Tablets for hemorrhoids and varicose veins: what are effective medications, selection criteria, use for bleeding

The meaning of venotics

Phlebotonics for hemorrhoids, in its combined treatment, are of great importance. Thanks to them:

inflammation in blood vessels is eliminated;
preventive treatment occurs;
you can prepare the human body before surgery and restore it after;
complications are prevented;
the elasticity of the walls of blood vessels increases;
blood thins;
blood clots are prevented;
blood flow improves;
metabolism accelerates.

Patient reviews

I encountered hemorrhoids for the first time after childbirth. I was able to immediately get rid of the severe symptoms: pain and burning, sensation of a foreign body in the anus. But the disease returned periodically. At first I used suppositories and pills for hemorrhoids. In the end, they helped great, but again, not for long. Then the doctor prescribed Detralex tablets in addition. The drug is not cheap, but worth it. I drank it periodically, in courses every six months. After this treatment, the hemorrhoids did not return.

Often, when hemorrhoids worsen, I use Relief suppositories. For me this is the most reliable method of treatment. In addition to suppositories, I use Troxevasin ointment. It quickly relieves itching and swelling. After complex treatment, the disease does not bother you for a very long time.

Phlebotonics for hemorrhoids are irreplaceable drugs that are often used in conservative treatment. If the disease is in an advanced stage, then they cannot help the patient. In such cases, surgical intervention is recommended. In order not to miss the moment, it is necessary to seek medical help in a timely manner. If you have unpleasant symptoms in the anal canal, you should not self-medicate; this can aggravate the course of the disease and lead to complications.

Venotonics are used in the comprehensive recovery of patients. At the same time, you need to follow a regimen, diet and use related medications. The effectiveness of appropriate treatment largely depends on the individual characteristics of the patient’s body.

Factors causing hemorrhoids

Varicose veins (hemorrhoids) are treated after diagnosis. Hemorrhoidal disease should be treated taking into account the stage of the pathology, severity, and characteristics of the patient’s body.

Physical overexertion

sedentary work;
frequent indulgence in spicy dishes;
sedentary life;
addiction to alcohol, smoking;
genetic predisposition;
difficult childbirth, pregnancy;
unbalanced diet;
emotional instability;
irregular bowel movements (constipation);
hard physical labor.

Maintaining a healthy lifestyle reduces the risk of hemorrhoids.

Basic pharmacological properties of venotonics for hemorrhoids

Venotonic agents today are, as a rule, the main method that actually prevents itching and irritation in the anus within ten minutes after using the drug. In addition to this effect, venotonics have a number of other advantages, for example:

Prevent the risk of developing blood clots.
Help prevent inflammation and infection in the body.
They help make the walls of blood vessels less permeable, thereby reducing swelling in the area of the inflammatory process. In addition, small veins under the influence of venotonics become fragile and tender.
They increase blood flow in small blood vessels, thereby increasing the nutrition of cells in tissues.
The elasticity of the veins is stabilized and the pressure in them is normalized. They also enhance the functioning of the valves inside the vessels, due to which the normal outflow of blood from the pelvic veins is resumed.
Reduce the harmful effects of leukocytes, thereby reducing inflammation.

Venotonic drugs for hemorrhoids are prescribed very often. Such medications are widely used for varicose veins of the lower extremities. The effect of drugs occurs quickly, in the first ten minutes after use.

The main properties of this group of medications are as follows:

strengthen the walls of the blood vessels of the affected organ;
increase the strength of the walls of blood vessels, small veins become more delicate and fragile, relieve swelling;
reduction of pain syndrome;
effectively stop the process of blood clots;
anti-inflammatory effect;
reduces blood viscosity;
Venous and arterial tone is stabilized, and the activity of the vein valves is normalized. Venotonics improve blood flow from the pelvis.

Contraindications

When choosing venotonics, it is necessary to take into account contraindications for use. The main prohibitions for taking such medications are:

exacerbation of gastritis;
if a woman has a difficult pregnancy, there is a risk of miscarriage;
allergic reaction, hypersensitivity to one of the ingredients of the medicine;
liver, kidney failure;
incompatibility with other medications that the patient is currently using.

Women during pregnancy and breastfeeding should choose a venotonic drug only after consulting a doctor. As a rule, pregnant women are prescribed medications based on natural herbal ingredients.

We recommend: What to do if hemorrhoids come out due to diarrhea - how to treat and what are the dangers

Symptoms of the disease

Burning in the anus

severe pain when touching hemorrhoids;
lump-like protrusion around the anal canal;
increase in bumps during bowel movements;
traces of blood in the stool during bowel movements;
discomfort with itching and burning in the anus;
severe pain when straining, during coughing, sneezing (with hemorrhoidal thrombosis).

