Troxevasin ointment and gel for hemorrhoids: reviews, instructions for use, how to use during pregnancy, indications and contraindications

Troxerutin is a well-known component for veins and blood vessels. It has anti-inflammatory, tonic and analgesic effects. Is it possible to use the drug Troxevasin for hemorrhoids and is it effective for treatment?

When treating hemorrhoids, you can use Troxevasin, but you need to understand that the drug does not cure, but relieves symptoms.

To treat this pathology, it is recommended to use combination therapy, taking both tablets and ointment at the same time. The drug Troxevasin has an anti-inflammatory and analgesic effect for hemorrhoids.

What effects does this medicine have?

According to the instructions for use, Troxevasin gel has the following effects:

• anti-inflammatory;
• decongestant;
• protects blood vessels;
• tones veins and capillaries.

The pharmaceutical industry produces the drug in various dosage forms (ointments, gels, tablets, capsules), which makes its use the most effective and convenient. The
drug reduces the permeability of small vessels, reduces platelet sedimentation, which prevents the formation of thrombosis in hemorrhagic nodes. Inflammation gradually goes away, capillary fragility decreases, microcirculation in the rectal area increases. The reduction in swelling of this area is associated with inhibition of the permeability of small vessels.

A greater effect is achieved when the drug is taken together with vitamin C. “Troxevasin” can be combined in different forms for hemorrhoids.

Patients notice that when using Troxevasin ointment for hemorrhoids, their itching and pain quickly went away. The doctor prescribes the course of treatment on an individual basis.

Depending on the characteristics of the body and the specifics of the disease, there is a need to use drugs in different forms of release. For this reason, Troxevasin is produced in the form of gel and capsules. Both types of drugs are highly effective and are used in the treatment of hemorrhoidal inflammation in different stages of development.

Composition and release form

Available in the form of tablets (capsules) and gel (ointment).

The main active ingredient is troxerutin from the group of flavonoids.

In dry form, the rutin derivative has the appearance of a pale yellow powder, soluble in water and other liquids.

The drug is non-toxic, has a low level of danger and is completely excreted from the body along with urine, without accumulating in the kidneys or liver.

Troxevasin tablets are packaged in plastic blisters and placed in cardboard boxes supplied with detailed instructions.

The gel is packaged in metal tubes with tightly screwed caps.

Unopened packages should be stored in a cool, dark place for no longer than 2 years from the release date indicated on the package. After this period, the medicine cannot be used.

The price of the drug ranges from 197 to 650 rubles. depending on the place of sale, shape and packaging.

pharmachologic effect

The medication is used as prescribed by the doctor, taking into account the severity of the disease. The gel is used for local treatment, capsules for oral treatment. Regardless of the form of release, the drug is prescribed to patients diagnosed with venous insufficiency. The medicine is effective for early and late forms of hemorrhoids. The drug has a wide range of effects on the patient’s body in the treatment of pathology.

Troxevasin capsule gel for hemorrhoids blocks pain, improves circulation and venous tone. The drug effectively affects the venous plexuses, capillaries and blood vessels. After local application of the gel to the epidermis, the medicinal base easily penetrates into the deep layers, reaching the walls of the veins.

The medicine has the ability to accumulate in the body. With the concentration of active substances in the vascular walls, there are more of them in the affected tissues than in the perivenous space of the surrounding tissues. Thanks to its accumulative properties, venous tone increases and capillary permeability decreases.

The capsule form of Troxevasin is prescribed for a therapeutic course with a venous-capillary-tonic effect. Due to the biochemical composition of the capsules, the medicine has an antioxidant, anti-inflammatory effect, and also inhibits hyaluronidase. How to use medications Troxevasin for hemorrhoids is prescribed by the treating specialist; each patient has his own treatment regimen.

Reviews

Troxevasin for hemorrhoids and ointment and gel have a similar effect. We invite you to read reviews of Troxevasin ointment for hemorrhoids during pregnancy and more.

Alexandra, Tyumen: I am attentive to my pregnancy. I don’t use anything at random, I even filter doctors’ prescriptions. Recently hemorrhoids appeared, the doctor prescribed Troxevasin. I thought for a long time whether to use it or not. I read reviews of Troxevasin ointment for hemorrhoids during pregnancy. I decided to try it. It's okay for now.

