribe the use of Terzhinan.
It is also contraindicated to use vaginal tablets for pregnant women who have an individual intolerance to the medication or its individual active elements, allergic reactions or hypersensitivity to taking Terzhinan.

If, after the first or second use, the patient has a characteristic vaginal burning sensation, then the withdrawal of the medication is not required. Such side symptoms disappear within half an hour after the administration of the pill, and over time it will not bother at all.

For pregnant women after 27 weeks, Terzhinan is prescribed quite often. It effectively fights all sorts of vaginitis and thrush. Already after the first injection, the patients notice a noticeable improvement in their condition, pathological symptoms such as burning and itching discomfort, edema and other unpleasant sensations disappear. But even with such a rapid elimination of symptoms, the course should be continued to the end, only then can one hope for a complete elimination of the pathological process. If you quit treatment in the first days, the disease will soon return, and more intensely than before, and even with complications.

While waiting for the birth of a child, expectant mothers note that the body becomes more susceptible to infectious and inflammatory diseases. This feature is associated with a natural decrease in the synthesis of protective antibodies. Deterioration of the mother's immune system is necessary for carrying a baby.

Terzhinan during pregnancy is prescribed for the treatment and prevention of urogenital diseases of an infectious nature. The drug is practically not absorbed into the systemic circulation, therefore it is used during the period of bearing a child. The medicine is highly effective and affordable, therefore it is widely used in obstetric practice.

Composition of the preparation

Terzhinan is a combination drug that contains four components. The first of these is the antimicrobial agent Ternidazole.

The drug is effective against many types of bacteria living in the absence of oxygen - anaerobes. These include clostridia, peptococci, fusobacteria, spirochetes, etc. Also, the drug is effective against some protozoa - Trichomonas, chlamydia, lamblia, amoeba and some others.

When used topically, the drug produces an anti-inflammatory effect - relieves redness, swelling, soreness. Also, the drug has an antioxidant effect, it improves tissue regeneration.

At high concentrations, neomycin can damage the cell membrane, making it permeable to various substances. Thanks to this effect, harmful metabolic products and digestive enzymes enter the microbial cell, which causes its death - a bactericidal effect.

The fourth component of Terzhinan is the steroidal anti-inflammatory drug Prednisolone. This substance reduces the intensity of the body's immune response to the infectious process, reducing the unpleasant symptoms of the disease. The drug helps to relieve redness, swelling, pain, migration of lymphocytes.

The drug Terzhinan almost does not enter the general circulation, acting locally. A small part of the drug that has entered the bloodstream is metabolized in the liver. The half-life of the drug is 8 hours. About 70% of Terzhinan's metabolites leave the human body with urine, the rest with feces through the digestive system.

Release form and shelf life

Terzhinan is available in the form of vaginal tablets of 6 or 10 pieces in one package. One candle contains 0.2 g of Ternidazole, 0.1 g of Neomycin, 100,000 IU of Nystatin, 3,000 mg of Prednisolone.

The drug contains additional components - geranium and clove oils. They have a softening and astringent effect on the mucous membrane, relieving discomfort in the vagina. Also, plant extracts have a wound healing and anti-inflammatory effect, which enhances the therapeutic properties of the drug.

The drug should be stored at a temperature not exceeding 22 degrees Celsius. The medicine has a shelf life of 36 months, after its expiration, Terzhinan is prohibited. The medication should not be left in places that are accessible to small children. The drug can be purchased at pharmacies only with a prescription form.

Indications for use

Terzhinan during pregnancy is used for the following indications:

treatment of infectious inflammation of the vaginal mucosa;
therapy for vaginal trichomoniasis;
therapy for vaginal candidiasis;
therapy of vaginal dysbiosis;
prevention of postpartum infection;
prevention of bacterial complications after cesarean section;
prevention of infection after surgical abortion.

The drug is included in the list of recommended medicines for the treatment of vaginal infections. Terzhinan is a priority for the treatment of Trichomonas inflammation in expectant mothers.

Terzhinan: indications, side effects, course of treatment, analogues.

The effect of the drug on the fetus

In the course of clinical trials conducted in Europe and Russia, it was found that the drug does not increase the frequency of complications from the fetus - etc.

However, experts believe that taking any medications is not advisable before. In the 1st trimester, all organs of the unborn child are formed, harmful metabolites of drugs can affect the complex processes of tissue division. That is why doctors do not recommend resorting to drug therapy in early pregnancy.

