Fluomizin suppositories - instructions for the treatment of thrush and colpitis, price and analogues of the medicine

October 14, 2018
obstetrics and gynecology
Gladkikh Asya

Fluomizin suppositories are a remedy that women are forced to deal with more and more often, since infections in gynecology are especially severe. The appearance of pathogenic flora is caused by various reasons. Against the background of reduced immunity, deep and frequent stress, infections and fungi occur in the intimate area.

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

The active ingredient of the drug is an ammonium compound with extensive antimicrobial action. The drug acts on most gram-positive microorganisms of the genus Streptococcus (including beta-hemolytic strains A and B) Listeria, Peptostreptococcus; Staphylococcus aureus; fungi of the genus Candida; gram-negative microorganisms Escherichia coli, Gardnerella vaginalis; microorganisms of the genera Pseudomonas, Serratia, Klebsiella, Proteus; as well as Trichomonas vaginalis.

Pharmacokinetics

When administered intravaginally, a very small amount of dequalinium chloride enters the systemic circulation and is transformed to dicarboxylic acid , which is then excreted through the intestines.

Using pills during pregnancy

Doctors believe that during pregnancy it is best to avoid drugs such as alcohol, antibiotics, foods that can be harmful to health, and cheap vitamins.

It is during pregnancy that the female body is not only weakened, but also needs only useful substances that improve the functioning of all its systems and do not affect the child. Against the background of hormonal changes occurring in the body, the flora of the reproductive system changes, which causes the formation of sexually transmitted infections, especially if a woman has several intimate partners at the same time.

Regardless of what trimester, pregnant women are allowed to use Fluomizin suppositories only after consultation with a gynecologist. It must be remembered that it is one of those drugs that are allowed when carrying a baby, even when treating the following disorders in the body: vaginitis, chlamydia, thrush.

It is during pregnancy that only vaginal tablets are used. One suppository contains 10 milligrams of such an important substance as dequalinium chloride.

In accordance with the instructions for use, Fluomizin suppositories are used for:

cystitis;
colpitis;
preparation for interventions in the reproductive system;
sanitation of the birth canal;
trichomoniasis;
candidiasis.

The drug begins to act immediately after introduction into the vaginal cavity, absorption of the mucous membrane is carried out in a minimal volume, which prevents the substance from entering the blood and the fetus.

special instructions

Tablets include auxiliary components that may not completely dissolve in the vaginal cavity. As a result, tablet remnants can later be found on laundry. This does not affect the effectiveness of the drug.

If the vaginal mucous membranes are excessively dry, there is a possibility that the tablet will not dissolve. To prevent this phenomenon, which occurs very rarely, before using the tablet, it must be wetted with water.

During treatment, it is recommended to change underwear and pads more often. If symptoms of infection persist after completion of therapy, then a repeat microbiological test should be performed to confirm the diagnosis.

During treatment, it is advised to abstain from sexual intercourse. To prevent re-infection, treatment of sexual partners should be carried out simultaneously.

The drug does not affect the ability to drive a car.

Contraindications

Fluomizin vaginal tablets also have a number of contraindications, which include:

excessive sensitivity;
inflammation in the cavity of the uterine cervix;
ulcerative lesions on the cavity of the vaginal epithelium.

It is not advisable to use dequalinium chloride before the start of intimate life. But it is strictly forbidden to use the drug even with severe thrush for the following categories of patients:

women who are not sexually active;
children;
patients suffering from a severe allergic reaction to the medicine;
patients with ulcers on the vaginal mucosa.
Read also: TOP 10 analogues of the drug Preductal: list of available substitutes

The drug has a simple mechanism of action, since its components affect pathogenic bacteria, killing them and thereby normalizing the activity of the reproductive system. It has already been said that it is not recommended to use the product during menstruation, since blood discharge will remove the product immediately after administration; it dissolves at a high speed. The medicine is used during lactation and pregnancy only if there are serious indications and only after passing all the tests that make it possible to most accurately determine the disease and its severity.

We continue to consider the instructions for use of Fluomizin suppositories in gynecology.

Fluomizin's analogs

Level 4 ATC code matches: Hinozol
Hinofucin , Betadine , Vagisept , Hexicon , Macmiror , Klion , Metrovagin , Neo-Penotran .

The price of Fluomizin analogues, which are listed above, is less or comparable to the price of Fluomizin itself.

Analogues of suppositories (meaning the form of release) are more often prescribed and used, since they are easier to administer, and they are more common and cheaper.

