How to place rectal suppositories correctly, the advantages of rectal suppositories

LLC Feron

• Benefits of suppositories
• How to give a suppository to a child rectally
• Options for playing with your baby
• VIDEO “How to properly light a candle for a child”
• FAQ

influenza and ARVI viruses - more than 300 types, and the manifestations of the disease are very similar. It is often difficult even for a doctor to determine which specific virus is currently “working” in your body. VIFERON has a wide spectrum of antiviral activity, therefore it is a universal remedy for the treatment of influenza and colds. It is known that the virus, once it enters the body, begins to multiply rapidly, so the speed of action of the drug is no less important than its composition. Thanks to the convenient form of release - suppositories (suppositories), VIFERON acts quickly and carefully, it is easy to give even to the smallest patients. The frequency of administration – once every 12 hours – is comfortable for children and parents.

Suppositories are one of the forms of drug release. Outwardly, they resemble candles, which is why many people call them that. Syrups, drops, suppositories, tablets - which form of the drug to choose for treating a child? It happens that the tablet is difficult to swallow, especially for young patients; Older children may not like the taste of the syrup. And given that children do not like treatment in general, taking the right medication often becomes a big problem for parents. A possible way out of this situation may be the use of medications in the form of rectal suppositories. Let's talk in more detail about this form using the example of the drug VIFERON Suppositories.

Benefits of candles (suppositories)

Mechanism of action of suppositories

Suppositories consist of an active substance and a fat base. At room temperature, candles are characterized by a solid state of aggregation, but at the temperature of the human body, the material from which the candle consists begins to melt, and the substances contained in the candle come out and begin their active action. Some suppositories act exclusively locally, on the mucous membranes, but since the vaginal tissue is saturated with small blood vessels, part of the active substances enters the bloodstream and circulates in the pelvic area, while exerting its therapeutic effect. Absorption of the active substance into the blood occurs very quickly, but the active components affect the general blood flow to a very small extent and almost do not reach the liver and kidneys.

Gynecological suppositories can have different types of action. The most commonly used suppositories have the following effects: anti-infection, anti-inflammatory, tissue repair, vaginal microflora restoration, pain relief. Most often, suppositories have a complex effect, that is, for example, they can simultaneously influence the causative agent of a disease and relieve inflammation.

How to put a suppository rectally for a child?

Your child, if he has already grown up and wants to delve into everything himself, needs to understand what is happening during the treatment process. Then, without fear, he will begin to perform all the necessary manipulations with you. And you will also feel calm and comfortable.

If a child does not allow you to light a candle, think about how to explain to your child the need for treatment in a playful way. We will give some tips, but remember that your creativity and imagination also play an important role.

Medicinal components of suppositories

Most gynecological diseases are caused by viruses, bacteria, fungi and protozoa, so suppositories may include antiviral, antifungal components, antibiotics and antiseptics.

Antibacterial components of candles are various substances that kill bacteria and prevent their proliferation. Antibiotic suppositories used in gynecology usually contain drugs such as chlorhexidine, metronidazole, penicillins, macrolides, and iodine. Antifungal components are active only against fungi, these include: clotrimazole, ketoconazole, sertaconazole, etc. Often, in the treatment and prevention of gynecological diseases, suppositories are used to restore normal vaginal microflora, which contain lactobacilli and bifidobacteria.

How to increase the effectiveness of candles

To increase the effectiveness of suppositories, it is necessary to store the drug correctly. Suppositories usually consist of fats or water-soluble polymers and, once in the vagina, they begin to melt. To prevent suppositories from melting, they should be stored at room temperature. If the house is too hot and there is a risk that the suppositories will melt, they can be stored in the refrigerator.

It should also be taken into account that it is better to administer suppositories at night. Suppositories dissolve in the vagina and may leak out along with discharge, so they are best inserted before bed. If you need to insert suppositories during the day, use a panty liner to catch the discharge. When inserting a suppository, do not use tampons, as they absorb the drug, making it less effective, and they also irritate the vaginal walls.

How to use vaginal suppositories correctly

In order to use the suppository correctly, you must follow the instructions that come with any drug. However, there are general rules for their application.

First of all, you need to wash the intimate area using hypoallergenic soap, but only from the outside, you do not need to wash the inside of the vagina. Then wash your hands thoroughly. Rinse your external genitalia to completely remove the soap. Pat the area dry with a clean cotton towel to remove excess moisture. These actions are very important, since this is the only way to prevent the spread of bacteria into the vagina when inserting a suppository.

Stand with your legs and knees apart. Raise one leg up on a stool or on the edge of the bathtub or toilet. You can also lie on your back with your knees bent and spread out to the side to approximately shoulder level. Using your left hand, separate the labia majora and vulva, thereby opening access to the vagina. Hold the vaginal opening open and insert the suppository with your right hand, then use your index finger to push the suppository deeper. Try to insert the suppository as deeply as you feel comfortable. You should not feel the suppository after insertion, and you will not need to remove it, as it will completely dissolve in the vagina. After inserting the suppository, it is better to lie down for at least 15 to 20 minutes to give the suppository time to dissolve.

Simultaneously with the introduction of the suppository, you should not use sanitary pads or tampons. The entrance to the vagina should be open so that there are no obstacles to the release of secretions. Please note that some suppositories must be moistened with water before administration; it is better to clarify this issue in the instructions for the drug. It is not recommended to use vaginal suppositories during menstruation (some drugs allow such use); this issue should be clarified with your doctor.

Advantages

Almost all suppositories intended for rectal administration have the same shape, resembling a bullet or torpedo, rounded on one side.