Terzhinan can be used according to indications in the 2nd and 3rd trimester of pregnancy. The drug does not affect the intensity of labor, therefore it is prescribed before childbirth - at 37-39 weeks of the period of bearing the baby.

Instructions for use

The duration of the course of treatment is selected by the attending physician and depends on the disease. Its average duration is 10 days. You can not interrupt the course of therapy immediately after the disappearance of symptoms, as the patient increases the likelihood of a relapse. Cancellation of the drug is possible only after a negative vaginal smear for pathogenic flora.

Terzhinan is prescribed 1 tablet once a day. According to the instructions for use, the drug should be used at bedtime, but the patient can enter the candle at any convenient time of the day.

Before use, the patient should thoroughly clean her hands with soap, then immerse the tablet in water for 25 seconds. After that, the expectant mother should lie on her side, bend her legs at the knee and hip joints, inject the drug into the vagina to the maximum depth.

If done correctly, the patient should not feel discomfort. After the insertion of the vaginal tablet, the woman should lie down for 20 minutes. After a few hours, yellow discharge from the genital tract may appear - drug residues. If they have a sexual partner, they should also undergo antimicrobial therapy.

Contraindications

The drug is strictly prohibited for use in persons who have allergic reactions to its components. The drug is not recommended for use in the presence of the following contraindications:

defects of the vaginal mucosa;
chronic renal failure in the stage of decompensation;
severe chronic liver pathologies.

Side effects

Usually, the drug does not cause negative reactions during the course of treatment. Very rarely, patients notice the appearance of local effects. The most common of these are burning, itching, redness, and irritation of the vagina. Less common are pain in the genital area. If the symptoms described appear, treatment should be suspended.

Less often, against the background of drug therapy, patients note the development of allergic reactions. They appear as rashes or blisters on the external genitals or other parts of the body. Very rarely, hypersensitivity causes angioedema. If symptoms of allergy appear, the patient should immediately stop treatment, rinse the vagina from the particles of the drug and seek medical help.

Terzhinan's analogs

- a drug, the active ingredient of which is the antiseptic Chlorhexidine. The medicine is sold in the form of suppositories. The drug is effective against many pathogenic microbes - chlamydia, staphylococcus, etc. The drug is used for the therapy and prevention of urogenital pathologies in women.

Betadine is an antiseptic drug that comes in the form of liquid soap, solution, ointment and vaginal suppositories. It is effective against many types of bacteria, protozoa, viruses and fungi. In obstetrics, the drug is used to treat vaginitis of various etiologies. The medicine is not recommended for use from the third month of gestation.

Polygynax is a multicomponent drug containing the antibiotics Neomycin and Polymyxin. It also contains the antifungal agent Nystatin. The medication is sold in pharmacies in the form of vaginal capsules. The medicine is effective against many types of microorganisms. The drug is not prohibited during gestation.

A medicinal product sold in the form of vaginal suppositories. The active ingredient of the drug is the antifungal agent Ketoconazole. Livarol is indicated for the treatment of vaginal candidiasis and for its prevention during the use of antibacterial agents. The medicine can be used during pregnancy only according to indications after being prescribed by a specialist.

The drug is sold in the form of a cream, tablets and vaginal suppositories. The medicine is intended for the treatment of fungal pathogias, its active ingredient is Natamycin. In gynecological practice, the medication is used to treat and prevent thrush. Pimafucin is not contraindicated during the period of bearing a child, however, its use is possible only after consulting a doctor.

A pregnant woman closely monitors her health. The life and full development of the unborn child depends on this. But the body of the expectant mother does not always cope with this task - immunity decreases during pregnancy. If a woman does get sick, doctors recommend using drugs with a high level of safety. Inflammation of the genital tract also requires a responsible approach. Therefore, women are interested in whether it is possible to use Terzhinan suppositories during pregnancy? How do they affect the body?

In what cases is Terzhinan appointed

The drug is used by women diagnosed with vaginitis. This means that a genital infection has entered the body, and the mucous membranes of the vagina are inflamed. In such cases, the woman feels uncomfortable. Feels itching and burning in the genital area. Leucorrhoea appears that smells unpleasant.

If the disease is ignored, the symptoms worsen. The menstrual cycle is disturbed, the woman experiences pain in the abdomen and genitals. Sexual dysfunctions interfere with intimate life. The prolonged course of the disease jeopardizes the possibility of having children.

How does the drug work?

Urbanization of society, an unfavorable environmental situation, the use of antibiotics "for reason and without reason" contributed to a decrease in immunity and an increase in vaginal infections in women. During pregnancy, the body is weakened even more. Microorganisms, which previously represented the normal microflora of the genital tract, multiply in large numbers and become pathogens.

