Suppositories For Adnexitis: List, Pros And Cons

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-15 09:49

Suppositories for adnexitis: pros and cons

Rectal and vaginal suppositories, or suppositories, are often included by the attending physician in the treatment regimen for adnexitis. The causes of inflammation of the appendages can be prolonged use of the intrauterine device, complications after surgery in the uterine cavity, or long-term consequences of infection with sexually transmitted pathogens.

Regardless of the cause that caused adnexitis, it must be treated without delay in order to prevent the transition of the disease into a chronic form. The consequence of chronic adnexitis may be infertility due to the adhesions that have arisen in the small pelvis.

Content:

• Methods for the treatment of adnexitis
• Pros and cons of candle therapy
• Rules for the use of candles
• Antibacterial, antiviral and antifungal suppositories
• Anti-inflammatory suppositories from adnexitis
• Suppositories for the restoration of vaginal microflora (probiotics)
• 7 popular suppositories for adnexitis
• How to choose the right candles?

Methods for the treatment of adnexitis

Therapy of adnexitis includes a set of various measures - taking medications, using physiotherapy procedures, spa treatment. Prevention of complications of this disease plays a significant role.

The main place in this list is occupied by drug treatment with drugs from various pharmaceutical groups (antibiotics, antifungal and antiviral agents). Modern pharmaceuticals have in their arsenal various dosage forms for the treatment of adnexitis - tablets, solutions for injections and for the preparation of medicinal baths, rectal and vaginal suppositories, sprays for irrigation of the external genital organs.

You should not be limited during treatment only with drugs used orally, or exclusively local agents. The best result can be achieved with the combined use of drugs.

All treatment regimens necessarily include the introduction of suppositories, as a necessary component for the successful therapy of adnexitis.

Pros and cons of candle therapy

	pros	Minuses
	No special qualifications required for application (like performing injections)	A prerequisite for treatment with candles is a complete rejection of sexual intercourse
	When injected, candles end up directly in the focus of inflammation	It is impossible to do only with local agents, an addition to therapy in the form of tablets or solution for injection is required
	Suppositories quickly relieve pain and relieve inflammation	May cause itching, burning, allergic reactions
	Do not irritate the gastrointestinal mucosa, as tablets do	Require the use of sanitary napkins, since discharge after the introduction of suppositories can stain underwear and bedding
five	Do not have side hepatogenic effects, unlike antibiotics in tablets	-
	A wide range of suppositories of various pharmaceutical actions offered by the pharmacy chain and affordable prices will satisfy all categories of consumers	-
	Certain names of suppositories can be used during pregnancy and lactation.	-

After comparing the positive and negative aspects of the use of suppositories, we can conclude that their disadvantages are insignificant, they appear for a short time.

Rules for the use of candles

The treatment regimen for adnexitis can include not only vaginal, but also rectal suppositories, which must be inserted into the rectum. Rectal suppositories are most often prescribed to relieve inflammation.

The sequence and rules for using suppositories in the treatment of inflammation of the appendages:

• Candles are injected with clean hands. Before this, you should carry out hygiene procedures and empty the intestines, if we are talking about rectal suppositories.
• Vaginal suppositories are inserted in the supine position, rectal suppositories - lying on their side. After administration, it is necessary to be in a horizontal position for 30-40 minutes to evenly distribute the components of the drug along the vagina or along the rectal mucosa.
• Most often, a similar procedure is carried out in the evening before bedtime.
• Refusal of sexual intercourse, use of daily sanitary pads is mandatory.

Antibacterial, antiviral and antifungal suppositories

Funds from this group are introduced into the vagina, eliminate pathogenic flora, and stop the infectious process.

• Pros - effectively stop the spread of inflammation, reduce the intensity of discomfort;
• Minus - negatively affect the beneficial bacteria of the vaginal microflora.

After treatment with suppositories from this group, it is recommended to take probiotics to replenish the natural flora. At the end of therapy, it is required to carry out the prevention of thrush with the drugs Fluconazole, Flucostat.

The most effective suppositories for the treatment of adnexitis with an antibacterial effect are Terzhinan, Betadine, Clindacin, Klion D, Polygynax.

Most often, manufacturers offer candles of complex action, effective simultaneously against bacteria, viruses and fungi. Of particular note is ichthyol suppositories, which not only eliminate inflammation, destroy pathogens of the inflammatory process, but also restore the damaged vaginal mucosa.

Each case of adnexitis requires the doctor to prescribe suppositories according to individual indications, taking into account side effects and contraindications, the duration and severity of the course of the disease.

Anti-inflammatory suppositories from adnexitis

Drugs in this category are most often used rectally.

The most effective anti-inflammatory suppositories:

• Movalis is a drug from the NSAID group, incompatible with some antibacterial agents;
• Indomethacin - the most effective suppositories, the effect is felt after the first injection, requires an individual approach, as it has side effects;
• Diclofenac is an analogue of Indomethacin with a slightly lower efficacy, it is contraindicated in women suffering from hypertension.

Suppositories for the restoration of vaginal microflora (probiotics)

They are used in the treatment of recurrent adnexitis with extensive inflammation, for the therapy of which strong antibacterial drugs were used. In the initial stage of the disease, the treatment of which was carried out in the shortest possible time, it is not necessary to use such suppositories. The best representatives of this group are Acylact, Bifidumbacterin.

7 popular suppositories for adnexitis

Choosing suppositories for the treatment of adnexitis, the attending physician prescribes the most effective remedy with a quick action and long lasting effect. It is important that the drug has a minimum of contraindications and does not cause allergic manifestations. There are currently a number of plugs available that meet these requirements.

