Suppositories for vaginal and rectal use in the treatment of cystitis

Suppositories are one of the common forms of many medications. They are administered to patients rectally or vaginally, which is considered quite convenient in itself. In addition, a number of advantages are taken into account when prescribing suppositories. In the treatment of urological diseases, in particular cystitis, experts prefer this particular form of the drug. 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 the features of the disease are.

Cystitis and its treatment

In medicine, the term "cystitis" refers to several 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

Infectious agents are the most common cause of cystitis. 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 can be Escherichia coli, staphylococcus, Proteus or Klebsiella.
  • Exposure to specific agents - viruses, fungi, mycoplasmas, chlamydia, Trichomonas.
  • Take certain medications.
  • Allergic reactions.
  • Inflammatory processes in the pelvic organs.

The provoking factors are:

  • Endocrine disorders;
  • frequent change of sexual partners;
  • wearing tight underwear;
  • hypothermia;
  • neglect of the rules of personal hygiene.
Pain in the perineum in a woman with cystitis

Whatever the causes, cystitis has a characteristic symptom complex:

  1. Frequent urination, accompanied by burning, drawing pains in the urethra and bladder.
  2. False urge to void, their increase at night.
  3. Pain in the perineum and pubic region, often radiating to the lumbosacral region.
  4. Urine excretion in small portions, and it is dark in color, cloudy in nature and often contains pus or blood impurities.
  5. Urinary incontinence (in rare cases).
  6. Signs of general intoxication are headache, nausea, up to vomiting, weakness, apathy.

Applied dosage forms

In modern conditions, with timely therapy and the use of effective drugs, rapid healing of cystitis and full recovery of the bladder mucosa is possible after 7-12 days.

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 severe enough and urgent measures are needed, the doctor prescribes intramuscular injections or an 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 for preventing damage to the intestinal mucosa.

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

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

The use of suppositories for cystitis

Very 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 the symptoms.

Indications for cystitis

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

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

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

Advantages and disadvantages of the dosage form

Rectal suppositories are drugs, so only a doctor should attend to their appointment. The feasibility of its use 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. Simple and painless introduction. Possibility to use independently at home.
  3. Candles do not irritate the organs of the digestive system. Active substances penetrate 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 delivered unchanged, since it is not exposed to hydrochloric acid.
  6. Reduce the risk of developing allergic reactions to the administered drug.
  7. Possibility of combination with preparations having organoleptic properties.
  8. Indispensable for toxicosis of pregnant women, as well as for violations of swallowing and absorption processes.
  9. Little or no manifestation of side effects.
  10. Therapeutic effects on the digestive, reproductive and urinary systems.

Despite the huge advantages, rectal suppositories have a number of disadvantages:

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

General recommendations for use

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

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

  1. Rectal administration provides for the preliminary emptying of the intestine.
  2. Vaginal use is only indicated after washing or douching.
  3. Hands should be carefully washed in cold water and with 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 so that the drug is absorbed.
  6. When used in children, the buttocks should be closed after insertion and held for 10 minutes.

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

List of recommended medications

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

The general list includes suppositories containing opium alkaloid (an isoquinoline derivative), pipemidic acid and chloramphenicol, as well as high estrogen preparations prescribed for menopause. All of them have an affordable price and are 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. The 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 their destruction.

    The 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;
    • MST.

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

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

    Use is prohibited during pregnancy, lactation, menstruation. The course of treatment is 10 days.

  3. Broad-spectrum drug containing a complex of iodine and polyvinylpyrrolidone. Suppresses the reproduction of viruses, fungi, pathogenic bacteria. It helps to eliminate symptoms such as burning and itching, constant companions of cystitis. It is used in the treatment of many sexually transmitted infections (trichomoniasis, mycoplasma, herpes, vaginosis). Treatment is indicated 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. In case of cystitis, use is indicated morning and evening for a week at the rate of 1 suppository per day. It is not prescribed during pregnancy and lactation.

  5. Medicine with interferon alfa-2b. It is prescribed as a means of strengthening 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 painkiller.

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

The best candles for cystitis, according to doctors and patients

Reviews of the use of suppositories in the treatment of cystitis are diverse. This is due to the effectiveness of the selection of 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 a minimum of 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 distinctive features, due to anatomical, physiological and age features. Male pathologies are considered - balanoposthitis, epididymitis, prostatitis, prostate adenoma. It is customary to attribute cystitis, urethritis, STIs to female ailments. The decision on whether to use suppositories in the treatment of a particular disease is made by the doctor based on the symptoms, clinical course, the presence of complications, as well as the individual characteristics of the patient's body.


Treatment of such an unpleasant condition as inflammation of the mucous membranes of the bladder should be approached with special care and try to follow all the instructions of the attending physician. Otherwise, the patient will experience all the "charms" of the symptoms and endanger the condition and functioning of all organs of the genitourinary system.

Any dysuric manifestation, even mild, should be the reason for contacting a medical institution in order to diagnose, identify the cause of the pathology and take therapeutic measures.