Galina, Ufa: I studied reviews of the treatment of hemorrhoids with Troxevasin. I'm using it now and I'm happy. The pain bothers me less and less.

Zhanna, Nizhny Novgorod: When I was pregnant, I suffered terribly from hemorrhoids around the twenty-fifth week. I came across reviews of Troxevasin gel for hemorrhoids, consulted with a doctor and started using it. He helped me a lot then.

Igor, Moscow: Does Troxevasin help with hemorrhoids? Definitely yes! This is the only one I use and recommend to everyone. This ointment has saved me many times.

Maria, Novosibirsk: The problem of hemorrhoids tormented me for many years. It will pass and then come back again. I was already exhausted until I read the reviews on Troxevasin for hemorrhoids. As a result, she underwent a course of treatment and got rid of the problem.

Directions for use and doses

Troxevasin is applied to prolapsed hemorrhoids and anus. You must first carry out hygiene procedures: wash the anus with clean water, preferably with soap. It is recommended to carry out treatment after defecation. The drug is applied in a thin layer and rubbed into the skin until completely absorbed. Only healthy tissues are treated; it is forbidden to touch the mucous membrane, cracks and ulcers. The product begins to act 15-30 minutes after complete absorption. The procedure is carried out 2 times a day.

The active ingredient in the medicine is troxerutin. This is an artificially created analogue of the natural vitamin rutin (a bioflavonoid that affects blood vessels and capillaries).

Troxevasin capsules are taken orally during meals with a sufficient amount of liquid.

Capsules are consumed after meals 2 times a day at equal intervals with water. The daily dose is 600 mg. In acute cases of hemorrhoids, it is possible to take the medicine every 4 hours, thereby dosing the daily dosage by half and amounting to 1200 mg. During the period of remission, the patient is prescribed one capsule per day.

According to the instructions for use, "Troxevasin" gel for hemorrhoids is applied to the anal area twice a day. This is done with hands, massaging with light movements.

It is advisable to use the medication after you have defecated and carried out all hygiene procedures. The ointment is quickly absorbed into the surrounding tissues, leaves no traces, and does not spread. Significantly alleviates the patient's condition. If bloody discharge appears from the hemorrhoids or rectum, the gel can be used, it will reduce these manifestations.

For hemorrhoids, “Troxevasin” gel can be soaked into gauze napkins. They must be applied to external hemorrhoids. Thanks to this, the maximum concentration of troxerutin is achieved in the venous network of the anus. It is prohibited to use the ointment inside the rectum. It is not applied to affected areas of the skin, wounds, ulcers.

Troxevasin in the form of ointments and gels is used to treat external forms of hemorrhoids

Use for hemorrhoids

How to use Troxevasin for hemorrhoids? Troxevasin ointment and gel for hemorrhoids is recommended to be used after a thorough bowel movement. Before using Troxevasin for hemorrhoids, you must wash the anal area with clean, cool water without soap and pat dry thoroughly with a soft towel. You can apply a small amount of the drug to hemorrhoids protruding from the rectum and wait a few minutes until completely absorbed.

You can make compresses with Troxevasin. To do this, take a small piece of bandage, fold it into 4-5 layers, apply ointment and apply it to the affected area. This compress is left for 8-10 hours. To make it hold better, wear thick underwear. Use the drug twice a day for 1-2 weeks. Antihemorrhoid suppositories are often prescribed in combination with Troxevasin ointment. Now you know how to take Troxevasin for hemorrhoids.

During pregnancy

Troxevasin gel (ointment) for hemorrhoids is strictly not recommended for use in the first trimester of pregnancy and while breastfeeding. Starting from the second trimester, the use of the drug is permissible, but only after consulting a specialist. Large-scale studies of the effect of Troxevasin on the fetus have not been conducted. Therefore, during pregnancy, Troxevasin ointment for hemorrhoids can be prescribed only as a last resort.

Side effects and contraindications

When taking this medicine in the form of tablets or capsules, the following negative manifestations are possible:

• attacks of nausea, vomiting;
• heartburn;
• allergic skin reactions;
• headache;
• constipation, diarrhea.

When treating with medication in the form of an ointment, in rare cases, itching and redness may occur in the area where the medication is applied. When treatment is discontinued, all negative effects disappear.