Indications for use

Fluomizin suppositories are used for antiseptic purposes: they treat infectious diseases and fungi. It is prescribed for gynecological problems such as candidal vaginitis, bacterial vaginosis, and trichomoniasis. The drug Fluomizin is used for prophylactic purposes: immediately a few hours before childbirth or during surgery to disinfect the intravaginal area. Let's take a closer look at the two main reasons for which Fluomizin suppositories are prescribed. This is thrush and colpitis.

For thrush

Thrush is a common female disease caused by the Candida fungus. It does not cause harm to health, but it brings many uncomfortable sensations: itching, burning, and white cheesy discharge appear in the genital area. If it is not treated at the first signs of thrush, it develops into a chronic disease, which subsequently manifests itself when the immune system is weakened, for example, after a cold. Fluomizin suppositories for thrush, which are included in complex treatment, are one of the remedies that successfully combat this problem.

For colpitis

Inflammation of the female appendages is called colpitis. It is caused by pathogenic bacteria that enter the vagina and are activated when the body loses some of its protective functions. Without treatment, the disease quickly spreads to the cervix, the uterus itself and the ovaries. In the future, the impact of the disease may be revealed in infertility, ectopic pregnancy, tumors and other consequences. Therapy for colpitis consists of taking pills, using suppositories, including Fluomizin, and a number of procedures. Fluomizin suppositories for colpitis are prescribed only by a doctor.

Fluomizin price, where to buy

The average price for Fluomizin No. 6 suppositories in Russia is 700-800 rubles. The price of candles in Ukraine in the specified packaging ranges from 235 to 305 hryvnia (for comparison, in the city of Kharkov it is 280-300 hryvnia, and in Odessa – 240-260 hryvnia).

Online pharmacies in RussiaRussia
Online pharmacies in UkraineUkraine
Online pharmacies in KazakhstanKazakhstan

ZdravCity

Fluomizin tablets vaginal.
10 mg 6 pcs. Rottendorf Pharma GmbH/Medinova AG 510 rub. order

Pharmacy Dialogue

Fluomizin (tab.vag.10mg No. 6)Medinova
RUR 587 order

Pharmacy24

Fluomizin 10 mg N6 vaginal tablets Medinova AG., Switzerland
217 UAH. order

PaniPharmacy

Fluomizin tablets Fluomizin vaginal tablets 10 mg No. 6 Switzerland, Medinova
236 UAH order

Reviews about the drug

According to patients, fluomizin suppositories for thrush have a fairly high price, and high hopes are placed on them. One package is enough for a treatment course. Before use, women are advised to moisten the tablet with water so that it dissolves better. There is good tolerability, absence of itching and irritation. The result is encouraging, repeated tests are good.

Women with intolerance to vaginal products experience itching, severe discomfort, and redness. In this case, you need to take care of the vaginal microflora. Fermented milk products are recommended for use. However, despite the discomfort, the product is very effective.

Disadvantages include short-term or insufficient effect, high cost, and inconvenience of use. It happens that at some point the action is absent or insignificant.

We reviewed the instructions for use of Fluomizin suppositories in gynecology.

What discharge is normal when using the drug?

Fluomizin is available in tablet form. Essentially, it is a solid compressed product that, when exposed to moisture, crumbles and partially dissolves. Therefore, after rising from a lying position, white masses flow out in the form of wet sand.

In addition, any external influence provokes increased production of vaginal mucus. According to reviews from women, many of them experienced very heavy watery discharge when using Fluomizin. This is normal and does not require treatment adjustments. In the first days, the secretion may have an unpleasant odor - these are the remains of pathological leucorrhoea.

Signs of no problems:

Itching, pain and burning disappear after 1-2 applications;
Normal body temperature;
After 2 tablets the smell disappears, a light medicinal aroma remains;
There is no blood, pus, lumps or clots in the discharge.

Fluomizin suppositories for cystitis

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BPH
Balanitis
Balanoposthitis
Varicocele
Vesiculitis
Sexually transmitted diseases
Hydrocele of the testicle
Haemorrhoids
Hypertension
Glomerulonephritis
Genital fungus
Diabetes
Cryptorchidism
Thrush
Male infertility

Orchitis
Osteochondrosis
Parasites
Prostatitis
Prostate cancer
Urethritis
Ureaplasmosis
Phimosis
Frigidity
Cystitis

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When a person suffers from a urological illness, he wants to get rid of these painful symptoms as quickly as possible. Cystitis is the most common disease of the urinary system. A person of any age and gender can get it, but women suffer from cystitis much more often than others.

