Laktozhinal suppositories are a French remedy for normalizing the vaginal microflora and reducing the recurrence of thrush, other vaginitis and vaginosis. The medicine belongs to the group of eubiotics and is available in vaginal capsules. The cost of packaging starts from 800 rubles.
Lactozhinal substitutes are suitable for those patients who are not satisfied with the price, composition, or have contraindications. When choosing an analogue, read the instructions for use and consult a gynecologist.
Laktozhinal: what is it?
The drug Laktozhinal is actively used in gynecology for problems with vaginal microflora. The drug allows you to fight various infectious diseases and inflammatory processes. It is also often taken before planned surgical procedures.
After intravaginal administration, the shell quickly dissolves and the active substances begin to act, killing harmful bacteria. Under the influence of the drug, the vaginal microflora noticeably improves and unpleasant symptoms cease to bother you.
Analogues of Lactozhinal
If you experience intolerance to the main and auxiliary components, the impossibility of purchasing an expensive product, unavailability in the nearest pharmacies and other factors, check out the analogues of Lactozhinal capsules.
List of analogues cheaper with prices and country of origin
| Analogue | Price, in rubles | Manufacturer country |
| Lactozhinal | from 800 | France |
| Genferon | 300-750 | Russia |
| Ecofemin | 550-850 | Denmark |
| Terzhinan | 400-650 | France |
| Lactonorm | 450-700 | Russia |
| Vagilak | 650-900 | Denmark or Croatia |
| Lactagel | 650-900 | Sweden |
| Gynoflor E | 600-800 | Germany or Switzerland |
| Trioginal | France | 800-1100 |
Genferon
An analogue cheaper than Lactozhinal is the combined drug Genferon. The medicine consists of interferon, benzocaine and taurine. It has a wide spectrum of action - anti-inflammatory, immunomodulatory, antibacterial, antiviral, local anesthetic.
For the treatment of vaginal infectious and inflammatory diseases, it is available in dosages of 250 and 500 thousand IU. The course of treatment is determined by the doctor. For acute conditions, suppositories are administered intravaginally twice a day for 10 days, for chronic infections - every other day for 1 to 3 months.
Ecofemin
A drug for restoring vaginal microflora Ecofemin is based on lactobacilli acidophilus. The analogue is not used for thrush and individual intolerance. The course of treatment is 6 days, vaginal capsules are inserted into the vagina in the morning and evening.
The Russian analogue of Ecofemin is Acylact suppositories, also based on lactobacilli acidophilus. There are differences in application - the substitute is inserted into the vagina twice a day for 5-10 days.
Terzhinan
An analogue of Laktozhinal suppositories is Terzhinan vaginal tablets, available with a doctor’s prescription. It is a multi-component product and provides a range of therapeutic effects:
- antibacterial;
- antifungal;
- anti-inflammatory;
- antiexudative;
- antiallergic;
- antiprotozoal.
Additionally, the analogue constantly maintains the pH of the vagina and the integrity of the mucous membranes. Can be used by pregnant women as prescribed by a gynecologist.
How the drug works
The medicine and its analogues are actively used for the treatment of gynecological pathologies. They belong to the class of dental products and improve the vaginal microflora. The components are perfectly absorbed by the body. Laktozhinal can be used in parallel with other antimicrobial drugs. In addition to the fact that they improve the natural flora of the vagina, they also have a positive effect on metabolic processes and help strengthen protective functions. The medicine begins to act within 25-30 minutes: the burning sensation and itching disappear, and discomfort does not bother you.
The active substance helps to increase the acidity of the mucous membrane due to the production of lactic acid. In such an environment, harmful organisms are unable to survive.
pharmachologic effect
The medicine belongs to the pharmacological group of eubiotics. It consists of a specialized strain of lactobacilli, which normally inhabit the vagina, vulva, intestines, and oral cavity. When a vaginal capsule is inserted, the gelatin shell dissolves and a culture of live lactobacilli is released. As a result, the vaginal pH decreases and the microflora normalizes.
The drug, after antifungal therapy, prevents relapses of vulvovaginal candidiasis (thrush), suppresses the vital activity of E. coli, protozoa, staphylococci and other pathogenic bacteria.
How to take Laktozhinal capsules
Suppositories are intended exclusively for intravaginal administration. Under no circumstances should you take capsules orally.
In order for the capsule to dissolve as quickly as possible, it must be moistened in water before administration.
For bacterial vaginosis and to improve the vaginal microflora after treatment with antimicrobial drugs, you need to use 1 suppository per day for 2 weeks or 1 suppository 2 times a day for a week.
If surgery or childbirth is planned in the near future, then you need to use 1 capsule 2 times a day. The treatment course lasts a week. In this case, additional complex therapy will not hurt.
Only a specialist can determine the required dose and adjust the treatment regimen, based on the patient’s condition and the effectiveness of treatment.
Indications for use of Lactozhinal
The medication is used for the treatment of bacterial and fungal gynecological diseases in women - vaginitis, vaginosis as a means of normalizing the vaginal microflora.
Important! To prevent further progression of thrush, vaginosis and vaginitis, a course of treatment with Laktozhinal suppositories should be started after systemic treatment of diseases or after the end of taking antibacterial and antifungal agents.
