Pharmacy "Geksikon" - candles (instructions for the use of this drug will be presented later) vaginal, which belong to the group of antiseptics. You will learn about what they are for, how to use them and other information from the materials of this article.
Release form
The drug "Geksikon" is produced in the form of torpedo-shaped vaginal suppositories of pure white color or with a yellowish tint. The surface of this product can be marbled.
The composition of the "Geksikon" (candles)
The instruction, enclosed in a cardboard package along with suppositories, states that this drug contains such an active substance as chlorhexidine bigluconate, and an auxiliary component - polyethylene oxide.
pharmachologic effect
Means "Geksikon" - candles (instructions are presented in the following sections of the article), which is an antiseptic preparation for intravaginal use. This medication is especially active against gram-negative, protozoa and gram-positive bacteria, including Neisseria gonorrhoeae, Trichomonas vaginalis, etc. Some strains of Proteus spp are weakly sensitive to this drug. and Pseudomonas spp. It is also worth noting that acidic forms of bacteria, fungi, spores and viruses are resistant to it. After using this product, it does not interfere with the functionality of the lactobacilli. In addition, the drug "Geksikon" retains its activity (slightly reduced) in the presence of pus and blood.
Pharmacokinetics
This agent is not absorbed from the gastrointestinal tract. After accidental ingestion, the drug "Geksikon" is excreted (90%) along with feces and urine (about 1%).
Indications for the use of the drug
Why do experts prescribe Geksikon candles for the fairer sex? The use of this drug is due to a number of deviations.
- Infectious and inflammatory complications in gynecology and obstetrics. It is prescribed before treatment (mainly surgery) of any gynecological diseases, before abortion and childbirth, before and after the installation of the uterine spiral, diathermocoagulation of the cervix, before intrauterine examination.
- As a prophylaxis for sexually transmitted diseases such as gonorrhea, ureaplasmosis, trichomoniasis, syphilis and chlamydia.
- For the treatment of chronic endocervicitis and exocervicitis, as well as vaginitis, including mixed, nonspecific and Trichomonas.
Contraindications to the use of the drug
Suppositories "Geksikon" (10 pieces per pack) are not recommended for those who have increased sensitivity to the components of this drug.
"Geksikon" (candles): instructions for use
Suppositories "Geksikon" should be inserted into the vagina three to four centimeters deeper than the entrance, one candle at a time. The candle should melt under the influence of body temperature. Its contents envelop the mucous membrane. It should be especially noted that this drug acts locally and is not absorbed into the blood. In this regard, it is allowed to use it even by pregnant women and breastfeeding mothers. So that the melted suppository does not leak out when walking and has the most effective effect, it is recommended to insert it immediately before bedtime or lie down for half an hour after the daytime administration.
Drug dosage
For the prevention of sexually transmitted diseases, "Hexicon" candles are effective only in the first 2 hours after unprotected intercourse. For treatment, vaginal suppositories must be administered in the morning and before bedtime in the amount of 1 piece. The duration of therapy should be approximately 7-11 days. For the purpose of contraception, it is advisable to inject the drug "Geksikon" into the vagina 5-7 minutes before the onset of sexual intercourse. Such a peculiar method of protection is most often used by women if hormonal oral contraceptives or intrauterine devices are contraindicated for them.
Using the product during menstruation
It is highly discouraged to begin treatment with such suppositories during menstruation. This is due to several factors. Firstly, the blood may prevent the suppository from completely dissolving, and secondly, significant changes in acidity in the vagina significantly reduce the effectiveness of this drug. Although experts say that you should not interrupt an already begun course with the arrival of menstruation. After all, even weakened by bloody secretions, the medicine "Geksikon" continues to have a beneficial effect on the female body, ridding it of all available pathogenic bacteria. In addition, the effectiveness of this remedy during menstruation is much higher than that of similar drugs.
Side effects
Since the drug "Geksikon" is produced not only in the form of suppositories, but also in the form of a gel and a solution, after its use, various side effects may occur:
- with vaginal use - itching and allergic reactions that disappear immediately after the drug is discontinued;
- with local and external use - dry skin, allergic reactions, dermatitis, itching, skin stickiness and photosensitivity.
