Suppositories for vaginal and rectal use in the treatment of cystitis

One of the common forms of many drugs are suppositories. They are given to patients rectally or vaginally, which is considered quite convenient in its own right. In addition, there are several advantages that are taken into account when prescribing suppositories. In the treatment of urological diseases, in particular, cystitis, specialists prefer this specific form of medication. What are the advantages and are there any disadvantages of rectal suppositories? Before understanding the principle of treatment with suppositories, it is necessary to understand what are the features of the disease.

Cystitis and its treatment

In medicine, the term "cystitis" means various types of urological pathologies, in which an inflammatory lesion of the mucous membrane of the bladder occurs. Due to the peculiarities of the anatomical structure of the body, women are more likely than men to suffer from this disease. The activity of this organ is associated with all physiological systems, therefore, functional disorders are reflected, first of all, in the state of the female urogenital sphere.

Signs of the disease and causes

The most common cause of cystitis is infectious agents. This is due to the proximity of the vagina and anus, as well as the short length and wide lumen of the urethral canal. The disease that develops in women rarely occurs in isolation, most often it is combined.

The most common causes of inflammation are:

  • The penetration of an infectious pathogen, which may be Escherichia coli, staphylococci, Proteus, or Klebsiella.
  • Exposure to specific agents - viruses, fungi, mycoplasmas, chlamydia, Trichomonas.
  • Taking certain medications.
  • Allergic reactions.
  • Inflammatory processes in Organs pelvic organs.

The provoking factors are:

  • endocrine disorders;
  • frequent change of sexual partners;
  • wearing tight underwear;
  • hypothermia;
  • negligence of personal hygiene rules.
Perineal pain in a woman with cystitis

Regardless of the causes, cystitis has a characteristic symptom complex:

  1. Frequent urination, accompanied by burning, pulling pain in the urethra and bladder.
  2. False desire to empty, its increase at night.
  3. Pain in the perineum and pubic region, often radiating to the lumbosacral region.
  4. Urine is excreted in small portions, and is dark in color, cloudy in nature and often contains pus or blood impurities.
  5. Urinary incontinence (in rare cases).
  6. The signs of general intoxication are headaches, nausea, even vomiting, weakness, apathy.

Applied dosage forms

In modern conditions, with timely therapy and the use of effective drugs, a quick cure for cystitis and complete recovery of the bladder mucosa after 7-12 days is possible.

The choice of dosage form is determined by the severity of the disease, the age and sex of the patient, the presence of concomitant pathologies or pregnancy.

If the manifestations of the disease are sufficiently severe and there is a need to take urgent measures, the doctor prescribes intramuscular injections or injection into a vein. For these purposes, solutions in ampoules or vials are used.

If the clinical picture is moderate, capsules or coated tablets are suitable to prevent damage to the intestinal mucosa.

Gels, pastes, ointment forms are recommended for local use. They are inserted into the vagina with a cotton swab if the patient is female or rectally if the patient is male.

In the treatment of bladder inflammation, specialists can prescribe various forms compatible with each other. This increases the therapeutic effect and speeds up recovery.

The use of suppositories for cystitis

Often, the doctor prescribes rectal suppositories in the treatment regimen for cystitis. They are divided into several types and in most cases are relevant for infectious and inflammatory diseases of the genitourinary system, severe pain, as well as a general weakening of the immune defense.

Only a doctor can choose the best option, depending on the type of pathogen and the severity of symptoms.

Indications for cystitis

Rectal suppositories are primarily prescribed for men, boys and girls. Women are more suitable for vaginal suppositories. Preparations in this form help to eliminate sources of pathogenic microflora, infections in the external genitals (in women) and reduce pain.

In the instructions for use, the list of indications, in addition to cystitis, includes diseases such as:

  • male and female urethritis;
  • prostatitis;
  • canker sores and vaginosis;
  • sexual infections caused by gonococci, chlamydia, ureaplasma, treponema, Trichomonas.

Pros and cons of the pharmaceutical form

Rectal suppositories are medications, so only a doctor should handle your query. The feasibility of using it for cystitis is determined by him based on the existing advantages:

Candles for the treatment of cystitis in women and men
  1. Compact dosage form.
  2. Simplicity and painless introduction. Ability to use independently at home.
  3. Candles do not irritate the organs of the digestive system. Active substances enter the focus of inflammation, bypassing the gastrointestinal tract.
  4. Fast action. In terms of absorption rate, suppositories are equivalent to intravenous injections.
  5. maximum bioavailability. The active substance is supplied unchanged as it is not exposed to hydrochloric acid.
  6. Reducing the risk of developing allergic reactions to the medication administered.
  7. Possibility of combination with preparations with organoleptic properties.
  8. Indispensable for toxicosis of pregnant women, as well as violations of the swallowing and absorption processes.
  9. No or minimal manifestation of side effects.
  10. Therapeutic effects on the digestive, reproductive and urinary systems.

