Updated: 01/31/2021 21:09:16
*Review of the best according to the editors of expertology.ru. About the selection criteria. This material is subjective in nature, does not constitute advertising and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.
The use of venotonics is an important point in the successful treatment of varicose veins. With the use of such medications, there is a decrease in unpleasant symptoms: pain, swelling, heaviness. In pharmacies, venotonics are presented in a wide range. Sometimes they are also called phlebotonics or venoprotectors.
Each of them has its own degree of effectiveness. But their common task is to increase the tone of the vascular walls and reduce capillary permeability. Venotonics are taken orally or used externally. They may contain flavonoids, rutosides or other substances. Our experts conducted a study and ranked the best of them.
The most effective ointments and gels against varicose veins.
June 23, 2021
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Content
- Why do varicose veins develop?
- What are the symptoms of varicose veins?
- The best ointments for varicose veins
- Heparin ointment
- Indomethacin
- Lyoton
- Phlebodia
- Hepatrombin
- Troxevasin
- Diclogen
- Venitan
- Detragel
With varicose veins, the vessels that carry blood to the heart (usually in the lower extremities) become irreversibly dilated and/or lengthened. The veins usually become thin and knots form in them.
Varicose veins are a common disease: every third woman and every tenth man on the planet suffers from it. Moreover, the problem most often develops at a young, most able-bodied age - at 30-40 years old.
Why do varicose veins develop?
Varicose veins can be successfully treated if diagnosed in time. Some of the causes of varicose veins include:
- Genetic predisposition. A person is prone to developing varicose veins if his immediate relatives had a similar problem.
- Floor. Varicose veins are more common in women than in men. One of the risk factors for the development of varicose veins in women is pregnancy, when there is increased stress on the legs.
- Wrong lifestyle. Varicose veins develop due to increased venous pressure. It, in turn, is caused by factors such as decreased physical activity, excess weight, static loads in an upright position, etc. Read also Top 10 best blood thinners Blood thinners
There is also a list of certain factors that provoke varicose veins:
- elderly age;
- professional activities when a person is forced to stand for a long time (dentists, hairdressers, salespeople);
- prolonged paroxysmal cough;
- chronic constipation;
- lifting something heavy;
- hormonal imbalance in women.
Heparin ointment
Heparin ointment for varicose veins is the most popular and most inexpensive; the active substance of this ointment is heparin. This remedy perfectly reduces pain and heaviness in the legs, “Heparin ointment” stimulates the outflow of lymph and thins the blood. Ointment for varicose veins has almost no contraindications (the only thing is hemophilia) and side effects, is sold without a prescription and helps with the first stages of varicose veins. You will feel the first positive effect of heparin ointment after two weeks of use.
Many patients note the low cost and high effectiveness of this remedy for varicose veins. Heparin ointment is safe and well tolerated.
Heparin ointment
OJSC "Nizhpharm", Russia
Prevention and treatment of thrombophlebitis of superficial veins;
post-injection and post-infusion phlebitis; external hemorrhoids; inflammation of postpartum hemorrhoids; trophic ulcers of the leg; elephantiasis; superficial periphlebitis; lymphangitis; superficial mastitis; localized infiltrates and edema; injuries and bruises without violating the integrity of the skin (including muscle tissue, tendons, joints); subcutaneous hematoma. from 37
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Which venotonic is better for varicose veins?
The choice of medications is made only by a doctor. This minimizes the risks of treatment errors and the development of pathological processes. The Vyborexperta.ru rating represents those nominees that are worth paying attention to first. The following results of a comparative analysis will tell you which option to buy:
- Detralex is the people's choice, lasting positive effect;
- Ascorutin is a multifunctional vitamin composition, approved even for children;
- Herbion Esculus is a natural formula with a pronounced capillary stabilizing effect;
- Venitan is a gel without contraindications based on escin that seals blood vessels;
- Shungite is an intense balm with a valuable healing mineral;
- MedicalCollagene 3D Venotonic is a cosmetic venotonic cream for legs with a rich combination of components.
Remember that any remedy you choose should improve the condition of the veins, prevent stagnation, and stop inflammation. Give preference to effective, safe, long-acting drugs for varicose veins. It would be good if the release form was easy to use and compatible with other methods of therapy.