Contraindications to taking the drug will be pregnancy (first trimester), acute gastrointestinal ulcers, gastritis, children under 3 years of age. Use it with caution in persons with hypersensitivity to troxerutin and those suffering from renal failure.

Possible allergic reactions - hives and skin itching

Contraindications for treatment

There are a number of restrictions to therapy:

• Troxevasin capsules and tablets should not be taken if you have duodenal or gastric ulcers. For gastritis, liver and kidney diseases;
• The drug in tablet form is not safe for the fetus in the first trimester of pregnancy;
• Hypersensitivity to troxerutin;
• The child's age is less than 15 years.

Attention! Troxevasin in the form of gel or tablets is never used as monotherapy for hemorrhoids!
Before using the drugs, you should consult a proctologist. THERE ARE CONTRAINDICATIONS CONSULTATION WITH YOUR DOCTOR IS REQUIRED

Author of the article Alexey Alexandrovich Egorov, proctologist

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Standard dosage

When used topically, no cases of overdose with Troxevasin were observed.

An overdose of the gel is unlikely, only in case of hypersensitivity to the components of the drug, redness of the skin, itching, and urticaria may occur. All negative phenomena disappear after discontinuation of the drug or reduction in the number of its examples. The gel is available without a prescription, unlike capsules.

In case of an overdose of capsules, the patient may experience excessive nervous excitement, a rush of blood to the face, and a headache. In this case, the patient needs to take sorbents (Atoxil, Enterosgel) and rinse the stomach. In some cases, symptomatic treatment is appropriate.

Concomitant use with other medications

No interaction between the gel and other drugs was found.

Capsule form

How are Troxevasin capsules taken for hemorrhoids? The manual included with the drug describes in detail the recommended, standard course of therapy. The duration of the course is 3 weeks, taking 1-2 capsules per day during meals. That is, you are allowed to take no more than 600 ml of the active component of the drug per day.

For the treatment of hemorrhoids localized on the rectal walls (without lunge)

Composition of Troxevasin

Troxevasin capsules are yellow in color, cylindrical in shape, enclosed in a special gelatin shell. It contains toxerutin, a special yellow-brown powder. The capsule contains up to 300 g of powder, which acts as a medicinal substance.

There are additives that help expand the beneficial effects of the drug:

• gelatin (the capsule is contained in it);
• special dye;
• titanium oxide;
• magnesium stearate;
• lactose monohydrate (helps restore lactose levels in the blood).

If the patient has an individual intolerance to a substance in the drug, it is better to find a variation of it.

Ointment for hemorrhoids (or gel) is labeled as 2% and is applied externally. The substance is homogeneous, yellowish or yellow-brown in color. Without smell. The medicinal substance is toxerutin, the content of which in 1 g of ointment is 20 mg.

Additives:

• disodium EDTA;
• triethanolamine;
• distilled water;
• carbomer;
• Benzalkonium chloride.

The ointment is sold in special tubes made of aluminum, containing 40 g each. The tube is sold in cardboard packaging.

Drug price

The price depends on the type of drug and quantity. Capsules are sold in 10 pieces in special blisters with a quantity of 5 pieces in a package made of cardboard. It turns out 50 capsules costing 500 rubles (10 rubles per capsule). Troxevasin in capsules is a common form of the drug in Russia. Medicine in tablets is typical for European Union countries.

Ointment or gel are cheaper - sold in smaller quantities. The price for the ointment reaches 48 rubles, for the gel – 150.

Is it possible to undergo treatment during pregnancy?

According to the instructions, “Troxevasin” can be taken not only for hemorrhoids (itching, bleeding), but also for diseases such as venous insufficiency, varicose veins and its consequences (ulcers, nodes, mesh). The medicine is used in complex therapy of postoperative patients - reduction of hematomas and edema.

The capsule or gel medicine can be used during pregnancy only in the 2nd and 3rd trimester as prescribed by a doctor. It is worth considering that a certain amount of troxerutin penetrates into the blood and breast milk. The doctor prescribes this drug when the patient has severe circulatory problems in the pelvis, swelling, and prolapse of hemorrhoids.

Studies have not been conducted on pregnant and lactating women, but those who took this drug did not notice any negative effects on the development of the fetus.

During pregnancy and lactation, the use of Troxevasin is limited

Taking the drug during pregnancy quickly restores blood flow in the pelvis, improves the functioning of the venous network, removes itching, swelling, and effectively and painlessly reduces the size of hemorrhoids.