Despite the huge advantages, rectal suppositories have several disadvantages:

  • inconvenience of use, especially during working hours;
  • composition instability, which reduces the shelf life of the product;
  • mandatory compliance with storage conditions;
  • manufacturing complexity.

General usage recommendations

Despite the convenience and compactness of the form, candles have a therapeutic effect only if used correctly.

To do this, you must study the instructions and follow the procedure according to the general rules:

  1. Rectal administration provides for preliminary bowel emptying.
  2. Vaginal use is indicated only after washing or showering.
  3. Hands should be washed carefully with cold water and a suitable product (soap, gel).
  4. Open the package, take the candle and insert it to a depth approximately equal to the length of your own finger.
  5. After the introduction, it is necessary to spend half an hour in the supine position for the drug to be absorbed.
  6. When used in children, the buttocks should be closed after insertion and held for 10 minutes.

In order for candles to maintain their therapeutic effect longer, it is necessary to store them correctly. The optimal temperature is considered not to exceed + 20 ° C, and the place for its maintenance is dry and dark. If the recommendations are followed, the shelf life is usually 2 years.

List of recommended drugs

For the use of suppositories for cystitis in women and men, a list can be compiled based on the drugs often indicated in the treatment of bladder inflammation.

The general list includes suppositories with opium alkaloid (an isoquinoline derivative), pipemidic acid, and chloramphenicol, as well as high-estrogen preparations prescribed for menopause. All of them are affordable and sold in pharmacies.

Representatives and their detailed description

Antibacterial drugs are prescribed if the causative agent of the infection is Escherichia coli or staphylococcus aureus. Most popular among this group are the suppositories used for cystitis in women and men, the names of which may be familiar to many.

  1. Suppositories containing chlorhexidine bigluconate. This component has the ability to destroy the cell membrane of various pathogens, which invariably leads to its destruction.

    Candles are used for cystitis, they are also intended for the treatment of other pathologies, such as:

    • vaginitis of various etiologies;
    • inflammation of the cervix;
    • STD

    The application of the course with daily use twice is a week.

  2. The combined antibacterial agent (aminoglycoside + polyene + cyclic polypeptide) belongs to the category of expensive drugs. It is prescribed in case of an acute course of primary cystitis or in case of recurrence of its chronic form.

    Use is prohibited during pregnancy, breastfeeding, menstruation. The duration of therapy is 10 days.

  3. A broad-spectrum drug containing an iodine complex with polyvinylpyrrolidone. Suppresses the reproduction of viruses, fungi, pathogenic bacteria. It helps eliminate symptoms such as burning and itching, the constant companions of cystitis. It is used in the treatment of many sexually transmitted infections (trichomoniasis, mycoplasma, herpes, vaginosis). Treatment is shown daily for 2 weeks.

  4. It is a representative of the group of NSAIDs (derived from phenylacetic acid). The drug has a good analgesic and anti-inflammatory effect. The maximum concentration in the blood after penetration reaches 30 minutes later. With cystitis, use is indicated in the morning and in the evening for a week at a dosage of 1 suppository per day. It is not prescribed during pregnancy and lactation.

  5. Drug with interferon alfa-2b. It is prescribed as a means to strengthen the immune system. It has a combined effect and is used in the treatment of many urogenital pathologies. The drug is safe for children and can be used as a pain reliever.

  6. Polyene antifungal antibiotic. An effective drug used for inflammatory pathologies of the genitourinary system. This helps relieve symptoms and make you feel better.

The best candles for cystitis, according to doctors and patients

Reviews on the use of suppositories in the treatment of cystitis are diverse. This is due to the effectiveness of selecting one or another remedy, taking into account the cause of the disease and the severity of the course. The best are inexpensive but effective drugs that have minimal side effects and have a therapeutic effect in a relatively short time.

The relevance of suppositories in the treatment of other urological diseases

Diseases of a urological nature in women, men, children and the elderly have their own qualities, due to anatomical, physiological and age characteristics. Male pathologies are considered - balanoposthitis, epididymitis, prostatitis, prostate adenoma. It is customary to attribute cystitis, urethritis, STDs to female diseases. The decision on the advisability of using suppositories in the treatment of a certain disease is made by the doctor based on the symptoms, clinical course, presence of complications, as well as the individual characteristics of the patient's body.


The treatment of such an unpleasant condition as inflammation of the mucous membranes of the bladder should be approached with special attention and try to follow all the instructions of the treating physician. Otherwise, the patient will feel all the "charms" of the symptoms and will jeopardize the condition and functioning of all the organs of the genitourinary system.

Any dysuric manifestations, even mild, should be a reason to contact a medical institution to diagnose, identify the cause of the pathology and carry out therapeutic measures.