Indomethacin
Ointment for varicose veins "Indomethacin" is used to relieve pain, inflammation, and reduce fever. The active ingredient of the drug quickly penetrates the skin and reduces swelling of the legs, relieves the feeling of heaviness, strengthens the walls of the veins, restores their strength and elasticity. "Indomethacin" is prescribed not only for the treatment of varicose veins, but also for its prevention. This ointment prevents thrombosis, rupture of blood vessels, the formation of ulcers and nodes. Indomethacin for varicose veins is inexpensive, but has a number of contraindications: high blood pressure, heart failure, liver and kidney diseases, age under 14 years.
Indomethacin
OJSC Borisov Plant of Medical Preparations (Borimed), Belarus
Indomethacin is an active non-steroidal anti-inflammatory drug for external use, a derivative of indoleacetic acid.
It has anti-inflammatory, analgesic and anti-edematous effects. When applied externally, it helps to reduce or eliminate pain at the site of application of the ointment, including pain in the joints at rest and during movement; reduces morning stiffness and swelling of joints; helps increase range of motion in joints. In inflammatory processes that occur after operations and injuries, it quickly relieves both spontaneous pain and pain during movement, and reduces inflammatory swelling at the wound site. from 16
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How to choose a venotonic for varicose veins
What good veinotonics to choose for a course of treatment or prevention of varicose veins is first decided by a phlebologist. Therefore, always start by consulting a medical professional. And only then rely on such criteria as composition, release form, restrictions on intake, degree of effectiveness. Let's consider each point in detail.
The doctor's consultation
Varicose veins are a serious disease, and also very common among people over 30 years of age. Self-medication in this case is unacceptable, as it leads to complications, sometimes irreversible. We recommend promptly contacting a phlebologist if you identify the first warning signs. Only after an examination will the doctor be able to choose the right course of treatment.
Compound
Based on their composition, venotonic preparations for improving the condition of veins are divided into several types. It can be:
- vegetable - contain flavonoids, saponins, which strengthen and tone the walls of the veins, increase elasticity, eliminate the symptoms of the disease;
- with rutoside - glycosides that act as a source of vitamin P, they stimulate the contraction of vascular walls, reduce permeability, and eliminate bleeding;
- synthetic – have strict indications, restrictions on use, and are appropriate for serious clinical conditions;
- combined formulations - a mixture of synthetic and plant substances to relieve pain, thicken the venous wall, increase its tone and resistance to damage.
The choice of active formula depends on the stage of development of the disease, the clinical picture, the individual characteristics of the body, and the doctor’s instructions.
Release form
Another classification concerns the forms of release of such drugs. Pharmaceutical companies and pharmacy chains offer two options:
- external use products – gels, creams, balms, ointments for application to the skin or under compression garments where inflammation is observed;
- internal medications - capsules, tablets, various dietary supplements, which are taken orally in a course, combined with the first group.
At the initial stages, when the symptoms are mild, doctors usually prescribe local treatment. If varicose veins develop and cause a lot of inconvenience to a person, complex treatment is practiced locally and internally.
Contraindications
Any, even the best venotonic, has not only indications, but also contraindications. This point is important to consider and not lose sight of, so as not to harm your health with side effects. The nominees reviewed are natural, safe, and most often they are prohibited for pregnant and breastfeeding women, children, and persons with intolerance to the components.
Efficiency
Substances such as diosmin, rutin, and escin are highly effective for varicose veins of the legs. The first component reduces the lumen of blood vessels, causing contraction of smooth muscles; this is the most popular composition in medical practice. Other agents have a similar principle of action, but the level of evidence is not as high.
Lyoton
"Lioton" gel for varicose veins is one of the most frequently prescribed remedies. The active substance of Lyoton is sodium heparin (direct anticoagulant). Gel "Lioton" is prescribed for varicose veins, thrombophlebitis, swelling of soft tissues, hematomas after operations. Contraindications include age under 18 years, wound surfaces, and a tendency to bleed. If you have the initial stage of varicose veins, the course of treatment should last 7-21 days (the ointment must be rubbed in twice a day). If varicose veins are chronic, the duration of treatment should last at least six weeks. Patients who use Lyoton say that this gel for varicose veins perfectly relieves swelling and reduces pain in the legs. The product was especially appreciated by office workers who have to sit for a long time, as well as women who often wear high-heeled shoes.
Lyoton 1000
Berlin-Chemie/Menarini, Germany
Prevention and therapy: deep vein thrombosis, pulmonary embolism (including in diseases of the peripheral veins), coronary artery thrombosis, thrombophlebitis, unstable angina, acute myocardial infarction, atrial fibrillation (including accompanied by embolism), DIC- syndrome, prevention and therapy of microthrombosis and microcirculation disorders, renal vein thrombosis, hemolyticouremic syndrome, mitral heart disease (prevention of thrombosis), bacterial endocarditis, glomerulonephritis, lupus nephritis.
