Acylact suppositories are a combination medicine containing three types of acidophilic lactic acid bacteria. The antibacterial effect prevails when used; it is used in gynecology to treat pathologies of the urogenital tract caused by infections and viruses. Can be purchased at a pharmacy, with a prescription. The cost varies from 120 to 250 rubles.
Instructions for the use of Acylact suppositories, indications and medical prohibitions for use in gynecology, a description of analogues and their cost are in our article.
Indications for use
Indications for the use of Acylact suppositories are gynecological diseases accompanied by disruption of the natural microflora. In particular, these include:
- hormonal-dependent colpitis;
- vaginal dysbiosis;
- chronic and subacute inflammatory processes in the organs of the female reproductive system (cervix and uterine body, appendages);
- nonspecific colpitis.
According to the instructions for use, “Acilact” suppositories can be used in gynecology both as an independent remedy and as one of the components of complex therapy.
Suppositories can also be used:
- as part of complex therapy in the treatment of urogenital infections and sexually transmitted diseases (urogenital herpes, urogenital chlamydia, gonorrhea, and so on);
- for the purpose of treatment and prevention of vaginal dysbiosis in pregnant women who are at risk for the development of inflammatory diseases;
- in preparation for various gynecological operations in order to avoid the occurrence of postoperative infectious complications.
Depending on the nature and severity of the disease, the doctor may prescribe the simultaneous use of Acylact suppositories and the oral form of this drug.
Description of the drug
The drug Acylact is a probiotic containing a species of live lactobacilli Lactobacillus acidophilus, which produces lactic acid, which is harmless to the human body. The lactic acid environment effectively inhibits the activity of pathogenic microorganisms (staphylococci, Proteus, enterogenous harmful E. coli).
In the production of this type of medicine, strains of lactobacilli are dried along with the habitat in which they were bred. Obtained by sublimation (sublimation in a special chamber) and soft drying, lacto-microbial raw materials are used for the manufacture of medicines and food additives - probiotics.
The medicinal effect of the drug is due to its composition, which contains lactic bacteria of 3 strains, which, when entering the body, fight the proliferation of various parasitic infectious agents in the urogenital tract, oral cavity and intestines.
In addition, Acylact has similar properties to drugs widely used in the treatment of diseases that disrupt the body's microflora.
These diseases include:
- stomatitis;
- caries;
- gingivitis;
- periodontitis;
- glossitis;
- gastroenteritis;
- vaginitis;
- ulcers;
- colitis;
- various intestinal inflammations.
The medication is used in the oral treatment of dysbiosis, pathogenic disorders of the female reproductive system and gastrointestinal tract. In addition, Acylact is used in prophylactic antibiotic therapy administered before prenatal gynecological procedures.
Directions for use and doses
The instructions for use of Acylact suppositories indicate that they are intended for intravaginal use. Each suppository is in individual packaging material, which must be removed immediately before use. The suppositories are inserted deep into the vagina while lying on your back with your knees slightly bent. Before using the product, you must thoroughly wash your hands and clean the external genitalia.
The course of treatment and dosage are determined by the doctor on an individual basis. They may vary depending on the nature of the disease and its severity.
The instructions for use for Acylact suppositories provide the following information on this matter:
- For vaginal dysbiosis and atrophic vaginitis of hormonal etiology - 1 suppository twice a day. The course of treatment lasts from 5 to 10 days.
- During pregnancy, if the purity of the vaginal secretion is impaired - 1 suppository once or twice a day. The course of treatment lasts from 5 to 10 days. In some cases, it is necessary to extend the course of treatment until the symptoms of the disease disappear.
- When preparing for childbirth or gynecological operations - 1 suppository once or twice a day. The use of the drug begins 5-10 days before the expected date of surgery or delivery.
- To restore the vaginal microflora after taking antibiotics - 1 suppository twice a day. The course of treatment is 10 days, but if necessary can be repeated after a break of 10-20 days.
Pharmacological properties
The drug contains acidophilus lactobacilli. Acidophilic lactobacilli, which are used to prepare the drug, are classified as obligate microorganisms. Acylact allows you to correct the microflora in the vagina and large intestine.
If the vaginal microflora is normal, then it is represented mainly by lactobacilli or, as they are also called, Dederlein bacilli, which maintain the necessary acidic environment in the vagina, which also does not allow opportunistic microorganisms to grow.
