During pregnancy, the woman's immune system becomes less active than before conception, so that the growing fetus is not perceived as a foreign body. However, this natural mechanism reduces resistance to various infectious agents. And if there are pathogenic microbes in the body of the expectant mother, they can become active, causing various diseases.
Especially often the genitourinary sphere suffers, which is also facilitated by a change in hormonal levels. For the treatment of urogenital infections, suppositories, tablets and gels are used, which are inserted into the vagina. One of these vaginal drugs approved during pregnancy is Fluomizin. If a doctor wrote it out, you need to carefully read the instructions for use in the 1st, 2nd and 3rd trimesters, clarify the features of admission in the early stages, see the review of reviews and other nuances.
Features of the drug
Fluomisin presented in pharmacies in the form of vaginal tablets... They have an oval flattened shape and white color. Tablets are sold without a prescription in 6 pieces in one pack. Their active ingredient is called dequalinium chloride. Each tablet contains 10 mg of this compound, to which magnesium stearate, microcrystalline cellulose and lactose are also added.
Operating principle
Dequalinium chloride has antimicrobial properties, therefore "Fluomisin" belongs to the group of antiseptic agents. These tablets have a fairly wide spectrum of activity.
They affect many gram-positive bacteria, including beta-hemolytic streptococci and Staphylococcus aureus.
The drug is also highly active against various types of yeast-like Candida fungi.
In addition, it effectively destroys both gram-negative bacteria (Escherichia, Klebsiella, Gardnerella, Serrata, Pseudomonas, and others) and protozoa (Trichomonas). After insertion into the vagina, the tablet begins to dissolve, but it acts mainly locally, being absorbed into the bloodstream in a scanty amount. Its active substance does not have a negative effect on the internal organs.
Is it allowed during pregnancy?
In the annotation, which is in the box of "Fluomisin" together with the blister, it is noted that this medicine can be used in both pregnant and lactating women. The predominantly local effect and the absence of a teratogenic effect makes it possible to prescribe such a drug not only in the 2nd and 3rd trimesters, when the fetus is protected by the placenta, but also in the early stages. Thanks to a timely treated infection, it is possible to prevent miscarriage, malformations and other problems, therefore, the use of tablets in the 1st trimester is justified.
However, the OTC form of release and relative safety should not be the reason for the independent use of Fluomisin. If itching, burning, profuse discharge and other unpleasant signs of infection of the vagina appear, it will be correct to contact an obstetrician-gynecologist and do the necessary tests. Only if the doctor decides that "Fluomisin" will benefit a particular woman, such a remedy can be used without fear, following the prescribed scheme. It is not recommended to buy pills at a pharmacy and put them without a prescription.
When is it prescribed for expectant mothers?
The main reason for prescribing Fluomisin for a woman in position is vaginal inflammation, which is called vaginitis... The drug is especially in demand for Trichomonas and candidal vaginitis, since it is active against the causative agents of such infections. It is also often prescribed when the composition of the normal vaginal microflora changes, which is the cause of bacterial vaginosis.
Such gynecological diseases are manifested by profuse discharge, which has an unpleasant odor, a viscous, liquid, foamy or sticky consistency. Depending on the cause of the inflammation, the discharge is white, yellow, gray, or another color. The patient may also experience itching, redness, soreness, and other uncomfortable symptoms. After a gynecological examination and a smear, the doctor decides on the need to prescribe vaginal agents and often prescribes Fluomizin.
The drug can also be used as a prophylactic agent that prevents infection of the genitals during gynecological procedures. In addition, Fluomizin can be prescribed before childbirth for the so-called vaginal sanitation. In such a situation, the drug will reduce the risk of transmission of infection to the fetus during its movement along the mother's genital tract, if there is a possibility of infection.
Contraindications
Refuse to use "Fluomizin" should be in case of hypersensitivity to any of the ingredients of such tablets... The drug is also not used if the examination revealed ulcerative lesions on the vaginal membrane or on the cervix. If a woman has abnormalities in the course of pregnancy or serious diseases of internal organs, the question of prescribing a vaginal agent is decided individually.
Side effects
In rare cases, during treatment with Fluomisin, local symptoms of irritation or allergic reaction. Symptoms include itching or burning, and redness or erosion. If such an undesirable reaction occurs, the pills should be canceled immediately, choosing an effective analogue with the doctor.
The inactive substances in Fluomisin may not completely dissolve overnight, so in the morning many women have drug residues on their underwear.
This does not in any way affect the effectiveness of treatment and does not apply to side effects.
There is also information that Fluomisin is incompatible with surfactants, therefore, the treatment of the genitals with soap during the use of the tablets is prohibited.
Instructions for use
The dosage and regimen of "Fluomizin" should be checked with the doctor, but most often the drug is used once a day, one tablet. In order for it to completely dissolve, it is worth wetting the tablet before administration. Unlike vaginal suppositories, the structure of the tablet is denser and drier, which can also cause discomfort. To facilitate the introduction and the fastest softening, it is enough to substitute the drug for a second under running water.
Next, the woman should go to bed, spread her legs to the sides and bend them slightly at the knees. After that, acting carefully, the agent is placed as deep as possible inside the vagina. The most optimal time to use is the evening - the medication is injected before bedtime so that the pill remains inside long enough to obtain a therapeutic effect.
The most common course of treatment is 6 days, so one pack contains the appropriate number of tablets. Even if the condition improved earlier and the negative symptoms subsided, the course of therapy must be completed completely in order to eliminate the risk of relapse. In addition, if Fluomizin is prescribed for vaginitis of a bacterial, fungal or Trichomonas nature, then during the treatment it is recommended to exclude sexual intercourse and at the same time treat the partner. Such measures will help to avoid re-infection after the resumption of sexual activity.
Reviews
Women who have used Fluomisin during pregnancy leave mostly positive reviews about it. According to them, the drug is effective and easy to use.
Expectant mothers noted the therapeutic effect of the tablets already on the 2-3rd day of treatment.
Among the shortcomings, only the high cost is usually called. The portability of the drug in most cases is indicated as good.
Analogs
A drug with a local action based on the same active substance as in Fluomisin is not produced, therefore, if it is necessary to replace this drug, a doctor's consultation is needed. Depending on the symptoms and condition of the woman, the specialist may prescribe the following remedies.
- "Hexicon". These vaginal suppositories and pills work by using a substance called chlorhexidine digluconate. Like "Fluomizin", this antiseptic is safe for the fetus, therefore, the agent is prescribed at any stage of pregnancy with bacterial vaginosis or infectious colpitis.
- "Pimafucin"... The action of these suppositories is due to natamycin, a substance that helps to quickly get rid of thrush. The medication is allowed both in the early stages and in the second or third trimesters, since it acts mainly locally.
- "Terzhinan"... The tablets contain an antifungal component, as well as two antibacterial substances and a hormone with an anti-inflammatory effect. The drug is contraindicated in the first trimester, but it is often used in 2-3 trimesters, including for sanitation before childbirth.
Watch the video on the procedure for using the drug "Fluomisin" during pregnancy.
