The most effective candles for trichomoniasis in women (with prices). What are the candles for trichomoniasis for women? How to treat trichomoniasis in women candle preparations

Today, trichomoniasis occupies a leading position among sexually transmitted infections. Candles for trichomoniasis for women contain bioactive substances that act directly on pathogenic microorganisms and disrupt their reproduction cycle.

Glucose is present as additional components in almost all preparations, which contributes to an increase in the level of lactic acid in the genitals of a woman. This, in turn, increases the acidity of the environment and kills pathogens. Boric acid has the same function.

Types of drugs

In the treatment of trichomoniasis, several types of active substances are used, but the main ones are:

• metronidazole;
• ornidazole;
• acetarsol.

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The first is a synthetic product made from the natural substance azomycin. It was synthesized by the French pharmacists of the Rhone-Poulenc company. Served as the basis for the creation of drugs of the nitroimidazole group. Initially, the substance was considered only as an antiprotozoal agent to combat Trichomonas vaginalis, but in the process of use, its strong antibacterial effect was discovered.

The mechanism of action of the drug is based on interaction with bacterial cells and slowing down their synthesis, which leads to the death of the infection.

Ornidazole is a synthetic derivative of metronidazole. A strong antibacterial and antiprotozoal agent, active against Trichomonas, anaerobic cocci and bacteria and other microorganisms.

Acetarsol, or arsonic acid (in the form of sodium salt or olamine), has anti-amoebic, trichomonacid and anti-inflammatory effects. Shows activity in contact with spirochetes.

In addition to the above, the composition of antibacterial suppositories may include substances:

• nimorazole, tinidazole - derivatives of metronidazole;
• aminitrozole - a derivative of nitrothiazole;
• furazolidone - a derivative of nitrofuran;
• trichomonacid - a derivative of aminoquinoline;
• acetarsol is an arsenic compound.

Medications based on metronidazole and its derivatives

Candles with metronidazole are one of the most popular types of antitrichomonas drugs. Depending on the additional components, they have the following names:

• Metronidazole-Teva;
• Orvagil;
• Trichopolum;
• Flagil etc.

The composition of the drug Klion-D includes metronidazole and miconazole, due to which the drug acquires combined properties, successfully acting on both protozoa and bacteria and fungi. Klion-D is prescribed for trichomoniasis complicated by candidiasis.

Metronidazole in combination with chlorhinaldol forms the drug Ginalgin, effective in the treatment of pathologies caused by Trichomonas, Shigella, Streptococcus, Escherichia coli, etc. Ginalgin contains citric acid, which creates conditions for the normalization of the vaginal microflora.

Due to the fact that in recent years, patients have been actively using drugs based on metronidazole in the treatment of trichomoniasis, the substance begins to lose its properties. Scientists have found that most microorganisms have developed resistance to the drug. At the same time, resistance continues to increase.

Ornidazole-based products are more effective. These are candles Ornisid, Gyro, Dazolik, Ornisid Forte, etc.

When taking all drugs based on azomycin, patients note the following side effects:

• drowsiness;
• fatigue;
• muscle stiffness, tremor;
• dizziness.

Unlike metronidazole and its other derivatives, ornidazole is compatible with ethanol.

Medicines with acetarsol

Acetarsol (osarsol) is the basis of many antitrichomonas drugs. The mechanism of action of the substance is due to the presence of arsenic compounds in the composition of 27%, which has a detrimental effect on microorganisms. It is part of the suppositories Osartsid and Osarbon, prescribed for the treatment of trichomonas colpitis in women.

Both drugs include glucose, which, without interfering with the effects of arsenic on pathogens, prevents the toxic effect of the poison on the human body. Lactobacilli process sugar into lactic acid, which blocks not only the reproduction of the infection, but also the absorption of substances in the vagina into the blood.

If trichomoniasis is complicated by other sexually transmitted infections (chlamydia, gardnerella, etc.), the use of Neotrizol is recommended. Suppositories include 3 strong biologically active substances at once: neomycin (antibiotic), miconazole (antifungal agent), prednisolone (hormone).

General rules for the use of suppositories

Preparations in the form of suppositories have the greatest effect on trichomoniasis when used at night.

They must be inserted into the vagina deep enough, taking a supine position. To prevent the pathology from becoming chronic, treatment must be continued until the end of the course, regardless of the presence of symptoms. Many patients make the mistake of stopping the use of medications immediately after the disappearance of the main symptoms - itching and discharge. As a result, after a while, the infection reappears.

Since during menstruation the effectiveness of drugs is significantly reduced, it is advisable to start therapy immediately after it ends.

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Any antiprotozoal drugs are prohibited for use during pregnancy, but given the danger of exposure to Trichomonas on the fetus, doctors often resort to treatment with these drugs. It is carried out under the strict supervision of a specialist and only in the second or third trimesters. Reception in the first trimester and during lactation is strictly excluded.

