Instructions for use of Troxevasin gel and ointment - what it helps with, composition, contraindications and analogues

Instructions

There are direct and indirect indications for the use of troxevasin.
Depending on the type of damage to the vascular wall, the drug can be successfully used both in the treatment of hemorrhoids and to improve blood circulation in the pelvic cavity during pregnancy. For hemorrhoids, troxevasin creates favorable conditions for strengthening the venous wall and ensures rapid and painless collapse of the hemorrhoid.

Must be used according to the following scheme:

• 1 capsule 3 times a day for 30 - 40 days with breaks of 4 months;
• externally in the form of gel applications to the hemorrhoidal area for 5 - 7 days in the morning and evening after preliminary toileting with cool water.

The use of troxevasin during pregnancy is indicated if there are clear signs of developing blood stagnation in the venous network of the pelvic cavity. This can be manifested by severity, disturbances in bowel movements, and the appearance of hemorrhoids. In this case, Troxevasin capsules are used for 15 days. Dosage regimen: 1 capsule 3 times a day. In the presence of swelling in the legs of venous etiology, the use of troxevasin gel topically in the morning and evening until all components are completely absorbed into the epithelial covers.

Other indications for the use of troxevasin according to the instructions for use include:

• muscle pain and spasm if they are associated with circulatory failure;
• Varicose veins;
• varicose veins of the pelvis;
• thrombophlebitis with external and deep localization;
• trophic ulcers;
• diabetic angiopathy with impaired tissue trophism;
• vascular retinopathy in combination with other vascular agents and nootropic drugs.

Therapeutic effect of the drug for varicose veins

Troxerutin helps strengthen vascular walls and small capillaries, prevents the development of vascular diseases, and accelerates the process of restoration of damaged veins due to varicose veins.

Main therapeutic effect:

• increasing elasticity and strengthening blood vessels;
• prevention of fragility of vascular walls and protection from damage;
• increased vascular tone, which reduces the likelihood of blood clots and the development of congestion;
• the main component participates in metabolic processes, activating their action;
• elimination of inflammatory processes;
• reduction in the appearance of swelling;
• normalization of blood circulation;
• elimination of heaviness and pain in the legs due to varicose veins;
• prevention of seizures.

In addition to the effect on blood vessels, the rutin derivative also has a positive effect on the entire body:

• helps strengthen the body's defenses;
• reduces the manifestation of allergic reactions;
• helps improve the activity of the adrenal cortex.

When the veins of the lower extremities are deformed, congestion poses an extreme danger to humans and can lead to serious complications in the form of thrombophlebitis and thrombosis. To prevent such consequences, which can cause death, it is recommended to consult a doctor in a timely manner and take measures to eliminate the onset of varicose veins.

Rules for administration and dosage

Capsules

At the beginning of therapy, the drug should be taken 300 mg (one capsule) three times a day. The desired effect occurs within 2 weeks, after which the drug is taken at the same dosage or increased to 600 mg. If necessary, treatment can be suspended, in which case the therapeutic effect will continue for 30 days. As a rule, the course of treatment is 3-4 weeks. For the treatment of diabetic retinopathy, the dosage of the drug is 900-1800 mg per day.

Capsules should be taken orally, without chewing, during meals, with a sufficient amount of liquid (water).

Gel

Troxevasin's instructions state that the gel is applied exclusively externally in a thin layer, easily rubbed into the affected skin twice a day.
If necessary, the drug can be applied under elastic bandages or compression stockings. The effectiveness of the drug directly depends on the duration of therapy and regular use. For varicose veins, as well as other pathologies, it is recommended to combine the use of the gel with taking capsules (that is, simultaneous use of both forms of the drug) to increase efficiency. If the symptoms of the disease do not go away or the condition worsens after a week of treatment, the patient should see a doctor.

Medicinal suppositories (suppositories) against hemorrhoids are allowed to be combined with taking Troxevasin. During pregnancy, the drug can be taken from the beginning of the 2nd trimester.

Troxevasin gel for the treatment of bruises

The drug is excellent for getting rid of various hematomas. In this case, the product must be applied twice (morning and evening). It is necessary to use the medicine until the hematoma completely disappears.