There are several groups of microorganisms that cause inflammation:

microbes;
fungi;
bacteria;
cocci;
viruses and so on.

In each case, drugs are needed that act on a specific type of microorganism. And the infection can be mixed. Well, take several medications at once? Terzhinan easily solves this problem. This is a combination medicine that fights several pathogens at once.

First, the drug contains ternidazole. It affects protozoa, in particular, Trichomonas. Secondly, nystatin is part of Terzhinan. It is an antifungal agent and fights candidiasis.

The drug also contains an antibiotic that suppresses and localizes gram-negative (E. coli, Pseudomonas aeruginosa) and gram-positive (staphylococci, streptococci) microorganisms. And prednisone has an anti-inflammatory and anti-allergic effect, that is, it quickly removes itching and burning. Most effectively Terzhinan fights against gardnerella and Trichomonas, treats candidiasis and mixed vaginitis.

Its advantages

Terzhinan is chosen more often than similar medicines. He has high level of security, which is important during pregnancy. The toxic properties of Terzhinan do not have a negative effect on the body. The medicine acts directly on the causative agents of inflammation, is almost not absorbed into the bloodstream.

Not a single case of undesirable effects of the drug on the health of the unborn baby during pregnancy has been recorded.

The main advantages of the drug:

It can be used instead of several drugs for mixed infections.
Terzhinan's security level is very high.
It works more effectively than similar drugs.
It does not have a negative effect on the body, since it is not absorbed into the blood.
The drug is approved during pregnancy (if urgently needed, even in the 1st trimester).

There are no analogues that have the same advantages. But the drug must also be taken by the woman's sexual partner, otherwise the effectiveness of the treatment will be reduced to zero. The expectant mother will become infected again, and the disease will become chronic.

How to use Terzhinan for pregnant women

Some women on the forums write that the doctor prescribed Terzhinan suppositories, and at the pharmacy they gave the drug in tablets. There is no mistake. Terzhinan is available exclusively in the form of vaginal tablets. But this does not mean that you need to eat them. Terzhinan is used in the same way as suppositories - they are inserted into the vagina.

Instructions for use: Terzhinan is used during pregnancy in the usual way: before bedtime, one tablet is inserted into the vagina. Do this only once a day. But there is a small peculiarity when using Terzhinan. Usually, for genital infections, suppositories are injected immediately, and these vaginal tablets are first kept in water for 25 seconds. Only after such preparation is Terzhinan used.

use vaginal tablets at night;
before use, hold the drug in water for 25 seconds;
inject the medicine deep into the vagina;
after application, lie down for 15 minutes;
use feminine hygiene products to prevent leakage of Terzhinan residues onto the linen.

The drug that has been stored correctly will give the maximum effect. Vaginal tablets cannot be left in the sun... Storage temperature - no higher than 25 degrees.

How long is the course of treatment

The doctor takes into account the individual characteristics of the woman's body. During pregnancy, this approach is even more desirable. Also, the duration of treatment depends on the type of microorganisms that caused the disease. The nature of the infection is of great importance. If a woman has already been treated for such a disease, it could become chronic. The course of treatment will be longer.

The most common use of Terzhinan recommend within 10 days... Such a course is carried out with nonspecific colpitis, that is, if no factors aggravating the disease were found. For the treatment of Trichomonas infection, in addition to Terzhinan, additional drugs are prescribed.

If the cause of the disease is a fungus, the course of taking vaginal tablets is extended to twenty days. Candidiasis (thrush) requires a pedantic attitude towards treatment. The symptoms that bothered the woman - itching, burning, leucorrhoea - disappear quickly, but it is impossible to stop taking Terzhinan, as mycosis will become chronic.

A twenty-day course is prescribed for re-infection with any type of microorganism. In advanced cases, it is recommended to enter vaginal tablets twice a day. When used twice, the course lasts from 15 to 20 days.

Terzhinan during pregnancy does not require an adjustment in the timing of treatment, the usual recommendations remain. But doctors note that the effectiveness of the drug on expectant mothers is slightly lower than on non-pregnant women.

Is there a discharge - is this normal?

If women have ever used this medicine, they stock up on pads in advance. The patient is calm about the appearance of discharge. Suppositories contain not only the main active ingredients, but also auxiliary ones. The candle inside the vagina dissolves and everything that is superfluous flows out.

Terzhinan vaginal tablets work in the same way. After the introduction of suppositories, the body is cleansed of excess substances. Discharge after Terzhinan is normal. In order for a woman to feel comfortable, it is recommended to use feminine hygiene products.

