Does Terzhinan help from cystitis?


Terzhinan is used in the local treatment of gynecological and urogenital diseases in women.

Prescribe a drug for the treatment of diseases such as:

  • cystitis,
  • thrush (with exacerbation),
  • vaginitis
  • ureaplasmosis,
  • trichomoniasis.

The drug is also used for the prevention of various types of vaginitis before gynecological surgical interventions, with complications after antibiotic therapy, with abortions and before childbirth to disinfect the birth canal, before and after installing intrauterine devices for contraception, before radiographic examination of the reproductive organs.

Dosage and administration

Vaginal candles Terzhinan are inserted directly into the vagina 1 time per day. Doctors recommend the use of suppositories before going to bed.

Before the suppository is inserted into the vagina, it is moistened under water (preferably flowing) for 30 seconds. If, however, therapy prescribed by a doctor is carried out in the daytime, then after insertion of the candle, the woman needs to lie down for 30-40 minutes.

The drug begins to act from the first days of use. The course of treatment recommended by a specialist cannot be interrupted, even if a woman has already noticed an improvement for 2-3 days.

With proper use and accurate dosage of the drug will help get rid of the disease already at 8-10 days, since the effectiveness of the drug in the treatment of cystitis in women is high enough.

Side effects

Adverse reactions to the treatment of cystitis with this medicine are rare. The female body takes Terzhinan well. But allergic reactions in the vagina in the form of itching, irritation or slight redness are not excluded. You may experience allergies to any component of the drug at the beginning of treatment. In this case, you should immediately stop using suppositories and consult a doctor.

Composition and release form

Made Terzhinan only in the form of suppositories. The color of the candles is yellowish, the shape is oval. The preparation includes:

  • ternidazole,
  • nystatin,
  • prednisone,
  • neomycin.

The element ternidazole has a pronounced antifungal and trichomonacid effect, is active against anaerobic microorganisms. Component nystatin is fighting candida fungi, and prednisone - with inflammation, allergies and edema. Neomycin is an aminoglycoside class antibiotic that creates an anti-inflammatory effect, has a bacteriostatic effect.

Auxiliary components are talc, starch, lactose monohydrate, magnesium stearate and distilled water.

Pregnancy and lactation

Prescribed therapy with Terzhinan only from the second trimester of pregnancy. If the patient's life and health are threatened, the doctor may prescribe the use of the medication in the first trimester.

When breastfeeding is allowed to use in the treatment of cystitis, Terzhinan, but only under the supervision of the attending physician, to avoid negative consequences. In this case, the treatment lasts up to 7 days.


  • weakening of the local protective immune mechanisms,
  • abnormalities of the structure of the external genital organs and urinary system,
  • during pregnancy and after delivery,
  • with hypothermia,
  • in women, the possibility of developing cystitis is higher than in men due to the anatomical and physiological characteristics of the female body.

Also a significant factor is the frequent change of sexual partners and the use of contraceptives (most often cystitis occurs when using diaphragms and chemicals used topically). With cystitis, Terzhinan provides high-quality sanitation of the female genital tract.

Efficacy of terginan

According to a study of the international "ECO-SENS- project" (2000-2002) to study the causes of lower urinary tract infection, pathogenic groups of microorganisms were found. E. coli, Enterobacteriaceae, Staphylococcus were detected in patients with uncomplicated urinary tract infection. Terzhinan showed high performance to the identified microorganisms. Based on these studies, we can say that Terzhinan fights cystitis.

Cystitis during pregnancy

Acute cystitis is diagnosed in 1-4% of women during gestation. High risk is associated with physiological changes in the body of a woman during pregnancy. There is a mechanical compression of the bladder by the growing uterus, the relaxation of smooth muscles under the action of progesterone.

It also reduces the tone of the ureters, respectively, decreases the rate of excretion of urine. All these changes contribute to the upward penetration of infection from the urethra. The development of cystitis during pregnancy can lead to serious complications from the mother and fetus. Antibacterial therapy should be carried out taking into account the teratogenic effects of drugs.

Treating serzhinanom cystitis during pregnancy is allowed from week 14 and before delivery. The course of treatment is from 7-10 days. The use of Terzhinan is limited to 13 weeks of pregnancy due to the high vulnerability of the fetus during this period and the likely impairment of its growth and development. Treatment is carried out exclusively on prescription, after passing all the necessary research and testing.

Preventing Bladder Inflammation

Recommendations for women for the prevention of cystitis:

  • fluid intake up to 2.5 liters during the day,
  • timely emptying of the bladder,
  • compliance with the basic rules of personal hygiene,
  • restriction of free topical application of antiseptics,
  • wearing linen from natural fabrics helps to avoid irritation, sweating,
  • passing regular check-ups,
  • avoid hypothermia, wearing tight clothes.