At a minimum, every second woman has experienced all the manifestations of this disease. And at least every tenth of them was marked “chronic cystitis” in their medical records.

The disease is such that it does not offer a choice: it is impossible to endure, and you should not do it. But just experimenting on yourself, trying one remedy or another, is also a dangerous option. You need to see a urologist, get tested, and get a prescription chart. Cystitis is usually treated with antibiotics.

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About 80 (according to other sources - about 90%) of all cystitis are of a bacterial nature. Therefore, only antibiotics can truly guarantee a complete cure. But you can’t do without auxiliary therapy, and these can be suppositories (or, as it is correct to say, rectal suppositories).

This popular and slightly unusual dosage form is rightly considered one of the most effective. They work quite quickly, relieve pain, affect inflammatory and infectious processes, and suppositories also perfectly relieve itching in intimate areas.

The composition of suppositories is the main medicinal substance and also the basis. Candles are initially solid, but as soon as they enter an environment whose temperature is equal to human body temperature, the candles begin to disintegrate or melt. These dosage forms are used for introduction into natural openings in the patient’s body (suppositories are inserted either into the anus or into the vagina).

Today, three forms of suppositories are produced:

Sticks;
Rectal forms;
Vaginal forms.

The weight of one such candle is from 1 to 4 g. You can even make candles yourself, but the need for this is small: a huge selection of these pharmaceutical products is available in the pharmacy.

Rectal suppositories are made in a cylindrical or cone-shaped form, there are other shapes, but, in any case, with a diameter of no more than one and a half centimeters. According to user reviews, the most optimal form would be the so-called “cigar”. It freely penetrates the anal passage and does not come out back (which, in principle, happens with suppositories).

There are also suppositories spherical, ovoid, flat or rounded. The latter are called pessaries. This is a very convenient and quite effective form, because it fits close and tightly to the vagina and is in good contact with the mucous membrane, i.e. medicinal substances are absorbed into tissues quickly and efficiently.

The third type of suppositories is called sticks. They are produced in a cylindrical shape, and may have a slight point at the tip. The diameter of the sticks is no more than 1 cm. Of course, only a doctor can prescribe a medicinal product. The patient himself buys certain suppositories if he has previously been prescribed such a product, and now he has to treat the same problem.

Suppositories for cystitis in women are considered an additional medicine. They relieve pain, relieve inflammation, and alleviate the condition in general.

How to administer suppositories:

Wash your hands thoroughly with soap. If you don’t do this, then bacteria (and even helminths – this could happen) will end up in your rectum right from your hands. And even the intention to insert a candle while wearing hygienic gloves does not affect hand washing; wash them anyway.
Make sure that the candle itself is solid. For this purpose, immediately after purchase, place it in the refrigerator. You simply cannot insert a soft suppository.
If you need to insert only half a suppository (a urologist can prescribe this dosage), then it is easier to cut it lengthwise rather than transversely, this will make insertion easier.
If necessary, the candle can be coated with a suitable substance; if you use lubricants, then let them be water-based. They are well absorbed and leave the body better.
Next, the patient should lie on his left side. In this case, the right leg needs to be bent and pulled towards the sternum. Then carefully push the candle through the muscle ring of the anus.
The insertion depth for an adult patient is 2-2.5 cm. When inserting, use your index finger.
Then the patient should lie down for a while: this is done so that the suppositories do not fall back. Under the influence of temperature, the candle will begin to melt, the medicine will be absorbed. Usually candles are absorbed within 25-40 minutes.
The optimal position is to lie on your back as comfortably as possible, bend your limbs at the knees and raise them slightly. After the procedure itself, you should remove your gloves and wash your hands.

If we are talking about cystitis, then antibacterial suppositories are usually used to treat cystitis. They are not rectal, but vaginal, but the instructions for their administration will be similar to those described above.

Why they? This is explained simply: most cases of cystitis are infectious. Escherichia coli is considered the main causative agent of the disease. It is for this reason that antibacterial suppositories are prescribed as the main medicine for this urological disease.

Antibacterial suppositories:

Hexicon. If your doctor prescribed such vaginal suppositories for cystitis, then, apparently, it was revealed that the cause of inflammation of the bladder mucosa was vaginitis. This product is prescribed for inflammation of the cervix and other genitourinary pathologies. This drug is conditionally approved for pregnant women. A side effect is sometimes itching.
Palin candles. They are used for pyelonephritis, cystitis, urethritis. The pharmacodynamics of this drug is due to pipemidic acid, which blocks the activity of the bacterial enzyme system, which disrupts the mechanism of their reproduction. These suppositories will not work for cystitis caused by trichomonas, as well as chlamydia, opportunistic mycoplasma, and candida fungi.
Betadine. Their main component is Povidone-iodine. It is thanks to iodine that these dosage forms have antiseptic, bactericidal, disinfectant, as well as antifungal and antiviral effects. Suppositories are used intravaginally at night.