With internal hemorrhoids, patients experience inflammation of lumps that are practically invisible (submucosal). At the beginning of the disease, blood discharge is sometimes noticeable after voiding on paper. Internal hemorrhoids are characterized by pain during/after bowel movements, a feeling of incomplete cleansing of the intestines, discomfort, and the release of voluminous lumps into the lumen of the anal canal.

When should venotonics be used?

Preparations containing venotonic components are highly effective. But, despite this, they are used in the treatment of hemorrhoids only in the early stages of the onset of the disease. If the disease is already in an advanced phase, then venotonics will not help in such a situation. In severe cases of the disease, only surgical intervention can improve the patient's condition.

Venotonics are considered an integral part of the postoperative period, which is aimed at restoring the body and preventing relapse. But even in this case, venotonics should not be the only way to eliminate hemorrhoids. Treatment of the disease should always be comprehensive and include not only drug therapy, but also adherence to a certain diet, as well as performing certain physical exercises.

In addition, venotonics for hemorrhoids can be used as a method that provides temporary relief. In most cases, venotonics are prescribed as a way to:

eliminating pain syndrome;
reducing swelling and inflammation;
prevent bleeding;
restoration of vessel walls after surgery.

The main effect of venotonics is aimed at increasing the tone of the walls of venous vessels.

Rectal suppositories are considered a convenient and easy-to-use medicine. Venotonics for hemorrhoids are effective in local treatment of the disease, but do not have a negative effect on the body as a whole. For varicose hemorrhoidal veins that are not accompanied by venous insufficiency, it is best to use rectal suppositories.

What are venotonics and how do they work?

Venotonics or phlebotonics are medications intended to normalize the condition of blood vessels: strengthening their walls, improving elasticity and tone.
The drugs included in this group are used to treat hemorrhoids, as well as varicose veins. Often, venous insufficiency causes thrombosis, thromboembolism and similar diseases. It is accompanied by dilation of the veins, as well as stagnation of blood and its release from damaged vessels. If the patient seeks help in a timely manner and the disease can be diagnosed at the initial stage, then venotonics are prescribed as treatment.

Venotonics for hemorrhoids:

normalize vascular permeability;
improve tissue microcirculation;
have an anti-edematous effect;
reduce inflammation;
have an analgesic effect;
improve lymphatic drainage;
reduce the likelihood of thrombosis;
improve the functioning of the cardiovascular system.

Thanks to such drugs, it is possible to improve the flow of blood from the hemorrhoid, reduce the risk of damage to the vascular walls, and also reduce the likelihood of platelets sticking together.

The use of phlebotonics affects the entire vascular system of the body, and not just the damaged areas.

Since venotonics used for hemorrhoids affect the entire body, they should be used only after consultation with a specialist and under his supervision.

Medicines for hemorrhoids

After examination and medical history, if hemorrhoids are detected, the doctor prescribes effective drug therapy. The treatment regimen consists of the use of internal and local dosage forms.

Specialist doctor

Phlebotropic group (Ginkor fort, Diosmin).
Local preparations (combined, natural).
Laxatives (to normalize stool).
Painkillers.

https://www.youtube.com/watch?v=RMgtQgW81HA

Venotonics for hemorrhoids are prescribed to improve microcirculation in the brain, increase tone in dilated veins, and relieve symptoms due to venous disease. Venotonic drugs are prescribed for hemorrhoids and for preventive purposes when removing vascular congestion in the pelvis.

To treat external forms of hemorrhoids, ointments, creams, suppositories and balms are used. They have a double effect:

tone blood vessels;
heal wounds and cracks.

TOP ointments

"Indovezin". The gel is recommended to be used to eliminate swelling and improve the elasticity of the vascular wall. The use of ointment helps to normalize blood circulation processes.
"Troxevasin". The ointment tones the veins, relieves swelling and prevents the formation of blood clots.
"Heparin". The drug is recommended for the treatment of rectal diseases in pregnant women. The ointment does not affect the lactation process.

TOP suppositories

Suppositories are prescribed not only for the treatment of hemorrhoids, but also to prevent their formation. The best venotonic suppositories for hemorrhoids:

"Nigepan." Rectal suppositories of this type are recommended for use to prevent the disease. They are able to relieve pain in the first stage of the disease.
"Relief". Suppositories are prescribed for open bleeding. Suppositories have the ability to accelerate the regeneration of diseased skin cells.
"Natalsid." The product effectively relieves inflammatory processes. When using candles, wounds and cracks heal in a short time.

Classification of drugs

Treatment is prescribed by the doctor individually for each patient. To eliminate inflammation, the patient takes pills for hemorrhoids. Effective combination drugs are prescribed taking into account the patient’s age, shape and stage of hemorrhoids.