We do not recommend taking this remedy on your own, without a doctor’s recommendation, during pregnancy and breastfeeding. Only a specialist can assess the objective benefits of taking it and the possible risks. In this category of patients, the dose of the drug is calculated individually and can be reduced.

Indications for use

Treatment of hemorrhoids with Troxevasin is incredibly effective and helps at the initial stage of the disease.

Gel

Troxevasin gel for hemorrhoids is used in therapy:

• postphlebitic syndrome;
• varicose veins;
• trophic ulcers;
• injuries, bruises;
• venous insufficiency.

In the treatment of hemorrhoids, the gel is used to relieve inflammation, swelling, normalize blood flow, reduce vascular fragility, and prevent blood clots in hemorrhoidal cones.

Troxevasin helps with bleeding of external hemorrhoids and constipation caused by dilation of the veins in the pelvis, has an analgesic and antiseptic effect. For a more stable and long-lasting result, it is recommended to take ascorbic acid tablets during the treatment period.

Ointment

Troxevasin ointment for hemorrhoids has the same effect as the gel , but has a denser consistency and does not spread. It is an indispensable remedy for the so-called. "wet" hemorrhoids. The gel is lighter, more liquid, absorbs well and quickly relieves pain.

In addition, the following drugs are available in ointment and gel: Nifedipine, Hepatrombin, Troxerutin.

Troxevasin during pregnancy and lactation

Drug for the expectant mother
During pregnancy, hemorrhoidal disease brings a lot of discomfort and inconvenience to the expectant mother. During the formation and growth of the fetus, pressure increases on the organs located in the pelvis. Women have difficulty defecating and experience pain with burning and itching in the anal area. The last trimester of pregnancy is the most problematic.

If there is a high risk of complications, doctors recommend using Troxevasin, but the medicine is prohibited for use before twelve weeks. Women are allowed to use Troxevasin ointment for hemorrhoids during lactation.

During pregnancy and breastfeeding, the use of Troxevasin is limited. Its use is prohibited in the first trimester. In subsequent periods and during lactation, the drug is prescribed if the effect of its use is higher than the risk of developing various complications in the woman and child.

Most often, the ointment is prescribed for severe congestion in the pelvis. Troxevasin is effectively taken against itching, pain, constipation, inflammation and hemorrhoids. Regular treatment of the anal area improves blood circulation, strengthens the walls of blood vessels, and prevents the growth of nodes.

Treatment and prevention of hemorrhoids using the drug

• hemorrhoids (external, acute and chronic);
• venous insufficiency.
• varicose veins;
• thrombophlebitis (superficial);
• swelling in injuries, accompanied by pain;
• muscle spasms.

• varicose veins, varicose ulcers and other manifestations of venous insufficiency;
• dermatitis caused by varicose veins;
• thrombophlebitis;
• retinal diseases in diabetics.

If you use the drug regularly, the outflow of blood from hemorrhoidal formations improves, and the resulting lumps are reabsorbed.
Please note! The drug in the form of an ointment or gel can only be applied to the skin without damage. Avoid contact with ulcers and open wounds. Its effect on the mucous membrane is also undesirable.

1. The standard dosage is 600 mg (up to two tablets per day). If necessary for the treatment of acute hemorrhoids, the dosage may be increased on the advice of a doctor.
2. The medicine is taken orally twice a day - at breakfast and at dinner. For more effective absorption, the drug should be washed down with a small amount of boiled water.
3. To prevent the disease and during recovery from the acute stage, tablets/capsules can be taken one at a time for a long period of time (a month or more).

Note! Tablet forms of the drug may not have a therapeutic effect if swelling and other manifestations are associated with kidney disease.

• individual intolerance to troxerutin or auxiliary components.
• allergic reactions to angioprotectors and similar drugs;
• skin damage and ulcers in the anal area (for external use);
• peptic ulcer or gastritis (if taken orally).

First of all, it is worth considering that “Troxevasin” is a medication, so there is a risk of side effects

• allergies (redness and rash of the skin);
• skin itching;
• Gastrointestinal disorders (nausea, flatulence, dyspepsia).

Overdose may cause nausea, vomiting, headache and changes in blood pressure. If the dose is exceeded, the stomach must be rinsed and activated carbon preparations are prescribed.

