Hemorrhoids are varicose veins of the corpora cavernosa, localized in the final part of the rectum. The disease is accompanied by the formation of hemorrhoids in the anal area.
To normalize venous outflow and restore the functioning of the musculo-ligamentous apparatus of the rectum, complex therapy is used. Troxevasin ointment for hemorrhoids is used to strengthen the venous walls and increase their tone. Let us dwell in more detail on the composition, purpose and instructions for use of this drug for inflammation of hemorrhoids.
What is Troxevasin
A medicine based on the angioprotective active substance troxerutin. Regulates the tone of capillary vessels and veins. It is used to eliminate pain, swelling and trophic disorders caused by their dysfunction.
Troxevasin is produced:
- in the form of an ointment for topical use: a viscous yellowish gel-like mass containing 2% troxerutin, packaged in 40 g tubes;
- in the form of capsules for oral administration: in a dosage of 300 mg of the active substance, gelatin, in blisters.
The product has a pronounced venoprotective effect. It helps reduce the permeability of vascular walls, improves blood outflow, prevents its stagnation in the lower extremities, prevents thrombus formation and the development of inflammatory processes. Troxevasin alleviates the underlying symptoms of varicose veins and slows down its progress.
Conservative techniques
Treatment for external hemorrhoids includes:
- Taking tablets to improve vascular tone and prevent the appearance of new nodes.
- A course of anti-inflammatory medications (to relieve or reduce pain, to relieve the inflammatory process).
- Local therapy (ointments, suppositories, gels - to soften and facilitate bowel movements, prevent injury to hemorrhoids, improve blood circulation and eliminate inflammation).
In combination with medications, on the advice of your doctor, you can use traditional methods. Herbal baths and microenemas will help alleviate the patient’s condition.
If the expected result from the treatment course is not achieved, then effective treatment of hemorrhoids will be obtained using innovative minimally invasive techniques.
How to stop hemorrhoids using latex ligation, laser vaporization, and desarterization will be discussed in more detail below.
What is Troxevasin used for?
Medicinal ointment and capsules are prescribed:
- for chronic venous insufficiency;
- lack of nutrition of soft tissues caused by varicose veins;
- with postphlebitic syndrome;
- trophic ulcers;
- for symptoms of hemorrhoids;
- with retinopathy against the background of hypertension and diabetes.
The drug is used to prevent complications after surgical treatment of varicose veins, to prevent further vascular damage in the initial stages of pathology. Troxevasin is also indicated to improve well-being after mechanical injuries: bruises or sprains.
The active substance from the capsules is absorbed in the intestines. Its maximum concentration in the blood is observed 1.5–2 hours after administration. Metabolized by the liver and completely leaves the body within 0.5–1 day. Troxerutin from the ointment penetrates all layers of the epidermis, dermis and subcutaneous tissue within 3–5 hours.
Analogs
If you are individually intolerant to the drug in question (or if the inflamed nodes have not become smaller after 2 weeks), the doctor will prescribe a substitute. There is a wide range of medications on sale with a similar mechanism of action.
The closest analogues of troxevasin:
- "Heparin ointment";
- "Phleboton";
- "Troxerutin";
- "Troxegel";
- "Venorutinol".
It is safer to delegate responsibility for selecting a pharmaceutical product to a doctor. Self-medication can be dangerous to health.
When is Troxevasin contraindicated?
It is prohibited to take the drug orally:
- with exacerbations of ulcerative lesions of the gastrointestinal mucosa;
- some forms of gastritis;
- severe renal failure;
- increased sensitivity to the active or excipients of the drug.
The use of ointment should be avoided:
- if an allergic reaction to the drug develops: increased swelling, rash, severe burning or itching;
- with severe irritation, furunculosis, open skin lesions at the site of application of the product.
Laser vaporization
Effective treatment of hemorrhoids is impossible without the use of laser vaporization.
LHP technology (laser submucosal destruction) is possible thanks to the use of equipment from. Advantages of laser vaporization:
- no injuries;
- no postoperative stitches;
- relief of inflammation during the recovery period;
- minimal exposure time to hemorrhoidal formation;
- short period of rehabilitation;
- reduction of relapses.
The essence of the technique is to evaporate the hemorrhoidal node with a laser.
The patient does not feel pain during the procedure and recovers quickly. The use of special proctological underwear and local anesthetics are additional means to create patient comfort during laser vaporization. How to stop hemorrhoids without pain and surgery? There is only one answer - to use the latest technologies to combat the problem.
How to use Troxevasin capsules
The medicine should be swallowed with water, without chewing or crushing. Meal times don't matter. At the beginning of therapy, take 1 capsule. three times a day. Diabetic retinopathy and other severe conditions require up to 1800 mg (6 capsules) per day.
The course is continued for up to 15 days. After assessing the effectiveness of the dose, the dose is adjusted. It may increase or decrease. If the symptoms of the pathology subside, at the discretion of the doctor, therapy can be completed without a maintenance period. Otherwise, Troxevasin is taken for another 3-4 weeks.
Instructions for use for hemorrhoids
According to the official instructions, the ointment is used to treat areas of the body affected by the disease. The procedures are carried out 2 times a day. The composition is applied locally, externally; light rubbing into the epithelial layer is allowed. The course of therapy is 2-4 weeks, subject to daily exposure. When hemorrhoids become inflamed, a gauze swab soaked in gel is applied to them.