Non-narcotic analgesics include the following drugs:

To relieve pain, the patient takes non-steroidal anti-inflammatory drugs:

Thrombolytic agents are no less relevant in the treatment of hemorrhoids. The patient is recommended to take the following medications:

Tablets Troxevasin Forte and Esflazid improve blood flow. Prednisolone has an anti-edematous effect. The drug reduces itching and burning in the anus.

To prevent exacerbation of a dangerous disease, the patient takes enzymes and medications that affect the microflora of the large intestine:

Treatment of diarrhea due to inflammation of the rectum is carried out with the help of Panzinorm, Tetracycline, Metronidazole.

Phlebotonic drugs

The use of medications for hemorrhoids is determined by the severity of symptoms during an acute process. Systemic treatment is carried out using phlebotropic drugs. Venarus is the most widespread.

The medicine dissolves poorly in the stomach and intestines, reduces blood stagnation, and increases capillary tone. Patients who systematically use the drug to treat hemorrhoids note a decrease in the manifestations of the disease within several days of therapy.

The medicine rarely causes unwanted side reactions; even pregnant women can take Venarus for hemorrhoids. Reviews from patients indicate its effectiveness when used at the dose recommended by the doctor.

Venarus for hemorrhoids eliminates the manifestations of a chronic process, reduces swelling and inflammation. Taking the drug Detralex is of great importance for the treatment of the patient. It consists of 2 substances - a purified fraction of diosmin and flavonoids.

The drug is prescribed for the treatment of acute and chronic hemorrhoids. Thanks to the action of the medicine

the number of free radicals in the patient’s body decreases, lymph circulation improves, and capillary tone increases.

The drug is prescribed after surgery to improve platelet function, blood composition and eliminate inflammation in hemorrhoids.

Herbal remedies

For the treatment of chronic hemorrhoids, drugs based on natural raw materials are used. Purpose of prescribing medications containing natural ingredients:

prevention of dangerous complications;
relapse prevention.

Herbal preparations for hemorrhoids improve blood circulation in tissues and eliminate swelling. Escusan tablets for hemorrhoids are prescribed to increase capillary tone and prevent the formation of blood clots. The active ingredients included in the herbal product are triterpene glycoside (saponin) and thiamine.

The drug used to treat hemorrhoids affects the formation of exudate in the anal area and has an antioxidant effect. Aescusan is taken as prescribed by a doctor to slow down cell aging and regulate the process of fat oxidation.

Esflazide tablets contain saponin and flavonoids obtained from horse chestnut leaves. Course therapy lasts from 14 days to 2-3 months. If the patient has increased blood clotting, taking the tablets must be combined with anticoagulants.

In some cases, the patient develops adverse reactions: pain in the heart, conjunctivitis, stool disturbances.

Non-narcotic analgesics

Therapy for hemorrhoids is aimed at eliminating pain in the anus caused by thrombosis of external nodes. Non-narcotic painkillers eliminate itching, burning, and discomfort in the anus.

Medicines for hemorrhoids used to relieve pain are prescribed by a doctor in combination with local anesthetics. Nonsteroidal anti-inflammatory drugs have an analgesic effect.

The patient is recommended to take the following medications:

Indolylacetic acid derivatives block the development of the inflammatory process and have a pronounced analgesic effect. It is recommended to take non-narcotic analgesics only as prescribed by a doctor, since there are contraindications for taking them.

Ibuprofen is not recommended for patients suffering from the following diseases:

peptic ulcer of the stomach and duodenum;
anemia.

Analgesics are not prescribed to pregnant women and children under 14 years of age. In the acute phase of the disease, complicated by inflammation and pain, the doctor recommends pills for hemorrhoids. Effective new drugs containing a high concentration of the active substance eliminate discomfort and severe pain.

Non-narcotic analgesics intended for the first stage of pain relief, produced in the Republic of Belarus, provide greater safety in the treatment of patients with diseases of the stomach and intestines.

Therapy of microcirculatory disorders

The attending physician decides which pills to take for hemorrhoids after studying the patient’s medical history and conducting the necessary laboratory research methods.

To stimulate blood flow in hemorrhoids, medications from the benzopyrone group are prescribed:

Rutoside;
Venoruton;
Troxerutin.

To eliminate microcirculation disorders in tissues and normalize blood counts during an acute inflammatory process, the patient is recommended to take the following tablets:

Acetylsalicylic acid;
Pentoxifylline;
Ginkor Fort;
Detralex;
Cyclo-3 Fort;
Pribenoside;
Endothelon.

The herbal medicine eliminates pain, restores collagen fibers, and reduces the inflammatory process. The drug is taken orally, during meals, in the dose recommended by the doctor. Medicines for hemorrhoids that improve microcirculation in tissues are prescribed with caution to patients suffering from severe arterial hypertension.