Analogs

The following medications are analogues of this pharmaceutical drug:

1. "Indovazin" is a combination drug that contains elements such as troxerutin and indomethacin. The latter has an analgesic, anti-inflammatory and anti-edematous effect, which helps relieve pain, reduce swelling and reduce the restoration of damaged tissue. The mechanism of action of this drug is associated with the suppression of prostaglandin production as a result of reversible blockade of COX-2 and COX-1. Troxerutin is a bioflavonoid that belongs to the category of angioprotective agents. It reduces the permeability of small vessels and exhibits venotonic properties. This compound blocks the venodilating effects of histamine, acetylcholine and bradykinin and has an anti-inflammatory effect on perivenous tissue, reducing capillary fragility. Reduces swelling, improves trophism associated with venous insufficiency.
2. "Asklezan A" - this analogue of troxevasin ointment is intended to normalize blood flow in the veins of the legs. Its main active element is the active fractions of hazelnut. This remedy normalizes blood circulation in the extremities, eliminates the feeling of fatigue in the legs, enhances venous tone and promotes blood circulation in case of varicose veins. This medication is used to get rid of swelling in the legs, cyanotic spots and spider veins. "Asklesana A" effectively eliminates the unpleasant symptoms of capillary hemorrhage, thrombophlebitis, and trophic ulcers. Dihydroquercetin, which is also present in the product, makes tissues more resistant to the effects of high concentrations of glucose in the blood, reduces the likelihood of diabetes mellitus and alleviates the manifestations of already diagnosed pathologies.
3. “Heparin ointment” is a medication that belongs to the category of direct-acting anticoagulants. The active elements of this ointment prevent the formation of blood clots and reduce platelet aggregation. Under its influence, the fibrinolytic properties of the blood are normalized. Benzocaine, which is one of the main substances of this ointment, reduces the intensity of pain and eliminates the feeling of heaviness in areas of inflammation.

Troxevasin for bags under the eyes

Reviews of the effectiveness of the drug in solving such problems allow us to conclude that it is an excellent alternative to expensive cosmetics.

Women know that getting rid of bags under the eyes is quite difficult. This cosmetic defect occurs for various reasons, but in any case it causes great discomfort and does not allow you to feel confident. Bags under the eyes are often firm, but most often they are a soft, puffy area.

The reasons for the appearance of such a defect primarily include poor nutrition. When you abuse salt, excess fluid accumulates in the body, which forms unpleasant bags under the eyes. Lack of sleep also leads to a similar result. This disrupts metabolic processes in the body, which instantly affects the skin of the face.

Often bags under the eyes are caused by bad habits, excess ultraviolet radiation and allergic reactions. The most dangerous cause of this effect is considered to be impaired renal function. In the latter case, it will not be possible to solve the problem with Troxevasin. This requires a serious and comprehensive approach with an extensive examination, but the drug is quite capable of completely erasing the consequences caused by the reasons listed earlier.

Judging by the reviews, Troxevasin can be applied under the eyes only with clean hands and after a short allergy test. It consists of rubbing a small amount of ointment into the elbow area. If the skin does not turn red after a few minutes, the product can be freely used on other parts of the body.

“Troxevasin” under the eyes (reviews about the ointment are generally positive) can be applied in two ways:

• Rubbing. A small amount of the brownish substance is rubbed under the lower eyelid until it is completely absorbed.
• Compresses. The ointment is applied to a cotton pad, which is applied to the swollen area for five or seven minutes. After the compress, you do not need to wash your face even if there is excess gel.

If you apply Troxevasin to the bags under the eyes every two hours, the effect will be noticeable within a day.

Mechanism of action

Troxevasin was originally created as a treatment for venous insufficiency, phlebitis, hemorrhoids and varicose veins. However, the drug helps get rid of bruises on the body. This happens due to the fact that troxerutin acts in several directions:

• Strengthens capillary walls.
• Reduces the inflammatory response.
• Removes accumulated fluid from tissues.

In addition, troxerutin activates metabolic processes and improves microcirculation. External use of Troxevasin removes bruises and post-traumatic swelling, promotes the resorption of bruises, and reduces the pain of a bruise. The drug can be used for cones after injections, intramuscular and subcutaneous injections.

The effectiveness of the drug also depends on the individual properties of the body - with increased fragility of blood vessels and a tendency to prolonged bleeding, it may take up to 10 days to restore the normal structure of the skin.

The effectiveness of the drug is also affected by the stage at which the gel was used in the formation of bruising and swelling.