The use of suppositories does not always completely destroy Trichomonas, but significantly reduces the risk of infection of the fetus or baby who is breastfed.

WHO has included trichomoniasis in the list of STDs along with gonorrhea, syphilis, chlamydia, etc.

Causes of trichomoniasis

The main causative agent of the disease is the simplest living organism Trichomonas, which affects the human genitourinary system. Penetrating into his body, he begins to actively multiply. The incubation period of the disease lasts up to several weeks.

Trichomoniasis is contracted through unprotected intercourse with an infected person. The carrier of Trichomonas can be men and women of any age who have sexual intercourse. The highest risk of disease transmission occurs through vaginal contact. It is the woman who most often transmits trichomoniasis to her partner. At the same time, she herself may not suspect that she has a sexual infection.

There are examples of infection with a disease in a household way. However, such examples are rare. Trichomonas is unstable to environmental conditions outside the human body. This microorganism retains the ability to survive only in warm and humid conditions. There is a small chance of contracting an infection when visiting a sauna, swimming pool, public bath. If possible, such places should be avoided.

There is also an assumption that trichomoniasis can be obtained by using one with a sick towel, linen, washing it with a washcloth. In addition, the disease is transmitted from a woman to a child during childbirth. In newborns, the disease is asymptomatic, but can lead to serious consequences due to the characteristics of their immunity. Girls are more susceptible to the development of trichomoniasis.

In men and women, the manifestations of the disease are somewhat different due to differences in the structure of the genitourinary system. There are also common signs of the disease, characteristic of both sexes. People who have an active sex life need to know what the first signs of trichomoniasis are in order to contact a specialist in time and prevent the disease from passing into a chronic form that is difficult to treat.

The first symptoms of trichomoniasis include:

• a feeling of discomfort in the genital area, aggravated by sexual contact, while taking water procedures;
• slight aching pain in the lower abdomen;
• changes in secretions from the genitals. In both women and men, the disease leads to an unpleasant odor (fishy). It is difficult to get rid of such a smell; the patient, as a rule, often has to take water procedures. The smell intensifies as the disease progresses, during menstruation in women.

Quite often, trichomoniasis is asymptomatic. This form of the disease poses the greatest danger to the body. The patient has the ability to transmit the infection to his sexual partners and not notice its presence until complications appear. The disease is accompanied by inflammatory processes in the organs of the genitourinary system. The consequences of trichomoniasis can be: prostatitis in men and endometritis in women, infertility that is difficult to correct.

According to the main manifestations of trichomoniasis, it practically does not differ from other STIs, therefore it is impossible to diagnose the disease on your own. The most common symptoms of this infection include:

• pain during sexual intercourse due to inflammation of the mucous membrane of the vagina and glans penis;
• regular discharge from the genital tract. observed in trichomoniasis. These secretions are saturated with trichomonas, provoke inflammation of the external genital organs, their mucous membranes, skin in the perineum, cause difficulty urinating;
• pain when emptying the bladder. This symptom most likely indicates the advanced development of the disease and the spread of infection and inflammation to various organs of the genitourinary system;
• redness of the mucous membrane of the glans penis and vagina.

There are signs that testify to the widespread distribution of Trichomonas in the human body. Such signs include:

• pulling, aching pain in the lower abdomen;
• pain during urination and defecation;
• decreased libido, potency in men;
• frequent urge to urinate.

In the presence of STIs in the body, in most cases, an increase is observed. Lymph nodes in this case are painless, not connected to surrounding tissues. This symptom may disappear immediately after treatment. In some cases, it is observed for several weeks after the complete recovery of the patient.

If symptoms of trichomoniasis occur, it is necessary to contact a specialist: a dermatovenereologist. Diagnosis of the disease includes a laboratory examination of a smear (from the vagina or urethra),. You can get tested for trichomoniasis and undergo treatment anonymously.

Antibiotics are used in the treatment of the disease. At the same time, it is taken into account that most antibiotic drugs for trichomoniasis are ineffective or ineffective at all. Trichomonas is unstable to Metronidazole and its analogues. Regular intake of this remedy contributes to the elimination of the disease in 97% of cases. Take Metronidazole only under medical supervision. The course of treatment is prescribed based on the individual characteristics of the patient's body.

To eliminate the symptoms of the disease in trichomoniasis, local remedies are used in the form of creams, ointments, suppositories, tablets.

In order to avoid contracting STIs, experts recommend that their patients give up casual sex, if possible, use barrier contraception. Before family planning, both partners should be diagnosed for the presence of sexually transmitted diseases and, if necessary, treated.

Drugs for the treatment of trichomoniasis

Metronidazole is a synthetic broad-spectrum antibiotic, effective against trichomoniasis pathogens, included in the list of essential drugs. The course of taking the drug is on average about 10 days. The daily norm of the drug is not more than 250 mg.

Metronidazole is part of such drugs as Trichopolum, Metrogil, Klion, Efloran.