Means for eliminating bleeding

In stages II and III of hemorrhoids, degenerative processes develop, nodes and discharge from the anus appear. Tablets for hemorrhoids with bleeding are prescribed simultaneously with suppositories containing adrenaline and local hemostatic materials.

Tablets for hemorrhoids with bleeding are necessary to eliminate the symptoms of acute inflammation and prevent complications. Diosmin reduces acute manifestations of the disease. It is part of the drug Detralex. Thanks to its use, bleeding from hemorrhoids is reduced in 90% of patients.

If discharge appears after defecation and straining, the tablets are ineffective.

Internal hemorrhoids in stages II and III of the disease are treated by ligating the hemorrhoids. If blood leaks drop by drop from damaged tissues, hemostatic drugs are prescribed to stop it: Vikasol, Dicynon, Etamzilat.

Application of Troxerutin

Tablets improve microcirculation in hemorrhoids and are used to treat the chronic stage of the disease. The drug Troxerutin helps the patient get rid of inflammation and swelling in the hemorrhoids. The drug has a tonic and antioxidant effect.

Tablets for hemorrhoids and varicose veins reduce exudative inflammation in the walls of blood vessels and prevent platelet aggregation. The patient takes the medicine in the dose prescribed by the doctor.

After therapy, the patient's injured nodes decrease, and patients with anal bleeding note the cessation of discharge from the anus on the 4th day of taking the drug. Patients with external hemorrhoids experience a decrease in perianal edema and disappearance of pain after 10 days of treatment.

Venotonic ointments

Ointments and balms are much more often prescribed for hemorrhoids. They are easier to use, you don’t have to worry about overdose, and they have a pharmacological effect much faster than venotonics in tablet form.

Venotonic ointments have a local effect, affect the veins and eliminate unpleasant symptoms:

“Posterized.”
"Bezornil."
"Aesculus."
"Troxevasin".
"Procto-Glyvenol."
"Heparin ointment."
"Levomekol".
"Aurobin."
"Relief".
"Ultraproct".
"Proctosedyl."
"Proctosan."
"Hepatrombin."
"Doloproct."
"Heparoid Zentiva".

Suppositories with venotonic effect

Doctors often prescribe venotonic suppositories for hemorrhoids for local treatment. They are easy to use, effective and safe. If hemorrhoids are not accompanied by venous insufficiency, then rectal suppositories are the best treatment option. The best suppositories for hemorrhoids with phlebotonics:

based on horse chestnut fruit. This element can stop bleeding, relieve swelling and eliminate pain. In addition, the natural component destroys pathogenic microorganisms, preventing further spread of infection and accelerating the healing of affected tissues;
Relief, suppositories containing venotonics for hemorrhoids , based on shark liver oil, which have a hemostatic and wound-healing effect. This drug is used in the treatment of anal fissures. It reduces the size of hemorrhoids, stimulates venous outflow, accelerates wound healing;
Procto-Glivenol with analgesic, anti-inflammatory, anti-edematous, antipruritic properties. This drug quickly and effectively relieves the symptoms of varicose hemorrhoidal veins that occur during pregnancy.

It should be noted that hemorrhoids are a multifactorial pathology. You cannot hope that one miracle pill or ointment will help completely eliminate the problem. Only comprehensive treatment, following a diet, doing gymnastics, giving up bad habits and leading a healthy lifestyle will restore the functioning of the veins in the anal canal.

Interesting! There are many products that have a venotonic effect. By including them in your daily diet, you can ensure good prevention of hemorrhoidal disease. The most useful “gifts of nature” include black currants, citrus fruits, dark cereals, green tea, apples, and rose hips.

"Troxevasin"

The medicine has an angioprotective effect with anti-edematous and anti-inflammatory effects. "Troxevasin" is used to eliminate venous insufficiency and varicose veins.

The drug is produced in the form of a gel for external use and in capsules for oral administration. One tablet contains:

troxerutin;
lactose monohydrate;
Magnesium stearate.

The gel contains:

troxerutin;
carbonara;
disodium ethylenediaminetetraacetic acid;
benzalkonium chloride;
triethanolamine.

According to the instructions for use, Troxevasin in tablet form must be taken orally with meals. The dosage of the drug is two capsules once a day, the course of therapy is one month.

The drug in the form of an ointment is applied with massaging movements to the painful surfaces of the skin, twice a day, treatment must be carried out until the symptoms of the disease completely disappear. The cost of the drug varies from 180 to 700 rubles.

Tools Overview

Venotonics for hemorrhoids are selected individually depending on the severity of the underlying disease, the patient’s financial capabilities and susceptibility to the therapy.

For indoor use

Internal medication administration is one of the most common and simplest. In 80% of cases, hemorrhoids are treated on an outpatient basis with regular visits to the doctor by the patient. Because of this, tablets and capsules are the best choice for most patients.