Acidophilic lactobacilli contained in Acylact suppositories have a high ability to form acids and have increased antagonistic activity against a significant range of opportunistic and pathogenic microbes. In addition, they are distinguished by improved adhesive properties, which contribute to the long-term preservation of bacteria on the vaginal mucosa, and are resistant to the antibiotics used, which makes it possible to determine the corrective effect of the drug in case of disorders of the bacteriocenosis of the female genitalia and the oral cavity of the intestines.
Acylact is produced in the form of suppositories, making the use of the drug convenient. Acylact suppositories can be used together with other prescribed antibacterial drugs.
Additional Information
So, we found out what Acylact suppositories are used for and in what doses they are usually used. Now it’s worth clarifying a few more important points.
The drug is dispensed from pharmacies without a doctor's prescription. Suppositories are in blister packs. Each pack contains two such plates and instructions for using Acylact suppositories.
Suppositories must be stored at a temperature of 2 to 8 degrees out of the reach of children. The shelf life of suppositories is 1 year.
Suppositories "Acilact" have a light beige or yellowish-gray color. In some cases, small inclusions of a darker or lighter shade, as well as marbling, are allowed. If the color of the candles differs from that described above, their use is prohibited.
The use of the drug is not permitted in cases where it:
- the expiration date has expired;
- physical properties have changed (smell, color);
- no markings;
- the integrity of the packaging has been compromised.
Contraindications
Acylact for thrush - is it possible?
The medication is not used in the presence of candidiasis, since thrush is the result of the activity of yeast fungi, and lactobacilli not only will not cure the disease, but will also worsen the course of the disease in a woman.
Acylact during menstruation - is use indicated?
It is not possible to use the product during menstruation. Heavy periods, due to the high blood content in the vagina, fill the vaginal walls, which does not allow lactobacilli to gain a foothold normally, so there is no point in using the medication during menstruation.
Is acylact and alcohol compatible?
No, there is no compatibility between these substances. With alcohol, the effectiveness of the drug will deteriorate many times, since alcohol disrupts the microflora and interferes with the action of the drug. The same applies to alcoholic medicinal tinctures. It is recommended to refrain from using alcohol-containing medications, since incompatibility may occur between ethanol-based drugs and lactobacilli for the above reasons.
"Lactobacterin"
The drug has several forms of release, including vaginal suppositories. The main active component is lactobacilli acidophilus.
"Laktobacterin" is prescribed:
- with dysbiosis of the urogenital tract, including inflammatory processes of non-infectious and infectious nature (hormone-dependent colpitis, urogenital herpes and chlamydia, gonorrhea);
- prenatal preparation of women at high risk of developing inflammatory diseases;
- preparation for gynecological operations.
Contraindications to the use of the drug are:
- the patient has hypersensitivity to its components;
- thrush;
- childhood.
Side effects are rare and may manifest themselves in the form of allergic reactions.
As a rule, the course of treatment with Lactobacterin is within 5-10 days. In this case, the dose is 1 suppository twice a day. In some cases, it may be necessary to adjust the duration of treatment. This decision is made by the attending physician.
Release forms
The average cost in Russia is 157 rubles per package.
The following forms of release are available: vaginal suppositories, tablets, powder and lyophilisate for dilution to prepare a solution. One dose of powder contains 10 to 7 active ingredients; it is white, opaque, small, crumbly and homogeneous without a characteristic odor. Suppositories that need to be inserted vaginally are white and are packaged in a protective shell. There are 10 pieces sold in one package. Tablets are sold in 20 or 30 pieces in bottles or polymer jars, packed in cardboard packages. The lyophilisate is applied orally or topically. One bottle contains 5,000,000 active ingredients; a total of 10 bottles are sold per box. One bottle contains 5 single doses.
"Ecofemin"
The drug is marketed in the form of vaginal capsules with lactobacilli acidophilus as the active ingredient.
The drug is prescribed:
- during the period of prenatal preparation in order to avoid ascending infection during the birth process;
- for the prevention of infectious complications before diagnostic invasive procedures or gynecological operations;
- to restore vaginal microflora after antibiotic therapy (both local and systemic);
- for the treatment and prevention of diseases associated with imbalance of vaginal microflora (hormone-dependent colpitis, bacterial vaginosis, nonspecific vulvovaginitis);
- in order to normalize the vaginal microflora.