Any of the existing suppositories contains both some active substance aimed at the destruction of Trichomonas, and auxiliary components that help restore the vaginal microflora.

Rules for the use of suppositories

The use of vaginal suppositories for trichomoniasis requires compliance with certain rules. Only their correct application guarantees the maximum possible result. Detailed instructions for the use of such medicines are indicated in the instructions; in rare cases, the doctor may give special recommendations for the use of suppositories.

In most cases, candles are recommended to be used before bedtime. This allows the active substance to act as long as possible, since when the woman is in an upright position, the dissolved suppository may flow out. In some cases, the use of such medications twice a day may be indicated, then after inserting the suppository into the vagina in the morning, it is necessary to lie down for at least 15-20 minutes.

Candles for the treatment of trichomoniasis should be administered as deeply as possible, while in a supine position. Some manufacturers package suppositories in special applicators to make deep insertion easier and more convenient. For the comfort of the patient, it is recommended to use a thin sanitary pad during the treatment with suppositories, since the medicine is not completely absorbed, and part of it flows out.

It is important to remember that such drugs are used exclusively:

• According to the scheme prescribed by the attending physician;
• In combination with other drugs, including the basis of the fight against this disease - antibiotics.

During the course of treatment, it is recommended to refuse sexual intercourse, in extreme cases, it is possible to use barrier contraception - condoms. But it is worth remembering that the contraceptive effect due to the use of suppositories for treatment can be significantly reduced.

Popular candle options

For the treatment of trichomoniasis in women, many types of suppositories are used. In addition to the destruction of pathogenic bacteria, they also eliminate local symptoms - redness, itching and burning in the genital area, relieve pain during urination. Experts identify the following vaginal suppositories as the most effective for this disease:

Any candles for trichomoniasis for women show high efficiency only with complex treatment - without oral antibiotics, there is a high probability that the infection will not go away completely, and its manifestations will begin to disturb again in the near future.

If you experience any side effects when using suppositories, it is important to contact your doctor - he will cancel the use of the drug or prescribe another one. You can not cancel the prescribed medicine on your own, even if it causes side effects - in this case, the treatment may not give positive results.

The use of suppositories during pregnancy

If trichomoniasis is detected in a woman while carrying a child, then the use of suppositories is the only possible drug treatment, since any antibacterial drugs that help with such a disease will have a toxic effect on the fetus. During pregnancy, you should refrain from taking any medications as much as possible, but Trichomonas also threaten the fetus, since a vertical route of infection is possible. Therefore, vaginal suppositories are often prescribed as a treatment (the name of the drug can be suggested by the gynecologist observing you).

Candles from trichomoniasis during pregnancy can only be used in the second and third trimester. This does not completely get rid of the infection, but significantly reduces the risk of infection of the child. During lactation, such drugs are prohibited.

Prevention

In order not to face the need to treat trichomoniasis, you should regularly follow the rules of prevention, which primarily include the refusal to have sexual relations with unfamiliar partners without barrier contraceptives (condoms). You should also visit your gynecologist every six months and, if necessary, treat inflammatory and infectious diseases. And before pregnancy, it is imperative to undergo a complete examination of both partners, including for the presence of various infections.

Candles for women are one of the mandatory and very effective ways to fight the disease. They are convenient to use, and they have a local antibacterial effect, quickly removing all the unpleasant manifestations of the disease. But it is worth remembering that not all suppositories can help in each case, since Trichomonas can be resistant to certain drugs, and only a doctor can find out which drug will really help based on the results. Therefore, you should not refuse to visit a doctor if unpleasant symptoms appear, indicating the presence of trichomoniasis.

- This is a fairly common sexual disease. To cure it, an integrated approach is needed. The best way to cope with almost any stage of pathology are candles.

Candles for trichomoniasis are of several types. The peculiarity of their use is that the drug is recommended to be used only in combination with other methods. Otherwise, the treatment may be ineffective, and after its completion, a relapse may occur.

Candles based on metronidazole

- This is a substance whose action is based on a strong antibacterial effect. It interacts with bacterial cells, slowing down their synthesis. Ultimately, this leads to the death of the pathogen.

The most effective drugs are metronidazole-based suppositories with the following names:

• Metronidazole-Teva. Cost - 200-250 rubles;
• Orvagil. Price - about 300-400 rubles;
• ~90 rubles;
• Flagyl. The cost is about 800 rubles.

The dosage is 250 mg 2 times a day for 10 days. However, recently these suppositories for trichomoniasis for women are used and prescribed by a doctor less and less. This is due to the fact that the body gets used to the main active substance very quickly. Because of this, after a short time, treatment with this substance may become ineffective, which cannot be said about the group of the following drugs.

Preparations based on ornidazole

Ornidazole is a synthetic derivative of metronidazole. The substance is a powerful antibacterial component. It effectively destroys Trichomonas, cocci and other microorganisms.

Based on this substance, the following medicines are made:

• Ornisid (200 rubles);
• Gairo (450 rubles);
• Ornisid Forte (200 rubles);
• Dazolik (300-400 rubles).