Detralex is one of the most common venotonics for the treatment of hemorrhoids. The active ingredients of the drug are diosmin and hesperidin. The drug has phlebotonic and angioprotective properties. Hemorrhoids and varicose veins of the lower extremities are the main indications for use of the drug. Due to its natural origin, Detralex is well tolerated by patients and is contraindicated only in case of allergy to the components of the venotonic.

The medicine is used 3 tablets 2 times a day for the first 4 days, and then the dose is reduced to 2 units of the drug at a time. The duration of the therapeutic course is determined individually (on average 3 months).

Ascorutin is a good cheap remedy for stabilizing vascular function. The medicine has a powerful angioprotective and moderate venotonic effect. Because of this, isolated use of Ascorutin does not always guarantee achievement of the desired result.

The drug is contraindicated only in case of individual intolerance. Venotonic is recommended for use for hemorrhoids, varicose veins, and vascular diseases, 1-2 tablets per day. The therapeutic course is determined by the doctor on an individual basis.

Vazonit is a medicine based on pentoxifylline. The drug, in addition to increasing vascular tone, improves microcirculation and metabolism.

Indications:

Haemorrhoids.
Pathology of peripheral and cerebral circulation.
As part of complex therapy for diabetic angio- and nephropathy.
Hearing impairment caused by pathology of the corresponding vessels.

Vasonit is contraindicated for use in patients with acute myocardial infarction, massive bleeding and hemorrhagic stroke. The medicine is prescribed 1 tablet 1 time per day.

For external use

Venotonics for external use are available in the form of ointments and gels. For the treatment of hemorrhoids, this group of drugs is less relevant. In practice we use:

Lyoton 1000. Heparin-based gel. The drug prevents the formation of blood clots. Apply the product 2-3 times a day in a thin layer to the affected area. Read more about the drug Lyoton 1000 →
Troxevasin, 2%. Gel that improves microcirculation and increases vascular tone. It is used similarly to Lyoton.

The selection of external phlebotonics should be coordinated with a doctor to achieve maximum results.

Candles

Suppositories are a current dosage form for the treatment of hemorrhoids, which is due to the local effect on the pathological focus. The use of appropriate drugs is carried out to stabilize the patient's condition and prevent the systemic effect of the drug.

In practice we use:

Ginkor Procto is a venotonic rectal suppository for hemorrhoids based on Ginkgo Biloba extract. The drug improves the condition of the vascular wall and accelerates recovery. Venotonic is used 1 suppository 2 times a day.
Relief is a popular remedy for hemorrhoids, soothing and healing the affected area. The venotonic effect is moderate. The medicine is used 1 suppository up to 4 times a day. Read more about Relief candles →

It is important to note that the introduction of suppositories should be carried out after preliminary toileting of the anal area.

The choice of venotonics for hemorrhoids is an important aspect of successful treatment of the patient. To achieve the desired result, you should always consult your doctor first. However, complete relief from the problem is only possible with complex treatment of the disease using all available methods.

Author: Denis Volynsky, doctor, especially for xVarikoz.ru

Active Ingredients

Venotonics for hemorrhoids in tablet form are considered the most popular drugs.

They owe their popularity to their natural composition of the following components:

Japanese Sophora;
horse chestnut;
red grape extracts.

Chemical components are added to the plant components, which in combination contribute to a powerful therapeutic effect on the affected capillaries and veins.

Medicines with bioflavonoids act systemically on the body (Venarus, Vasoket, Detrolex, Phlebodia).

Routine medications effectively relieve swelling in the inflamed area. Drugs such as Ascorutin and Troxevasin are available in capsules and ointments, which expands the range of effects of the drug (topically and orally).

Venotonics with pentoxifylline (Trental, Vazonit) help increase venous tone, reduce vascular permeability, and restore nutrition to intestinal tissues. In addition to the positive results, these drugs have many side effects, so their use is strictly permitted after a doctor’s prescription.

To treat varicose veins, biologically active compounds (dietary supplements) with tea tree oil, mint extract, and horse chestnut are used. Biological products are available in the form of tablets, capsules, solutions, drops, ointments, creams, and suppositories. Basically, biological medications are prescribed as additional means to effective therapy.

The best phlebotropic drugs for hemorrhoids are drugs that are produced on the basis of plant substances, since they are the safest for the body, have fewer contraindications, are better absorbed, and at the same time have a high therapeutic effect. Phlebotonics often include extracts from medicinal plants: horse chestnut, lavender, rosemary, red grapes and others. Semi- and synthetic drugs are also effective for hemorrhoids.

https://www.youtube.com/watch?v=1rw6LnOHGnw

Important! It should be understood that venotonics have a high therapeutic effect exclusively in the early stages of the development of the disease. In the later stages, they exclusively help reduce unpleasant symptoms, improving the patient’s well-being.

