Rating of the best antibacterial vaginal suppositories for 2022

In the treatment of gynecological diseases, doctors, along with tablets, ointments or injections, often prescribe vaginal suppositories to patients.

What are vaginal suppositories?

Suppositories consist of a special base and active ingredients. The base can be synthetic or natural.Most often it is palm oil, but some manufacturers use other vegetable oils.

Sea buckthorn oil has a very beneficial effect on the state of the reproductive system, so the use of candles based on it is preferable.

Other manufacturers have successfully used a polyethylene oxide base. It dissolves perfectly at body temperature, does not cause adverse reactions, and contributes to better absorption of the drug.

As a rule, the active substance is contained in the minimum required amount, often only a few milligrams (mg). Detailed information about the composition can always be found in the instructions for use.

Women's suppositories can have a different shape and size. It depends on the amount of active ingredient. The shape is cylindrical, torpedo-shaped, rounded, rod-shaped. For ease of administration, an applicator is often supplied in the package. It helps to inject the drug deeper and more correctly.

How to apply?

For the safe use of vaginal suppositories, a woman should thoroughly wash her hands and external genitalia. If the doctor has prescribed douching, they must also be carried out before the procedure. Then you need to lie on your back, bend your knees and press to the pelvis. Slowly insert the suppository into the vagina either with your finger or with the applicator. It should be in the region of the posterior fornix of the vagina. After the procedure, it is necessary to lie down for 15 minutes so that the agent dissolves and the medicine penetrates the tissues. It is recommended to use the medicine at bedtime.

Under the influence of body heat, the oil base dissolves, releasing active substances.The vaginal mucosa is rich in blood vessels, the drug is rapidly absorbed and delivered to all organs of the small pelvis with the blood flow. In this case, the liver and digestive system are not affected, since the active substance enters them in very small doses.

The suppository dissolves within 20-30 minutes. At this time, it is undesirable to change the position so that the medicine does not flow out immediately. And then you need to use a pad, as the remnants of the oil base can cause greasy stains on linen and bedding.

According to experts, vaginal suppositories are not advisable to use during menstruation. It is advisable to predict the course by the middle of the cycle. But in emergency cases, the gynecologist may recommend starting treatment immediately.

In order to decide which company is better to purchase a remedy, you need to visit a doctor and take tests, because treatment is prescribed only after diagnosis. According to gynecologists, you should not make mistakes when choosing, focusing on the advice and recommendations of friends, or thoughtlessly buying inexpensive, popular drugs.

Pros and cons of using candles

With the current level of information availability, there is no question of where to buy and how much this or that product of the pharmaceutical industry, often over-the-counter, costs. But risking health is dangerous, especially for a woman, and especially when it comes to the reproductive system.

The advantages of using suppositories include:

• the action is local, without a negative effect on the body as a whole;
• most often, one procedure per day is enough (in rare cases, two applications, in the morning and in the evening).
• fast effect.

But there are also disadvantages:

• allergic reactions are possible;
• leakage causes discomfort;
• before use, the product must be stored in the refrigerator;
• these dosage forms are contraindicated in diabetes mellitus, thyroid problems and arterial hypertension.

Most often, candles are used to treat inflammatory, infectious diseases, with violations of the vaginal microflora.

The best manufacturers regularly release new products. There are many reviews and ratings of quality drugs for treatment on the network. But these, undoubtedly, useful articles are needed not for self-treatment, but for acquaintance with the selection criteria, for studying the characteristics of a particular drug.

According to buyers, vaginal suppositories are easiest to order online, in the same place, in the online store, you can find the description and instructions for use. In this case, it will turn out cheaper, but you have to wait 2-3 days. The only thing you need to pay attention to is the availability of a certificate from an online pharmacy and the appearance of the packaging in order to protect yourself from acquiring a fake. You can find out what the original packaging looks like by examining the rating of vaginal suppositories below to eliminate various female problems.

What are vaginal suppositories?

To select a remedy, it is necessary to determine the goal of treatment. All vaginal suppositories are divided according to their purpose depending on the disease.

With inflammation

In inflammatory processes such as adnexitis (inflammation of the fallopian tubes), oophoritis (inflammation of the ovaries), colpitis, vaginitis, vulvovaginitis (inflammation of the external genitalia), cystitis, urethritis (inflammation of the urinary tract), cervical erosion and others, prescribe antibacterial, anti-inflammatory suppositories. They may include:

• antibiotics;
• antimycotics;
• hormones;
• wound healing substances;
• homeopathic remedies.

Among the range of medicines in this form of release, you can choose both budgetary and expensive drugs.

Among the means of local action are:

Hexicon

Torpedo shape, white or cream color.

The active substance is chlorhexidine bigluconate, which has an antimicrobial, anti-inflammatory, antipruritic effect. It is used for prevention and as part of complex therapy for various infections of the urogenital tract (gonorrhea, syphilis, chlamydia, ureplasmosis, trichomoniasis).

