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For varicose veins, doctor

24 Jun 18

Medicines for varicose veins on the legs

If varicose veins in the legs are detected on time, at an early stage, the doctor may prescribe drug therapy. It is necessary to prevent further progression of the pathology and the development of complications. Complex treatment, in addition to ointments, gels, and compression garments, also includes tablets for varicose veins, which may belong to various pharmacological groups.

For varicose veins, the following groups of medications can be used:

  1. NSAIDs (non-steroidal anti-inflammatory drugs) to relieve the patient of pain, to relieve the manifestations of incipient phlebitis. Such tablets for varicose veins are used in the acute stage of the disease, when there is severe pain in the limbs. The main representatives of the NSAID group include diclofenac, indomethacin, ketorolac, aspirin, etc.
  2. Venotonics, angioprotectors : venarus, venoruton, detralex, phlebodia, glivenol - are prescribed to strengthen the walls of blood vessels, narrow their lumen, and also protect the venous wall from destructive influences. The preparations are based on extracts from plants, so the use of venotonics is quite safe.
  3. Anticoagulants : heparin, fraxiparin, syncumar - used to prevent blood clots. The main effects include preventing the formation of new thrombotic masses, stopping the growth of existing blood clots, and enhancing the effect of agents used to dissolve blood. In fact, blood thinning does not occur, only its properties change.
  4. Disaggregants have somewhat similar effects to anticoagulants. They can be called drugs that are used to thin the blood, since the drugs prevent platelets (the cells from which a vascular clot is formed) from sticking together. This group of drugs acts more gently than anticoagulants and has fewer side effects. It is necessary to highlight acetylsalicylic acid, ticlopidine, pentoxifylline, clopidogrel, dipyridamole, cardiomagnyl. These tablets for varicose veins are prescribed to almost all patients.
  5. Antioxidants are necessary to improve gas exchange in tissues. With venous insufficiency, oxygen deficiency occurs in the cells. To restore balance, doctors prescribe vitamin E, alpha-lipoic acid, and antistax. It is believed that the use of antioxidants enhances the effect of other drugs, improves metabolism in the body, and promotes the regeneration of vascular walls.
  6. Fibrinolytics : alteplase, streptokinase, fibrinolysin - are used for existing blood clots in the lumen of the veins. They dissolve clots by acting on fibrin, a protein that is part of thrombotic masses.

The selection of medications is carried out individually. Not all patients need blood thinning or anticoagulants for venous insufficiency or varicose veins. Only after a comprehensive examination does the doctor prescribe a course of treatment: a combination of several drugs, wearing anti-varicose jersey, physiotherapy, physical therapy.

Detralex tablets contain only plant components: diosmin, hesperidin, linarin, diosmetin, and isoroifolin. Thanks to this content, the medicine for varicose veins has virtually no side effects. Only allergic reactions, gastrointestinal disorders, general malaise, and headaches may be observed.

Detralex is used for such manifestations of varicose veins as:

  • swelling of the lower extremities,
  • spider veins on the legs,
  • pain in the affected areas,
  • increased fatigue of the limbs,
  • trophic changes in the feet and legs.
  • The effect of the drug is based on reducing the extensibility of the vascular wall, reducing capillary permeability, and increasing the resistance of veins to external negative factors. In this regard, patients taking Detralex note a decrease in leg swelling, pain relief, and elimination of external manifestations in the form of telangiectasias.

    It is worth noting that Detralex has not been subjected to randomized studies. In this regard, the effect of the drug is very doubtful. Therefore, you should not rely only on this remedy. It is important to remember that the treatment of varicose veins must be approached comprehensively.

    For ease of administration, Detralex was released in a dosage equal to the daily norm (500 and 1000 mg). For mild forms of pathology, it is recommended to take 1 tablet 1 time per day. while eating. If necessary, the dose can be increased to 3 tablets. The duration of treatment is from 3 months to a year. The appropriateness of further use is decided by the attending physician.

    For varicose veins, phlebodia can be used. The tablets contain diosmin, which is the active ingredient of the drug. The manufacturer describes the following effects of the product:

    • decreased permeability of the vascular wall,
    • improvement of venous outflow,
    • increased lymphatic drainage,
    • normalization of blood circulation and tissue nutrition.

    Thus, phlebodia can be classified as a drug similar in composition and properties to Detralex. It is recommended to take the medicine for venous insufficiency, as well as for the complex treatment of varicose veins of the lower extremities and pelvis.

    To achieve effects, phlebodia must be taken 1 tablet 1 time per day. in the morning on an empty stomach. Improvement in well-being occurs no later than after 2 months. If after this time the patient does not experience relief, treatment tactics should be reconsidered.

    The only side effects that should be noted are individual intolerance to the components of the drug, nausea, headache or abdominal pain. However, this occurs extremely rarely. Due to the fact that phlebodia has not been tested on pregnant women, it is unknown how taking the drug affects the health of the mother and fetus. Therefore, during pregnancy you should refrain from taking pills.