All venotonics are divided into several types depending on the active substances included in their composition.

Preparations whose main components are the flavonoids diosmin and hesperidin. Medicines based on these substances have a systemic effect and are available in tablet form. In pharmacies you can find venotonics that contain only diosmin (Phlebodia 600, Vazoket, Diosmin), as well as combination drugs (Venarus, Detralex).
Medicines based on rutoside (Pylex) and troxerutin (Troxevasin, Troxerutin, Troxevenol). Available in tablets, ointments, and gels.
Venotonics, in which the main substance is pentoxifylline (Vazonit, Trental, Pentoxifylline). The effect of such drugs is based on reducing capillary permeability and, as a result, increasing the tone of blood vessels, as well as improving tissue trophism. However, unlike those given above, such drugs have more serious contraindications for use.
Natural preparations produced in various forms, which include extracts, oils or juices of medicinal plants (Doppelhertz Venotonic, Shungite). They are used as an adjunct to primary therapy.

Which venotonic to choose for the restoration of hemorrhoidal vessels

Varicose hemorrhoidal veins manifest differently in different people. Many girls suffering from hemorrhoids complain of feeling unwell during menstruation, which requires a special approach. Taking anticoagulants can worsen bleeding, cause anemia and thrombocytopenia.

Detralex active ingredient of the drug – Diosmin, tablets for veins and blood vessels, widely used for the complex treatment of inflammation of hemorrhoids

The list of safe but effective means from the group of phlebotonics includes:

"Venarus" in tablets. Contains natural components – flavonoids (“Diosmin”, “hesperidin”), due to which it has an angioprotective effect. Long-term use of the medicine will help improve the venous valves and wall. Effective in the treatment of blood vessels of the lower extremities with hemorrhoids, varicose veins, thrombophlebitis. Inhibits the synthesis of inflammatory mediators, protects the endothelium from the action of free radicals.
"Phlebodia". Tablets containing Diosmin are effective in the treatment of uncomplicated hemorrhoids, mild forms of venous and lymphatic insufficiency. They have anti-inflammatory properties, improve the ability of the skin and mucous membranes to regenerate.
"Detralex". Its action is reminiscent of Venarus. Improves the physical properties of pelvic vessels (elasticity, firmness, resistance), prevents the development of blood clots. Thanks to the stimulation of blood flow, metabolism in the affected tissues accelerates and their rapid recovery occurs.
Ointment "Troxevasin". Widely used in the treatment of inflamed blood vessels and joints. It has virtually no side effects, which is why it is used for heaviness in the lower extremities, evening swelling of the legs and aching pain after strenuous exercise. The drug is able to thin the blood at the site of inflammation, reduce aches and hyperemia, and remove the feeling of stiffness.

Venarus tablets for strengthening blood vessels based on Diosmin and Hesperidin, used to treat venous insufficiency and diseases of the rectum

In addition to venous circulation, venotonics improve the circulation of intercellular fluid, therefore they are often prescribed for diseases of the lymphatic system. But hemorrhoids can be cured with ointment alone only in mild cases of the disease. The progression of the disease, accompanied by prolapse of vascular nodes, pain and anal bleeding, requires an integrated approach.

"Relief"

Medicine for topical use in proctology. "Relief" has a vasoconstrictor, wound healing and anti-inflammatory effect.

The medication is available in the form of ointments and suppositories for rectal administration. The main component of the venotonic is phenylephrine hydrochloride.

The active substance exhibits a local vasoconstrictor effect, which helps reduce fluid formation, tissue swelling and irritation in the anorectal area.

“Relief” must be applied in the morning and evening, after each bowel movement, but no more than four times a day. After the procedure, the applicator must be rinsed and placed in a special cap.

Suppositories for rectal use are inserted into the rectum, one suppository up to four times a day. The cost of the medicine varies from 200 to 700 rubles.

What is Detralex

The main active ingredient of Detralex, the flavonoid diosmin, has an effective effect at all stages of venous disease associated with insufficiency of their function. Detralex has found wide use in the treatment of hemorrhoids, both chronic and acute. In the production of Detralex, a unique technology is used - micronization, which gives the drug the unique property of high digestibility by the body and therapeutic productivity of use.

