Venotonic SP (Diosmin and Hesperidin 1000 mg tab. vol. No. 30)

Self-medication for varicose veins is the most popular method of therapy in Russia. The Internet is full of miracle recipes about apple cider vinegar, leeches and other magical technologies, and our fellow citizens willingly believe it. Varicose veins can now be cured inexpensively or even free of charge from certified specialists, but miracle shamans are still very popular. These are probably remnants of the primitive communal system of our ancestors. Only pain can make a person run to the doctor; we will diligently smear various nasty things on uncomplicated varicose veins in the hope that they will someday resolve.

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.

How to cure varicose veins

The sooner you go to the doctor with a detected problem, the more likely it is that you will be helped by conventional therapeutic measures and that surgery can be avoided. Tablets, ointments and compression clothing can help and relieve unpleasant symptoms. It is for this reason that it is useful to know the best venotonics that have proven themselves over many years.

Why do varicose veins develop?

Varicose veins can be successfully treated if diagnosed in time. Some of the causes of varicose veins include:

1. Genetic predisposition. A person is prone to developing varicose veins if his immediate relatives had a similar problem.
2. 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.
3. 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 44

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The best venotonics for varicose veins based on flavonoids

These are biologically active compounds of plant origin. Venotonics with flavonoids successfully eliminate the initial signs of varicose veins: discoloration of the skin, itching or burning, the appearance of ulcers, pain, fatigue, heaviness in the legs.

Detralex

Rating: 4.9

The first place in the ranking is occupied by the French drug Detralex. It can be purchased in the form of a suspension or film-coated tablets. They may contain 500 or 1000 mg of purified micronized flavonoid fraction, which includes 90% diosmin and 10% hesperidin.

For varicose veins, Detralex is taken 1 tablet (1000 mg) or 1 sachet (1000 mg) 1 time per day. It is preferable to do this in the morning, during breakfast. Some phlebologists prescribe the drug twice a day, 1 tablet (500 mg). The therapeutic course is continued for 3-6 months. In some cases, treatment can continue for a year.

According to reviews, after just 1 month of use you can forget about the heaviness and constant fatigue of your legs. And after 2 months, bulging veins are less noticeable. The most common side effects when taking this venotonic are gastrointestinal disorders, but usually everything is far from critical. Our experts included Detralex in the rating of the best, since this original drug is effective for varicose veins and is safe.

Advantages

• an original drug that has passed many tests;
• contains diosmin and hesperidin;
• is guaranteed to relieve heaviness, pain, and increase the tone of the veins.

Flaws

• Digestive disorders are possible.

Phlebodia

Rating: 4.8

Another French veinotonic, Flebodia, is in second position in the ranking. Its only form of release is film-coated tablets. They contain the bioflavonoid diosmin 600 mg. Phlebologists love this drug and often prescribe it to their patients for varicose veins. Phlebodia perfectly tones blood vessels and relieves inflammation.

For varicose veins, 1 tablet per day is prescribed. Take the medicine in the morning on an empty stomach. Treatment is continued for 8 weeks. If the patient forgot to take the medicine one or more times, then continue to use the venotonic according to the previous regimen without changing the dosage. Phlebodia is not used to treat children under 18 years of age.

Patients in the reviews note that despite the rather impressive size of the tablets, they are swallowed without problems. Within 2 months of use, the drug allows you to completely forget about pain in the legs, swelling and unsightly protruding veins. Phlebodia deserves to be included in the rating because it is well tolerated by patients and is an excellent preventive measure for varicose veins.

Advantages

• convenient to take;
• provides lightness on the legs;
• improves venous outflow;
• good prevention of varicose veins.

Flaws

• may cause dyspepsia or headache.

Vasocket

Rating: 4.7

Third place in the ranking went to the German/Swiss drug Vasoket. It is considered a cheaper analogue of the venotonic Phlebodia. Vasoket is available in tablets containing 600 mg of diosmin. Thanks to this drug, the veins become less distensible and become toned. In addition, local blood circulation improves and inflammation is relieved.

Patients with varicose veins take the medicine once a day, 1 tablet. Drink the prescribed dose in the morning before breakfast for 2 months. A repeated course is allowed after an 8-12 week break. Vasoket is contraindicated in children under 18 years of age, as well as people with individual intolerance to certain components of the drug.

Reviews about Vasoketa are mostly positive. This drug is not as popular as Phlebodia, but no less effective. Patients note that Vasoket successfully relieves all the main symptoms of varicose veins. It is included in the rating because it rarely causes adverse reactions in patients and fully lives up to the manufacturer’s promises.

Advantages

• scored tablets;
• eliminates pain, heaviness, swelling;
• does not cause stomach problems.

Flaws

• Not sold in all pharmacies.

Venarus

Rating: 4.6

The Russian analogue of Detralex Venarus occupies fourth position in the ranking. This drug is available in film-coated tablets, which have different dosages and packaging. It contains diosmin and hesperedin. With regular use of Venarus, it is possible to reduce the distensibility of veins and tone them. Also, under the influence of this drug, congestion in the veins is eliminated.

You are supposed to take 2 tablets per day. The dose can be taken immediately or divided into 2 times. Drink Venarus during meals. Despite their size, the tablets are quite easy to swallow, but if desired, you can use the separation line. The course of treatment can be 3-4 months (up to 1 year).

In reviews, patients often compare Venarus and Detralex in terms of effectiveness. Opinions differ, but quite a few believe that the Russian drug is in no way inferior to the French one, but noticeably benefits in price. Our experts included it in the rating because Venarus is a high-quality generic drug that rarely causes side effects. At the same time, it successfully removes pain and heaviness in the legs, often occurring with varicose veins.