Voltaren

Belongs to the category of rectal suppositories, the main active ingredient is diclofenac from the NSAID group. The maximum allowable dose for the treatment of severe symptoms of adnexitis is 150 mg per day, which should be divided into 2-3 doses. Basically, 75-100 mg per day is sufficient. The rectum should be cleaned before use.

Pros:

• Perfectly relieve pain and inflammation during exacerbations;
• Quickly absorbed;
• Suitable for long-term treatment in the absence of contraindications;
• Valid for up to 12 consecutive hours.

Minuses:

• Suppositories Voltaren negatively affect the state of the mucous membrane of the rectum and gastrointestinal tract, therefore they are contraindicated in patients with ulcers, hepatic and renal failure, proctitis, hemorrhoids;
• May weaken labor - not used in the 3rd trimester of pregnancy;
• Negatively affect blood clotting.

Movalis

They belong to the group of non-steroidal anti-inflammatory drugs, the course of treatment with suppositories lasts 5-7 days. The main active ingredient is meloxicam. The maximum allowable daily dose is 15 mg.

Advantages of using:

• Fast and long lasting action;
• Highly effective in relieving pain and inflammation.

Minuses:

• These suppositories are not used during pregnancy and lactation;
• They negatively affect the mucous membrane of the gastrointestinal tract and rectum, therefore, the course of treatment should be as short as possible, they are not used for hemorrhoids, proctitis, intestinal ulcers;
• Reduce the effectiveness of antihypertensive drugs while using them;
• May cause anaphylactic shock.

Fluomisin

They have an antiseptic effect, are used to disinfect the vagina, the main active ingredient is dequalinium chloride.

Pros:

• Approved for use during pregnancy and lactation;
• Does not affect the ability to drive;
• Do not cause overdose.

Minuses:

• High cost (over 750 rubles for 6 pieces);
• Incompatible with soap;
• Flow out, staining linen;
• Vaginal dryness may not dissolve.

Hexicon

They are used to destroy pathogenic microflora. The main active ingredient, chlorhexidine, acts at the level of cell structures of pathogenic bacteria, inhibiting their development and functioning.

Pros:

• Do not violate the natural microflora of the vagina;
• They act on a wide range of pathogens of the infectious process;
• Not addictive even with prolonged use;
• Suitable for the treatment of pregnant and lactating women;
• They cleanse the mucous membrane from the waste products of pathogenic bacteria;
• Affordable;
• They remain active even with purulent inflammation.

Minuses:

Very rarely cause itching, burning and allergic reactions.

Suppositories with Indomethacin

They belong to the category of rectal preparations of complex action. The rectum should be cleaned before use. Apply 3 times a day for 50 mg or 2 times for 100 mg. The course of treatment is 7 days.

Pros:

• They have a good analgesic effect;
• Relieve inflammation;
• Relieve local and general hyperthermia.

Minuses:

• Not used to treat children under 14 years of age, during pregnancy, during lactation;
• Can provoke side effects from the nervous, digestive, cardiovascular systems;
• They cause exacerbation of colitis and hemorrhoids, irritate the rectal mucosa.

Polygynax

Effective against bacteria and fungi, the main active ingredients are nystatin, neomycin, polymyxin B. The course of treatment is 12 days.

Pros:

• Destroy pathogenic microorganisms and fungi, have a very strong antibacterial effect;
• Are not absorbed from the vagina into the systemic circulation;
• Does not affect the ability to drive;
• Show no side effects;
• You do not need to interrupt the treatment during your period.

Minuses:

With prolonged use, certain types of pathogenic bacteria can be addictive.

Candles with belladonna

The analgesic effect of suppositories is based on the removal of smooth muscle spasms. During the day, you can use up to 2-3 pieces, the course of treatment is 7-10 days.

Pros:

• They have a pronounced analgesic effect;
• Created on a natural plant basis;
• Can be used to treat pregnant women;
• They quickly stop inflammation.

Minuses:

• Provoke the formation of constipation, spasm of the anal sphincter;
• May cause allergy symptoms.

How to choose the right candles?

When choosing suppositories for the treatment of adnexitis, one should focus on the features of the course of the disease.

Name	Reasons for appointment	Dosage
Terzhinan	Treatment of adnexitis, provoked by a microbial association, the drug contains nystatin, prednisolone and neomycin	In the evening, 1 suppository for ten days
Polygynax	Treatment of adnexitis caused by anaerobic microbes, contains nystatin and polymyxin B	Morning and evening for 14 days
Klion-D	Trichomonas adnexitis therapy	In the evening, 1 suppository for ten days
Hexicon	Treatment of Trichomonas adnexitis, contain chlorhexidine	Three times a day, 1 suppository for 14-21 days
McMiror	Therapy of adnexitis caused by chlamydia, Trichomonas and other pathogens	In the evening, 1 suppository for 7 days
Fluomisin	Therapy of non-gonorrheal adnexitis and other inflammatory diseases of the pelvic organs	In the morning and in the evening for ten days
Longidaza	Prevention of adhesions in the recovery period after treatment	Injected rectally at bedtime for 21 days

The use of suppositories for the treatment of adnexitis should be carried out under the guidance of the attending physician, who will help navigate a wide range of drugs, take into account the individual characteristics of the course of the disease and contraindications.

The author of the article: Lapikova Valentina Vladimirovna | Gynecologist, reproductologist

Education: Diploma in Obstetrics and Gynecology received at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013 completed postgraduate studies at N. N. N. I. Pirogova.