Terzhinan can also be used for prophylactic purposes, in this case the treatment lasts at least 6 days.

Treatment of cystitis presents some difficulties due to the variety of causes of the disease and the mechanism of its development. It should also be borne in mind that cystitis, in many cases, is secondary, that is, a complication of the course of an existing disease (pathology of the kidneys, genital organs, and organs of the small pelvis). In this case, is characterized by a sluggish course of cystitis with frequent relapses.

Terzhinan is administered topically, which allows to minimize the pharmacological burden on the woman’s body. Terzhinan is not a central drug for the treatment of urinary tract infections, but as a part of complex treatment it gives stable positive results.

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Interaction with other drugs

Drug interaction of vaginal tablets with other drugs was not observed.

Compatibility with alcohol from Terzhinan not investigated. To avoid adverse reactions from treatment, women who use vaginal tablets in the fight against cystitis should refrain from drinking alcohol until the end of therapy.

The composition of the drug

Terzhinan is a combination remedy for cystitis, which is often used for infection and inflammation of the bladder of the mixed type. It simultaneously has anti-inflammatory, antiprotozoal, antibacterial and antiseptic action. Helps maintain pH and restores mucosal integrity. It remains safe for the body and easily tolerated.

Due to the introduction of suppositories, a local therapeutic effect occurs vaginally. The drug does not enter the bloodstream and therefore does not affect the entire body. Available in the form of tablets, which contain the following main components:

  • Ternidazole is an antifungal agent derived from imidazole. Easily cope with anaerobic bacteria and protozoa (fungi), for example, pathogens of gardnerelleza.
  • Prednisolone is a hormonal agent that relieves inflammation and calms the mucous membrane. Slows the production of mediators, eliminates allergic reactions. Relieves edema due to reduced blood vessel permeability.
  • Nystatin is an antifungal drug that is especially good for candidal lesions. It is safe for the body, as it is not absorbed into the bloodstream and does not accumulate.
  • Neomycin sulfate is an antibiotic of the aminoglycoside class. Helps to get rid of gram-negative and gram-positive microorganisms. And since it is precisely such bacteria that cause inflammation of the bladder, Terzhinan has the desired therapeutic effect in cystitis. Neomycin destroys the walls in the cells of bacteria and stops their protein synthesis.

In addition to the main components, there are also additional excipients here - starch, magnesium stereate, silica, lactose monohydrate, talc, polyvinylpyrrolidone, sodium lauryl sulfate, water. Due to such a complex composition, the effectiveness of suppositories in the treatment of cystitis is very high.

Externally, the candles Terzhinan look like oval yellow flat tablets with the letter T on each side. But they are introduced only vaginally.

Indications and contraindications

This tool is quite popular in urology, as well as in gynecology. These suppositories are often prescribed to women for the treatment of many diseases of the urogenital system:

  • cystitis,
  • candidiasis,
  • vaginal dysbiosis,
  • trichomoniasis
  • vaginitis of different etiology,
  • urethritis,
  • for rehabilitation of the vagina before childbirth, gynecological surgical intervention, abortion, installation of the intrauterine device, etc.

Among contraindications note:

  • first trimester pregnancy
  • children up to 16 years old
  • individual intolerance to any of the components of the drug.

It is believed that with caution and under the strict supervision of a doctor, it is acceptable to use Terzhinan in case of cystitis in case of such diseases:

  • tuberculosis,
  • diabetes,
  • disorders of the cardiovascular system,
  • as well as while taking antidepressants and while breastfeeding.

In any case, you should not use this tool without first consulting a doctor and testing. Since you need to first establish the extent and cause of the disease and only then decide whether this particular drug will be effective in every situation. For example, microorganisms such as streptococci have a high resistance to the effects of these components, therefore, Terzhinan will not be affected properly if they become the cause of pathology.

Features of treatment for cystitis

Inflammation arises from the effect of pathogens on the bladder mucosa. Often it is accompanied by other pathological conditions of the genital organs, for example, candidiasis. And as part of this drug there is a whole complex of substances that completely destroy the infectious and fungal pathogenic microflora. Therefore, Terzhinan treats cystitis and at the same time eliminates comorbidities.

The effectiveness of the drug in 94% of cases. Already on the second or third day after the first use, women feel significant relief. A feature of the tool is that it also works well even during menstrual discharge. Therefore, to stop treatment during this period is not worth it.

How to use?

Use only vaginal suppository administration of one piece per day. This should be done in the evening before bedtime, lying in bed on the back and slightly spreading legs. You should try to introduce a pill as deeply as possible. Before this, it is desirable to slightly wet it with water, but not longer than 30 seconds.