This type of remedy should be used in the evening, just before bedtime. The patient should lie on her back, inject the medicine into the vagina. It is worth noting that the use of such a remedy should last from 10 to 12 days. In the event of the disappearance of unpleasant symptoms, the course of treatment cannot be interrupted.

Candles for trichomoniasis for women based on ornidazole can reduce the degree of protective function of condoms, this should be taken into account.

Medications based on acetarsol

The mechanism of action of such drugs is based on the fact that they contain a certain amount of arsenic, which is able to destroy harmful microorganisms. The most effective drugs with the participation of this substance:

• Osartid. The cost of the medicine is 70-100 rubles;
• Osarbon. The price of the drug is about 200 rubles;
• Neotrizol. The cost is 150-200 rubles.

The regimen for taking these drugs for trichomoniasis in women is the same as in the previous case. Treatment should begin immediately after the end of menstruation.

Treatment for women is different from men's therapy. Therefore, getting rid of occurs with the participation of some drugs, and in men - completely different.

Medicines for men

The most effective drugs for trichomoniasis for men are:

• . Price - 87 rubles;
• Tinidazole. Price - 30-40 rubles;
• Clindamycin. The medicine costs up to 100 rubles.

Due to the impossibility of using vaginal preparations, it is much more difficult. As a rule, only a doctor can prescribe the exact dosage or give recommendations on the use of a particular drug. The name and properties of the drug are given in the instructions as general concepts. The doctor prescribes the treatment directly.

Application during pregnancy

The positive property of vaginal suppositories in this case is manifested in the fact that such drugs are the only drug approved for use during this period. However, such a remedy can only delay complex therapy, therefore, after childbirth, a woman must undergo a full course of treatment.

It is worth noting that even such a sparing method of treatment is contraindicated for use in the first months of pregnancy. Therapy is possible only at a later date.

Thus, trichomoniasis is treated with the use of complex therapy. Candles are effective, but they can only be used in conjunction with other drugs.

Video

Trichomoniasis is a sexually transmitted disease, which is characterized by inflammatory processes occurring in the genitourinary system. The causative agent of the disease is Trichomonas vaginalis, infection occurs through sexual contact. Often occurs in conjunction with gonorrhea, chlamydia, candidiasis, mycoplasma.

If the patient does not receive the necessary treatment, then trichomoniasis goes from acute to chronic. This can cause infertility, prostatitis, complications during childbearing and childbirth, often leading to infection of the fetus, and sometimes to its death.

Features of the treatment of trichomoniasis

For a complete recovery, both partners must be treated at the same time, and during treatment it is necessary to refuse sexual intercourse. Treatment is carried out by a venereologist, gynecologist and urologist, it should be carried out regardless of the stage of the disease. Antibodies are produced, but this does not mean that it is impossible to get sick again, since the protection of antibodies is quite low.

One course of treatment is usually 30 days. After that, it is necessary to conduct tests again, and initially they make a provocation with an injection of Pyroginal to temporarily reduce immunity. If the patient is not completely cured, trichomonas are again found in the smear.

The provocation can be caused in another way - by taking alcohol along with spicy dishes, which also quickly lowers immunity. Unfortunately, one course of treatment is rarely enough, just during this period, trichomonas pass into a latent form (they do not multiply and do not develop). However, their presence undermines the general condition of the body and reduces immunity, which threatens a pregnant woman with premature birth.

It may take from one and a half to three years to completely get rid of the presence of Trichomonas, and this is provided that both partners are treated, do not drink alcohol and do not have sex.

Repeated courses of treatment are determined by the doctor based on the specific situation, having studied the tests. The repeated course of therapy is 14-30 days, after which the treatment is stopped, and regular tests are carried out. If the presence of trichomoniasis is confirmed again, a new course is prescribed.

The disease can be considered cured if the diagnosis does not reveal Trichomonas in both partners. The microflora of the genital organs is normalized; for this, a vaccine containing lactobacilli bacillus is preliminarily prescribed. In some cases, immunomodulating agents are used (to increase immunity).

If a person carefully follows all the doctor's instructions, the disease completely disappears, and the period of this directly depends on how quickly specific measures were taken to cure the disease after the disease. However, one should not forget that immunity against re-infection is not formed, and with frequent changes of partners, re-infection is not excluded.

Treatment regimens

Treatment is mandatory for anyone who has Trichomonas, regardless of the presence of symptoms. The purpose of treatment is strictly individual, it depends on age, gender, concomitant diseases, the presence of an allergy to drugs, previous illnesses. Moreover, a complete examination is mandatory beforehand in order to make an absolutely correct diagnosis.

Incorrectly prescribed treatment will not only be ineffective, but can also lead to the development of a chronic form of the inflammatory reaction, as well as to the resistance of pathological microorganisms to antibiotics.