In urological practice, these suppositories are prescribed for symptomatic therapy. What are they needed for? These dosage forms help restore injured areas of the bladder mucosa, as well as the urinary tract. They normalize intracellular metabolism and stimulate the proliferation of new cells.

As a side reaction, itching or burning in the rectum may occur, but they pass quite quickly. Methyluracil suppositories are highly effective, but the list of contraindications is long, so it makes sense to use them only with a prescription from a urologist.

Diclofenac suppositories against cystitis:

Effective for pain and inflammation, including in the bladder itself;
The daily dose is 2 suppositories (one suppository in the morning, the second in the evening);
These suppositories are inserted into the anus;
They inhibit the production of prostaglandins at the site of inflammation, which transmit inflammatory, thermal, and pain signals from receptors to certain areas of the brain.

Voltaren suppositories are an analogue of Diclofenac. Indomethacin suppositories are identical to this pharmaceutical preparation.

Propolis-based suppositories are considered by many to be a homeopathic remedy. This is indeed a relatively natural product that can be effective specifically for cystitis. The only point: if you know that you are prone to allergies to honey and honey derivatives, then you should not take suppositories with propolis for cystitis.

Therapeutic effects of these suppositories:

Reduce the manifestations of inflammation;
Suppress pain;
Stimulate regeneration processes;
Suppresses bacterial growth.

Despite the fact that suppositories with propolis for cystitis are highly safe, you should consult a doctor regarding their use. This is especially important when using suppositories in pregnant women, children and people with a negative allergic status.

Many people keep these suppositories in their home medicine cabinet. This is a multifunctional medicine. They are distinguished by a pronounced antiviral effect, they perfectly increase the body's defenses, also have an anti-inflammatory effect, and reduce the painful intoxication syndrome.

And also, which is also important, Viferon suppositories cleanse the body of toxins that are produced by the action of viruses.

Viferon also helps with:

Acute viral infections;
Pneumonia;
Bacterial infections;
Sepsis;
Intrauterine infections;
Viral diseases;
Meningitis.

And these candles eliminate fungi at the initial stage of development of these organisms. The components of the suppositories damage the cell membrane of bacteria.

Polygynax is used for:

Inflammatory processes in the cervical area;
Vaginal microflora disorders;
Vulvitis, vulvovaginitis;
Bacterial vaginitis;
Inflammatory diseases of the vagina.

Since vulvovaginitis and vaginitis often provoke infection, these pathologies need to be treated first of all. Because if you simply relieve the signs of cystitis with symptomatic therapy, but do not treat vaginitis, the problem will not go away. Moreover, cystitis can become chronic due to advanced genitourinary infection.

These are inexpensive suppositories known for their effectiveness. This drug perfectly stimulates tissue regeneration processes and reduces the rate of inflammation development. Sea buckthorn medicines are also pain-relieving suppositories for cystitis in women. The dose of the medication is selected according to the type of inflammation.

When are sea buckthorn suppositories prescribed:

For hemorrhoids;
For ulcers and intestinal fissures;
For catarrhal lesions;
With painful urination;
For inflammation of the urinary organs;
For endocervitis and colpitis.

Indeed, in many situations, suppositories are more effective than tablets. This can be explained simply: tablets always end up in the stomach, and only then do useful substances enter the bloodstream. It is clear that medications are far from being the best contents for the stomach.

Among the advantages of suppositories:

Direct action of the active ingredients that make up the suppository: the mucous membrane in its affected areas receives these active ingredients, as they say, without intermediaries, directly;
If the suppositories are antibacterial, then the intestines do not suffer from the action of antibiotics - suppositories do not affect the gastrointestinal tract;
Fast treatment effect.

Suppositories always have fewer contraindications than drugs in tablet form. Mainly because, as already mentioned, the gastrointestinal tract is not affected. Allergic reactions to the components of the drug are also not so great when comparing suppositories with the same pills.

Vaginal and rectal suppositories are a very good alternative to pills and injections. But still, this is not a harmless product, but a medicine, therefore a doctor should also prescribe suppositories. He will help you choose those suppositories that will give the maximum effect in your particular case.