Advantages

• diosmin and hesperidin in the composition;
• The tablets are easy to swallow;
• Its effectiveness is not inferior to the original drug;
• sold in any pharmacy.

Flaws

• may cause diarrhea, dyspepsia, nausea, vomiting.

Phlebaven

Rating: 4.5

In fifth place was another Russian drug Flebaven. It is also a generic version of Detralex, but is less popular than Venarus. This venotonic is available in one dosage - 500 mg. Contains diosmin and hesperidin. With regular use, it reduces the severity of symptoms of chronic varicose veins, which have an organic or functional nature.

Flebaven is taken orally. The daily dose should be 1000 mg of flavonoid fraction. Taking this into account, Flebaven is taken twice a day, 1 tablet. They do this during lunch and during dinner. The tablets are quite large, but are usually swallowed without problems.

According to reviews, this is an excellent budget alternative to Detralex. The first noticeable improvements are visible after 1-2 weeks of use. Our experts included this venotonic in the rating of the best, as it tones the veins well, protects the venous walls, and also helps improve blood circulation in the extremities. At the same time, it causes no more side effects than an imported drug.

Advantages

• effective composition;
• efficiency;
• attractive price.

Flaws

• possible problems with the gastrointestinal tract.

Antistax

Rating: 4.5

Antistax takes sixth place in the ranking. Its manufacturer is Switzerland/France. This venotonic is available in capsules. The dry extract of red grape leaves is responsible for the therapeutic effect here. It contains quercetin and isoquercetin (flavonoids). It is widely used for the treatment and prevention of varicose veins.

Patients take Antistax 1 time per day, 2 capsules. Do this in the morning before breakfast. Depending on the symptoms, the dose is increased to 4 capsules per day. It is not recommended to chew the medicine. The capsule is swallowed whole and washed down with a glass of clean water without gases. The therapeutic course lasts 12 weeks. Antistax is approved for use from 18 years of age.

Patients in the reviews note that the capsules are easy to swallow, and the gastrointestinal tract reacts to them much better than to diosmin containing ones. However, experienced varicose veins patients report that this venotonic has a weaker effect and is more suitable for prevention or at the initial stage of the disease. Nevertheless, Antistas was included in the ranking of the best because it has a natural composition, quite effectively normalizes vascular permeability, and also slows down the formation of edema and reduces existing ones.

Advantages

• herbal medicine;
• practically does not cause side effects;
• moderate venotonic effect.

Flaws

• The capsule shell contains sodium lauryl sulfate.

Venozol

Rating: 4.4

The ranking of the best venotonics based on flavonoids is completed by the dietary supplement Venozol. It is produced in capsules and contains the following components: diosmin (270 mg), chestnut extract, hesperidin (30 mg), hazel extract, dihydroquercetin (antioxidant). The components of the complex increase tone and strengthen the walls of blood vessels, and also normalize venous circulation.

Venozol is prescribed for varicose veins in adults and children over 14 years of age, 1 capsule 1-2 times a day with meals. Duration of treatment is 6-8 weeks. This venotonic is contraindicated for pregnant and lactating women. The capsules themselves are small in size, so they are easy to take and do not get stuck in the throat.

Many people praise Venozol in their reviews. With so many components, it has an attractive price. This venotonic is included in the rating because, although it is a dietary supplement, it is not inferior in effectiveness to the original drugs. However, the content of diosmin and hesperidin here is relatively low, so this remedy should rather be considered as a preventative.

Advantages

• combined composition;
• convenient capsule size;
• clear application diagram;
• relieves heaviness and pain in the legs.

Flaws

• relatively low content of diosmin and hesperidin.

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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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.

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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Use during pregnancy and lactation

The use of the capsule form during pregnancy in the first 3 months is prohibited. In the 2nd and 3rd trimester, it is allowed to prescribe medication if the benefit to the woman outweighs the possible risks to the embryo. When breastfeeding, taking the capsule form is possible if the danger from the disease for the mother is higher than for the baby.

The gel form of the drug can be used both during breastfeeding and during pregnancy. The drug does not penetrate the systemic bloodstream and does not affect the baby’s body.

During pregnancy, the drug can be used to eliminate severe symptoms of hemorrhoids, venous insufficiency, and ulcerative defects (for varicose veins). Both local and systemic forms are used. The patient is monitored during therapy.

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]]

Restrictions on use, interaction

Do not use the medicine if you are allergic to its components. The medication is not indicated for children under 15 years of age (gel), 18 years of age (capsules), since it has not been studied in patients under 15 years of age. The capsule form should not be prescribed to patients with lactase deficiency or malabsorption syndrome.

According to the instructions, with the simultaneous use of troxerutin and ascorbic acid, the effectiveness of treatment increases. No data on interactions with other drugs have been identified.

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 157

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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 156

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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.

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 23

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Similar medications

Troxevasin has its own analogues, which are not inferior to it in effectiveness. Similar drugs:

• Phlebodia 600 - the active component is diosmin; the effect of the medicine is similar, it is produced in the same forms;
• Detralex - contains diosmin and flavonoids; Sold as tablets and oral suspension; is not inferior in efficiency;
• Indovazin - contains indomethacin and troxerutin; Available in gel form;
• Lyoton - the drug belongs to the group of anticoagulants; produced only in the form of a gel; does not have a systematic form.

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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Rating of the best veinotonics for varicose veins

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.

Detragel

Form, composition

The drug Troxevasin contains troxerutin. It belongs to phlebotonics, venoprotectors.

For ease of use, 2 forms of the medication were created:

• Capsulated (300 mg) - a systemic drug that affects the entire body;
• Gel (2%) - applied topically;
• Troxevasin neo - gel contains not only troxerutin, but also sodium heparin and dexpanthenol.

It is advisable to use the systemic form simultaneously with the gel. This will increase the effectiveness of treatment.