Lactozhinal - instructions for use, indications, release form

Against the background of changes in the vaginal microflora in women, various unpleasant diseases can develop. With dysbiosis of the vulva and intestines, gynecologists often prescribe Lactozhinal suppositories - instructions for use which will help to understand the features of the drug. Before starting treatment, study the composition of the drug, contraindications and possible side effects.

Capsules Lactozhinal

This preparation is a gelatin capsule with a brown or light yellow powder. The agent is used intravaginally, due to live lactobacilli in the composition it provides antagonistic activity against pathogenic microflora (bacteria Staphylococcus, Escherichia coli, Proteus and others). Suppositories Lactozhinal are part of the pharmacological group of drugs that regulate the vaginal microflora. A convenient form of release helps to avoid pain during treatment.


The effectiveness of Lactozhinal suppositories is explained by their chemical composition. According to the instructions for use, 1 capsule contains the components shown in the table below:

Item name


Lactobacillus rhamnosus (gram-positive non-spore forming bacteria)

341 mg


97 mg

Lactose Monohydrate

5.6 mg

Magnesium stearate

3.43 mg


41 mg

Monosodium glutamate

4,5 mg

Pharmacodynamics and pharmacokinetics

Vaginal capsules Lactozhinal are eubiotics. Due to the rod-shaped bacteria of the culture of Lactobacillus casei, the drug helps to restore the microflora of the vulva and local immunity in women. Colonization of the vaginal cavity with live lactobacilli creates the necessary environment for the death of pathogenic microflora. Due to the strains included in the drug, Lactozhinal provides antagonistic activity against numerous harmful bacteria and regulates metabolic processes.

After intravaginal administration of the capsule, its gelatin shell dissolves, releasing active lactobacilli. A few hours after this, the drug lowers the pH level in the vagina due to the production of lactic acid. As a result, an unfavorable environment is created for harmful bacteria such as E. coli, staphylococci, Klebsiella, and they die. After that, the natural microflora is gradually restored to the vagina.

Indications for use

According to the instructions for use, the drug Lactozhinal is prescribed to normalize the microflora in the vagina in women in the following cases:

  1. After prolonged use of antibiotics for bacterial vaginosis and other pathologies of the genitourinary system.
  2. After etiotropic (affecting the cause of the disease) treatment.
  3. Before a planned surgical intervention related to the genitals of the patient.
  4. Before cesarean section or childbirth, in which any obstetric manipulations are planned.
  5. When preparing pregnant women for childbirth, if patients are at risk (in the future they may develop bacterial vaginosis).
  6. For the prevention of vaginosis in the presence of adverse factors and a decrease in immunity.

Dosage and administration

If you are going to use a medicine with live lactobacilli, consult a gynecologist. Before the introduction of gelatin capsules into the vagina, moisten them in water to accelerate the dissolution of the membrane. The standard instructions for the use of the drug Lactozhinal are as follows:

  1. After antibiotic therapy of vaginosis and other diseases of the genitourinary system, suppositories are prescribed for a course of 14 days. The drug is administered intravaginally 1 capsule 2 times a day. In some cases, gynecologists prescribe 1 capsule.
  2. In preparation for surgery, childbirth, cesarean section, patients are prescribed 1 capsule Lactozhinal 2 times a day. Duration of use - 7 days.
  3. As part of the complex therapy of gynecological diseases, candles are prescribed 1 pc. daily for 14 days.

Special instructions

After administration, suppositories dissolve quickly, leaving no residue on underwear or an unpleasant odor. This is confirmed by the reviews of patients. It is allowed to use the drug Lactozhinal in the treatment of antibiotics, immunomodulatory agents, as part of complex antiviral therapy. The medicine is prescribed strictly to women over 18 years of age. Suppositories are not recommended for use simultaneously with spermicidal agents that kill live lactobacilli.

Lactozhinal during menstruation

According to the instructions for use, even if indicated, patients are not recommended to use Lactozhinal capsules during menstruation. The effectiveness of the drug is significantly reduced due to leaching of active lactobacilli from the vaginal cavity by blood secretions. If there is an urgent need for the use of the drug, then the course of therapy will have to be increased to 3-4 weeks instead of the recommended two.

Lactozhinal during pregnancy

During lactation and pregnancy, women should carefully select medicines for themselves with special care. Instructions for use of capsules with live lactobacilli Lactozhinal allows their use during the period of gestation. Patient reviews confirm the fact that the drug is often prescribed during pregnancy, does not cause side effects and demonstrates effectiveness. Termination of lactation after the appointment of suppositories is also not required. The components of the drug do not penetrate the blood or breast milk and do not affect the unborn baby in any way.

