Terzhinan, cheaper analogues, suppositories, list of cheap Russian analogues, drug prices

70% of women have experienced thrush at least once. The incidence rate is increasing every year. The drugs of choice are combination agents with a wide spectrum of antibacterial, anti-inflammatory, and antifungal effects. One of these is the French medicine Terzhinan, available in the form of vaginal tablets.

The cost of treatment varies depending on the duration (6–10 days) and the price per package - from 470 to 660 rubles. There are many analogues of Terzhinan tablets - they all differ in the effect they provide or the combination of medicinal properties, the included substance, the release form, the manufacturer, and the price. Some of them are allowed during pregnancy. Before replacing the drug and purchasing, consult a specialist.

pharmachologic effect

Manufacturer: Sofartex, France
Release form: vaginal tablets

Active ingredient: ternidazole, neomycin, nystatin, prednisolone

Terzhinan vaginal tablets contain several components that provide a whole range of therapeutic effects. They fight inflammation, fungal and bacterial infections. Active against protozoa.

Terzhinan - instructions for use

The drug is available with a doctor's prescription and is used intravaginally as prescribed. Course – 6 or 10 days, 1 vaginal tablet at night, before bed.

Important! During menstruation, treatment should continue.

During treatment, you must carefully follow the personal hygiene recommendations:

• refuse sanitary tampons;
• wear cotton underwear;
• wash regularly, use panty liners and change them every 2 hours;
• avoid factors that provoke thrush and other infectious diseases of the urogenital tract, for example, hypothermia.

Both partners must undergo treatment - the woman must undergo Terzhinan or approved analogues, the man - drugs in the form of capsules for oral administration, creams and ointments.

Prices

The cost of the drug in regional and regional pharmacies in Russia ranges from 375 to 1125 rubles. depending on the dosage form dispensed.

You can find out the exact price and purchase the product at any pharmacy located near your place of residence.

Before using Terzhinan, you should carefully study the instructions for using suppositories and consult a gynecologist. Additionally, it is recommended to read the reviews of women who have used the product or analogues in the treatment of gynecological diseases.

Terzhinan's analogs

The drug is available by prescription, the cost ranges from 470 to 660 rubles. The composition includes several components that have anti-inflammatory, antibacterial, antifungal and antiprotozoal effects.

On the one hand, the content of several components is an advantage. On the other hand, if the causative agent of the disease is identified, single drugs can be used; the risk of individual intolerance and side effects will be much lower.

Analogues of Terzhinan differ in composition, price, dispensing procedure (with or without a prescription), manufacturer and effect(s).

List of analogues

Diflucan

Manufacturer: Fareva Amboise, France
Release form: capsules, powder for suspension

Active ingredient: fluconazole

Synonyms: Fluconazole, Mikosist, Flucostat, Diflazon, Mikomax, etc.

For genital infections caused by fungi, treatment is necessary for both partners. An analogue of Terzhinan for men and women in capsules is the original Diflucan. Effective against candida, taken once. The disadvantage is the high cost.

The main difference between the analog and Terzhinan is the composition. Diflucan contains only an antifungal component and is used orally. Terzhinan tablets are a complex product used intravaginally.

The Terzhinan analogue Diflucan serves as an adjunct to treatment with antibiotics (for example, Clindamycin, Dalacin).

Depanthol

Manufacturer: Nizhpharm, Russia
Release form: vaginal suppositories

Active ingredient: dexpanthenol, chlorhexidine

The Russian analogue of Terzhinan suppositories is the drug Depantol. Contains chlorhexidine, which has an antiseptic and antimicrobial effect, and the regenerating component dexpanthenol.

Just like Terzhinan, Depantol can be used in the treatment of vaginitis, before surgical and diagnostic interventions, for prophylactic purposes during pregnancy. To do this, it is prescribed 1 suppository intravaginally twice a day for 7–10 days. The analogue is better tolerated and side effects occur less often. Available without a doctor's prescription, it belongs to the expensive segment.

Betadine

Manufacturer: Egis, Hungary
Release form: vaginal suppositories

Active ingredient: povidone-iodine

An analogue of Terzhinan, Betadine suppositories have an antiseptic effect based on povidone-iodine. They are used for various forms of vaginitis; they are not recommended for treatment and prevention during pregnancy and pregnancy. The course is determined by the doctor and ranges on average from 7–14 days, 1–2 suppositories per day.