Acute trichomoniasis is most easily treated; when moving to the chronic stage, treatment will be longer and more difficult. In pregnant women, treatment is prescribed only from the fourth month.

To date, several metronidazole treatment regimens have been developed:

With individual intolerance to this drug, the following are prescribed:

1. Tinidazole and Ornidazole on a tablet 2 times a day for 7 days.
2. Nitazol (Aminitrozol) - the drug is available in the form of tablets, aerosol and vaginal suppositories. Tablets - 3 times a day, duration - 2 weeks. Vaginal suppositories and aerosols are used every 12 hours, and after application the patient should lie down for half an hour. Treatment according to this scheme lasts 90 days with breaks for the duration of menstruation.
3. Osarsol (Acetarsol, Vaginal, Spirocid) are used as 2 times a day for 20 days.
4. Furazolidone - 3 times 2 tablets for three days.

Sometimes a Klion-D treatment regimen is prescribed, which includes miconazole and metronidazole. This drug has shown to be very effective in the treatment of fungal and bacterial infections in the genitourinary system. Suppositories are inserted into the vagina 1 piece at bedtime for 10 days.

When choosing a treatment regimen, be sure to consult a doctor and follow the instructions clearly. Complex therapy with antitrichomonas drugs is also used.

Local treatment

In the presence of complications and the chronic form of trichomoniasis, symptomatic agents are prescribed together with ointments and gels. If the disease occurs together with other infections (chlamydia, gonococci, candida, ureplasma), antibiotic treatment is also added.

The use of local therapy is necessary for contraindications to metronidazole or if the patient is intolerant to it. Contraindications are anomalies in the nervous system and in blood clotting.

Women are advised to make tinctures of sage and chamomile herbs for douching, tampons and baths. Men need to inject a solution of silver nitrate (0.5 ml of solution per half liter of water) or ethacridine lactate (0.5 ml of solution per liter of water) into the urethra. The water must be boiled.

Applications of 1% mefenamic acid and Betadine suppositories have proven themselves well. In the absence of complications, antiprotozoal drugs are prescribed - they have a detrimental effect on Trichomonas. When antibiotic therapy is carried out, it is necessary to restore the vaginal microflora to avoid dysbacteriosis. For this, it is recommended to use Acilact, Ginolact, Vagilak, Gynoflor.

Immunotherapy and home treatment

Immunotherapy is used in the chronic stage of the disease or in the resistance of Trichomonas to drugs. Solcotrikhovac is a vaccine from dead lactobacilli that contribute to the production of antibodies to Trichomonas, increasing the effectiveness of antibacterial agents. Do three injections every 14 days, which provides protection for a year.

Non-specific immunotherapy:

1. The use of Pyrogenal to activate the immune system.
2. Autohemotherapy - the introduction of the patient's own blood taken from a vein.
3. Lactotherapy is characterized by intramuscular or subcutaneous administration of sterilized milk.
4. Ultrahigh frequency therapy.
5. Electrophoresis of therapeutic drugs through the vaginal electrode.

After the approval of the doctor, you can supplement the main treatment with traditional medicine. The following recipes are considered effective:

In case of trichomoniasis, one should not fall into despair, since the disease is treated, the main thing is not to self-medicate, but strictly follow the instructions and recommendations of the attending physician.

Article content:

Trichomoniasis is a fairly common pathology: every 10 inhabitant of the planet is infected with this disease. The incidence of infection surpasses even gonorrhea and syphilis. The latest drugs, including pills for trichomoniasis, with a high degree of probability can get rid of this disease.

Trichomoniasis (trichomoniasis) is an infectious sexually transmitted disease. The causative agent is a unicellular flagellated microorganism - Trichomonas vaginalis. Domestic infection is rare. Vertical infection of newborns is distinguished when the child becomes infected during the passage of the mother's birth canal. Although trichomoniasis is not life-threatening, it can cause infertility in women and impair sexual function in men.

Means of etiotropic therapy

The most popular and effective remedy for trichomoniasis is Metronidazole.. The analogues of this drug are:

• Trichopolum;
• Flagyl;
• Metrogyl.

All these drugs are classified as 5-nitroimidazoles, designed to kill protozoan pathogens, as well as anaerobic bacteria. There are various schemes of therapy with the use of these agents: either a single loading dose is prescribed, or a lower dosage over a certain period of time. Metronidazole is used both in the form of tablets and by intravenous administration. The duration of treatment is from 6 to 10 days.

Another effective remedy is tablets from Trichomonas Tinidazole, whose analogues include:

• Amethine;
• Fazizhin;
• Tridazole.

How to take tinidazole for trichomoniasis? For therapy with this agent, three schemes are used in the form:

1. A single dose of an increased dose of the drug;
2. Short-term course (4 doses per hour are provided);
3. Course therapy for a week with 2 doses of the drug daily.

The drug Ornidazole (Meratin, Orgil), which has recently received popularity, can also be attributed to this group.