Characteristics of the drug

From reviews of Troxevasin you can quickly get general information about it. This drug is considered one of the most effective when it comes to strengthening blood vessels. At the same time, it has a relaxing effect on smooth muscles, which explains its widespread use in medicine.

The drug can be purchased in pharmacies without a doctor's prescription, but it is best to use it only after the recommendation of a specialist. He will tell the patient exactly how to use the drug, as well as the form of its release, suitable for the conditions of a particular disease.

The medicine has a powerful strengthening, tonic and protective effect on blood vessels. If you focus on reviews of the use of Troxevasin, it becomes clear that it can be used in monotherapy, as well as in combination with other drugs. In any of the above cases, the remedy showed itself to be very good, because patients do not always turn to doctors in the early stages of the disease

Sometimes for a complete cure it is necessary to take several drugs in combination, and it is important that they combine well with each other. “Troxevasin” (reviews and instructions for use confirm this) helps to cope with pathologies of the elasticity of blood vessels

Unfortunately, they come in many varieties, and they can only be cured through carefully thought-out therapy.

Summarizing the general information about the drug, it should be noted that most reviews about Troxevasin are positive. It does not provoke openly negative comments, and the only negative ones can be those that talk about the low effectiveness of the product.

Contraindications

Each drug has a number of contraindications for use. As the instructions indicate, Troxevasin ointment is no exception, but in most cases it is well tolerated by patients. It can be used by both adults and children. The main side effect of the drug is an allergic reaction to the components, manifested in the form of itching, urticaria, eczema and dermatosis. However, such a reaction is rather the exception.

The main contraindications of Troxevasin are:

1. The first 12 weeks of pregnancy.
2. Allergic reaction to troxerutin.
3. Peptic ulcer of the duodenum or stomach.
4. Acute gastritis.

In case of renal failure, the decision to use Troxevasin should be made in consultation with the attending physician. After 12 weeks of pregnancy, ointment can be prescribed in cases where the expected effect of therapy is higher than the potential risk to the unborn child

However, in this case, the drug should be used with caution. The same rule applies to the lactation period

The drug does not interact with other drugs. This was established during clinical trials. If the ointment was swallowed accidentally, it is necessary to immediately induce a gag reflex and remove it out. This is confirmed by the instructions for use. We will consider analogues of Troxevasin ointment below.

Analogues of Troxevasin

If Troxevasin is not suitable due to medical contraindications or after 7 days of treatment there is no positive dynamics of the underlying disease, then the attending physician selects a gel analogue of Troxevasin, or prescribes capsules that are a replacement for Troxevasin.

The most effective substitutes for troxevasin ointment:

Troxevenol

Release form ─ gel.

Average price ─ 170 rubles.

Benefits of Troxevenol:

• activates substances in the body that have an antioxidant effect;
• normalizes the level of hyaluronate in the outer cell membranes;
• makes capillaries stronger;
• prevents platelets from sticking to vascular walls.

Doctors recommend using the gel after vein surgery, as well as if you have:

• CNV;
• dermatitis;
• trophic ulcers on the skin;
• hematoma.

Do not use if a person has gastritis or a stomach ulcer.

Troxerutin

Release form: capsules, gel.

The average price of capsules is 270 rubles.

The average price of the gel is 43 rubles.

Improves cellular nutrition in tissues, cleansing them of toxins, and this drug is quickly absorbed into the blood and lymph. Troxerutin is excreted from the body after 24 hours. Has no cons.

Troxegel

Release form ─ gel.

Average price ─ 130 rubles.

The gel is transparent with a slightly yellowish tint and a faint odor.

Advantages of Troxegel:

• increases the time for venous filling;
• tones venous vessels;
• protects capillaries from negative external influences;
• helps cope with inflammatory processes.

Recommended for use if you have the following diseases:

• haemorrhoids;
• CVI;
• varicose veins of the lower extremities;

This drug is also prescribed when convulsive contractions occur in the legs of the calves.

Venorutinol

Release form: capsules, gel.

The average price of capsules is 350 rubles.

The average price of a gel is 195 rubles.

Benefits of Venorutinol:

• restores venous capillaries to normal condition;
• reduces blood stagnation in the veins;
• normalizes the level of hyaluronate in the body.

Do not use if you are lactose intolerant.

Phleboton

Release form: tablets, ointment.

The average price of tablets is 195 rubles.