Video - Polygynax suppositories and cystitis.

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The drug is produced in the form of white vaginal tablets, biconvex and oval. The active ingredient in one piece is 10 milligrams of dequalinium chloride.

Auxiliary components: lactose monohydrate, magnesium stearate, microcrystalline cellulose. There are six suppositories in blister packs.

Why are Fluomizin suppositories prescribed?

Vaginal tablets are prescribed for:

vaginal sanitation before childbirth and gynecological operations;
trichomonas vaginitis;
candidal vaginitis;
bacterial vaginosis.

The drug must be prescribed by a doctor.

The instructions for using Fluomizin suppositories are very simple. One tablet is used once a day. It needs to be inserted into the vaginal cavity as deeply as possible, preferably in the evening, just before bedtime, while bending your legs and lying on your back.

It is not recommended to insert Fluomizin suppositories during menstruation; after their completion, the treatment course is resumed.

It should be noted that in general, six days and six tablets are enough, respectively. This treatment period allows you to completely eliminate disorders in the body. Just taking the medicine correctly is not enough; you also need to pay attention to the side effects.

What else does the instructions for use for Fluomizin suppositories tell us?

The drug has side effects, you need to carefully read the instructions before using it.

These include the following symptoms:

Fluomizin vaginal tablets also have a number of contraindications, which include:

excessive sensitivity;
inflammation in the cavity of the uterine cervix;
ulcerative lesions on the cavity of the vaginal epithelium.

It is not advisable to use dequalinium chloride before the start of intimate life. But it is strictly forbidden to use the drug even with severe thrush for the following categories of patients:

women who are not sexually active;
children;
patients suffering from a severe allergic reaction to the medicine;
patients with ulcers on the vaginal mucosa.

We continue to consider the instructions for use of Fluomizin suppositories in gynecology.

Doctors believe that during pregnancy it is best to avoid drugs such as alcohol, antibiotics, foods that can be harmful to health, and cheap vitamins.

It is during pregnancy that only vaginal tablets are used. One suppository contains 10 milligrams of such an important substance as dequalinium chloride.

In accordance with the instructions for use, Fluomizin suppositories are used for:

cystitis;
colpitis;
preparation for interventions in the reproductive system;
sanitation of the birth canal;
trichomoniasis;
candidiasis.

It should be noted that there are special instructions regarding the use of Fluomizin vaginal tablets.

There is no need to be alarmed by small discharge, since the medicine contains several auxiliary components that cannot dissolve in the vaginal cavity. This circumstance does not reduce the effectiveness of the drug.

If a woman has a condition such as vaginal dryness, it is recommended to moisten the tablets with water before use.

Throughout the entire treatment course, you need to use special sanitary pads, they need to be changed more often than usual, in addition, this will prevent your underwear from being damaged.

For remaining disorders of the reproductive system after treatment, it is recommended to conduct a repeat microbiological analysis, which will help identify the problem and make a more accurate diagnosis.

To prevent urogenital infection, it is recommended that both partners be treated simultaneously.

The appointment is carried out exclusively by a specialist and only after taking a smear; carrying out the necessary research; confirmation of the diagnosis.

It is strictly forbidden to use the drug without this, since it may not be effective at all against certain types of bacteria, and excessive use of antibiotics is not recommended.

This is confirmed by the instructions for use for Fluomizin suppositories.

Some women find it much easier to use ointment rather than tablets and suppositories; in addition, the cost of the medicine and the features of the composition are important. Some patients are looking for cheaper drugs, while others, on the contrary, are more expensive. In general, to replace Fluomizin, you can use analogues - both expensive and cheap, but they must have the same composition as the original drug.

You can replace “Fluomizin” with the following means: “Terzhinan”; "Candide B6"; "Hexicon"; "Vagitsin"; "Livarol"; "Ketoconazole"; "Zalain"; "Vagisept"; "Gynoflor"; "Pimafucin" and others.

"Utrozhestan" is not among its analogues. It is not advisable to replace it yourself; you should consult a specialist.

Fluomizin suppositories are an expensive product. Cheaper analogues can be used as a replacement, but you must first coordinate your choice with your doctor. Let's describe some of them.

Antiviral antifungal antiseptic, which produces an antibacterial effect on gram-negative, gram-positive microorganisms, inhibits the activity of yeast-like fungi and chlamydia.