If a mixed infection is found in the body, then the treatment of trichomoniasis is carried out with the following complex preparations:

• Ginalgin (combining Metronidazole and Chlorhinaldol);
• Terzhinan (a complex of Ternidazole, Nystatin, Prednisolone);
• Meratin Combi (as part of Ornidazole, Nystatin, Neomycin sulfate);
• Osarcidom (a combination of Osarsol, boric acid and streptocide).

In case of individual intolerance to 5-nitroimidazoles, treatment of Trichomonas should be carried out with alternative drugs. :

• Nitazol (Aminitrazole, Tricholaval);
• Osarsol (Vagival, Spirocid, Acetarsol);

Features of antibiotic therapy

Treatment of trichomoniasis with broad-spectrum antibiotics is useless. This is due to the fact that trichomoniasis is not an infection, but is an infection with protozoa. However, some types of antibiotics are still used as a cure for trichomoniasis. This is, first of all, the already mentioned group of 5-nitroimidazoles, which has been used in the form of ointments and suppositories, as well as tablets.

Important! Without exception, all drugs can harm the fetus, so the treatment of pregnant women should be under the supervision of a doctor.

Very often, Trichopolum is prescribed as a remedy for Trichomonas. It contains metronidazole. How to take Trichopolum with trichomoniasis depends on the form in which the drug is released, the age of the patient and other features of the treatment. So, candles from trichomoniasis Trichopol before use, it is desirable to moisten in water and not apply more than once a day. In addition, it is necessary to combine this remedy with an oral form of medicine for Trichomonas.

Nitrothiazoles are widely used as synthetic antimicrobials. The representative of this group - Aminitrozole - is characterized by a pronounced activity in the elimination of the simplest microorganisms. It is used mainly by women, in the form of vaginal suppositories from Trichomonas.

The antitrichomonas and antifungal drug Mikriror complex 500 has a noticeable pharmacological effect. It is produced in the form of suppositories.

Important! The intake of these drugs for trichomoniasis must necessarily be combined with the use of suppositories rectally and vaginally, even if the infection has not passed to the patient through sexual contact.

Local treatment

For patients who, for one reason or another, tablets for the treatment of trichomoniasis are contraindicated, it is possible to use local remedies. These include iodine baths, solutions for washing. Local treatment in women is based on the use of:

• antibacterial ointments;
• vaginal and rectal suppositories;
• tampons;
• baths.

For men it is:

• ultra-thin suppositories for the urethra;
• physiotherapy;
• prostate massage.

All these means and methods successfully cope with the disease, help treat pregnant women when they are not allowed to take antibiotics. Most often used:

• vaginal suppositories and tablets Ornidazole, Klion D, Ginalgin;
• funds necessary to restore the microflora: Ginolact, Gynoflor, Vaginal;
• balms and ointments: Betaldine, Miramistin, Clindamycin.

For local treatment of trichomoniasis, the urethra is also installed with a 0.25-0.5% solution of silver nitrate or a 1% solution of Collargol every other day.

The combination of topical agents with preparations intended for oral administration guarantees successful disposal of Trichomonas.

Vaginal suppositories for trichomoniasis for women are considered the most effective treatment for the disease. Due to the local effect, they begin the fight against venereal infection from the first applications, which avoids many unpleasant complications. But for the therapy to be effective, you need a consultation with a specialist who will prescribe the drug based on many indications.

Vaginal suppositories are used in 99% of cases of trichomoniasis treatment, this is due to the high efficiency of this type of therapy and its local effect. In modern pharmacology, there are monodrugs for topical use and combined preparations. It is possible to determine which remedy is necessary for an infected woman only after diagnosis. Based on the stage of the sexually transmitted disease, whether there are complications or concomitant diseases, the doctor will select the appropriate medicine.

The main candles that are prescribed for the treatment of trichomoniasis:

1. Drugs of the 5-nitroimidazole group treat infections caused by anaerobic bacteria. The active substance is metronitazole, with pronounced antiprotozoal and antibacterial activity. The main action is the destruction of the DNA of the pathogen.
2. Arsenic compounds are prescribed for intolerance to 5-nitroimidazole.
3. Antiseptics containing chlorhexidine. The most popular suppositories are hexicon. It destroys the pathogenic flora on the mucous membrane.
4. Proteolytic enzymes are considered bioantiseptics. They break protein-peptide bonds. What is needed to reduce the adhesive process.

Recently, combined drugs have gained the most popularity.

One suppository may include antiprotozoal and antifungal elements. There are also suppositories that include not only the above substances, but also antibiotics, corticosteroids, as well as antiseptics and anesthetics. In this case, one suppository can give results as a complex treatment. But efficiency will be achieved only with the right selection of the drug.

The most effective candles

The most effective method of therapy is the use of candles for trichomoniasis for women. But to achieve the result, you can not assign them to yourself on your own. It is necessary to pass an analysis for bacteriological culture in order to determine which drug will destroy trichomoniasis faster and cleaner.