Compound

The medicine is available in the form of tablets, which are covered with a pink-orange film, oval in shape, with marks on both sides; the color on the fracture has a yellowish tint, the structure is heterogeneous. The tablet has the following composition:

diosmin – 900 mg;
flavonoid component – 100 mg;
other flavonoids equivalent to hesperidin – 100 mg;
gelatin – 62 mg;
magnesium stearate – 8 mg;
microcrystalline cellulose – 124 mg;
sodium carboxymethyl starch – 54 mg;
talc – 12 mg;
water – 40 mg

The film shell contains a number of elements, the presence of which is important to take into account, because in some rare cases, individual intolerance may occur with the standard treatment regimen:

sodium lauryl sulfate – 0.13 mg;
glycerol – 1.63 mg;
hypromellose – 27.04 mg;
macrogol 6000 – 0.65 mg;
magnesium stearate – 1.63 mg;
red iron oxide – 0.21 mg;
yellow iron oxide – 0.63 mg;
titanium dioxide – 5.21 mg.

pharmachologic effect

The drug contains angioprotective and venotonic therapeutic effects. Detralex reduces the ability of veins to stretch and reduces stagnation of venous blood. The drug has an effect on capillaries, reducing their permeability and increasing resistance. Clinical trials of the drug have revealed the ability to correct hemodynamic parameters, which has an important role in relation to the venous vessels of the lower extremities and hemorrhoids. The optimal effect is achieved with a dosage regimen of 1000 mg of the drug per day.

The medicine has a proven antioxidant effect: Detralex stops the production of free radicals, which are one of the main causes of destruction of vascular walls. In addition to eliminating venous stagnation, the drug enhances lymph outflow. The medication is used to reduce inflammatory processes through the ability to inhibit the production of prostaglandins (inflammatory mediators).

Indications for use

Detralex promotes both temporary relief of unpleasant symptoms of venous insufficiency and complete relief from the disease. The drug is prescribed if the following deviations from the norm are recorded:

chronic or acute internal hemorrhoids (inflammation of hemorrhoidal veins, bleeding);
a feeling of fatigue, heaviness and fullness in the legs caused by venous insufficiency;
venous nodes, trophic ulcers;
therapy for lymphatic insufficiency.

Contraindications and side effects

Detralex for hemorrhoids - its dosage regimen, despite all its advantages, has a number of contraindications and side effects that must be kept in mind in order to stop taking the drug if necessary. Contraindications are:

Hypersensitivity to the components of the drug.
During breastfeeding due to the lack of authoritative studies on the effect of Detralex on the composition and quality of milk.
Use is not recommended for persons under 18 years of age due to the lack of clinical studies of the drug.
During pregnancy, use is possible only after consultation with a doctor, who must assess the balance of benefit and harm.

The risk of side effects when patients use the product according to the instructions is extremely low. Treatment of hemorrhoids with Detralex may be accompanied by the following undesirable manifestations:

dyspepsia;
nausea;
diarrhea;
colitis;
headaches, dizziness;
urticaria, itching, swelling on the face;
angioedema (there have been isolated cases in medical practice).

List of venotonics

The selection of a venotonic for the treatment of hemorrhoids is carried out by the attending physician, taking into account the severity, stage of the disease, the size of the cones, their number, allergies, and the individuality of the body.

Popular drugs

Viazoket - recommended for acute hemorrhoids, quickly restores proper permeability to capillaries, relieves pain, discomfort, and prevents blood loss.
Venarus is a complex remedy that strengthens blood vessels, reduces venous distension, and is also recommended for venous congestion.
Doppelhertz is a tablet product for restoring metabolic processes, accelerating regeneration in all tissues, healing the entire body.
Detralex - tablets that increase vascular tone, restore veins and relieve hemorrhoidal diseases and varicose veins of the extremities.
Angistakas is a product that improves microcirculation, relieves pain, swelling, and discomfort.
Venoruton - restores tone to the veins, eliminates inflammatory processes, and is sometimes prescribed as a preventive medicine for hemorrhoids.
Venotonic local drugs for hemorrhoids - venotonics in ointments, creams, balms are most often used by patients, this is due to the rapid effect on the affected area:
Troxevasin is a venotonic drug with an anti-inflammatory effect. Copes with swelling, pain, prevents thrombosis. Troxevasin is an antioxidant with a strengthening effect on vascular walls.
Heparin ointment - reduces and softens hemorrhoidal cones, eliminates all disturbing symptoms. Often prescribed to pregnant and nursing mothers.
Levomekol is a fast and effective antibiotic ointment that copes with pain and other disturbing symptoms. Levomikol acts in cells, which ensures rapid regeneration.
Relief is an anti-inflammatory, restorative ointment that effectively relieves pain, quickly heals cracks and damage in the anal canal, and fights hemorrhoids.
Proctosan is an ointment intended for the treatment of hemorrhoids, eliminates inflammation and pain, and is approved for use during pregnancy.

Venotonic suppositories for inflamed hemorrhoids are recommended as an additional medicine in case of lumps, itching, burning, frequent constipation, pain and minor blood loss.