For inflammation of the bladder, treatment usually lasts 10-20 days. If you use Terzhinan prophylactically, then it is enough to use it only a week. Independently decide on the appointment of the drug and the duration of treatment can not be, because relief comes fairly quickly, but to get rid of cystitis you need to finally complete a full course.

Side effects

Since this drug is used only in the form of vaginal suppositories, then possible allergic reactions are manifested only in certain areas. Symptoms of individual intolerance to the remedy are itching, burning, redness of the external genital organs, and a feeling of discomfort in the area of ​​administration.

Only in cases where there was damage to the vaginal mucosa initially, the drug can enter the bloodstream and cause a general allergic reaction of the body. But this happens very rarely. Usually this tool is easily transferred and does not affect in any way on other organs.

Video: about Terzhinan.

I tried to be treated with these candles. Quite convenient and relief comes from the first days of use. This is very good, as with cystitis, pain, cramps and frequent urges are hard to endure.

The doctor prescribed me Terzhinan during pregnancy at 30 weeks. Neither me nor the child had any side effects. The only drawback - the treatment lasts a very long time.

With cystitis is not worth joking. And you need to eliminate it right away with a number of different drugs, because Terzhinan alone will not help. You still need to drink antibiotics, take vitamins and other medications that your doctor prescribes. Otherwise, you can start the disease to a more serious condition.

Shelf life

Suppositories Terzhinan suitable for 3 years from the date of manufacture.

Olga, 27 years old, Samara

Assigned to cystitis candles. The only advantage is the complex effect. During use, there are side effects in the form of burning and itching.

Anna, 36 years old, Ryazan

Cystitis has led to the development of bacterial vaginosis. Therefore, the doctor recommended to put the candles Terzhinan. Passed the course lasting 10 days. The positive effect came quickly. Recommend.

Action of terginan

Terzhinan - a drug used in the local treatment of gynecological diseases. Release form - candles (vaginal tablets). The drug acts in a complex, showing antifungal and anti-inflammatory, antibacterial properties. It is used in the treatment of urogenital diseases in women, including cystitis. It helps to maintain a constant pH level and integrity of the mucous membranes of the vagina.

The preparation includes:

  • Neomycin (in the form of sulfate). An aminoglycoside class antibiotic that acts on gram-positive staphylococcus, gram-negative salmonella, shigella, protea, E. coli (most often causes cystitis). Neomycin activity in relation to streptococci is low. The resistance of pathogens to the active component develops rather slowly, to a small extent.
    Neomycin in low concentrations has a bacteriostatic effect on pathogenic microorganisms (disrupts the production of protein in pathogenic cells), while in high concentrations it has a bactericidal effect (damages the cell walls of bacteria).
  • Ternidazole. Refers to antifungal agents, is a derivative of imidazole. Affects fungal microorganisms and anaerobic bacteria, including pathogens gardnerelleza.

  • Prednisolone. Prednisolone is a hormonal agent, refers to synthetic glucocorticosteroids. It has a pronounced antiallergic and anti-inflammatory effect by slowing the production of inflammatory and allergic mediators. Also, the tool reduces the permeability of small blood vessels, thereby achieving anti-edema effect.

According to some reports, prednisone has a negative effect on reproductive function, and therefore, women who have not given birth can not abuse the use of Terzhinan.

  • Nystatin. Antifungal component active against yeast-like fungi of the genus Candida. It acts locally, is not absorbed into the bloodstream and does not accumulate in the body.

This combined composition and complex effect on the body explains the high efficacy of the drug in cystitis. But it is important to understand that in independent application, Terzhinan will not have the desired effect. In order for the treatment to be as effective as possible, vaginal tablets should be used only as part of a combination therapy with other medicines.

Application of Terginan

Vaginal suppositories are applied at night, it is better to introduce them in a prone position. Immediately before use, the candle is recommended to hold for 20-30 seconds in warm water, and after the introduction of another quarter of an hour not to get up.

With cystitis, treatment lasts an average of 10 days. In case of mycoses, the doctor may extend therapy up to 20 days. To prevent infectious pathologies of the organs of the genitourinary system, Terzhinan is used for 6 days.

Expected adverse reactions

Candles act locally, are not absorbed into the bloodstream, and therefore do not cause common adverse reactions.

Local side effects from the use of the drug for cystitis often occur at the beginning of treatment, manifested by irritation of the vaginal mucous membranes, sensation of itching and burning. In certain situations, allergies can develop.