Among suppositories, metronidazole is considered the most popular - an antiprotozoal drug that destroys the DNA structure of the disease and prevents its further development. The medicine is well tolerated, but sometimes there are side effects - headache, dizziness, decreased vision, digestive problems.

The same active substance contains Klion-D, but due to the additional combination with miconazole, this drug accelerates the process of destruction of Trichomonas and kills unpleasant symptoms. The drug is well tolerated, in rare cases, urticaria may be present.

Candles neo-penotran belong to the analogue of klion-D, as they combine miconazole and metronidazole. They have antifungal, antibacterial and antiprotozoal properties. In addition to individual intolerance, the drug can not be used for kidney problems and epilepsy.

If a patient is allergic to metronidazole, doctors often prescribe an acetarsol-based drug. It is a 27% arsenic compound that destroys pathogenic microflora. The most popular representatives are osarbon or osarcid. They contain glucose, which does not interfere with the antibacterial action of arsenic, but protects the body from the action of the poison.

Separately, it is worth noting hexicon candles, which have a wide range of fight against sexually transmitted diseases. The active ingredient is chlorhexidine, which is known for its good antibacterial effect, but does not violate the vaginal microflora.

Dosage and administration

Dosages of drugs are prescribed exclusively by a doctor and after a complete diagnosis.

In most cases, the suppository is taken once a day, less often - twice. . With a single appointment, the candle is administered at bedtime, but always after hygiene procedures. During the night, the medicine will be absorbed as much as possible and will not leak out.

With a double application, the suppository is placed in the morning after washing the genitals, but after the administration of the drug, it is necessary to remain in a horizontal position for at least 20 minutes. It is important to remember that candles have an oily base, which, if leaked, can stain clothes.

An approximate course of treatment with metronidazole is as follows:

• the duration of taking suppositories is 7-10 days, then a break of 30 days, and, if necessary, re-treatment;
• take once a day vaginally;
• drug concentration 250 mg.

To achieve complete absorption of the active substance of the drug and exclude the introduction of additional infections, you must follow the rules for the use of vaginal suppositories. First of all, hygiene procedures are carried out and hands are washed thoroughly. The candle should be stored in the refrigerator and unpacked immediately before use. If possible, the suppository should be inserted as deep as possible into the vagina, this will allow the drug to be absorbed into the mucous membrane as much as possible. To avoid leakage of the medicine, it is desirable to remain in a horizontal position as long as possible after the procedure.

The use of suppositories during pregnancy

During pregnancy, it is necessary to exclude the use of any drugs as much as possible. But since trichomoniasis can spread vertically through the female reproductive system, which threatens the health of the fetus, treatment is necessary. The safest is local therapy in the form of suppositories.

The course of treatment for a pregnant woman is developed according to an individual scheme by a doctor. You can use vaginal suppositories for trichomoniasis only in the second and third trimesters of pregnancy. Usually, treatment is prescribed according to a sparing scheme, which does not kill the disease completely, but prevents the possibility of infection of the fetus.

Price

Metronidazole is considered the most effective drug for the treatment of trichomoniasis. These candles are produced in Russia, and their cost in a pharmacy does not exceed $ 3.4.

Ginalgin is an analogue of metronidazole, contains metronidazole and chlorquinaldol. Produced in Poland or Switzerland. The average price is $7.

Terzhinan - a combined agent contains the antibiotic neomycin, the antifungal antibiotic nystatin and prednisolone with anti-inflammatory and anti-allergic effects. Candles are allowed to be used during pregnancy in the 2nd, 3rd trimesters as directed by a doctor. Country of manufacture - France. The cost is $5.7.

Trichopol is an analogue of metronidazole in the form of tablets, suppositories, solution for infusions. Country of origin - Poland. The average price is $5.3.

Klion-D - vaginal suppositories based on metronidazole and miconazole. The drug is produced in Hungary. The cost does not exceed $6.9.

Contraindications for use and side effects of candles

Each drug, regardless of the type of active substance, has its own contraindications and side effects.

The main contraindications that are present in all drugs for trichomoniasis are:

1. Pregnancy, especially the first trimester.
2. Lactation.
3. Age from 12 or 16 years, depending on the type of medicine.
4. Individual intolerance to the components of the drug.

Suppositories based on metronidazole are contraindicated in people with impaired liver function, damage to the central nervous system, as well as with leukopenia and ataxia. It causes side effects in the form of headache and dizziness, candidiasis and vulvitis, nausea, malfunction of the digestive tract or urticaria.

Osarbon candles, which contain a concentration of arsenic, stop the metabolic processes inside Trichomonas, which leads to the patient's recovery. But there are a number of contraindications to the use of the drug: renal or hepatic insufficiency, predisposition to bleeding, tuberculosis, diabetes mellitus.

Nitozol suppositories are considered the safest drug, with the active substance aminitrozole. In contraindications, only individual intolerance is indicated. The use of suppositories during pregnancy and lactation is possible only under medical supervision. Side effects are rare and manifest as headache or dryness around the vulva and vagina.