The next day after the administration of the drug, yellow discharge appears. There is no need to be afraid, this does not affect pregnancy in any way. Bloody discharge should alert. In this case, it is recommended to consult a doctor as soon as possible, since there is a high probability violations of the course of pregnancy.

Contraindications for pregnant women by trimester

Bloody discharge appears if the woman did not follow the recommendations for using the medication. Although doctors note the high safety of Terzhinan, it has certain contraindications. During pregnancy, restrictions on the use of the drug increase.

Pregnancy: term	Indications for use	Side effects and contraindications
1 trimester	Terzhinan is not used.	The use of the drug is not recommended due to the threat of termination of pregnancy and miscarriage. In critical cases, if the benefits of using Terzhinan far outweigh the risk of negative consequences for the baby, it is allowed to use the drug under the supervision of a doctor.
2 trimester	Treatment of mixed vaginitis, candidiasis, Trichomonas colpitis.	Hypersensitivity to Terzhinan's components.
3 trimester	Treatment and prevention of infections, rehabilitation of the birth canal.	Individual intolerance to the drug. The appearance of allergic reactions.

Some foreign medical reference books recommend the use of Terzhinan from the first days of pregnancy. It is noted that the clinical studies carried out did not record side effects after using the drug. But most domestic doctors do not advise taking Terzhinan in early pregnancy.

Being pregnant is always a joyous process, but certain events can easily make a pregnant woman worry. These include not only irritation, malaise, fatigue and various mood swings, but also visits to the attending specialist. The most common factor in such symptoms is a simple thrush, which often occurs during pregnancy.

Also, the disease can be provoked by various types mushrooms Candida is a natural inhabitant of the vaginal microflora, the spread of which is inhibited with a healthy and strong woman's immunity. But in the process of waiting for the baby, the woman's immunity begins to decline sharply and become weak. With all this, strong immunity is very important for the birth of a healthy child, and it is this symptom that creates a kind of start for the development of pathogenic microflora. Vaginal suppositories Terzhinan during a woman's pregnancy can help in such a situation.

Terzhinan during pregnancy

During pregnancy, they are especially provoked various diseases in the vaginal area, which occur due to microorganisms, bacteria and Candida fungi, as well as from Trichomonas, vaginitis and candidiasis of various forms. For this reason, for the normal functioning of the immune system and to eliminate unpleasant signs, gynecologists prescribe special candles Terzhinan.

Components included in the drug Terzhinan.

V the composition medicines are available:

Considering all the possibilities of the components of the drug, Terzhanin differs from other similar agents in its effective fight against a large number of bacteria and microorganisms. By actively acting on harmful pathogens and infection, the drug suppresses the activity and reproduction of harmful organisms. Also, suppositories have a positive effect on the microflora of the vagina, contributing to reducing the processes of inflammation in it.

It is customary for women to use Terzhinan not only during pregnancy, but also in everyday life, if it is so important.

Basic steps for application funds:

It also happens when a remedy is used to prevent various diseases, to example:

Before performing any operations or procedures of a gynecological nature.
Before an abortion.
Before labor starts.
Before implantation of any devices of the intrauterine type, including spirals.
Before the development of hysterography.
Before the development of diathermocoagulation of the cervix and after this process.

Sometimes Terzhinan can be prescribed as a prophylactic agent against various infections during pregnancy in the first and last trimester.

Price for this medicinal product mainly depends on the number of capsules in one package of the product. In most cases, in pharmaceutical institutions, you can find cardboard packages that carry 6 or more candles, the price of which varies from 370 to 550 rubles.

Can Terzhinan be used during pregnancy?

The tool carries antifungal, anti-inflammatory, antiprotozoal and antibacterial signs that have a positive effect on the normalization of the functioning of the vaginal microflora. Can Terzhinan be used during pregnancy? A woman in the process of carrying a baby can use this medicine if she has certain symptoms of the disease, as well as as a preventive measure.

Sometimes women are afraid to start using such candles. vaginal type, since they contain an antibiotic. But according to the reviews of many medical specialists, the medicine acts only locally, not being absorbed into the free bloodstream, so it is absolutely not able to affect the child's embryo and its further development. Terzhinan can be used during any period of pregnancy, as well as during breastfeeding of a newborn, since with the help of a local action, the particles of the drug are not able to penetrate into the milk itself.