Average price of ointment ─ 78 rubles

Advantages of Phleboton:

• strengthens and increases the tone of veins, capillaries and blood vessels;
• has an antioxidant effect;
• reduces radical oxidation of lipids;
• fights symptoms associated with diseases of the lymphatic system;
• has antimicrobial and anti-allergenic properties.

The drug is excreted during urination along with bile throughout the day.

Phleboton is prescribed for the treatment and prevention of varicose veins, as well as:

• for hemorrhoids;
• for chronic inflammation of the skin caused by insufficiency of venous circulation;
• for swelling;
• with bruises;
• for injuries.

Do not use if you are hypersensitive to any of the components of the drug.

Venohepanol

Release form ─ gel.

The average cost of the gel is 290 rubles.

Benefits of Venogepanol:

• blocks the appearance of platelets;
• has an anti-edematous effect;
• eliminates inflammatory processes;
• improves blood circulation.

It is mainly prescribed:

• in the treatment and prevention of varicose veins;
• with swelling;
• with closed injuries;
• for hemorrhoids.

Idiosyncrasy and allergic reactions to Venogepanol are very rare.

Instructions for use of Troxevasin ointment

This medication belongs to the pharmacological group of venotonic agents (angioprotectors) for external use. Troxevasin medicinal ointment has a uniform consistency, is distinguished by a brown tint, and has a specific but pleasant smell. You can buy it at any pharmacy, but the annotation should not become a guide to use; you must additionally consult with your local physician or phlebologist. Superficial self-medication is not harmful to health, since the ointment contains no dangerous toxic substances.

Compound

The active component of Troxevasin, troxerutin, has antioxidant, anti-inflammatory, anti-edematous properties, and is a medicine with a wide spectrum of action. This drug has several forms of release - ointment, gel and tablets; their combined use only enhances the desired therapeutic effect. The active ingredient of Troxevasin ointment (Troxevasin) provides the following changes in the general condition and well-being of the clinical patient:

• reduces pain in the area of ​​swollen veins;
• ointment relieves increased fatigue of the lower extremities;
• strengthens and restores the permeability of the walls of veins, blood vessels, capillaries;
• ointment provides prevention of varicose veins;
• relieves inflammation and swelling of blood vessels;
• improves tissue nutrition during injuries at the cellular level;
• ointment eliminates vascular spasms;
• improves local blood circulation at the site of contact with the medicinal composition;
• the ointment reduces the size of hemorrhoids and eliminates inflammation;
• effectively eliminates bruises, swollen veins on the legs and more.

Indications

The medical drug Troxevasin ointment will act locally when applied topically, and is more often used by women than men. The main areas of intensive therapy are varicose veins and exacerbation of hemorrhoids with further recurrence. Such conservative treatment with Troxevasin is more auxiliary and is appropriate in the following clinical situations:

• thrombophlebitis;
• varicose veins;
• periphlebitis;
• increased swelling;
• varicose dermatitis;
• swelling of a traumatic nature;
• progressive muscle spasms;
• sprains, hematomas, dislocations;
• trophic, varicose ulcers;
• formation of hemorrhoids;
• as an adjuvant in gynecology for the productive restoration of damaged mucous membranes, use on the recommendation of a specialist.

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Side effects

Since the medication is used externally, the degree of adsorption of active components from the gastrointestinal tract is minimal, and the risk of developing side effects is also minimal. The use of Troxevasin ointment is safe for health, with the exception of hypersensitivity of the skin of a clinical patient. As a result of this interaction, local and allergic reactions appear on the upper layer of the epidermis, represented by hives, redness and swelling of the skin, and severe itching. Further treatment must be stopped, another medicine must be selected and used.

Contraindications

The homogeneous Troxevasin gel adapts imperceptibly to the skin, and side effects occur in isolated clinical pictures and are temporary. In order not to aggravate a progressive disease, it is necessary to study not only the prescription of a specific medication, but also existing contraindications to its use. Medical restrictions of Troxevasin ointment are presented below:

• open wounds, wounds, violation of the integrity of the skin;
• hypersensitivity of the body to active components;
• peptic ulcer of the stomach, duodenum;
• chronic gastritis relapse stage;
• 1st trimester of pregnancy;
• carefully prescribed to women during lactation.

A number of contraindications

Troxevasin is considered one of the safest drugs, and therefore has a very narrow range of contraindications. These include problems with the gastrointestinal tract, such as duodenal and stomach ulcers, as well as gastritis. Moreover, it is especially worth protecting yourself from taking this drug if the listed diseases are in the acute stage.

