Rating of the best antibacterial vaginal suppositories for 2024

When treating gynecological diseases, doctors, along with pills, 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. This is most commonly palm oil, but some manufacturers use other vegetable oils as well.

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

Other manufacturers have successfully used polyethylene oxide backing. It dissolves perfectly at body temperature, does not cause side reactions, and promotes better absorption of the drug.

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

Female suppositories come in a variety of shapes and sizes. It depends on the amount of active ingredient. The shape is cylindrical, torpedo-shaped, round, 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 genitals. If the doctor has prescribed douching, they must also be done before the procedure. Then you need to lie on your back, bend your knees and press against the pelvis. Take your time to insert the candle into the vagina either with your finger or with the applicator. It should be in the area of ​​the posterior fornix of the vagina. After the procedure, you need to lie down for 15 minutes in order for the agent to dissolve and the medicine to penetrate the tissues. It is recommended to use the medicine at bedtime.

Under the influence of body heat, the oil base dissolves, releasing the 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 blood flow. In this case, the liver and the 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 it is necessary to use a gasket, since the remnants of the oil base can cause greasy stains on linen and bed.

According to experts, vaginal suppositories are inappropriate to use during menstruation. It is advisable to guess the course by the middle of the cycle. But in an emergency, the gynecologist may recommend starting treatment immediately.

In order to decide which company is better to purchase the remedy, you need to visit a doctor and get tested, 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 mindlessly 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 does this or that pharmaceutical product, often over-the-counter, cost. 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, morning and evening).
• quick 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, suppositories are used to treat inflammatory, infectious diseases, with violations of the vaginal microflora.

The best manufacturers regularly release new items. There are many reviews and ratings of quality drugs for treatment online. But these, undoubtedly, useful articles are needed not for self-medication, but for familiarization 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 be cheaper, but you will have to wait 2-3 days. The only thing you need to pay attention to is the presence of a certificate from the online pharmacy and the appearance of the packaging in order to protect yourself from purchasing a fake. You can find out what the original packaging looks like by examining the rating of vaginal suppositories presented below to eliminate various female problems.

What are the vaginal suppositories?

To select a remedy, it is necessary to determine the purpose of the treatment. All vaginal suppositories are subdivided by appointment, 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 genital organs), cystitis, urethritis (inflammation of the urinary tract), erosion of the cervix and others, 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 pick up both budget 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 antimicrobial, anti-inflammatory, antipruritic effect. It is used for prophylaxis and as part of complex therapy for various infections of the urogenital tract (gonorrhea, syphilis, chlamydia, ureplasmosis, trichomoniasis).

The treatment takes place according to the scheme prescribed by the doctor. Most often within 10 days, 2 doses per day.

For emergency prevention after unprotected intercourse, a single administration is recommended, immediately after contact.

Available without a prescription, the average price is 300 rubles.

• affordable;
• antiseptic of a wide spectrum of action.

• may cause a local allergic reaction.

Polygynax

Suppositories are oval, white or cream colored.

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 a frequency of admission - 1 time per day.

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

• does an excellent job with its function;
• a combined drug of a wide spectrum of action.

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

McMiror

The shape is oval, the color is bright yellow.

Active ingredients:

• nystatin;
• nifuratel.

Effective against fungal, bacterial and protozoal infections. It is used for vaginitis of mixed etiology. Possesses 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 actions;
• does not violate the normal flora.

• the development of allergies is rarely possible.

Betadine

Suppositories are light brown, torpedo-shaped.

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

For persons with diseases of the thyroid gland (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.

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

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

Depantol

White torpedo-shaped candles.

The active substances are chlorhexidine and dexpanthenol.

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

These anti-inflammatory suppositories are necessary to restore the vaginal mucosa after surgery, laser and cryodestruction, diathermocoagulation. Recommended for use in pre- and postnatal periods to increase the elasticity of genital tract tissues and to 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.

They are applied twice a day for 10 days.

Cost: up to 600 rubles.

• not only disinfects, but also heals;
• “Smart” drug base that facilitates treatment;
• allowed for pregnant and lactating women.

• rarely the development of allergies.

Against thrush

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

• itching;
• burning sensation;
• pain with mechanical stress;
• white curdled discharge.

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

Zalain (Sertaconazole)

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

The active ingredient is a derivative of imidazole and benzothiophene.

It is entered once. If symptoms persist, reapplication is possible after a few days.

Price: 400 - 500 rubles.

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

• high price.

Livarol

Candles are white, torpedo-shaped.

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

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

• highly effective broad-spectrum drug;
• used in acute and chronic process;
• possible use for prophylaxis with long-term antibiotic treatment.

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

Clotrimazole

Cylinder-conical candles of white or yellowish color.

The active substance is clotrimazole, an imidazole derivative. In low concentration it acts fungistatically, in high concentration it is fungicidal. Effective against dermatophytes, yeasts, molds and some types of lichen.

Cost: from 100 rubles.

• wide range of applications;
• affordable.

• should not be used during pregnancy;
• rarely allergic reactions.

Nystatin

Torpedo-shaped suppositories, yellowish.

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

Cost: up to 100 rubles.

• low price;

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

To restore the microflora of the vagina

Normally, the genital mucosa is inhabited by bifidobacteria and lactobacilli. In the course of their life, they release organic acids (for example, lactic acid), which prevents the reproduction of pathogenic microorganisms.

In the event of various health problems (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;
• colibacilli;
• gardnerella;
• chlamydia;
• mycoplasma;
• ureaplasma and others.

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

Acylact

Suppositories torpedo-shaped yellowish.

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. A second course is possible no earlier than 2 weeks later.

Cost: from 100 rubles.

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

• use for candidiasis is contraindicated.

Femiflex

Candles are white, torpedo-shaped.

Contains lactate (lactic acid).

They serve to restore the normal microflora of the genital organs in case of disorders 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;
• can not be used for thrush.

Bifidumbacterin

Candles are cream-colored, conical in shape.

Suppositories of this type contain bifidobacteria, effectively restore the vaginal normocenosis.

It is applied twice a day for 10 days

Cost: about 100 rubles.

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

• not found.

Immunomodulators

To restore the disturbed microcenosis of the genital area is only one of the stages of treatment.With weak immunity, there is always a risk of re-manifestation of the disease.

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

• increased immunity;
• reduce 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 alpha-2.

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

It is produced in the form of suppositories of a transparent white color, cylindrical in shape.

In addition to interferon, it contains taurine and benzocaine.

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

Price from 350 rubles, depending on the dosage of the active substance.

• proven effectiveness;
• wide range of applications;
• valid until 12 o'clock.

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

Polyoxidonium

Torpedo-shaped suppositories, light yellow.

The active substance is azoxymer bromide.

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

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

Cost: about 1000 rubles.

• wide range of applications;
• high efficiency.

• contraindicated in pregnant women;
• high price.

During pregnancy

During the carrying of 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, due to which both the woman and the fetus are defenseless against infections, the hormonal status changes, which entails a change in the composition of the microcenosis of the genital organs. There are effective medications to prevent many of these problems.

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

• Depantol (as an effective antiseptic and tissue-repairing drug);
• Hexicon (as the safest antiseptic);
• Macmiror (only at a later date, under the strict supervision of a doctor).

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

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

It is not recommended to influence the woman's immune system during gestation, but if such a need arises, under the strict supervision of a physician, drugs based on interferon can be chosen. 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 there and how to choose the best ones. Nevertheless, the attending physician must say which drug is better to buy. Only he knows all the indications and contraindications for 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 strongly discouraged when it comes to the treatment and use of health products.