Treatment is carried out according to the scheme prescribed by the doctor. Most often within 10 days, 2 doses per day.

For emergency prophylaxis after unprotected intercourse, a single injection is recommended, immediately after contact.

It is released without a prescription, the average price is 300 rubles.

• affordable;
• broad spectrum antiseptic.

• may cause a local allergic reaction.

Polygynax

Suppositories oval, white or cream color.

A complex preparation based on nystatin, polymyxin B and neomycin. It is used in the treatment of bacterial and fungal infections. Relieves inflammation and itching of any etiology.

Treatment lasts from 6 to 12 days, with the frequency of admission - 1 time per day.

The cost depends on the number of candles in the package. 12 suppositories cost about 500 rubles.

• perfectly copes with its function;
• combined preparation of a wide spectrum of action.

• contraindicated in pregnancy and lactation;
• the risk of developing allergies.

Macmirror

Oval shape, bright yellow color.

Active ingredients:

• nystatin;
• nifuratel.

Effective against fungal, bacterial and protozoal infections.It is used for vaginitis of mixed etiology. It has low toxicity, does not violate the state of the natural microflora of the genital organs.

Apply 1 candle per day for a week.

• a wide range of activities;
• does not violate the normoflora.

• Rarely, an allergic reaction is possible.

Betadine

Suppositories are light brown in color, torpedo-shaped.

The active substance is iodine-containing povidone. Acts on viruses, bacteria, protozoa, fungi. It is prescribed for non-specific vaginitis of mixed etiology, with complications after gynecological interventions.

For persons with thyroid diseases (hyperthyroidism, adenoma, toxic goiter), the drug is contraindicated. And also for those who are planning to conduct research using radioactive iodine.

Cost: from 400 rubles.

• wide spectrum of action;
• low absorption of iodine when applied topically.

• contraindicated in disorders of the thyroid gland;
• can not be used during pregnancy and lactation;
• incompatible with other disinfectants.

Depantol

White torpedo-shaped candles.

The active substances are chlorhexidine and dexpanthenol.

Polyethylene oxide base helps to reduce mucosal edema, provides faster absorption.

These anti-inflammatory suppositories are necessary to restore the vaginal mucosa after surgical interventions, laser and cryodestruction, diathermocoagulation. Recommended for use in pre- and postpartum periods to increase the elasticity of the tissues of the genital tract and heal injuries, as well as in postmenopause, to maintain the physiological state of the vaginal mucosa.

They are also prescribed for diseases:

• erosion;
• endocervicitis;
• chronic vaginitis.

Apply twice a day for 10 days.

Cost: up to 600 rubles.

• not only disinfects, but also heals;
• "smart" basis of the drug, contributing to the treatment;
• allowed for pregnant and lactating women.

• rare development of allergies.

Against thrush

Vaginal candidiasis or thrush is an infectious disease caused by yeast-like fungi of the genus Candida. Accompanied by many unpleasant symptoms, for example:

• itching;
• burning sensation;
• pain during mechanical action;
• white curdled discharge.

For the treatment of this disease, local remedies are effectively used in the form of suppositories with antimycotic substances.

Zalain (sertaconazole)

Quite a large white candle, rounded with a pointed end.

The active substance is a derivative of imidazole and benzothiophene.

Entered once. If symptoms persist, re-application is possible after a few days.

Cost: 400 - 500 rubles.

• single use;
• allowed during pregnancy;
• high efficiency;
• possibility of use during menstruation.

• high price.

Livarol

Candles are white, torpedo-shaped.

The active substance is ketoconazole. An effective antimycotic drug that kills not only Candida fungi, but also many others found on the genital mucosa, as well as many bacteria, such as staphylococci and streptococci.

The package contains 5 suppositories, the cost is 400 rubles, 10 suppositories - 800 rubles.

• highly effective broad-spectrum drug;
• used in acute and chronic process;
• may be used for prophylaxis during long-term treatment with antibiotics.

• allergic reactions are possible;
• not recommended in the last trimester of pregnancy.

clotrimazole

Candles are cylindrical in shape, white or yellowish in color.

The active substance is clotrimazole, an imidazole derivative. At low concentrations, it acts fungistatically, at high concentrations it is fungicidal. Effective against dermatophytes, yeast-like, moldy fungi and some types of lichen.

Cost: from 100 rubles.

• a wide range of applications;
• affordable.

• cannot be used during pregnancy;
• rarely allergic reactions.

Nystatin

Suppositories are torpedo-shaped, yellowish in color.

The active ingredient is nystatin, a polyene antibiotic. Affects the membrane of the fungal cell, causing its death.

Cost: up to 100 rubles.