Contraindications include individual intolerance to the components of the drug. Increased sensitivity can provoke an allergic reaction, which can aggravate the patient's condition.

The first trimester of pregnancy is also a condition under which Troxevasin should be abandoned. In the subsequent period, you should consult your doctor about taking the drug.

There is no need to use the ointment on open wounds and for children under fifteen years of age. Pharmacists do not have any data on the last category of patients, so they warn parents against using Troxevasin in children and adolescents.

The drug can be prescribed to people with renal failure, but during the treatment period they must be under strict medical supervision. In the process, it is necessary to take a number of tests and undergo examinations on time.

Contraindications to oral administration of capsules

The drug is not prescribed in the following cases:

• the presence of allergic reactions;
• exacerbation of peptic ulcer of the stomach or duodenum;
• exacerbation of chronic gastritis;
• first trimester of pregnancy.

With extreme caution, capsules are prescribed to adolescents under the age of 16 years, as well as to patients with a history of renal failure.

Before starting treatment, it is recommended to consult with your doctor and make sure there are no contraindications.

Composition of the drug

From reviews of Troxevasin ointment and capsules, it can be understood that these drugs are very effective due to their active ingredient. It is quite often used in other drugs with a similar spectrum of action, but the most common of them is still Troxevasin.

The main component of the drug is troxerutin. It is contained in each of the release forms, but in different concentrations. For example, each capsule contains 300 milligrams, and one gram of gel contains about 20 milligrams.

The list of auxiliary components of the drug is quite wide, especially in cases with tablets. Among their components are:

• magnesium stearate;
• lactose;
• titanium dioxide

The capsule shell consists of two types of dye and gelatin. All of the listed components are safe and will not harm the patient’s body. Although some minor side effects can still occur, which we will talk about in one of the following sections of the article.

The excipients of Troxevasin ointment are not listed in the reviews, so we will list them:

• distilled water;
• carbomer;
• triethanolamine;
• benzalkonium chloride and the like.

The gel causes fewer side effects than capsules.

Contraindications and side effects

Troxevasin ointment occasionally leads to the development of negative effects. This is itching, burning, hyperemia, peeling in the areas where the drug is used. Oral capsules lead to nausea, vomiting, and heartburn. Sometimes erosive/ulcerative lesions of the mucous membrane of the digestive tract are detected. In severe cases, eczema or dermatitis develops. As a rule, side effects are temporary and disappear after the body adapts to the drug or after its discontinuation.

Troxevasin gel is not recommended for use in the following cases:

1. Infected wounds with purulent contents.
2. Copious discharge (blood, pus) from an open wound.
3. Hypersensitivity to the active substance, auxiliary components.
4. First trimester of pregnancy.

Capsules are not prescribed if there is a history of gastric/duodenal ulcer during acute inflammation, gastritis (exacerbation), hypersensitivity to Troxevasin or rutosides

Prescribed with caution for long-term use against the background of impaired renal function

Troxevasin for rosacea

Reviews of the use of the product in this capacity are quite common, so it is not difficult to draw conclusions about its effectiveness. Cuperosis, expressed in a noticeable vascular network on the face, not only spoils the appearance, but also noticeably ages the skin. Therefore, this problem must be dealt with.

Cuperosis is the thinning of small blood vessels, increasing their fragility and poor circulation. Usually, a vascular network forms on the wings of the nose and cheeks, thereby significantly spoiling the appearance.

The causes of rosacea can be different. First of all, this is a hereditary factor. People with thin and white skin are more likely to suffer from this problem than others. It is inherited and can appear at a very early age.

In many cases, rosacea becomes a consequence of problems with the liver, heart and other organs. And sometimes it appears after hypothermia or overheating.

If this cosmetic defect is not given due attention, then over time the barely noticeable mesh can turn into dark spots, which will be quite difficult to get rid of in the future.

For effective treatment, the patient must use not only the gel, but also capsules. They drink one three times a day. The course of treatment is about two weeks; the decision to extend it is made only by the attending physician. It is worth keeping in mind that the gel can only be applied to problem areas and gently massage them. A pronounced and lasting result occurs approximately in the fourth week of use, so treatment with gel always lasts longer than with capsules.

Indications for use and mechanism of action of the ointment for various diseases

Clinical practice has proven the high effectiveness of Troxevasin in pathologies characterized by decreased strength and impaired tone of large venous vessels and small capillaries.