Other analogues of Terzhinan

1. Trichopolum (Metronidazole) – tablets and vaginal suppositories with antimicrobial and antiprotozoal effects;
2. Viferon and Genferon - preparations in the form of suppositories, stored in the refrigerator and containing interferon;
3. Zalain is an antifungal drug used for the treatment of candidiasis with a course of 1 day;
4. Macmiror complex - vaginal capsules with an antimicrobial effect, affecting fungi, protozoa and bacteria;
5. Dalatsin, Clindacin and Clindamycin - 3 drugs contain one antibiotic, available in the form of vaginal suppositories;
6. Laktozhinal - capsules for restoring the normal microflora of the vulva and vagina and suppressing the proliferation of pathogenic microorganisms, the drug is stored in the refrigerator.

How Terzhinan suppositories can be replaced depends on the type of pathogen, manifestations of the disease (acute form or has become chronic), the individual characteristics of the patient (pregnancy and breastfeeding, other medications used, intolerance or allergy to components, budget). This issue should be discussed with your doctor without self-medicating.

Flucostat

The Russian analogue of Terzhinan, the drug Flucostat, is produced in capsules for oral administration and in a solution for intravenous injections based on fluconazole.

Flucostat is prescribed for lesions of the reproductive system caused by:

• • trichomonas;
• • cryptococci and candida;
• • onychomycosis and mycosis;
• • deprive pityriasis type.

In addition, the medication is prescribed to prevent the development of infection in patients with HIV and AIDS, as well as during cytostatic, chemotherapy and radiation therapy.

Flucostat is not used in patients with allergies to the drug composition, lactose intolerance and lactation. Prescribed with caution for pathologies of the kidneys and liver, for alcoholism in the chronic stage, and during pregnancy.

On the first day of therapy for candidiasis and other fungi, you should take 400 mg once, from the second day the dosage is halved (200 mg). You need to take the medicine for 7-10 days.

To prevent the development of recurrent meningitis in patients with HIV and AIDS - 200 mg once a day for a long period of time. When administered intravenously, the patient also receives an initial dosage of 400 mg, followed by 200 mg in subsequent days.

Among the adverse reactions are the following:

• • allergies – hives, itching, redness of the skin and rash;
• • nervous system – headache and dizziness, increased fatigue;
• • digestive organs – dyspepsia, abdominal and epigastric pain, diarrhea and vomiting.

Terzhinan or Polygynax - which is better and more effective

Manufacturer: Swiss Caps AG./ Innotera Shuzi
Release form: vaginal capsules

Active ingredients: neomycin, polymyxin B, nystatin

A substitute for Terzhinan, Polygynax, is a prescription drug in the form of vaginal capsules. It has a combined composition and has a number of medicinal properties:

• the analogue is effective against inflammation;
• has antibacterial and antifungal effects;
• improves trophic processes in the vaginal mucosa.

Terzhinan's analogue for women, Polizhinaks, is prescribed for prophylactic purposes for a course of 6 days and for therapeutic purposes for a course of 12 days. Both medications, as prescribed by a doctor, can be used in pregnant women for prophylactic purposes before childbirth, during menstruation.

Note! Polygynax is an analogue of Terzhinan vaginal suppositories, which reduces the effectiveness of spermicides and reduces the contraceptive effect of latex condoms and caps.

In terms of their therapeutic effect, both drugs - Terzhinan and Polygynax - are similar. Both are produced by foreign companies, the cost is high.

Acylact

Prescribed for inflammation and vaginal dysbiosis. These diseases negatively affect the entire sexual sphere of a woman’s body. In addition, the drug is prescribed before gynecological surgery. This allows you to avoid possible complications in the future. A cheap analogue of terzhinan, not inferior in its medicinal properties.

• The drug "Acilact" does not have any contraindications.
• However, it is not recommended for use in patients with vulvovaginal candidiasis.

Terzhinan or Elzhina – which is better?

Manufacturer: Vertex, Russia
Release form: vaginal tablets

Active ingredients: ornidazole, neomycin, prednisolone, econazole

Elzhin candles are a domestic analogue of Terzhinan, with a similar composition. They also contain an antibiotic, antifungal and antiprotozoal component, and a glucocorticoid. Unlike Terzhinan, the analogue is not used during pregnancy and lactation.

Both drugs are available on prescription and are in the high-end segment with good reviews. They serve as the drugs of choice for infectious, fungal and protozoal infections of the vagina.