The active ingredient in the drug is chlorhexidine bigluconate. Excipient: corn starch. Hexicon is the cheapest substitute for Fluomizin vaginal suppositories, having an identical release form - vaginal torpedo-shaped biconvex tablets; vaginal suppositories.

Hexicon does not have a negative effect on the vaginal microflora, however, prolonged use can cause viruses and bacteria to become resistant to it. In particular, when treating a purulent infection, the active substance can noticeably reduce its activity.

The drug, in accordance with the instructions, is used in the treatment of:

exocervicitis;
vaginal dysbiosis;
vaginitis (trichomonas, nonspecific, mixed);
for prophylactic purposes to prevent sexually transmitted diseases (trichomoniasis, genital herpes, gonorrhea, syphilis, ureaplasmosis);
before childbirth or abortion, installation of a spiral inside the uterus.

allergic reactions;
hypersensitivity to the active ingredient.

It can be prescribed to girls before the onset of sexual activity only with the permission of a gynecologist.

Undesirable manifestations (irritation of the vulva, burning, itching) are rare, but if they occur, the drug must be replaced.

"Hexicon" is a cheap analogue of "Fluomizin", which is quite capable of replacing it in cases of infection in the urogenital tract. Price – from 250 to 300 rubles.

An analogue with the same release form as Fluomizin - vaginal suppositories in blisters. The active substance of the composition is sertaconazole nitrate. Auxiliary components: silicon dioxide, colloidal suppositir, vitepsol.

The active substance sertaconazole (a derivative of benzothiophene, imidazole) has a fungicidal, fungistatic effect. The Zalain analogue is often prescribed by gynecologists to have an inhibitory effect on infectious pathogens that provoke the development of sexually transmitted diseases and lead to lesions of the vaginal mucosa (skin).

The active substance sertaconazole in the product is active against staphylococci, dermatophytes and streptococci. Its action is based on inhibition of ergosterol synthesis in the membrane structures of yeast-like bacteria and fungi. The drug is prescribed for vulvovaginal candidiasis, that is, infection of the vaginal mucosa with Candida fungi.

The product is not prescribed if the composition is intolerant. For women during lactation and pregnancy only if there is a higher benefit than harm to the baby or fetus. This is also a cheap analogue - about 500 rubles.

A cheap analogue, antifungal drug for topical use in gynecology, intended for the treatment of infectious fungal lesions that are sensitive to the active substance.

The product is available in the form of torpedo-shaped candles. The active ingredient is ketoconazole, that is, an imidazoledioxolane derivative, which has a fungistatic, fungicidal effect, suppressing the reproduction and growth of fungal infections.

Excipients: macrogol 1500, butyloxyanisole, macrogol 400.

The drug is an analogue that actively inhibits ergosterol synthesis in the intercellular space of microorganisms (streptococci, yeast fungi, dermatophytes, staphylococci).

urogenital herpes;
vulvovaginal candidiasis;
prevention of fungal infections affecting the vaginal mucosa.

It should be taken into account that Livarol suppositories may be useless in the treatment of bacterial vaginosis. Before using the drug or if side effects occur, you should consult a gynecologist.

first trimester of pregnancy;
children under twelve years of age;
individual sensitivity.

In special cases, it is allowed in the second and third trimester of pregnancy. During breastfeeding - with caution. The product “Livarol” costs 390 rubles.

Disadvantages include short-term or insufficient effect, high cost, and inconvenience of use. It happens that at some point the action is absent or insignificant.

We reviewed the instructions for use of Fluomizin suppositories in gynecology.

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For the treatment of many common female diseases inside the vagina, the use of a drug such as Fluomizin suppositories is prescribed. They have antiseptic and antimicrobial effects and are approved for use during pregnancy. Fluomizin is injected directly into the vagina. This drug is used as prescribed by a doctor; independent use is not recommended.

Fluomizin is an oval vaginal tablet (6 pcs/blister), packaged in a cardboard box with attached instructions for use. The active substance of the product is dequalinium chloride. Prescribed for the treatment of female infections as prescribed by a gynecologist. Before purchasing the product, you need to consult a doctor; only he can determine the diagnosis, decide on the prescription of suppositories and set the required dosage.

Let's look at the composition of Fluomizin suppositories, which provides antiseptic and antimicrobial effects. The active substance is the main component that fights microorganisms that cause certain diseases. To simplify administration, manufacturers add excipients. These components are not always completely dissolved by the secretion of the vaginal glands, which must be taken into account when using the drug. Composition of Fluomizin suppositories:

active ingredient – dequalinium chloride 10 mg for each vaginal tablet;
lactose monohydrate;
microcrystalline cellulose;
magnesium salt of stearic acid.