Candles from trichomoniasis for men

Trichomoniasis is a sexually transmitted disease, so if it is found in women, then both partners should be treated .

Often men experience no symptoms other than a false urge to urinate.

For treatment, similar drugs are used, but in the form of tablets and injections, since the use of local suppositories is impossible due to the peculiarity of the anatomy of a man.

Along with taking antiprotozoal, antibacterial and antimicrobial drugs, doctors prescribe immunomodulators. Often, such a medicine is used in the form of rectal suppositories, since they do not burden the liver and have a high degree of absorption.

Vaginal suppositories for trichomoniasis are an excellent treatment, but it should be prescribed by a doctor who will conduct a series of tests to confirm the disease and the resistance of Trichomonas to certain drugs.

The causative agents of trichomoniasis block a number of immunological processes. These protozoa can also carry herpes, cytomegalovirus, and human papillomaviruses in their own cytoplasm. Prolonged presence of Trichomonas in a woman's body can lead to infertility, miscarriage. Treatment of pathology is based on the use of antiprotozoal drugs, however, there are certain subtleties regarding the correct selection of therapy.

Medicines for topical use

Local action means are shown if present:

• prolonged course of acute pathology;
• process timing;
• the presence of contraindications to tablet preparations or infusion solutions.

The formation of adhesions, violation of tissue blood supply to the genital organs during a long-term inflammatory process leads to a decrease in the therapeutic concentration of the antiprotozoal drug in the area of ​​​​the infection focus. Therefore, for treatment aimed at the speedy elimination of the disease, vaginal tablets and suppositories for trichomoniasis for women are most often prescribed in combination with systemic drugs.

Requirements for choosing a drug

When determining the necessary therapeutic tactics, a number of rules are taken into account:

• trichomonas, identified in a particular patient, must be sensitive to the active component of the prescribed suppositories;
• the patient excludes the presence of contraindications to the chosen remedy;
• it is highly desirable that the drug is well tolerated by the patient;
• the affordability of the prescribed medicine is taken into account;
• in the optimal case, suppositories should have a minimal effect on the vaginal biocenosis.

Composition of suppositories: active ingredients

The basis of suppositories for the treatment of trichomoniasis are heterogeneous components. Preparations containing 5-nitroimidazole derivatives have a direct effect on the DNA of the causative agent of the disease. The ancestor of this group is metronidazole. But the emergence of Trichomonas resistant to the drug, as well as the need to develop drugs with fewer side effects, led to the creation of improved analogues of the substance (ornidazole, tinidazole).

Among other synthetic antibacterial agents, a representative of nitrofurans (Nifuratel) acts on the causative agent of trichomoniasis. Antiprotozoal substances effective against Trichomonas vaginalis include arsenic-based acetarsol.

In combination with narrowly targeted therapy, the use of local antiseptics with iodine, boric acid or chlorhexidine is prescribed. The drugs help to relieve inflammation and suppress the pathogenic flora.

Treatment aimed at eliminating the disease can be supplemented by influencing the mechanisms of immune defense with the help of interferons (substances of a protein nature) and immunomodulators (substances that have a beneficial effect on the immune system). If adhesions are present in the pelvis, enzyme preparations are shown that have various forms of release (including suppositories).

List of main drugs used for topical application:

Any remedy in the form of suppositories can cause dryness, itching and burning in the vagina, swelling of the tissues at the injection site, and other uncomfortable sensations. Systemic side effects develop rarely and mainly from suppositories with metronidazole (headache, nausea, vomiting, diarrhea, incoordination, mood lability).

The best results of cure and tolerability of therapy, in comparison with other drugs of the 5-nitroimidazole group, are observed from the use of ornidazole. In addition, this medicine is the only representative of the metronidazole series that does not require a strict refusal from alcohol.

Combined preparations are used only in case of mixed infection. With Candidiasis-Trichomonas inflammation, suppositories containing antifungal and antiprotozoal substances are used. Identification of a concomitant bacterial infection of the urogenital tract requires the inclusion of an antibiotic component of therapy. For this, suppositories with an extended spectrum of action of the main substances are used.

Since the suppression of immunity by Trichomonas in some cases causes the development of a protracted or recurrent course of the disease, the appointment of agents that stimulate the activity of macrophages - natural killers, and lymphocytes is justified. For this purpose, combined drugs with interferon are used, as well as viferon and galavit suppositories. The use of immunomodulators in the form of rectal suppositories during the course of treatment reduces the duration of the disease and the risk of relapse.

Compliance with the dosage and frequency of administration according to medical prescriptions largely ensures a positive prognosis of the disease. It must be remembered that an important condition for the treatment of diseases that are sexually transmitted is the examination of the partner and the fulfillment by him of all recommendations regarding the intake of medications. The correct integrated approach in the treatment of trichomonas inflammation allows you to preserve the fertile function.