Sintomycin

It has a similar list of indications for the drugs discussed in the article. Effectively fights colpitis and cervicitis. In addition, it does not allow the development of other ailments of the female genital organ that are inflammatory in nature.

Used for gynecological measures - installation of a spiral into the uterus, the preparatory stage of childbirth or artificial termination of pregnancy.

Sintomycin differs markedly from other pharmaceutical products discussed in the article in its voluminous list of prohibitions for use. They concern those who do not tolerate its constituent components well, have severe illnesses of the kidney or liver system and various types of fungal infections of the vagina.

• The drug is not prescribed to people under 18 years of age and who have not begun sexual activity. This medication is allowed for women expecting a baby and lactating.

A similar remedy has a large number of undesirable accompanying effects - problems associated with the hematopoietic system, dermatic reactions, an increase in the area affected by the fungus, a slight stabbing pain when going to the toilet. One of the best cheap analogues of Terzhinan in the form of candles.

It is worth noting that the sexual partner of a woman who uses Syntomycin may also suffer. The young man's penis may become irritated during intercourse.

Terzhinan or Hexicon

Manufacturer: Hemofarm or Nizhpharm, Russia
Release form: vaginal tablets and suppositories

Active ingredient: chlorhexidine

Synonyms: Chlorhexidine, Hexicon D

Hexicon is an antimicrobial and antiseptic drug for intravaginal use, produced by a domestic pharmaceutical company. Contains chlorhexidine.

Terzhinan's analog Hexicon is active against bacteria, protozoa and the herpes virus. It is used for the treatment of vaginitis and colpitis, prevention of infection before childbirth, during pregnancy, before diagnostic and surgical interventions, and during inflammation.

Unlike Terzhinan, the analogue has an additional indication - the prevention of sexually transmitted infections (STDs).

Terzhinan is prescribed once a day at night for 6–10 days. The analogue has a different scheme - a course of 7-10 days, 1 candle 2 times.

Both drugs Hexicon and Terzhinan are allowed during pregnancy.

Terzhinan suppositories for intravaginal use have a greater spectrum of action than Hexicon and are available with a doctor’s prescription. Not suitable for self-medication.

Hexicon is an over-the-counter analogue of Terzhinan, used for preventive and therapeutic purposes. The cost of one package of medicine is lower. However, a course of 7–10 days requires 14–20 tablets, which is approximately the same cost as a small package of Terzhinan.

Ecofucin

Another inexpensive medical product from a Russian manufacturer, which is less often found on pharmacy shelves than other drugs discussed in this material. Prescribed against candidiasis and various types of inflammation of the vagina caused by infection.

• Ecofucin should not be used by those who have problems with the successful absorption of its composition.

The instructions for use note that during therapy, the woman is allowed to have sex. However, it is recommended to visit a doctor for a medical examination of your sexual partner. This is due to the possibility of developing candidal diseases.

• During use, slight itching may occur in the female genital organ.

Terzhinan or Pimafucin - which is better for thrush

Manufacturer: Temmler Italia S.r.L., Italy
Release form: vaginal suppositories, cream, tablets

Active ingredient: natamycin

Synonyms: Ecofucin, Primafungin

Pimafucin is an analogue cheaper than Terzhinan in tablets, cream and vaginal suppositories, approved during pregnancy. Contains an antibacterial component that is not inferior in strength to nystatin in Terzhinan.

Of the two analogues - Pimafucin and Terzhinan, the second is more effective due to its complex therapeutic effect and combined composition. If the causative agent of vaginosis is identified and is sensitive to natamycin, you can get by with the one-component drug Pimafucin. One of the advantages of this analogue of Terzhinan suppositories is that it is up to 40% cheaper, it is used for 3 or 6 days, 1 suppository per day.

Cervugid

Cervugide is a substitute for Terzhinan with the active ingredients: chloramphenicol, metronidazole, nystatin and hydrocortisone acetate. The components are able to clean wounds and necrotic tissues from the accumulation of pus in them, and also have the properties of blocking the development of microorganisms and the spread of infection.

Medications are prescribed for the following diseases:

• • pathologies caused by anaerobic and aerobic gram-negative or gram-positive microorganisms - clostridia, shigella, streptococci, staphylococci;
• • trichomoniasis, mycoplasmosis and chlamydia;
• • candidiasis;
• • cervicitis.

Pessaries are also placed for the prevention and treatment of infections after treatment with immunosuppressants or corticosteroid hormonal medications, after radiation and chemotherapy, as well as before surgical treatment of gynecological organs or before intravaginal examination.