Special instructions for the use of suppositories and solution "Geksikon"
The presented drug is absolutely incompatible with detergents that contain an anionic group (sodium lauryl sulfate, saponins and sodium carboxymethyl cellulose). It should also be noted that the hygiene of the external genital organs does not in any way affect the portability and effectiveness of suppositories, since they are used intravaginally. With local and external application of "Geksikon" it is necessary to avoid its getting inside the wounds existing in patients with back injuries, including the spinal cord, open traumatic brain injury, as well as perforation of the tympanic membrane. If this drug gets on the mucous membranes of the eyes, then they should be immediately rinsed with warm water. It is impossible to ignore the fact that the ingress of bleaching hypochlorite substances on clothes that were previously in contact with the "Hexicon" can provoke the appearance of dark brown spots on them. The bactericidal properties of this medication increase with increasing temperature. At 100 ° C and above, the active substance of this agent is partially decomposed.
Use during lactation and pregnancy
The presented suppositories are not contraindicated during pregnancy and lactation. This is due to the fact that the active substance of "Geksikon" is practically not absorbed into the bloodstream and does not penetrate the placenta. However, it should be used by the fairer sex while carrying a child only after personal consultation with a specialist.
Overdose
At the moment, cases of overdose with this drug have not been registered.
Storage conditions and shelf life
Shelf life of candles "Geksikon" is 24 months from the date of manufacture. After this period, the drug is highly discouraged. It is advisable to store it out of the reach of children and in a dark place. Due to the fact that suppositories quickly melt under the influence of body temperature, it is advisable to keep them in a cool room (no higher than 23 ° C). Storage of this product in a refrigerator is allowed.
Gynecological problems are a real misfortune for many women. Almost every representative of the fair sex periodically encounters such health disorders, and they can be caused by anything - and the peculiarities of the lifestyle, and a decrease in immunity, and even the individual characteristics of the organism. But, fortunately, with timely diagnosis, most gynecological diseases are amenable to simple and effective therapy. And the drug of choice for many such ailments is Hexicon candles. Let's talk about how the Hexicon candles work, from what they help. And also we will give reviews on the use of this drug.
Geksikon candles - what help?
Suppositories Geksikon often become the drug of choice if necessary to quickly and effectively cope with diseases of the urinary system, including sexually transmitted diseases. This drug is a representative of the group of antiseptics and disinfectants, it is used exclusively externally and locally. The bactericidal properties of such a drug make it possible to achieve a positive effect from its use in the shortest possible time.
Geksikon suppositories are an emergency method to protect against genital infections. This drug helps and cures such diseases, and prevents their development. Doctors say that the use of just one Geksikon suppository by an order of magnitude reduces the likelihood of a number of unpleasant diseases, represented by ureaplasmosis, genital herpes, syphilis, trichomoniasis, bacterial vaginosis, gonorrhea and chlamydia.
However, effective prevention of these diseases is possible only with the prompt use of Hexicon suppositories. They must be used within two hours after the end of intercourse. If you use the medicine later, the causative agent of the disease will have time to penetrate into the mucous environment of the vaginal cavity.
But in this case, Geksikon suppositories may be useful. A full course of treatment with such a remedy will help to recover from the above pathological conditions, especially if they are in the initial stage of development. But therapy in this case must necessarily be agreed with the attending physician.
Suppositories Geksikon do not have a negative effect on the vaginal microflora. Their therapy is not capable of disrupting the functional activity of lactobacilli.
Suppositories are actively used by physicians as a preventive measure - to prevent gynecological and / or obstetric complications, both infectious and inflammatory etiology. They are prescribed for use before childbirth, before surgical interventions in the field of gynecology, including before artificial termination of pregnancy. Such a drug is used both before examining the uterine cavity and before installing an intrauterine device.
Suppositories Geksikon more often than other drugs are used to treat vaginitis of various origins, as well as bacterial colpitis. Such a drug is excellent for the treatment of pregnant women, because the active components of the drug are practically not absorbed into the bloodstream. Suppositories Geksikon will help to cope with inflammatory processes of varying severity, including those that are asymptomatic, and those that pass with the separation of pus or blood. They are also used in the treatment of cystitis.
These suppositories are great for women who periodically experience exacerbations of female infections (including thrush). They should use Geksikon suppositories for preventive purposes - twice a year (in spring and autumn, when there is a natural decrease in their own immunity).
With especially frequent exacerbations, the prophylactic use of suppositories can be practiced immediately before each menstruation.
Safety of candles Geksikon
This drug is one of the safest drugs. It can be used even while carrying a baby and breastfeeding a baby. The only contraindication to the use of Geksikon suppositories is the patient's individual intolerance to such a drug. With such a violation, a woman may face the problem of various types of allergic reactions, severe itching, and dermatitis.
Geksikon candles - what do they say about them?
Since Geksikon suppositories are the most popular drug, you can find a lot of reviews about their use.