Prevention of blood clotting during operations using extracorporeal circulatory methods, during hemodialysis, hemosorption, peritoneal dialysis, cytapheresis, forced diuresis, when flushing venous catheters. Preparation of non-clotting blood samples for laboratory purposes and blood transfusions. A product for the prevention and treatment of hematomas. from 286
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Phlebodia
Cream for varicose veins "Phlebodia" is intended for the treatment of the disease in the early stages, as well as for the prevention of varicose veins. Phlebodia contains bioflavonoids, which relieve the feeling of heaviness in the legs and restore ease of movement and mobility. Menthol cools tired feet and cares for the skin. You can use Phlebodia ointment for varicose veins from the age of 16. Rub the product in light circular motions from the ankle to the thigh twice a day. The effect of using Phlebodia is noticeable immediately: swelling goes away and lightness appears in the legs. This cream for varicose veins is not sticky or greasy, and does not stain clothes. "Phlebodia" can be used both for the treatment of varicose veins in the early stages, as soon as spider veins appear, and for prevention.
[[https://www.poisklekarstv.com/catalog/flebodia.html]]
9 Diclofenac
The well-known medicine “Diclofenac” has a multidisciplinary effect. It is often prescribed to patients suffering from various joint diseases (arthritis, arthrosis). It helps well with neuralgia and rheumatic lesions of soft tissues. The use of Diclofenac as part of complex therapy for varicose veins and other vascular pathologies is no less justified. The main advantage of this medication is its ability to relieve pain almost instantly. This is very helpful in situations where there is a feeling of heaviness in the legs, veins become inflamed or swelling appears.
Diclofenac has several forms of release: ointment, tablets, injection solution and rectal suppositories. As a venotonic, it is recommended to use local painkillers: gels or creams. We strongly advise against drinking or taking the drug in any other way without consulting a doctor. According to the latest medical research, its components have a very detrimental effect on the functioning of the digestive system, and also increase the risk of heart attacks and attacks of hypertension. Despite this, Diclofenac has been considered one of the best non-steroidal anti-inflammatory drugs for many years, which has helped thousands of patients alleviate their condition during illness.
Hepatrombin
“Hepatrombin” is a complex action ointment that not only thins the blood, relieves itching and fatigue in the legs, but also heals wounds and restores damaged skin. In addition to active ingredients, Hepatrombin ointment for varicose veins contains natural substances such as rosemary and lemon extracts, as well as pine oil. "Hepatrombin" is often used to treat trophic ulcers because it heals well and destroys microbes. “Hepatrombin” helps perfectly with varicose veins, if this is the initial phase of the disease. The ointment contains no harmful components, so it is safe. “Hepatrombin” for varicose veins is well absorbed into the skin, relieves inflammation and swelling, and the product is quite affordable.
Hepatrombin
STADA CIS, Russia
Direct anticoagulant, which is used for: - thrombosis;
- thrombophlebitis; - phlebeurysm; - trophic ulcers of the leg (for ointment); - sports injuries; - tendovaginitis; - inflammatory infiltrates. from 84
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Rating of venotonics for varicose veins
Treatment of varicose veins should be comprehensive, compiled by a specialized phlebologist. Based on the opinions of such doctors, we selected the popular, most in-demand phlebotonics, evaluating each applicant on a group of criteria:
- Formula – main, secondary components;
- The principle of action is to increase tone, relieve symptoms, inflammation, etc.;
- Safety – herbal or synthetic base, risks of side effects;
- Efficiency – speed of action, period of maintaining positive dynamics;
- Release form – simplicity and ease of use;
- Compatibility – is it suitable for complex treatment;
- Restrictions – cases when reception is unacceptable;
- Treatment regimen - frequency of administration, duration of course;
- Bioavailability – degree of digestibility;
- Price – how well it corresponds to the quality and results obtained.
The result of the comparative analysis was a top list, including 10 products for increasing the tone of veins, both domestic and imported. Feedback from patients helped identify the strengths and weaknesses of each nominee.