Medicine is not prescribed for:

• • allergies to the ingredients of the drug;
• • pathologies in the hemostatic system;
• • liver and kidney dysfunction;
• • pregnancy, breastfeeding and pediatrics (up to 14 years).

Prescribe 1 pessary per day on the eve of sleep for 7 days. For cystitis aggravated by ulcers and scarring, 1 pessary is prescribed twice a day for 7 days. If the infectious pathology is severe, then in addition to local use, systemic use of antibacterial medications is necessary. A cheap analogue of Terzhinan, not inferior in its medicinal properties.

The drug provokes the development of the following side pathologies:

• • erythema, skin reactions, burning at the injection site;
• • changes in the functioning of the digestive tract – dyspepsia, epigastric and abdominal pain;
• • neuropathy and encephalopathy, dizziness and headache;
• • mental abnormalities and hallucinations;
• • disturbances in hemostasis, liver, gallbladder and kidney function;
• • coloration of urine in a red tint.

Terzhinan or Neo-penotran

Manufacturer: Ekseltis Ilach San.ve Tik.A.S. / Turkey
Release form: vaginal suppositories

Active ingredients: miconazole, metronidazole

Synonyms: Metromicon neo, Neo-Penotran forte

According to clinical studies, Terzhinan and Neo-Penotran are approximately equal in strength. Both medicines contain an antifungal and antiprotozoal component.

Terzhinan is used once a day for 6 or 10 days. The course of treatment with the Neo-Penotran analogue is 7 or 14 days.

Terzhinan is safer, approved during pregnancy and does not have a systemic effect.

Note!

Description of the drug Terzhinan table. vagina. No. 10 on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.

Terzhinan or Clotrimazole

Manufacturer: Akrikhin, Sedate, Shreya, Teva, etc., Russia, Germany, India or Romania
Release form: cream, vaginal tablets, ointment, spray, vaginal cream

Active ingredient: clotrimazole

Synonyms: Candide

Terzhinan and Clotrimazole are analogues used for thrush from different price segments. The cost of treatment for the first starts from 450 rubles, for the second – from 30 rubles.

Terzhinan is a combination drug that fights inflammation and infections of fungal, parasitic and bacterial nature. It does not have a systemic effect, so overdose and serious side effects are not observed.

Clotrimazole is a cheap analogue used in gynecology and dermatology for fungal skin diseases. May cause allergic reactions, nausea and dizziness.

According to clinical studies, Terzhinan is safer and is an alternative treatment for pregnant women.

Interactions

It is not advisable to combine it with acetylsalicylic acid in a daily dose of 3 g or more (or 1 g or more per dose).

Use with caution with anticonvulsants, inducers of the synthesis of hepatic metabolic enzymes; isoniazid; rifampicin; drugs that reduce potassium levels in the blood; digitalis preparations; drugs that can cause arrhythmia such as torsades de pointes.

Increased attention is required when combined with cyclosporine, acetylsalicylic acid (daily dose 3 g or ≥500 mg per dose) and other NSAIDs, fluoroquinolone antibiotics.

Terzhinan or Klion D – which is better?

Manufacturer: Gedeon Richter-Rus, Russia
Release form: vaginal tablets

Active ingredients: metronidazole, miconazole

When choosing between Terzhinan and Klion D, the first drug is preferable:

• a wider spectrum of action and effectiveness against many pathogens, while Klion D is effective against Candida and Trichomonas;
• safety – allowed during pregnancy, fewer list of contraindications;
• four components that have anti-inflammatory, antibacterial, antifungal and antiprotozoal effects.

What to choose - Terzhinan or Klion D - is determined by the gynecologist based on the results of a smear and a survey of the patient. Both medications are available by prescription.

Fluomizin or Terzhinan

Manufacturer: Rottendorf Pharma or Medinova AG, Germany or Switzerland
Release form: vaginal tablets

Active ingredient: dequalinium chloride

Fluomizin and Terzhinan are vaginal tablets used in gynecology for the treatment and prevention of vaginitis, vaginosis caused by fungi, bacteria, of a mixed nature. The course of treatment is 1 suppository for 6 days. Terzhinan for complicated forms of the disease is prescribed for up to 10 days.

Both medications are approved when prescribed by a doctor during pregnancy to prepare for childbirth and prevent infections.