Most patients respond positively to the use of such a drug. Geksikon suppositories really allow you to cope with many gynecological problems and prevent their development. In some women, the use of such suppositories caused side effects: itching and burning of the mucous membranes of the genital organs, skin rash and spotting in the middle of the cycle. Also, many patients note that the use of candles requires the parallel use of panty liners (since the melted candles flow out), in addition, some of them had an extremely unpleasant smell of the drug.
Folk recipes
Suppositories Geksikon are often used to treat vaginitis. Traditional medicine will help to cope with them, but they should be used only after consulting a doctor.
So an excellent effect is given by the medicinal properties of celandine herb. Brew a couple of tablespoons of chopped plant materials with a liter of hot boiled water. Insist the medicine for three hours in a thermos, then strain, and squeeze the grass. Use a ready-made solution for douching and for preparing sitz baths.
You can also prepare a bath with the coltsfoot plant. Brew half a glass of dry and crushed plant materials with a liter of only boiled water. Insist the medicine for an hour, then strain. Apply the resulting infusion for sitz baths twice a day.
Geksikon (INN chlorhexidine bigluconate) is a local antiseptic drug for use in gynecological practice from the Russian pharmaceutical company Nizhpharm. Used to prevent infections of the genitourinary tract in women. The share of patients of this profile accounts for about 60% of all visits to the gynecologist. Inflammatory infections can lead to non-hormonal infertility, ectopic pregnancy, miscarriages, and abnormalities in fetal development. Geksikon is an over-the-counter drug that is in wide demand today both as a preventive measure and as a tool for the effective treatment of sexually transmitted infections. The main pathogenic "residents" of the female genitourinary tract are Trichomonas, chlamydia, ureaplasma, mycoplasma, gonococcus. The relief of infectious processes in the genital tract is complicated today by the increased aggressiveness of opportunistic microflora, the widespread occurrence of the phenomenon of drug resistance to antimicrobial drugs, a tendency towards a decrease in the immune status in the general population, and the delay and incorrect diagnosis. The antimicrobial and antiseptic drug Geksikon is distinguished by its rapidity and breadth of therapeutic action, in the sphere of which bacteria such as Trihomonas vaginalis, Ureaplasma spp., Chlamidia spp., Treponema pallidum, Neisseria gonorrhoeae fall. It is produced in dosage forms for local use: vaginal tablets, suppositories, solutions. The advantage of local treatment of genital infections is minimization of the risk of developing undesirable side reactions (the vast majority of which are of a systemic nature), ease of use, the possibility of using patients with extragenital (non-sexual) pathology, primarily with a localized infectious and inflammatory process (for example, with acute vaginitis, cervicitis, vulvitis or chronic processes in the acute stage).
Hexicon can become a means of emergency prevention of sexually transmitted diseases, immediately after unprotected intercourse (but no later than two hours after it). Geksikon has been well studied in several clinical studies conducted in Russia. So, in one of them, its effectiveness in the treatment of infectious vaginosis was confirmed for sure: 5-7 days of admission was enough to normalize the vaginal microflora. The effect of Hexadecone on the microbial biotope of the vagina in women of childbearing age with recurrent bacterial vaginosis was also studied. As a result, the antimicrobial activity of the drug against aerobic and anaerobic microflora and its good therapeutic effect in patients with bacterial vaginosis were established. Chlorhexidine does not affect the functional activity of lactic acid bacteria. The drug retains its antimicrobial activity in the presence of biological fluids (blood, pus). As already noted, Geksikon has only local side effects in the form of rare allergies to chlorhexidine. Pregnancy and the period of breastfeeding are not contraindications to the use of the drug. Hygienic procedures of the external genital organs do not affect the activity and tolerance of Geksikon, since the drug is used intravaginally. To date, no cases of chlorhexidine overdose have been reported.
Pharmacology
Antiseptic drug, active against gram-positive and gram-negative bacteria (including Treponema pallidum, Chlamidia spp., Ureaplasma spp., Neisseria gonorrhoeae, Gardnerella vaginalis, Bacteroides fragilis); protozoa (Trichomonas vaginalis); viruses (Herpes virus); yeast-like fungi of the genus Candida, dermatophytes (pathogens of favus (scab) microsporia, rubrophytosis, trichophytosis, epidermophytosis). Remains active (albeit somewhat reduced) in the presence of blood, pus.
Does not damage granulation and viable skin cells, does not inhibit marginal epithelization. Does not possess local irritating effect and allergenic properties.
Pharmacokinetics
Practically not absorbed from the digestive tract. After accidental ingestion, 300 mg Cmax is reached after 30 minutes and is 0.206 μg / L. It is excreted mainly through the intestines (90%), less than 1% is excreted by the kidneys.
When applied topically, it does not have the ability to be absorbed through the skin and mucous membranes.