    Another analogue of Detralex and Phlebodia is Venarus; it contains two main components: diosmin and hesperidin. This remedy has the same properties as the drugs described above. The following effects from taking Venarus can be noted:

  • gradual reduction of swelling of the lower extremities,
  • elimination of convulsive syndrome,
  • pain relief,
  • prevention of the development of trophic changes in the legs,
  • eliminating fatigue of the lower extremities.
  • Thanks to such effects, Venarus is widely used in the complex treatment of varicose veins of any localization. It is recommended to take 2 tablets daily, 2 times a day. orally for two months. The course of treatment can be repeated twice a year. By decision of the attending physician, the dosage regimen of the drug can be changed and extended.

    While taking the drug, digestive disorders, allergic skin reactions, facial swelling, abdominal pain, etc. may occur. If adverse events occur, you should stop treatment with Venarus and consult your doctor.

    The active substance of the drug “Troxevasin”, troxerutin, is a venotonic and angioprotector. In terms of its chemical composition, it is no longer an analogue of Venarus and Detralex, but has similar properties:

    • prevents red blood cells from sticking together and is used to thin the blood;
    • has an anti-inflammatory effect;
    • reduces the diameter of pores located in the walls of blood vessels;
    • protects veins and capillaries from negative influences;
    • relieves swelling and pain in the limbs.
    • The spectrum of action of troxevasin is somewhat wider. It can be used for:

    • varicose veins of any part,
    • the presence of trophic ulcers,
    • venous diseases in pregnant women in the second trimester,
    • retinopathy in patients with diabetes mellitus and atherosclerosis.
    • The drug should not be used if there is a risk of bleeding (peptic ulcer, exacerbation of chronic gastritis), pregnant women in the first trimester, children. In addition, if you are allergic to the components of troxevasin, you should choose a product with a different composition.

      The medication regimen is 300 mg (1 tablet) 3 times a day. The therapeutic effect should occur within 2 weeks from the date of use of the tablets. The course is then continued for up to 4 weeks. If necessary, the attending physician may change the single and daily dosage.

      The product is made from horse chestnut fruits. The active substance escin has angioprotective, venotonic, antioxidant, and decongestant effects. Due to these properties, excusan is widely used for varicose veins of the lower extremities. Indications for use of tablets:

    • venous insufficiency;
    • swelling of the legs;
    • heaviness in the lower extremities associated with venous disorders;
    • phlebitis, thrombosis in the stage of resolution;
    • hematomas, telangiectasia;
    • hemorrhoids;
    • atherosclerosis;
    • diabetic angiopathy, etc.
    • In complex treatment, it has some blood thinning properties. The duration of treatment is 3 months. In this case, the drug should be dosed as follows: 1 tablet 3 times a day. inside after meals. Possible side effects of excusan include allergic skin reactions, angioedema, fever, nausea, bloating, etc.

      Pregnant women are not recommended to take the medicine. In the absence of alternatives, excusan is prescribed only from the second trimester of fetal development.

      The active ingredient dipyridamole belongs to the group of disaggregants. It has a fundamentally different mechanism of action compared to previous drugs. Curantil prevents platelets from sticking together, thereby improving microcirculation. To thin the blood for varicose veins, the drug is used if there have been episodes of thrombosis.

      Indications for the use of chimes:

    • cerebrovascular accidents,
    • microcirculatory changes,
    • prevention of PE (pulmonary embolism),
    • prevention of recurrent thrombosis,
    • treatment of ischemic heart disease, etc.
    • It cannot be used for:

    • diathesis,
    • heart attack,
    • low blood pressure,
    • renal and liver failure,
    • the presence of bleeding or its high risk of development,
    • aortic stenosis.
    • For the treatment of varicose veins, curantil is used in a dosage of up to 225 mg/day. The daily amount of the drug is divided into several doses. The required dose is determined by the attending physician depending on blood counts and the somatic general condition of the patient.

      The tablets contain vitamin C and rutin. Together, they restore the deficiency of these substances in the body and have an angioprotective and antioxidant effect. The drug is quite safe. Of the side effects, only individual intolerance can be noted. But at the same time, it is not advisable for pregnant and lactating women to take ascorutin.

      In the complex therapy of varicose veins, it is recommended to take 1 tablet 2-3 times a day. after meal. It is important to remember that if the patient has already been prescribed heparin-based drugs or anticoagulants, simultaneous use of ascorutin may weaken their effect.

      The trade name "Trental" is used to refer to pentoxifylline. Used in the complex treatment of varicose veins. It improves microcirculation in capillaries and protects them. The drug is prescribed in an initial dosage of 200 mg 3 times / day orally. If the patient experiences dizziness, weakness, or decreased blood pressure, the single and daily dosage is reduced. The duration of treatment is 2-3 weeks. If necessary, the course of therapy with trental can be extended.

      Actovegin is a representative of antioxidants and antihypoxants. It has the following properties:

    • improves metabolic processes in tissues,
    • normalizes the functioning of intracellular structures,
    • stimulates the process of tissue repair,
    • normalizes the consumption of oxygen molecules by cells.
    • In this regard, Actovegin can be used at any stage of the treatment of varicose veins, including trophic ulcers, valvular insufficiency, and angiopathy. You need to drink Actovegin before meals, 1 tablet 3 times a day. inside. Duration of treatment is up to 2 months. The only side effects reported are allergic reactions.

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