The analogues differ in their effect and composition. Terzhinan is a combined drug with anti-inflammatory, antibacterial, antiprotozoal and antifungal effects. Contains a hormone (glucocorticoid), available by prescription. Due to the combined composition, the risk of allergic reactions and intolerance is higher.

Fluomizin is an antiseptic drug of choice for the treatment of gynecological diseases. No prescription required to purchase. Affects bacteria and protozoa.

To accurately select an analogue between Terzhinan and Fluomizin, it is advisable to take a smear and determine the causative agent of candidiasis. The cost of the drugs is approximately equal, both belong to the expensive segment.

Cost of the medicine and its analogues

Terzhinan has a large number of analogues both in terms of therapeutic effect and chemical composition. The most commonly used:

• Hexicon;
• Giterna;
• Clotrimazole;
• Sintomycin;
• Elzhina;
• Meratin Combi;
• Neotrizol;
• Pimafucin;
• Polygynax;
• Ecofucin.

Below is the average price for these products in pharmacies in the Russian Federation.

See also:

List of the cheapest substitutes for Zalain®: TOP 6 analogues of the drug

Terzhinan or Livarol - which is better?

Manufacturer: Nizhpharm, Russia
Release form: vaginal suppositories

Active ingredient: ketoconazole

Synonyms: Ketoconazole

Livarol is a domestic analogue of Terzhinan suppositories for women, based on ketoconazole. It has an antifungal effect and is active against dermatophytes and yeasts, which most often cause thrush.

According to the instructions for use, the drug Livarol is used in gynecology for acute and chronic forms of candidiasis, to prevent fungal infections in the presence of risk factors. For example, when taking antibacterial drugs.

The analogue of Terzhinan Livarol is not used in pregnant and lactating women; it is sold freely from pharmacies, without a prescription. The course of treatment is determined by the form of the disease - 1 suppository for 3-5 or up to 10 days.

Which is better – Livarol or Terzhinan, individually. Livarol has only an antifungal effect and belongs to the expensive segment.

Terzhinan is the drug of choice for pregnant women and is used exclusively with a doctor’s prescription. The course of treatment is from 6 days (the analogue is used from 3–5 days). The advantage of the medicine is a wider spectrum of action due to the combined composition.

The choice of Terzhinan analogue should be entrusted to a specialist. According to one clinical study that tested the effectiveness and safety of several topical drugs (Terzhinan, Neo-Penotran, Betadine and Dalatsin), Terzhinan and Neo-Penotran received the highest ratings. The first has fewer side effects and the fastest clinical effect. Other advantages of Terzhinan are the possibility of treating pregnant women and safety, reduction of inflammation, positive effect on the mucous membrane. When using antibacterial vaginal suppositories (Dalacin, Clindamycin), it is necessary to supplement treatment with antimycotic (antifungal) agents. The worst results were shown by the drug Betadine.

Neotrizol

These are tablets for the treatment of vaginal infections of various etiologies. The drug is a combination drug and contains antibacterial components (neomycin and ornidazole), antifungal (miconazole) and glucocorticoid prednisolone.

The medication Neotrizol is prescribed in gynecology for:

• • vaginosis and vaginitis;
• • candidiasis;
• • anaerobic infection;
• • trichomoniasis and gardnerellosis.

Polyoxidonium or Galavit, which is better?

The medication is also prescribed for the prevention of infections during surgical treatment of gynecological organs and cleaning the vagina from infections before childbirth, abortion, and also on the eve of intrauterine diagnostics.

Neotrizol should not be used if you are allergic to the constituent components of the drug, as well as in pediatrics and during lactation.

The drug is prescribed with great caution for the following pathologies:

• • colitis and ulcerative lesions of the digestive organs;
• • osteoporosis;
• • diabetes;
• • tuberculosis;
• • epilepsy and cardiac diseases;
• • myopathy, hypertension and glaucoma;
• • after a heart attack and with severe mental disorders.

1 tablet should be inserted into the vagina before bed. After inserting the tablet, you must remain in a horizontal position for up to 20 minutes. At the time of menstrual flow, therapy should not be interrupted. The number of tablet administration procedures is 8. If the symptoms of infection have not disappeared within 8 days, then it is necessary to take another eight-day course.

The body's reaction to the drug appears infrequently and is expressed by burning and itching at the injection site, as well as skin rash and hives, vasospasm in the head and headache. Very rarely, increased drowsiness, swelling in the peripheral parts, tremor of the limb and causeless irritability are observed. An effective analogue of Terzhinan.