Rectal suppositories

Nigepan is a preventive suppository to relieve and alleviate primary symptoms.
Relief - prescribed to patients with blood loss. Suppositories have excellent regenerating properties, promote easy bowel movements, reduce inflammation, and eliminate infection.
Natalsid is a hemostatic suppository with anti-inflammatory and restorative effectiveness.
Aurobin is a combined (hormonal) local drug for relieving pain from hemorrhoids.
Proctosedyl - suppositories for itching, swelling, inflammation, restore tone in the veins.

Before starting treatment therapy, diagnosis and medical consultation are necessary. Spontaneous, uncontrolled use of drugs can not only be a useless treatment, but also worsen a person’s health.

Classification of drugs

Proctological drugs can be divided into two classifications:

By release form

Rectal suppositories (suppositories)

This is the most effective medicine because... acts directly on the affected area. Suppositories have a local effect, often analgesic, hemostatic or antispasmodic. Many people are afraid to use rectal suppositories, although there is nothing scary or difficult about it. They are thin enough, so there is no discomfort.

Of all brands of rectal medications, Relief suppositories (Advance and Ultra) are especially popular. They can be used at different stages of the disease, as well as in pregnant women. You can try other brands of candles. For example, Procto-Glyvenol, Anuzol, Gepatrombin. Suppositories based on sea buckthorn oil have a good restorative effect.

Ointments, gels and creams

Local medications are ointments and creams. They have the same effect as candles, but are considered less effective. More often they are used only outside the anus. With some ointments, you can make lotions by inserting a generously lubricated tampon into the rectum 3-5 cm.

Of the inexpensive but best ointments, you can choose Heparin ointment or Troxevasin. More expensive and powerful products: Zdorov cream, Relief ointment, Bezornil, Posterisan.

Tablets for hemorrhoids

The action of the tablets is aimed at strengthening and toning the venous walls, improving vascular patency and eliminating inflammatory processes. Among the tablets there are also analgesics that temporarily relieve pain in the anus.

Well-known drugs include the French Detralex, Phlebodia 600 and the domestic Venarus. They are taken for varicose veins and hemorrhoids, because... they effectively eliminate venous congestion and have an angioprotective effect (protect the walls of blood vessels). All medications are taken in courses. According to the spectrum of action, there are several groups of drugs for hemorrhoids.

Anticoagulants. They thin the blood and prevent the formation of clots and blood clots. For example, heparin-based ointments.
Hemostatics. Good for increasing blood clotting. Such drugs are used for severe bleeding. For example, Natalsid candles.
Venotonics. They strengthen the walls of blood vessels and reduce the permeability of small veins. You can highlight Troxevasin gel, Ginkgo Biloba dietary supplement, Procto-Glivenol cream, Detralex tablets, Phlebodia 600 and Venarus.
Antispasmodics. Excellent for relieving pain and spasms. Most often, candles with belladonna extract are recommended.
Immunostimulants. Increases the body's resistance, tones blood vessels, and restores tissue. For example, Posterizan candles.
Anesthetics. Quickly soothe pain and relieve itching. You can select drugs based on lidocaine (suppositories or cream).

Opinions

What reviews do patients leave about the best veinotonics for hemorrhoids? People note that drugs can only help when the first stages of the disease develop. In severe phases of hemorrhoids, neither tablets nor ointments can eliminate the disease; they will only help reduce the symptoms of the disease, only alleviating the patient’s condition.

Before using the drug, you should consult your doctor. You cannot diagnose yourself based on the experience of loved ones and forums on the Internet.

According to reviews of venotonics for hemorrhoids, you need to remember that only a medical specialist can choose the right therapy, since venotonics affect not only the vessels that are affected by hemorrhoids, but also all blood vessels in the body.

Properties and principle of operation

Venotonic drugs for hemorrhoids are popular due to their beneficial effect on the vessels located in the inflamed nodes, which cause a lot of inconvenience to the patient. From the very name it becomes obvious that the main mechanism of action of the drugs is based on increasing the tone of the vein wall. Due to this, it is possible to reduce the severity of symptoms.

Effects caused by taking venotonics:

Improving microcirculation.
Reducing the permeability of the vascular wall, which reduces itching.
Improving the rheological properties of blood.
Minimizing the risk of blood clots, which prevents further progression of inflammation.

Venotonics are often created from herbal components, which ensures the safety of the drugs while maintaining high effectiveness. Sometimes it is difficult to say which drug is best to use for a particular patient. The effectiveness of the therapy depends on the body’s sensitivity to the appropriate medication and the quality of the purchased venotonic.

Stabilization of vascular tone is a key aspect of successful treatment of patients with hemorrhoids. The reason is a decrease in inflammation against the background of normalization of metabolic processes. Venotonics are an obligatory component of drug rehabilitation for the corresponding group of patients.