"Ecofemin" is not prescribed to patients with vaginal candidiasis. During pregnancy and breastfeeding, its use is permitted.
For prevention purposes, patients are prescribed to take 1 capsule per day (before bedtime). The course of treatment is from three days to a week.
When treating various diseases, it is necessary to use 1 capsule twice a day. The minimum course of treatment is 6 days, after which it can be extended.
The use of the drug (both for preventive and therapeutic purposes) should be started either before the expected menstruation or immediately after it.
If the doses indicated in the instructions were followed, no side effects were found.
The main stages in the treatment of candidiasis
Treatment of genital candidiasis should be presented in the form of complex therapy, because if the disease is not treated, it will take a chronic form. Therapy for candidiasis takes place in two stages:
- Complete destruction of the fungus. At the onset of the disease, it is necessary to take antifungal agents that destroy pathogenic microorganisms that cause thrush. Prebiotics such as Acylact only increase the acidity of the vagina, which creates excellent conditions for the growth of Candida fungus. Therefore, during the first stage of thrush, prebiotics are not prescribed.
- Restoration of vaginal microflora. At this stage, the woman already needs to be treated with prebiotics, since candidiasis therapy does not end with removing the fungus from the body. With the help of Acylact, you can restore the vaginal microflora disturbed by antifungal agents. Otherwise, the pathogen may soon become active again.
The duration of therapy for candidiasis should be monitored by the attending physician.
"Laktonorm"
Laktonorm vaginal capsules contain live lactobacilli acidophilus as an active substance.
The drug is prescribed for the treatment of:
- postmenopausal atrophic vaginitis;
- chronic, subacute and acute vaginitis and vulvitis;
- bacterial vaginosis, which arose as a result of antibacterial therapy.
“Laktonorm” is also used to prevent infectious complications during preparation for childbirth or gynecological operations.
The drug is not prescribed if the patient has vulvovaginal candidiasis.
As for the use of the drug, for therapeutic purposes it is prescribed 1 capsule twice a day. The course of treatment lasts a week, but if symptoms of the disease persist, it can be extended. For prevention purposes, the patient is prescribed 1 vaginal capsule per day. The course of treatment is 1-2 weeks.
The use of "Lactonorm" must be started immediately after the end of menstruation.
pharmachologic effect
Live lactobacilli included in the drug have antagonistic activity against a wide range of pathogenic and opportunistic bacteria (including staphylococci, Proteus, enteropathogenic Escherichia coli), normalize the digestive activity of the gastrointestinal tract, improve metabolic processes, and help restore natural immunity. They metabolize glycogen in the vaginal epithelium to lactic acid, which maintains the vaginal pH at 3.8-4.2. Lactic acid in high concentration creates unfavorable conditions for the life of acid-sensitive pathogenic and opportunistic bacteria.
Reviews
Most reviews about Acylact suppositories are positive. In them, patients note such advantages of the drug as:
- low cost;
- ease of use;
- high efficiency in fulfilling the task assigned to the product - restoring the vaginal microflora after taking antibiotics;
- moisturizing the mucous membrane.
But there are some disadvantages that also need to be remembered. Despite the fact that, according to the instructions, the drug does not cause side effects, some patients still noted them. They manifested themselves in the form of a local allergic reaction, which was accompanied by severe itching and burning. Also among the disadvantages of "Acilact" women note:
- inconvenient packaging that is difficult to remove;
- candles crumble too much;
- suppositories leak after use, so you need to use panty liners;
- candles melt quickly.
In some cases, an increase in thrush symptoms was also noted.
What can replace the medicine?
If for some reason you cannot purchase the medicine “Acilact” (tablets), it is permissible to choose analogues. They can be absolute or relative. Medicines based on acidophilus bacteria: “Biobakton”, “Ecofemin”, “Bifiform”, “Acipol”, “Linex”, “Hilak Forte”. The components of the drug "Acilact" are found in many probiotics, but they also contain additional substances. This is worth paying special attention to.
Indirect analogues of the drug "Acilact" include antibiotics that eliminate pathogenic flora, for example, "Enterofuril", "Stopdiar". Terzhinan and Metronidazole will help women cope with pathogenic microorganisms. The drugs “Likopid” and “Interferon” will increase the immune defense. It is not recommended to approach the choice of indirect analogues of the drug on your own. You will definitely need medical advice in this matter.