One of the indications for the use of the drug is the prevention of thrush and bacterial vaginitis in risk groups, including during pregnancy, before childbirth and surgery.
Restrictions on the use of the drug are severe manifestations of thrush, individual intolerance to the main and auxiliary components, and age under 18 years. Laktozhinal has not been clinically studied for the effectiveness and safety of use in childhood, therefore, if necessary, proven, approved analogues should be selected.
How to replace Laktozhinal
There are no analogues of the drug with the same components. The following drugs have a similar effect: Depantol, Betadine, Macmiror. You cannot independently replace the original with an analogue without a doctor’s permission.
Bepatin is available not only in the form of suppositories, but also in the form of ointments and solution for external use.
Macmiror is a drug in the form of tablets that have an antibacterial effect.
Depantol is a drug in the form of cream and suppositories that has a regenerating and antiseptic effect. Has the least number of contraindications.
Efficiency
The use of probiotic lactobacilli has a good rationale and an excellent safety record, but has so far been clinically proven to be most effective only for recovery from antibiotic therapy (2).
During the use of antibiotics, especially long-term (no matter, orally or locally), “thrush” or other discharge may appear. This is due to the fact that antibiotics do not have selective action and destroy not only the cause of the infection, but also the normal flora. At this time, the vacated niche can be occupied by opportunistic microorganisms resistant to a/b - most often candida, causing candidiasis. Lactonorm or Laktozhinal will help prevent the formation of an imbalance and quickly restore normal flora after a course of antibiotics.
The use of eubiotics in the treatment of bacterial vaginosis is possible only as an addition to the main treatment or to prevent relapses. It is better not to use Lactozhinal and Lactonorm as a separate treatment for candidiasis or other urogenital infections due to their lack of effectiveness.
Acylact
Russian-made Acialct suppositories (suppositories) contain Lactobacillus acidophilus (instructions). Lactic acid bacteria of the genus Acidophilus suppress the activity of Escherichia coli, staphylococcus, putrefactive bacteria of the genus Proteus, Shigella - that is, those microorganisms that, subject to rapid reproduction, become pathogenic.
Acylact is produced by two different manufacturers: Lanafrm and Vitapharma, but practically the drugs are no different except for the packaging design. Both contain 10 suppositories, each containing 10 million live lactobacilli.
Like Lactozhinal capsules, Acilact suppositories are used in gynecology. Prescribed for colpitis and bacterial vaginosis accompanying chronic inflammatory diseases of the cervix and uterine body. In this case, corrective treatment is carried out after a course of therapy with antibiotics or bacteriophages. The drug is used to prevent infectious complications in preparation for childbirth or planned surgical interventions, 5 or 10 days before surgery or the expected date of delivery.
Usual course: 1 suppository 2 times a day, 5-10 days. Longer use is possible: until the I-II degree of purity of the vaginal secretion is achieved.
Like the opponent, Acylact is not recommended for use during an exacerbation of candidiasis (“thrush”).
Differences and which is better?
To treat diseases of the female genital area, the drugs Lactozhinal suppositories or Acylact in the form of suppositories are used. The main similarity is lactobacilli in the composition (but different subspecies). Both drugs are resistant to most antibiotics; they can be used against the background of antibacterial therapy. Otherwise the differences are significant.
- In quantitative terms, the content of bacterial strains differs by an order of magnitude: 108 (100 million) in Laktozhinal and 107 (10 million) in Atsilakt.
- Various strains of lactobacilli: acidophilus in Russian Atsilakt and Dederlein bacilli in suppositories from France.
- Laktozhinal seems to be more aimed at treating vaginal infections. It not only shifts the pH of the environment to the acidic side due to the formation of lactic acid, but acts faster due to the better ability of Doderleini bacilli to engraft on the vaginal mucosa.
- The composition of Laktozhinal is enriched with a prebiotic - lactose monohydrate. The manufacturer of the Russian medicine does not directly indicate the presence of prebiotic cultures, but the bacteria are cultivated with the addition of a sucrose-milk medium, which can be nutritious for them.
- The scope of application of the French drug includes the prevention of relapses of vaginal candidiasis (thrush). There is no such indication for Acylact.
- A secondary difference is in the form of release: Laktozhinal are vaginal capsules, Acylact are suppositories. Capsules are more convenient to administer because they are half the size.
Comparison of shapes
A general contraindication is candidiasis. The fact is that the drugs contain sugar in one form or another, which can promote the growth of yeast fungi if they are present on the mucous membranes, as with thrush. Plus, the epithelial cells of the vaginal mucosa affected by fungi do not have the required amount of glycogen, and lactobacilli will lack the resource for their growth and reproduction. In an insufficiently acidic environment, the numerical superiority will be in favor of the mushrooms, which will aggravate the situation.
So, in general, both products are quite effective and safe. For a number of the above qualitative and quantitative indicators, Laktozhinal is much preferable and will provide a more effective result. The only undoubted advantage of Acylact is the price, which is almost three times lower than that of its opponent. For preventive use or when there is only a slight shift in the microflora, Lactozhinal or Acylact are equally suitable for restoration. What is best to choose depends on the doctor’s opinion and the patient’s financial capabilities.