If we compare suppositories with the same drugs in other dosage forms, they have a lot of advantages:

• the speed of impact is not inferior to injections;
• inside the rectum, the absorption of drugs occurs at a fairly high speed;
• Often medications administered rectally have a prolonged effect. Biologically active components affect the body for a long time;
• with this method of treatment, medications do not adversely affect the gastrointestinal tract and liver.

Composition: for 1 suppository

Active ingredients: prostate extract (Prostatilen®)* 0.03 g, zinc arginyl glycinate dihydrochloride (in terms of zinc arginyl glycinate) 0.18 g; Excipients: liquid paraffin 0.06 g, solid fat (Witepsol or Estaram, brand W 35) sufficient to obtain a suppository weighing 1.9 g. * Prostatilen® substance is a prostate extract with the addition of glycine. Note: the raw materials for the production of the Prostatilen® substance are obtained from farms in which there are no animal diseases of viral, prion, bacterial and mycoplasma etiology.

Description:

Suppositories are torpedo-shaped from white to yellow. An air rod or funnel-shaped depression is allowed on the cut.

Pharmacotherapeutic group:

Chronic prostatitis treatment

ATX code: G04BX

Pharmachologic effect:

Has an organotropic effect on the prostate gland. Reduces the degree of edema, leukocyte infiltration of the prostate gland, normalizes the secretory function of epithelial cells, increases the number of lecithin grains in the secretion of the acini, stimulates the muscle tone of the bladder. Reduces thrombus formation, has antiaggregative activity, and prevents the development of venule thrombosis in the prostate gland. Has an anti-inflammatory, antioxidant effect, reduces pain. Helps increase the level of free testosterone, increase the number of progressively motile forms of sperm and their morphologically normal forms. Causes a decrease in the level of antisperm antibodies. Normalizes male copulatory function. Pharmacokinetics: Prostate extract peptides in tissues are broken down by cellular proteases into amino acids, which are involved in the synthesis of tissue-specific proteins and other biologically active compounds. The chelate complex of zinc arginyl glycinate dihydrochloride is broken down into zinc, arginine and glycine and their subsequent metabolism. The drug does not have a cumulative effect.

Indications for use:

chronic abacterial prostatitis, including impaired spermatogenesis and erectile function; conditions before and after prostate surgery; benign prostatic hyperplasia.

Contraindications:

Hypersensitivity to the components of the drug. Children under 18 years of age.

Carefully:

apply to persons with acute inflammatory diseases of the rectum and perianal area, such as hemorrhoids (external and internal), anal fissures, paraproctitis, inflammation of the epithelial coccygeal passages, etc.

Use during pregnancy and breastfeeding:

The drug is not used in women.

Directions for use and dosage:

Rectally. 1 suppository is inserted deep into the anus after defecation or a cleansing enema once a day. After administering the suppository, the patient is recommended to rest in a lying position for 30 minutes for better absorption of the drug components. The course of treatment is at least 10 days. The maximum duration of treatment is 20 days. A repeated course is possible no earlier than 4 weeks after the end of the previous one. Take the drug only according to the method of use and in the doses indicated in the instructions.

Side effects:

Possible: short-term itching and burning in the rectum, which goes away on its own and does not require additional therapy; allergic reactions; loosening of stool. If any of the side effects indicated in the instructions get worse, or you notice any other side effects not listed in the instructions, tell your doctor.

Overdose:

There were no cases of overdose.

Interaction with other drugs:

Possible simultaneous use with antibacterial and anti-inflammatory drugs.

Special instructions:

During the period of use of the drug, it is not recommended to use laxatives and intestinal monitor cleansing agents. The drug has no peculiarities of action at the first dose and upon its withdrawal and does not require any special actions from the doctor or the patient.

Information about the possible effect of a medicinal product for medical use on the ability to drive vehicles and machinery:

The drug does not affect the ability to drive vehicles or engage in other potentially hazardous activities that require increased concentration and speed of psychomotor reactions.

Release form:

Rectal suppositories 30 mg + 180 mg. 5 suppositories per blister pack made of polyvinyl chloride film. One or two blister packs along with instructions for use in a cardboard pack.

Storage conditions:

At temperatures from 2 oC to 15 oC. Keep out of the reach of children.

Best before date:

3 years. Do not use after the expiration date stated on the packaging.

Vacation conditions:

on prescription.

Manufacturer/owner of the registration certificate/organization receiving complaints regarding the quality of the drug: JSC Medical-Biological Research and Production Complex Cytomed. Address : Russia 191023, St. Petersburg, Muchnoy lane, 2, tel/fax, www.cytomed.ru. Address of the place of production: 199178, St. Petersburg, Vasilyevsky Island, Maly Prospekt, 57, bldg. 4, lit. AND.

General Director A.N. Khromov JSC Medical-Biological Research and Production Complex Cytomed

Indications for prescribing vaginal suppositories

Suppositories can be prescribed for the treatment of the following gynecological diseases:

• inflammatory processes of the organs of the reproductive system;
• cysts, polycystic disease;
• cervical erosion;
• vaginitis (colpitis);
• vaginal candidiasis (thrush);
• bacterial vaginosis;
• sexually transmitted diseases, etc.

Also, suppositories in gynecology are prescribed during the recovery period, after gynecological operations or abortions, to prevent infections before operations, childbirth, installation of an intrauterine device, etc. In addition to the above, there are other cases when specialists choose this method of treatment.

Your doctor may prescribe medication intravaginally if:

• the oral route causes side effects in women;
• there is a history of diseases associated with serious disorders of the liver, kidneys, gastrointestinal tract, and other methods of drug administration are contraindicated.