Dequalinium chloride is a fourth ammonium compound that has a wide spectrum of antimicrobial activity. It is used to combat gram-positive infections: streptococcus (aureus, beta-hemolytic groups A, B, D, peptostreptococci and others), listeria. Dequalinium chloride is also used for the treatment of diseases in gynecology caused by gram-negative microbes: Escherichia coli, Serration, Proteus, Bacteroides, Pseudomonas, Gardnerella, Fusobacteria. It is also active against yeast-like fungi Candida and Trichomonas.

When it reaches the site of action, the active substance included in Fluomizin suppositories dissolves in the secretion at a concentration of 4000-2000 mg/l, while the minimum concentration for microbes is 90 mg/l. The main part of the drug is eliminated naturally. The residue, overcoming the mucosal barrier, enters the bloodstream, is metabolized into a sulfuric acid derivative and is excreted through the intestines. Two days after use, swelling of the tissues and mucous membranes becomes less, and the amount of discharge decreases.

Fluomizin suppositories are prescribed by the treating gynecologist, but they can be purchased at the pharmacy without a prescription. Before use, be sure to read the instructions for use included in the carton. For treatment, one suppository is inserted into the vagina immediately before bedtime. The course of treatment is 2 weeks. During menstruation, you should take a break from treatment and continue therapy after women's days. As for preventive measures before surgery and childbirth, the gynecologist sets the dosage individually.

The results of the study showed that Fluomizin vaginal tablets do not in any way affect the development of the fetus or the child who is breastfed. The treatment occurs without any undesirable effects and other factors that can negatively affect the mother during breastfeeding and the baby. The dosage and duration of treatment during this period are prescribed by the doctor after testing. Without his permission, it is prohibited to use the drug yourself.

The first trimester is the period of pregnancy when the formation of the baby's organs occurs. During this period, you should be extremely careful with all medications, this also applies to this drug. Fluomizin suppositories during pregnancy are prescribed only by a doctor, and in cases where the consequences of the disease for the fetus and the woman exceed the possible consequences of using the drug.

Fluomizin is inserted directly into the vagina. In some cases, the excipients included in vaginal tablets are not completely absorbed by the body, and some of them are lost in the form of heavy discharge. This is a normal consequence of using candles. At night, it is recommended to wear thick cotton underwear and use sanitary pads to avoid stains. Let's consider step by step how to carry out the procedure correctly so that the treatment is effective:

Before the procedure, you need to thoroughly wash your hands, lie on your side, bending your knees to your chest.
Carefully insert the candle inside. If insertion causes discomfort due to vaginal dryness, it is recommended to first immerse the vaginal tablet in warm water for a few seconds.
Complete the procedure. You cannot get up after administration, otherwise the dissolved suppository may leak out before the prescribed time, and the effect of the treatment will be incomplete.

After administering the Fluomizin suppository, you will feel a slight burning sensation within three to five minutes: this is normal, so there is no need to worry. If the burning sensation is unbearable, then you should do an enema of clean boiled water to wash away the remaining tablets from the vagina, and consult a doctor in the morning. This may result in an allergic reaction to the drug. If a burning sensation accompanies swelling and itching of the mucous membrane, you should consult a doctor. Most likely, he will prescribe an antihistamine, for example, Suprastin or Diazolin.

Burning is the main side effect of Fluomizin suppositories. There may be rashes and itching on the skin at the site of use. Sometimes local irritant reactions similar to erosion are observed: this is due to inflammation due to infection or a lack of the hormone estrogen. In very rare cases, patients treated with Fluomizin suppositories complain of increased body temperature and chills.

Before using Fluomizin suppositories, be sure to study the instructions, which will indicate contraindications. This drug is not intended for children and girls who have not reached reproductive age. Fluomizin suppositories are contraindicated in women with diagnosed ulcers of the cervix and vaginal epithelium or other violations of the integrity of the vaginal mucosa.

Suppositories should not be used by those who have had an allergic reaction to the drug or have been identified as having an individual intolerance to dequalinium chloride or the auxiliary components of Fluomizin suppositories. The drug can be taken by women who drive a car or are engaged in work that requires increased attention and concentration. There are no data from clinical studies about the interaction of the drug with alcohol.

No interaction of Fluomizin suppositories for intravaginal use with other drugs has been identified. If a woman is taking other medications at the time of treatment with this drug, she should inform her gynecologist about this. The drug Fluomizin is not compatible only with anionic active substances, that is, soap. Doctors do not recommend washing with soap later than an hour before injection.