Troxevasin
"Troxevasin" is prescribed for varicose veins as a venotonic that relieves swelling and inflammation. The active substance of “Troxevasin” is troxerutin. Troxerutin improves the tone of capillaries and strengthens their walls. "Troxevasin" can be used by women during pregnancy and even children from birth. This ointment for varicose veins is prescribed for varicose veins, swelling and pain in the legs, with obvious spider veins, thrombophlebitis and dermatitis due to varicose veins. Troxevasin can also be used as an “ambulance” for sprains, bruises and even fractures. Immediately after applying the ointment, you will feel lightness and cooling. To minimize the manifestations of varicose veins, it is necessary to use Troxevasin for a long time. This remedy for varicose veins during pregnancy has proven itself to be excellent: the cream reduces pain in the legs, relieves swelling and heaviness.
Troxevasin
TEVA, Ukraine
Troxevasin is a mixture of bioflavonoids that contains at least 95% troxerutin.
Troxerutin accumulates selectively in the endothelial layer of venules, penetrates deeply into the subendothelial layer of the venous wall, and the concentration is higher than in other tissues. The drug prevents damage to cell membranes caused by oxidation. from 292
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Diclogen
"Diclogen" for varicose veins contains diclofenac and belongs to the group of NSAID drugs. This is not an anticoagulant; it does not prevent blood from entering the tissues. But at the same time, Diclogen reduces the likelihood of secondary inflammation that develops with varicose veins. After all, all processes of swelling and fluid stagnation deform the venous valves. It is in these cases that Diclogen gel, or more precisely, diclofenac in its composition, comes to the aid of varicose veins. “Diclogen” against varicose veins perfectly relieves inflammation, redness of the skin, swelling of the legs, and reduces pain (especially if the stage of varicose veins has already developed when there is varicose dermatitis). "Diclogen" is prescribed for progressive chronic varicose veins. The course of treatment with Diclogen is 2 weeks, the gel for varicose veins is rubbed into the skin up to 4 times a day.
Diclogen
AGIO Pharmaceuticals Ltd., India
Combined anti-inflammatory drug.
It has a local analgesic, anti-inflammatory and anti-exudative effect. When applied topically, it reduces pain and inflammation in the joints, morning stiffness and swelling of the joints, and helps increase range of motion. It also causes irritation of nerve endings, has a local distracting and mild analgesic effect, and causes a feeling of coolness at the site of application of the drug due to menthol. from 22
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The best venotonic tablets for varicose veins
The most common form of release of venotonics for varicose veins is tablets for oral administration. They must be combined with local treatment and various alternative methods. We have selected 4 leaders who quickly and effectively relieve the symptoms of the disease and prevent complications.
Detralex
The most popular drug against varicose veins, produced in France, based on flavonoids. Available in two forms - tablets and liquid format.
The active component is characterized by high venotonic and angioprotective properties. These are natural flavonoids diosmin (90%) and hesperidin (10%) with a dosage of 500 or 1000 mg.
The mechanism of action is to reduce the extensibility of the vascular wall, preventing stagnant processes. Indications include any chronic venous disease.
Correct, regular use makes you feel better and eliminates the symptoms of varicose veins. The original composition is characterized by fast, complete absorption due to micronization of the components.
Advantages:
- Combined composition;
- Original, tested drug;
- Several release forms;
- Lasting positive effect;
- Elimination of symptoms;
- Safety.
Flaws:
- Price;
- Possible disorders of the digestive system.
The average course duration is 3 months. The treatment regimen is selected individually, usually 1000 mg per day, preferably taken in the morning. Contraindications include pregnancy, lactation, and intolerance to the composition.
Venarus
For those who cannot afford the French Detralex, VyborExperta offers a worthy analogue of Russian production.
The composition is identical - a combination of flavonoids diosmin and hesperedin to increase the tone of the vascular wall, reduce the degree of its distensibility, and prevent congestion. The difference is that the tablets of this drug are larger in size.
With regular use, the generic Venarus relieves all the symptoms of varicose veins - pain, cramps, swelling and a feeling of fatigue. It also improves lymphatic drainage, microcirculation, and increases capillary resistance.
The indication is venous insufficiency of the legs of an organic or functional nature. Doctors also prescribe Venarus for acute and chronic hemorrhoids.
Advantages:
- Two flavonoids;
- Availability in pharmacies;
- Relief of the condition of the lower extremities;
- Prevention of complications;
- Proven quality;
- Price.
Flaws:
- Long course;
- Possible indigestion.
The course of treatment can last from 3 months to a year, it all depends on the doctor’s instructions. The daily norm is 1-2 tablets with a dosage of 1000 mg. Treatment is not acceptable during pregnancy, lactation, or with hypersensitivity to the components.