There have been no cases of overdose with external use of this medicine in the form of a gel or ointment.

In most cases, when the drug is discontinued, side effects stop very quickly. That is why, when they appear, it is advisable to stop taking tablets / using ointment or gel and consult with your doctor.

A specialist can prescribe this medicine to the expectant mother (both for the treatment of hemorrhoids and as a prophylactic agent) if there is a risk of inflammation

Analogues of the drug

Drugs with the same composition are Troxerutin Zentiva, MIC. The only difference is in the manufacturer. Analogues can be imported or domestic. The latter will always be cheaper.

In terms of action, illogical drugs are many venotonics in different release forms:

• tablets, capsules, drops: “Detralex”, “Phlebodia”, “Diosmin”, “Eskuzan”, “Ascorutin”, “Vazoket”.
• gels and ointments: Heparin gel, Venoruton, Venohepanol, Lyoton.

You can find many positive or neutral reviews online. There are more effective medications for the treatment of hemorrhoids, but their cost is not affordable for every person.

When purchasing, keep in mind that this is a medicine that has long proven itself on the positive side. It is inexpensive, effective, and can be used to treat different categories of patients, including pregnant and lactating women.

The medication has a transparent gel-like structure (may have a slightly yellowish tint). 100 g of ointment base contains 2 g of troxerutin (2%). In addition to the main active ingredient, the gel contains additional inactive substances:

• benzalkonium chloride;
• triethanolamine;
• disodium EDTA;
• distilled water;
• carbomer.

Additional substances do not have medicinal properties and are necessary for ease of application of the medicine.

Often, instead of a gel, patients are offered Troxevasin ointment in the pharmacy. Do not be alarmed, this medicine for external use also has a gel-like structure and contains 2% Troxerutin, and despite the fact that “ointment” is written on the tube, it is actually a gel.

Capsules

Sometimes they say tablets instead of capsules, but the medicine for internal use is available only in capsules and contains:

• dry powder Troxerutin – 300 mg;
• gelatin base (shell material).

The name tablet began to be used due to the fact that some pharmacological companies produce round-shaped capsules that look like a tablet drug.

When taking the tablet, under the influence of digestive juices, the gelatin shell dissolves and Troxerutin enters the bloodstream, exerting a general effect on the blood vessels, and not just on the hemorrhoidal node.

The drug is completely eliminated from the body through urine and feces within 24 hours. Difficulty in excretion when taken orally is possible only with pathologies of the liver and kidneys. In such patients, the active component will accumulate in the body, increasing the risk of side effects.

Treatment of hemorrhoids with Troxevasin improves the condition of the affected vessel:

• increased tone of the vessel wall;
• improvement of venous blood flow;
• reducing the intensity of the inflammatory process;
• decrease in the permeability of the venous wall.

Additionally, the active component does not allow platelets to “stick” to the inner surface of the vessel, creating an obstacle to the formation of blood clots in pathologically expanded areas. This feature of the drug helps prevent the development of thrombosis even in people with high blood viscosity (thrombocytosis).

The use of Troxevasin drugs for hemorrhoidal pathology provides the following:

• relieves pain, swelling and itching;
• reduces the risk of bleeding from nodes (the venous wall is strengthened);
• improves blood flow in the vascular cone;
• prevents thrombosis.

The combined administration of capsules and gel helps prevent serious complications such as necrosis of vascular cones, the appearance of trophic ulcers, or the development of thrombosis.

The instructions supplied with the drug indicate how to use Troxevasin for hemorrhoids, depending on the form of release and the severity of the disease.

Pills

Capsules for hemorrhoids should be taken during meals with plenty of water. The dosage depends on the severity of symptoms:

• Acute and exacerbation of chronic. The tablets are taken three times a day.
• Prevention of exacerbations of chronic disease. Drink one capsule per day.

The therapeutic course should not exceed 2 weeks. If it is necessary to continue treatment further, then it is necessary to take a short break.

You can take Troxevasin capsules only after consulting your doctor. The medication has contraindications and can be dangerous in some concomitant pathologies.