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pharmachologic effect

Manufacturer: Medinova, Switzerland/Gedeon Richter, Hungary
Release form: vaginal tablets

Active ingredient: Dequalinium chloride

Fluomizin is a local antiseptic. The dequalinium chloride it contains kills most bacteria, such as streptococci, staphylococci, Escherichia, Klebsiella, Candida fungi, as well as protozoa - Trichomonas.

In addition, the drug has a local anti-inflammatory and hemostatic effect.

Fluomizin or Terzhinan – which is better?

Manufacturer: Bouchara Recordati, France
Release form: vaginal tablets

Active ingredient: Ternidazole + Neomycin sulfate + Nystatin + Prednisolone sodium metasulfobenzoate

Fluomizin can be replaced with an analogue, Terzhinan, due to its complex composition of anti-inflammatory, antifungal and antibacterial components.

Terzhinan suppositories are used for thrush, bacterial and trichomonas vaginitis, as well as for unspecified diagnosis.

The Terzhinan analogue, like Fluomizin, can be used during pregnancy.

How to correct the situation when discharge appears

If liquid with an unpleasant odor leaks from the vagina, pain, itching, burning and other negative symptoms are felt, then the only way out is to consult a doctor. It may be necessary to diagnose the patient more carefully:

Take a smear to microscopically determine the composition of the vaginal flora;
Examine the secretions using PCR. The cause of inflammation may be chlamydia and other microorganisms against which antiseptics are powerless;
Perform an ultrasound. Pathological leucorrhoea may be a symptom of inflammation of the uterus or appendages;
Examine the cervix, do a colposcopy to confirm or refute erosion;
Select a remedy for treatment using bacterial culture.

Fluomizin or Hexicon - which is better?

Manufacturer: Nizhpharm, Russia
Release form: vaginal suppositories

Active ingredient: Chlorhexidine

The active component of Hexicon is chlorhexidine. It is an antiseptic that has a bactericidal effect on most bacteria, gonococci, Trichomonas and Treponema. Does not affect viruses.

As an analogue of Fluomizin for women, Hexicon is used in the form of vaginal tablets or suppositories.

Fluomizin suppositories for the treatment of inflammatory diseases of the genital area in women are used one twice a day for 7–10 days. Vaginal tablets are used in the same way, only they need to be moistened with water before use.

The Hexicon analogue can also be used as a prophylactic against sexually transmitted diseases during unprotected sexual intercourse. For this purpose, a suppository or tablet should be administered no later than two hours after intercourse.

During pregnancy and lactation, the Hexicon analogue is not contraindicated.

What is a sign of a problem

When treated with Fluomizin, discharge sometimes occurs that cannot be considered a healthy condition:

Abundant yellow or beige leucorrhoea, liquid, odorless, which is combined with burning and itching in the vagina, tissue swelling, can be clinical manifestations of individual intolerance and an allergic reaction. Therapy is stopped and a doctor is consulted. In case of acute symptoms, you need to take an antihistamine, for example, Suprastin, Tavegil, Zyrtec, Zodak, Ketotifen and others.
Thick mucopurulent discharge with a green tint and a strong unpleasant odor is a sign of a bacterial infection. There are many pathogens, from vaginal gardnerella to venereal gonococci and trichomonas. The latter have a foamy consistency. When using Fluomizin, the symptom indicates the ineffectiveness of therapy. Perhaps the infection has spread higher, so one antiseptic is not enough.
A cheesy, sour-smelling discharge occurs with candidiasis. According to reviews, symptoms of thrush appear or return after the end of treatment with Fluomizin. During the period of use of vaginal tablets, such situations are not observed. Conclusion: the drug was not effective in this particular case.
Bloody discharge during therapy can be explained by pre-existing microtraumas and ulcerations, which are contraindications for the use of Fluomizin. True erosion of the cervix, a polyp of the cervical canal can also bleed under the influence of vaginal antiseptics. Treatment must be stopped.

Pharmacological properties, composition and release forms

The action of Fluomizin is based on the content of the active substance dequalinium chloride, which suppresses the development of pathogenic microorganisms of various types. The absorption of the drug is small and after some time the substance is eliminated from the body naturally.

The composition of Fluomizin is based on the content of main and auxiliary components:

dequalinium chloride;
microcrystalline cellulose;
lactose monohydrate;
magnesium stearate.

The drug is presented in the form of vaginal tablets, packaged in special cardboard boxes of 5 pieces.