Troxevasin
The list of venotonics for varicose veins continues with a Bulgarian drug in the form of capsules of a semi-synthetic composition.
The active substance is troxerutin, a derivative of rutin with a pronounced anti-inflammatory, anti-edematous effect. This is rutoside, which is a source of vitamin P with venoprotective and antioxidant properties.
Its effect is aimed only at blood vessels - it eliminates swelling, cramps, pain, and a feeling of heaviness. The manufacturer indicates chronic venous insufficiency and other venous diseases as indications.
With regular use, positive dynamics are noted by the end of the second week. To increase effectiveness, capsules are combined with Troxerutin gel.
Advantages:
- Antioxidant activity;
- Strengthening blood vessels;
- Unoverloaded train;
- Minimal risks of side effects;
- Two forms for simultaneous use;
- Inexpensive.
Flaws:
- Presence of dye (E 110);
- It doesn't start working right away.
The composition can negatively affect the gastric mucosa, so the capsules are taken with meals. The initial dose is 300 mg 3 times a day. The course lasts 3-6 weeks, it all depends on the doctor’s instructions. Contraindications – 1st trimester of pregnancy, childhood, allergies.
Askorutin
Closing the list of venotonic tablets for varicose veins is a Russian-made combination product. The active formula includes the plant pigment rutin with antioxidant and anti-inflammatory effects, ascorbic acid to thin the blood and restore normal oxidative processes.
The range of prescriptions is wide - these are any diseases associated with impaired vascular permeability, their prevention, as well as deficiency of nicotinic acid and vitamin C.
Release form: standard-sized tablets with a sour, pleasant taste. Unlike the predecessors of the rating, “Ascorutin” is approved for children from 3 years of age.
Advantages:
- Vitamin composition;
- Multifunctionality;
- Pleasant taste;
- Children allowed;
- General strengthening effect;
- Cheap.
Flaws:
- Weak as a stand-alone drug;
- Contraindications.
The method of application directly depends on the diagnosis, age, and well-being of the patient. Usually this is 1-2 tablets 2-3 times a day for 3 weeks. Contraindications – diabetes, gastritis, urolithiasis, gout, 1st trimester of pregnancy.
Venitan
Venitan gel for varicose veins contains the active substance escin (horse chestnut extract). "Venitan" strengthens the capillaries of the soft tissues of the legs, being a venotonic. "Venitan" for varicose veins reduces swelling and aching in the legs, heaviness, and stimulates venous circulation. Escin reduces capillary permeability and improves the functioning of the internal deep veins of the lower extremities. Venitan is usually prescribed for the treatment of early stages of varicose veins, although this gel is also effective for chronic vein problems. Apply Venitan gel to the skin with light movements three times a day.
Venitan
Sandoz, Germany
Venitan is an angioprotective drug for external use.
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7 Venarus
The next medicine for varicose veins on our list is Venarus tablets, which many consider a worthy replacement for the expensive French Detralex. Indeed, the composition of these two drugs is almost identical: in both cases, the active ingredient is a combination of diosmin and hesperidin. Users noted that in the Russian analogue the pills are larger in size, which creates some discomfort when swallowing. To prevent this from happening, women in their reviews advise cutting them in half and drinking them in two batches.
With regular use, Venarus reduces the distensibility of veins, eliminates blood stagnation and helps solve the problem of heaviness in the legs. The recommended dose for venous-lymphatic insufficiency is no more than 2 tablets per day. The average course of treatment is from 3 months. up to a year. Undesirable consequences that may occur when using this venotonic include the appearance of a skin rash, headache and gastrointestinal dysfunction. But all these reactions are associated with an overdose or non-compliance with the dosage schedule, as well as with individual intolerance to the components.
Detragel
In addition to sodium heparin, this gel for varicose veins contains phospholipids and horse chestnut extract. Thanks to this complex of active substances, this remedy for varicose veins turned out to be as effective as possible. "Detragel" has antithrombotic properties, being an excellent anticoagulant. With a course of use of Detragel, congestion in the superficial veins is reduced, the capillary wall is strengthened, and swelling disappears. Detragel also reduces inflammation. This gel is often prescribed for bruises (contusions and sprains). Detragel should be applied to the skin without damage with light movements three times a day. The remedy for varicose veins is used under compression garments and bandages. The course of treatment (if the doctor has not prescribed longer) is no more than 15 days.