The effectiveness of treatment depends on the regularity of use of the pharmaceutical product, since it has a cumulative effect.
Troxevasin capsules for hemorrhoids are used according to a different scheme:
- During breakfast, in the morning – 1 capsule (300 mg).
- At dinner, in the evening – 1 capsule (300 mg).
- For the treatment of acute disease - up to 800 mg per day, as prescribed by a doctor.
- Tablets are used for preventive purposes - 1 pc. per day, as well as in the process of recovery after exacerbation of chronic hemorrhoids.
- Duration of treatment is from 1 to 3 months, according to the recommendation of a proctologist.
Indications and contraindications
The drug troxevasin is prescribed for the following diseases and associated complications:
- muscle spasms;
- pain and swelling resulting from injuries;
- phlebitis;
- phlebeurysm;
- haemorrhoids;
- varicose dermatitis;
- retinopathy (tablets);
- venous insufficiency.
It is safer to use gel or tablets after consultation with a proctologist. Only a doctor diagnoses a disease in a patient, establishes its etiology and prepares an appropriate treatment regimen. Before using a pharmaceutical product, you must carefully study the list of contraindications.
The drug is not recommended for patients with the following diseases:
- chronic form of gastritis;
- hypersensitivity to rutosides;
- kidney and liver dysfunction;
- ulceration of the duodenum;
- individual intolerance to the components of the composition.
Troxevasin ointment for pregnant women is prescribed only from the 2nd trimester, or is replaced with other medications. During pregnancy, it is safer to stop taking medications altogether. The medication is prescribed with caution to children under 15 years of age.
Directions for use and doses
Few patients know how to use Troxevasin gel for hemorrhoids. Proctologists advise using it for inflammation of external hemorrhoids. It is important to adhere to the following sequence of actions:
- Before the procedure, it is necessary to cleanse the intestines through natural bowel movements.
- The perianal area is washed in warm water and blotted with a dry cloth.
- The gel is applied to the problematic (inflamed) node and nearby skin. Gentle rubbing with massage movements is allowed.
The dosage of the medicine and the frequency of treatment are determined individually for each patient. As for the use of tablets, the limit daily dose is 800 mg of powder. Directions for use: 1-2 tablets per day (see instructions above), for acute hemorrhoids – 3 tablets per day.
Side effects and special instructions
When used in doses, Troxevasin gel practically does not cause side effects on the body. Uncontrolled use of the medication can provoke a number of allergic reactions and side effects:
- A disorder of the gastrointestinal tract, which is accompanied by dyspepsia, flatulence and nausea.
- Dermatological itching.
- Rash or redness of the epidermis at the site of ointment treatment.
Some patients experience spontaneous adjustments in blood pressure, migraines, and even vomiting. The listed symptoms do not require treatment and stop when the medication is discontinued.
Use during pregnancy
Often women are interested in whether it is possible to use Troxevasin gel for hemorrhoids and pregnancy. Proctologists advise following several rules:
- Gel and capsules are taboo in the first 12 weeks.
- From the 13th week, the drug is prescribed only by a doctor. It is often prescribed to eliminate stagnant processes, which automatically implies an increased risk of developing pathologies in the unborn child.
- Capsules are allowed only from 4 months of pregnancy.
Similar prescriptions apply to the lactation period. It is important to objectively assess possible risks and the expected effect of treatment.
How to use Troxevasin ointment
The drug is used externally: on clean skin over the lesion. A small amount of ointment is distributed over the body area in a thin layer, lightly rubbing it in until completely absorbed. After application, you can leave the skin open or apply fixing bandages, bandages, and put on compression stockings and bandages if necessary.
The procedure for applying the medicine is repeated twice a day: in the morning and in the evening. If this is not enough, do it more often. There is no need to specifically rinse off any remaining drug before applying again. The duration of treatment with ointment is up to 7 days. If there is no result or the physical condition worsens, the medicine is discontinued and another method of therapy is chosen.
Application of latex ligation
It is possible to eliminate hemorrhoids at the second stage of the disease using a low-traumatic and painless treatment method - latex ligation.
The essence of the technology is to throw special latex rings onto the base of the knot. This is done using a vacuum ligator. The device is placed in the area of the hemorrhoid and the vacuum pushes out a ring that compresses the lower part of the formation.
The nutrition of the hemorrhoid gradually stops and it is reduced and spontaneously exits. The ring is small in size, with an outer diameter of only five millimeters.
The hemorrhoidal node dies after latex ligation after 1-2 weeks. The ring and reduced formation are removed during natural bowel movements.
During this manipulation, which lasts only 15 seconds, the patient does not experience any discomfort or pain. The patient lies on the couch with his knees tucked to his stomach and can even communicate freely with the proctologist.
In agreement with the patient, the doctor uses local anesthesia.
The drug has five pharmacological effects
- Venotonic – reduces the stretching of veins, tension in the walls of capillaries, blood vessels and increases the movement of lymph.
- Antioxidant - inhibits the oxidation of hyaluronic, ascorbic acids and lipids, which leads to improved blood microcirculation and reduces the risk of blood clots.
- Angioprotective - reduces the permeability and fragility of small capillaries, increases the density of vascular walls and increases the transport of nutrients to tissues and organs.
- Anti-inflammatory - prevents the removal of fluid and blood cells from the capillaries, resulting in reduced swelling and inflammation.
- Antihemorrhagic - helps reduce pain and stop bleeding.
Note!
The description of the drug Troxevasin on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.