Release form
Solution for external use 0.05% colorless, transparent or slightly opalescent, odorless.
Excipients: purified water.
10 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
50 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
70 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
100 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
150 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
200 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
250 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
500 ml - polyethylene bottles (1) with a polymer nozzle - cardboard packs.
Dosage
Outwardly, locally.
Geksikon® solution is used in the form of irrigation, rinsing and applications - 5-10 ml of the solution is applied to the affected surface of the skin or mucous membranes with an exposure of 1-3 minutes 2-3 times / day (on a tampon or by irrigation).
For the prevention of sexually transmitted infections, Geksikon ® is effective if it is applied no later than 2 hours after intercourse.
Using a nozzle, insert the contents of the bottle into the urethra for men (2-3 ml), women (1-2 ml) and into the vagina (5-10 ml) and hold for 2-3 minutes.
Treat the skin of the inner surfaces of the thighs, pubis, genitals with a solution. After the procedure, you should not urinate for two hours.
Complex treatment of urethritis and urethroprostatitis is carried out by injecting 2-3 ml of Hexicon ® solution into the urethra 1-2 times / day, the course is 10 days. The procedures are prescribed every other day.
For stomatitis, gingivitis, periodontitis, it is recommended to rinse the mouth with 5-10 ml of the drug, 3-4 times / day.
Overdose
Due to low systemic absorption, overdose is unlikely. Cases of drug overdose are unknown.
Interaction
Pharmaceutically incompatible with detergents containing anionic group (saponins, sodium lauryl sulfate, sodium carboxymethyl cellulose) and soaps. The presence of soap can inactivate chlorhexidine; therefore, soap residues must be thoroughly washed off before using the drug.
Compatible with medicines containing a cationic group (benzalkonium chloride, cetrimonium bromide).
Ethanol enhances the effectiveness of the drug.
Side effects
Extremely rare: allergic reactions, itching that pass after discontinuation of the drug, dry skin, dermatitis, stickiness of the skin of the hands (within 3-5 minutes), photosensitization.
In the treatment of gingivitis - staining of tooth enamel, tartar deposition, taste disturbance.
Indications
Prevention of sexually transmitted infections:
- chlamydia;
- ureaplasmosis;
- trichomoniasis;
- gonorrhea;
- syphilis;
- genital herpes.
Disinfection of purulent wounds, infected burn surfaces.
Treatment of infections of the skin and mucous membranes in surgery, obstetrics-gynecology, urology (urethritis, urethroprostatitis), dentistry (rinsing and irrigation - gingivitis, stomatitis, aphthae, periodontitis, alveolitis).
Contraindications
- hypersensitivity to drug components;
- dermatitis.
Application features
Application during pregnancy and lactation
Application is possible during pregnancy, lactation.
Application in children
With care: children's age.special instructions
Avoid getting the drug inside the wound in patients with open traumatic brain injury, spinal cord injury, perforation of the tympanic membrane. If the solution gets on the mucous membranes of the eye, they should be quickly and thoroughly rinsed with water.
The contact of hypochlorite bleaching agents on fabrics that have previously been in contact with drugs containing chlorhexidine can cause brown stains on them.
The bactericidal effect increases with an increase in the temperature of the solution.
At temperatures above 100 ° C, the drug is partially decomposed.
Influence on the ability to drive vehicles and use mechanisms
Use of suppositories.
Suppositories are administered by the intravaginal method.
For treatment, it is required to inject 1 suppository twice a day for 7-10 days. If necessary, it is allowed to repeat this course after 20 days.
In the prevention of STDs, it is necessary to introduce 1 suppository after a maximum of 2 hours after unprotected sexual contact.
Geksikon D suppositories are used in a similar way.
The use of the drug in helium form.
When eliminating inflammation of a gynecological or urological nature, it is required to treat the affected areas with gel twice a day. The duration of such therapy ranges from 7-10 days.
Dermatological infections must be eliminated by treating the infected areas with a thin layer of gel - the procedure is carried out 2-3 times / day. The duration of such treatment is determined by the clinical picture.
In the treatment of dental diseases, the medicine is used in the form of applications - 2-3 times a day. The duration of each procedure is 1-3 minutes. The duration of the entire course is selected taking into account the existing clinical indications.
Method of using the medicinal solution.
The medicine is used locally in the form of irrigation, applications or rinsing, as well as externally. When performing the procedure, it is required to treat the infected area of \u200b\u200bthe mucous membrane or skin with a portion of 5-10 ml of the drug for a maximum of 3 minutes. This procedure is performed 2-3 times / day (the solution can be treated with a tampon or using the irrigation procedure).