Most often, Terzhinan during pregnancy is taken as preventive actions, including in the early stages of pregnancy, for example, when a woman before that time had certain diseases in the vaginal mucosa, in order to avoid their reappearance. At a time when the disease manifests itself already in the last trimesters, the remedy is used by a woman in order to prevent infection of the child himself, who at this time passes through the woman's birth canal.

Sometimes women start to get seriously worried. process discharge after using Terzhinan during pregnancy and the development of abundant white foamy discharge, but this process only means that the drug is positively excreted and clears the mucous membranes of the body from the effects of pathogenic microflora.

What is the dosage of the drug, as well as the method of administration

According to the prescriptions of the treating drug Terzhinan, during pregnancy, it should be injected deep into the vagina once a day and one capsule at a time. It will be better to do this before bed, so that the effect of the drug lasts as long as possible. If you use such candles in the daytime, then after the introduction of the drug, you need to remain in a supine position for about four hours.

To to avoid it is best not to use hygienic tampons if the tablet falls out of the vagina accidentally, since the tampon will close the mucous membrane from the treatment with the medicinal components of the drug and the proper healing effect will simply not occur.

The course of drug use will vary from 7 to 10 days, but if the vaginal mucous membranes are irritated by some type of fungal disease, the treatment process should be carried out by the doctor himself for twenty days.

Special contraindications and drug intolerance

Front the beginning of the course of treatment, most women complain of burning and itching in the area that is subject to treatment with a treating agent, but it is not worth completing the treatment because of this, since such phenomena are fully justified and are considered a normal reaction of the body of a pregnant woman to the process of inhibiting the effect of pathogens on the vagina and its mucous membranes. With the normal course of treatment, such negative sensations can go away on their own after a few days. But if this is not done within three days and the burning sensation remains, then you should go to an appointment with your doctor.

The therapeutic effect of capsules on the body occurs only local method of exposure, therefore, no negative effect on the body of the expectant mother and on the growing child will occur.

Probably, one main contraindication to the use of Terzhanin can be considered the presence of individual intolerance to the components that are part of the drug, but this happens very rarely. Symptoms at this time include a sharp burning sensation and severe itching in the vagina, which occurs immediately after the capsule is inserted inside.

To prevent recurrence of this disease and subsequent cases of relapses of thrush, it is worth excluding all kinds of sexual contacts during the course of treatment, with all this, your half should be subjected to a certain course of drug treatment.

What do doctors think about the effects of Terzhinan and the features of its use?

A large number of gynecologists insist that Terzhinan suppositories during pregnancy are considered not only an effective component in the fight against thrush, vaginitis and various disease-causing pathologies of the female genital organs, but are also completely safe for both the child and the pregnant woman.

In the instructions for this tool, you can see information that it is worth taking the drug during pregnancy only with the special recommendation of a doctor and taking special care. For example, in the second and third trimester, candles are used when there is a special need for this purpose, for example, a threat infections the embryo of a child at the beginning of the cervical dilatation or during childbirth.

One myth is widespread that Terzhinan candles can change the hormonal background of the mother, drastically rearrange it, which during pregnancy can negatively affect the general health of a woman, including termination of pregnancy. At the same time, this also applies to other drugs from the Terzhinan brand, such as solutions, injections, as well as pre-oral capsules, which are never prescribed for women in position by doctors.

Sometimes women talk about inconvenience and unpleasant sensations that arise during the introduction of the candle, as well as insufficient healing effect. But in the case when the drug is used hence the instructions, then no inconvenience or difficulty should arise. Before the introduction of the capsule, it should be placed in warm water for 20-30 seconds. In addition, pre-soaking the candle will help it dissolve much faster, which will make the healing effect the highest.

It is important to always remember that you do not need to use the drug on your own, even if there are indications for its use. Assign well treatment with Terginan can only be an experienced specialist. Self-medication during pregnancy is extremely dangerous for the life of a small child.

How to use vaginal suppositories?

Like any other remedy, Terzhinan candles have special properties and uses. Before you start using the drug, you should study it comprehensively.

The Terzhinan remedy follows apply thus:

Should remember that vaginitis of a bacterial nature can freely pass by inheritance sexually, therefore, it is worthwhile, together with your own treatment, to conduct a course of partner prophylaxis. Suppositories or tablets cannot be used orally, since the drug affects the body only locally.

Special actions of the drug Terzhanin

The product contains a special impact:

Antifungal.
Preventive.
Antibacterial.
Healing.
Calming.
Anti-inflammatory
Antiprotozoal.

In addition to prophylaxis against thrush, this drug is also used to treat Trichomonas and other gynecological diseases of the microflora or birth canal of pregnant women.