The instructions for use indicate that Troxevasin gel for hemorrhoids should be spread twice a day on clean, intact skin. Do not apply ointment to areas of bleeding, ulcers or necrosis. But how to use it for internal hemorrhoids? It is necessary to consider the features of use depending on the location of the vascular cones:

• External (varicose veins are localized outside the anus). Apply to clean, towel-dried skin. To increase the therapeutic effect, the ointment can be used as a compress: squeeze a small amount of ointment onto a gauze napkin, apply it to the anus at night and fix it.
• Internal (vascular formations are localized on the intestinal wall). A tampon is soaked in the gel and inserted into the rectum overnight.
• Mixed (is a more severe form and the bumps are located simultaneously on the intestines and anus). With this type of pathology, a combination of the 2 methods described above is desirable.

To increase the therapeutic effect, patients are often prescribed the combined use of capsules and ointments.

Ladies in an interesting situation often suffer from inflammation of the hemorrhoids and are interested in whether it is possible to take Troxevasin for hemorrhoids during pregnancy.

Doctors do not recommend using the drug during pregnancy and breastfeeding. The use of the drug is allowed in rare cases when a pregnant woman experiences:

• increase in hemorrhoidal cones;
• inflammation in the nodes;
• pain during bowel movements;
• burning and itching in the anus.

At the same time, it is prohibited to use the medication in the first trimester, and not later, it is recommended to use only Troxevasin ointment for hemorrhoids during pregnancy, and not to take pills. External application of the drug has almost no effect on the fetus and significantly alleviates the condition of the pregnant woman.

When breastfeeding, taking capsules is not prohibited, but the drug should be taken under the supervision of a doctor.

Gels have a local effect and do not enter the general bloodstream, so the following is a contraindication for them:

• individual intolerance to Troxerutin;
• damage to blood vessels or skin.

When taken internally, the drug from the stomach enters the general bloodstream, therefore, in addition to individual intolerance to the components of the drug, the prohibition on treatment is:

• peptic ulcer;
• acute and aggravated chronic gastritis;
• I trimester of pregnancy.

It is not recommended to prescribe the medication in the following cases:

• renal failure;
• liver pathologies;
• children's age (under 15 years).

Increased permeability of the vascular wall is also considered a relative contraindication. In this case, the combined administration of Troxevasin and Ascorbic acid is recommended.

Description and features of the drug

Troxevasin is a broad-spectrum angioprotector drug. It comes in two forms:

• ointment is a translucent substance of light brown color with a light gel-like texture;
• tablets are oval capsules in a yellow gelatin shell.

The main active ingredient of the gel and capsules is troxerutin. The entire effect of the substance is aimed at restoring the functions of capillaries and veins, as well as preventing pathological conditions associated with them (vein thrombosis, increased permeability of vascular walls, capillary fragility).

Troxevasin ointment is used to treat external hemorrhoids and varicose veins. It has a pronounced anti-inflammatory effect, reduces pain caused by swelling, cramps of damaged muscle tissue, quickly relieves itching, and stops bleeding. Troxevasin capsules for hemorrhoids for oral administration act similarly.

According to numerous reviews, treatment of hemorrhoids in an advanced stage is most effective when using two dosage forms of Troxevasin: ointments and tablets. This helps to achieve maximum concentration of the active substance. After about 2 weeks of using the gel and tablets, the vascular walls become stronger and more elastic, blood flow in the hemorrhoids is normalized, swelling and discomfort in the anal canal area disappear.

How to consolidate the results of therapy

If you take capsules and use Troxevasin ointment, hemorrhoids will definitely go away. However, unpleasant symptoms of the disease can occur again and again. How can you make this annoying disease disappear forever? Proctologists recommend not to forget about proper, that is, balanced nutrition containing enough fiber and fermented milk products. In addition, it is important to eliminate constipation in a timely manner, exercise regularly, massage and walk more often.

A person who has used the drug “Troxevasin” has his own opinion about its effectiveness. Moreover, the drug is quite often prescribed for this disease. Accordingly, there is no consensus; sometimes you can find completely opposite points of view.

“Troxevasin” and hemorrhoids - patient reviews confirm its effectiveness in use, but there are various nuances: the degree of development of the disease, its neglect, concomitant diseases and various complications. Therefore, sometimes a gel (or ointment) for hemorrhoids is not a panacea. Then the patient is prescribed surgical intervention. Of course, this does not in any way detract from the effectiveness of the drug, because its action also has some limitations.