• low price;

• must be taken twice a day;
• cannot be used during pregnancy.

To restore the microflora of the vagina

Normally, the mucous membrane of the genital organs is populated by bifido- and lactobacilli. In the course of their vital activity, they secrete organic acids (for example, lactic), which prevents the reproduction of pathogenic microorganisms.

When various health problems arise (stress, viral diseases, colds, exacerbation of chronic diseases), the number of beneficial bacteria on the mucous membranes decreases and their place is taken by pathogenic and opportunistic microorganisms. It can be:

• staphylococci;
• streptococci;
• candida;
• coli;
• gardnerella;
• chlamydia;
• mycoplasmas;
• ureaplasma and others.

To restore the microflora of the vagina, doctors prescribe suppositories with lactobacilli or their metabolic products.

Acylact

Yellowish torpedo-shaped suppositories.

Contains lactobacilli.

They are used for dysbacteriosis, colpitis, vaginitis, injuries and ulcers on the cervix. Cannot be used for candidiasis.

It is prescribed 2 suppositories per day for 10 days. The repeated course is possible not earlier than in 2 weeks.

Cost: from 100 rubles.

• effective in dysbacteriosis of various etiologies;
• low price;
• allowed for pregnant and lactating women.

• contraindicated in candidiasis.

Femiflex

Candles are white, torpedo-shaped.

Contains lactate (lactic acid).

They serve to restore the normal microflora of the genital organs in violations caused by various infectious agents.

Apply 1 candle for 10 days.

Cost: from 500 rubles.

• effective drug;
• precisely adjusted dosage of the active substance.

• high price;
• not allowed for use during pregnancy and lactation;
• cannot be used for thrush.

Bifidumbacterin

Cream-colored candles, conical shape.

Candles of this type contain bifidobacteria, effectively restore the normocenosis of the vagina.

Apply twice a day for 10 days

Cost: about 100 rubles.

• effective drug;
• allowed during pregnancy;
• affordable.

• not detected.

Immunomodulators

Restoring the disturbed microcenosis of the genital area is only one of the stages of treatment. With a weak immune system, there is always a risk of a recurrence of the disease.

Immunomodulators have been developed to prevent and protect the body from infections. Their use contributes to:

• increase immunity;
• reducing the risk of relapse.

Interferon based preparations

They contain an active substance produced by the body in response to the addition of an infection - interferon alfa-2.

This includes Viferon, Kipferon, Genferon and some others. The most popular is Genferon.

Produced in the form of suppositories of transparent white color, cylindrical shape.

In addition to interferon, it contains taurine and benzocaine.

The tool improves the immune system, fights infectious agents, has anti-inflammatory and antioxidant effects.

The price is from 350 rubles, depending on the dosage of the active substance.

• proven effectiveness;
• a wide range of applications;
• valid until 12 noon.

• many contraindications and side effects;
• not allowed for use during pregnancy.

Polyoxidonium

Suppositories torpedo-shaped, light yellow.

The active substance is azoximer bromide.

Effectively stimulates the production of immunoglobulins, activates phagocytosis, has an antioxidant and detoxifying effect.

Candles are used in a course, unless the doctor has prescribed otherwise, 1 per day for 3 days, then another 7 candles with a multiplicity every other day.

Cost: about 1000 rubles.

• a wide range of applications;
• high efficiency.

• contraindicated in pregnant women;
• high price.

During pregnancy

While carrying a child, doctors can recommend a variety of drugs, because situations are unpredictable.During pregnancy, the body is rebuilt, so chronic diseases can worsen, immunity decreases, which makes both the woman and the fetus defenseless against infections, the hormonal status changes, which leads to a change in the composition of the microcenosis of the genital organs. To prevent many of these problems, there are effective drugs.

So, for the treatment of inflammatory diseases and infections during pregnancy, the doctor may recommend:

• Depantol (as an effective antiseptic and tissue-restoring drug);
• Hexicon (as the safest antiseptic);
• Macmirror (only in the later stages, under the strict supervision of a doctor).

If thrush occurs for pregnant women, Zalain will be the safest drug.

To restore the microflora of the vagina during the period of bearing a child, you can use Acillact and Bifidumbacterin.

It is not recommended to influence the woman's immune system during gestation, but if such a need arises, interferon-based drugs can be chosen under the strict supervision of a doctor. But only if the benefit to the mother outweighs the possible risk to the fetus.

Conclusion

The presented rating considers many types of suppositories for women. Their characteristics, functionality, composition and base material. With the help of this review, you can find answers to the questions: what kind of candles are and how to choose the best ones. However, which drug is better to buy, the attending physician should say. Only he knows all the indications and contraindications of medicinal suppositories and the characteristics of the patient's body.Choosing on your own, focusing on the popularity of products, functionality and customer reviews, is categorically not recommended when it comes to the treatment and use of health products.