To prevent the development of STDs, the medication is recommended to be used within a maximum of 2 hours from the moment of unprotected intercourse.
Using a nozzle, which is equipped with a bottle with a solution, the medicine is injected into the urethra or into the vagina. The size of the administered portion for a man is 2-3 ml, and for a woman - 1-2 ml (urethra area) and 5-10 ml (vaginal area). In this case, it is required to hold the nozzle for 2-3 minutes.
In addition, it is necessary to treat the skin on the pubis with the medication along with the inner surface of the thighs, as well as the genitals. It is recommended to refrain from urinating for 2 hours after the procedure.
In the case of an inflammatory process that develops in the urethra (also with the development of prostatitis against its background), a combination treatment is required, supplemented by the injection of a solution into the urethra for a period of 10 days (once or twice a day at a dosage of 2-3 ml). It is recommended to perform this procedure every other day.
To eliminate diseases in the mouth, rinsing is required. This procedure should be carried out 3-4 times / day. The portion size of the drug required for the 1st procedure is 5-10 ml.
Using vaginal pills.
Before insertion into the vagina, the tablet must be moistened in plain water. The size of the daily portion is determined by the diagnosis and is 1-2 tablets. The duration of the course is 7-10 days.
Antiseptic and antimicrobial agents for the treatment of gynecological diseases
ATX code: G01AX
Description
Suppositories of white or white with a yellowish sheen, torpedo-shaped. Marbling of the surface is allowed.
Pharmacological properties
Geksikon® is an antiseptic preparation for topical use, active against protozoa, gram-positive and gram-negative bacteria: Treponema pallidum, Chlamidia spp., Ureaplasma spp., Neisseria gonorrhoeae, Trichomonas vaginalis, Bacteroides fragilis. Some strains of Pseudomonas spp., Proteus spp. Are weakly sensitive to the drug, as well as acid-resistant forms of bacteria, bacterial spores, fungi, viruses. Geksikon® does not interfere with the functional activity of lactobacilli. - Retains activity (although somewhat reduced) in the presence of blood, pus.
Pharmacokinetics: when applied intravaginally, it is practically not absorbed, it has no systemic effect.
Indications for use
Prevention of sexually transmitted infections (chlamydia, ureaplasmosis, trichomoniasis, gonorrhea, syphilis, genital herpes, etc.).
Prevention of infectious and inflammatory complications in obstetrics and gynecology (before surgical treatment of gynecological diseases, before childbirth and abortion, before and after the installation of an intrauterine device (IUD), before and after diathermocoagulation of the cervix, before intrauterine examinations).
Treatment of bacterial vaginosis, colpitis (including nonspecific, mixed, Trichomonas). | ;
Method of administration and dosage
Applied intravaginally. Before use, the suppository is released from the contour packaging.
For treatment: 1 suppository 2 times a day for 7-10 days. If necessary, it is possible to extend the course of treatment up to 20 days.
For the prevention of sexually transmitted diseases: 1 suppository no later than 2 hours after unprotected intercourse.
Due to low systemic absorption, changes in the dosage regimen in patients with impaired liver, kidney function and elderly patients are not required.
Side effect
Allergic reactions (rash, itching), burning are possible. Chlorhexidine in very rare cases (<0,0001%) может вызывать реакции повышенной чувствительности, включая тяжёлые аллергические реакции и анафилаксию.
In some cases, vaginal discharge may appear (see section "Precautions").
If any of the side effects indicated in the instructions are aggravated or you notice any other side effects that are not listed in the instructions, inform your doctor.
Contraindications
Hypersensitivity to drug components.
Overdose
Currently, no cases of drug overdose have been reported.
Precautionary measures
If discomfort occurs after the administration of the suppository (itching, burning), the drug should be discontinued.
When using the drug, an increase in the amount of vaginal discharge is possible.
As a rule, with a small amount of transparent discharge, drug treatment can be continued. When a bloody discharge appears, it is recommended to stop using the drug and consult a doctor.
After contact with the drug, wash your hands to avoid possible contact with
chlorhexidine in the eyes.
Toilet of the external genitalia does not affect the efficiency and portability
suppositories, because the drug is used intravaginally.
Application during pregnancy and lactation
Not contraindicated during pregnancy, lactation
Application in children
Vaginal suppositories Geksikon® containing 16 mg of chlorhexidine bigluconate are not intended for use in children under 15 years of age. In childhood, it is recommended to use the drug Geksikon® D, vaginal suppositories 8 mg.
Influence on the ability to drive vehicles, mechanisms
The use of the drug does not affect the ability to drive transport
means, mechanisms.