Drug interaction

Spermicidal agents inhibit the action of this eubiotic due to the content of components that kill lactobacilli. To restore local immunity and normal vaginal microflora, you can take Lactozhinal suppositories according to the instructions in conjunction with the following groups of drugs:

  • antibacterial agents;
  • immunomodulators;
  • vitamin complexes;
  • antiviral drugs.

Lactozhinal and alcohol

During treatment with any medication, experts do not recommend taking alcohol. Laktozhinal candles are no exception. The use of this medicine, according to the instructions, is allowed no earlier than 14 hours after drinking alcohol-containing drinks. In order not to reduce the effectiveness of treatment, you can take alcohol no earlier than 24 hours after the last use of Lactozhinal capsules.

Side effects and overdose

Given the characteristics of a particular clinical case, the dosage of the drug may be adjusted. Gynecologists advise not to increase the number of capsules used per day, but to prolong the course of therapy for 7 or 14 days. Due to the natural composition of Lactozhinal, no cases of overdose at the moment have been recorded. However, in the instructions for the drug there is information about side effects in the treatment of lactobacilli.

Lactozhinal can provoke the following unpleasant symptoms:

  • itching
  • allergy;
  • increased mucous discharge from the vagina;
  • redness;
  • discomfort.


Before using this medication, you should familiarize yourself with its contraindications:

  1. Lactozhinal is not prescribed in the treatment of thrush (vulvovaginal candidiasis).
  2. Candles should not be taken by teenage girls and children under 18 years of age.
  3. It is not recommended to use candles for allergies to the components of the drug.

Terms of sale and storage

Russians can buy capsules with lactobacilli in almost any pharmacy. It is worth starting the application only on the recommendation of a specialist, but you can buy the drug without a special prescription. It is important to consider that the tool has its own characteristics and requires a careful and careful attitude. If you do not follow the rules of storage of the drug, then it can lose its pharmacological properties due to the death of lactobacilli.

Storage conditions of suppositories are as follows:

  1. Be sure to observe the temperature regime. The properties of the drug deteriorate if stored in a room with a temperature above 25 degrees.
  2. The medicine should be protected from children.
  3. The shelf life of the drug is 3 years.


This drug does not have drugs similar in structure. Spontaneous use of the Lactozhinal analogue according to the pharmacological effect is prohibited. Prescribing capsules and adjusting therapy are carried out only by a doctor. Medications with a similar effect on the body are presented below:

  • Lactonorm;
  • Betadine;
  • Wagiflor;
  • Acylact;
  • Lactobacterin;
  • Macmirror
  • Depanthol.

Price for Lactozhinal

The cost of vaginal suppositories Lactozhinal depends on many factors. It is influenced by the manufacturer and place of purchase. Check the prices for this tool in different pharmacies in Moscow in the table:

Name of pharmacy

Manufacturer, drug release form

Price, rubles


14 suppositories, CAC Lyocenter, France



14 Suppositories, Besins Manufacturing, Belgium



14 suppositories, CAC Lyocenter, France



Irina, 32 years old With the second child, the pregnancy was difficult, so I was prescribed a cesarean section. She took according to the instructions Lactozhinal 7 days before surgery. I did not cause any side effects. Caesarean passed without complications, so I believe that if necessary, you can use these vaginal tablets, they are effective and completely safe.
Olga, 51 years old. After a vacation, she came home and treated antibiotics for a long time with vaginosis. After this, immunity is greatly weakened. The doctor wanted to prescribe this drug for me, but the tests showed candidiasis, and Lactozhinal is prohibited for thrush. At first she was treated, then she began to take lactobacilli. After about 3 weeks, the condition returned to normal.
Nina, 25 years old. I try to avoid problems on the female side, so for prevention I use Lactozhinil according to the instructions. 2 weeks, 1 capsule, and no violations in the last 6 years. I repeat the course 1 time in 6 or 12 months. Especially before the holidays, such prevention is useful. Climate change and eating unfamiliar foods often provoke unpleasant diseases.
Larisa, 43 years old. I was prescribed Laktozhinal candles before the operation, when there were problems on the female part. Easy to enter, do not leak, do not stain laundry. Used them according to the instructions 14 days before the scheduled operation. There were no adverse symptoms. Although a friend of my lactobacillus caused an allergy, it is therefore necessary to consult a doctor before using these suppositories.
Attention! The information presented in the article is for guidance only. Materials of the article do not call for independent treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment based on the individual characteristics of a particular patient.