Terzhinan acts topically, since the components of the drug in the bloodstream are not absorbed. But if there is damage on the mucous membrane, then Neomycin, which is part of the preparation, can be absorbed into the bloodstream, causing a systemic effect on the body.

Other indications for use

Terzhinan can be used not only for cystitis, but also in the treatment of other female diseases caused by pathogenic flora sensitive to the drug, including:

  1. vaginitis caused by bacteria
  2. vaginitis, triggered by fungi of the genus Candida,
  3. trichomoniasis
  4. mixed vaginitis.

To prevent infectious inflammations and vaginitis, candles are prescribed:

  1. on the eve of gynecological surgery,
  2. before and after setting the IUD,

Are there any contraindications

Terzhinan practically has no contraindications. Candles are not used only in the treatment of women with individual intolerance or hypersensitivity to the main or auxiliary components of the tool.

Pregnant women Terzhinan appointed from the II trimester. Prior to this period, as well as during breastfeeding, candles are recommended only in situations where the intended therapeutic effect exceeds the likely threat to the fetus or child.

Features that are important to know

  1. If candles are used for vaginitis or trichomoniasis, then the sexual partner must also be treated.

Terzhinan - an effective drug that will help cope with infectious inflammation of the bladder. However, he should be prescribed by a doctor only in case of cystitis caused by microorganisms sensitive to the drug, and only as part of combination therapy with antibiotics for internal use and symptomatic agents.

In addition, the drug will be described below:

Properties and component composition of candles Terzhinan

Suppositories of Terzhinan help with cystitis due to its complex composition, represented by such active ingredients:

  • Neomycin - inhibits the activity of staphylococci, Salmonella and other pathogenic microorganisms. At high dosages of the drug - destroys the integrity of their cells,
  • ternidazole - destroys bacteria and fungi,
  • Nystatin - detrimental effect on Candida fungi,
  • Prednisolone is a hormone that can relieve puffiness, inflammation, and allergic manifestations.

The remedy Terzhinan in cystitis helps the majority of patients precisely in connection with the combination of components in its composition. In the complex, the drug provides an antibacterial, antifungal, anti-inflammatory and anti-infective effect. Due to such features, with the help of the drug it is possible to cure most of the ailments of the genitourinary system.

The use of suppositories Cerzhinan for cystitis

The appointment of such drugs should be done by a specialist. Given the side effects and existing contraindications, the use of antibiotics should be based. To confirm it, the patient should pass a series of laboratory tests, including blood and urine tests. Based on the results of the examination, the patient’s detailed diagnosis, the cause of inflammation, and the further course of treatment are determined. Candles Terzhinan with cystitis are often involved in the overall strategy of its therapy.

The usual course of treatment is 10 days, during which vaginal suppositories are administered overnight, one piece per day. When complicated forms of infection, the drug is extended to 20 days. The decision to prolong the course of therapy is taken by the doctor. In some cases, the agent is prescribed for the purpose of prevention. Then the regimen looks like this: one candle is inserted at intervals of 6-7 days.

Often the drug is prescribed to women before the upcoming gynecological procedures: childbirth, installation of the helix, cauterization of erosion, and others.

Many people ask: does Terzhinan help with cystitis? It is possible to give a positive answer, but only in the case of a comprehensive treatment strategy. In addition to antibiotics, herbal preparations are very often prescribed, providing a restorative and supportive effect on the body. To relieve pain symptoms, doctors ascribe antispasmodics and pain medications. Probiotics are used to restore the balance of beneficial bacteria in the body. All this happens against the background of balanced proper nutrition and consumption of large amounts of fluid.

Contraindications to the use of the drug Terzhinan cystitis

The existing restrictions on the use of suppositories of Terzhinan with cystitis are indicated in the instructions for use:

  • children under 16 years old
  • existing individual sensitivity to the active components of the antibacterial agent,
  • breastfeeding women
  • renal failure and liver disease.

Allowed to receive funds for pregnant women, starting from the second trimester, strictly under the supervision of a specialist.

The active substances of the drug are not able to be absorbed into the circulatory system. This avoids such a side effect as intoxication of the body. Based on this, we can conclude that Terzhinan treats cystitis rather carefully with respect to all vital systems of the body. With the existing individual intolerance of any of the components of the tool, the patient may experience a local scale allergy. It can manifest as irritation on the surface of the mucous tissues of the vagina, burning and itching. Most often, these symptoms occur with a sufficiently long course of treatment of diseases of the urogenital system. Given the therapeutic properties and safety for the body, it is advisable to use the Verginan suppository for cystitis, which is confirmed by the positive reviews of a large number of patients.

We also offer to visit our cystitis forum, reviews can help you a lot or leave your comments. Remember that by sharing your experience you can help someone as much as you can.