In addition, patients may cheat by skipping drug doses or not following the dosage, which affects positive results. And you should not forget about additional procedures prescribed by the proctologist (baths, use of suppositories, etc.), since complex therapy is most often recommended for inflammation of hemorrhoids.

But still, reviews of the drug are mostly positive, and this indicates that Troxevasin can get rid of the disease.

Why does inflammation of hemorrhoids occur?

Discomfort, soreness, itching, pain during bowel movements - this is not the entire list of unpleasant symptoms that accompany this disease. And the statistics are that hemorrhoids occur in every seventh representative of the stronger sex and even more often in women. In Rus' it was called the “royal disease”, since many autocrats suffered from inflammation of hemorrhoids. However, no matter how “royal” it may be, it is still necessary to treat hemorrhoids.

First, it is worth clarifying that hemorrhoids are intertwined dilated veins of the rectum. When the pressure on the pelvic organs increases, the veins stretch and become overfilled with blood.

This condition can occur for a variety of reasons and most often it is:

• sedentary work;
• decreased physical activity;
• poor nutrition.

In addition, hemorrhoids are often diagnosed in people suffering from obesity, constipation, and bad habits; in pregnant women. And since the disease occurs due to impaired venous outflow, weakness of the vein walls, malfunction of the muscles and ligaments of the rectum, an important aspect in the treatment of hemorrhoids is to increase the tone and strengthen the venous walls. This is why it is recommended to use Troxevasin.

This drug is available in various forms: gel, tablet, ointment or capsule; each of them is recommended for use at certain stages of the development of the disease, and sometimes in combination.

What types of products exist, and how to use each of them?

How does it work?

Troxerutin is an artificially created analogue of rutin, which allows the patient to feel better within 2 hours after use. The medicine works for up to 8 hours. Ascorbic acid can enhance the effect of the drug.

After penetrating through the vascular wall, the drug prevents blood clots from growing.
"Troxevasin" in the treatment of hemorrhoids penetrates the walls of inflamed and damaged vessels and inhibits platelets contained in these vessels, and thus reduces inflammation, itching and pain. At the same time, the medicine helps improve elasticity and tissue regeneration, makes the blood less thick and helps avoid blood clots, and reduces bleeding with each use.

The effect of Troxevasin on the body

If the drug is used correctly, its absorption into the blood is 10-15%. The maximum amount of medication in the blood is concentrated approximately 120 minutes after the drug enters the stomach. The level of the active substance in the amount required for maximum effect remains in the blood plasma for up to 8 hours.

The drug is subject to metabolism occurring in the liver. Part of the active substances is excreted unchanged from the body through the urinary canals, which is approximately 20-22% of the full serving. 60-70% of the drug is excreted via bile.

The active ingredients of the drug focus their attention specifically on the vessels located in the anal area.

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Each vessel has a special internal coating, which comes into contact with the blood. It consists of flat cells and intercellular space filled with a fibrous matrix. By influencing the matrix, modifying it, Troxevasin reduces pores and makes the surface of the endothelium (this is the name of this inner layer) smoother. At the same time, the drug actively affects the composition of the blood, preventing platelets from connecting and preventing the formation of clots. During exposure, red blood cells become more pliable and deform much more easily. Thanks to the drug, the development of the inflammatory process gradually stops, and soon reverses the process.

The use of the drug "Troxevasin" leads to the following effects:

• swelling that occurs with chronic venous insufficiency is reduced;
• pain goes away;
• convulsions disappear;
• the process of nutrition of vascular cells and tissues surrounding the inflamed area is normalized;
• reduction and gradual disappearance of varicose ulcers in the area of ​​hemorrhoids;
• bleeding stops;
• itching decreases;
• the permeability of the walls of blood vessels and their resistance to the negative effects on tissue by infectious pathogens improves, which becomes the basis for slowing the development of diabetic retinopathy;
• the threat of retinal microthrombus formation is eliminated.

What to replace it with?

Analogues of the drug "Troxevasin" in the treatment of external hemorrhoids include such products as heparin ointment, Troxvenol gel, Relief cream, capsules and ointment Troxerutin, Trental, Curantil. You cannot treat hemorrhoids on your own or based on the advice of friends. This is a serious illness and requires specialist advice. Using medication alone for hemorrhoids will not provide a long-term positive effect. To forget about the disease, you need to follow a diet, drink plenty of fluids and move more.