The table below provides recommendations for using the ointment:

These are the main indications for the use of Troxevasin gels. Perhaps the doctor will give additional recommendations. To improve the effectiveness of the ointment for varicose veins, rub it over the surface of the skin with light touches. For hemorrhoids and dermatitis, do not rub

After the procedures, it is important to lie down relaxed for 15 minutes.

https://youtube.com/watch?v=bXadxOMClgo

Hemorrhoids problem solution

Judging by the reviews of Troxevasin, it relieves hemorrhoids very effectively, and the product is also excellent for pregnant women. And as you know, from the second trimester they often encounter this unpleasant problem, which does not leave women for several months after childbirth. And some suffer from this disease for many years, gradually approaching the idea of ​​surgical intervention.

I would like to clarify that hemorrhoids are a disease not only of pregnant women. It can occur in both men and women of any age. Therefore, no one is immune from the appearance of unpleasant symptoms. Today we will talk separately about the use of “Troxevasin” specifically by pregnant women, but according to a similar scheme, it can be used by anyone who is faced with the first signs of hemorrhoids.

Pregnant women are especially susceptible to vascular problems. And this is not surprising, because the body is completely rebuilt, the growing uterus puts pressure on all organs and vessels, and blood flow increases several dozen times. All this is fertile ground for the development of hemorrhoids, the treatment of which must be approached even before childbirth.

"Troxevasin" can treat the chronic and acute stages of hemorrhoids. If we are talking about the first option, then the doctor will prescribe you to drink one capsule of the drug twice a day with meals. This dosage allows you to maintain veins in good shape and prevents the disease from progressing to the acute stage.

In situations where you are faced with an acute course of the disease, you will have to drink capsules and at the same time use Troxevasin gel. Typically, the tablets are prescribed three times a day, one at a time, for two weeks. Sometimes the doctor limits their use to seven days; the course of treatment depends on the severity of the disease and the results of the examination. In parallel, patients should also use the ointment; it is applied to the hemorrhoids with gentle rubbing movements until the composition is completely absorbed. The frequency of the procedure is twice a day. To achieve the fastest possible effect, you can make compresses from Troxevasin. In this case, the gel is applied to sterile gauze folded in several layers. It is fixed on the affected area for several hours, and then replaced with a new one. This must be done at least three times a day.

Cheap analogues

The cheapest analogue of the drug Troxevasin is Troxerutin. The drug is available in the form of a gel and tablets for oral administration. The instructions for use of the tablet indicate that the dosage for the treatment of varicose veins is 900 mg per day - divided into several applications. The duration of the course is approximately 3-4 weeks. Not prescribed for gastric/duodenal ulcers, children under 15 years of age, in the first trimester of pregnancy, or during lactation.

Let's look at several Troxevasin analogues in more detail:

• Gel Lyoton. The topical agent relieves swelling, neutralizes the increased permeability of capillary walls, blocks the release of exudate into nearby tissues, and eliminates inflammatory processes. Apply to the affected area several times a day, the therapeutic course is 3-4 weeks. The ointment is not prescribed for necrotic changes in the skin, open wounds, or thrombocytopenia. Possible side effects include an allergic reaction;
• Detralex is an analogue of Troxevasin. Available in tablet form. The active ingredient is diosmin. For varicose veins, it is most often used as a symptomatic remedy and is part of a complex treatment. There are no contraindications. For varicose veins, take 500 mg twice a day. You should take the medicine during meals. A combination of Troxevasin gel and Detralex tablets is allowed to enhance the therapeutic effect.

Troxevasin is a good medicine that has many positive reviews. Against the background of varicose veins, it helps only as part of complex treatment. It is almost never prescribed as a single agent. Gel/tablets can be purchased at a pharmacy, a doctor's prescription is required. The price of the ointment is $3-3.5, capsules cost $10-12.

Composition and release forms

1. One capsule of the drug contains 300 mg of the base substance - troxerutin. The auxiliary ingredients included in the product are: gelatin, “sunset” (yellow dye), lactose monohydrate, quinoline yellow dye, titanium dioxide.
2. One gram of 2% gel, intended exclusively for external use, contains 20 mg of the main substance - troxerutin. Excipients: water, carbomer, benzalkonium chloride, trolamine, disodium edetate dihydrate.

https://youtube.com/watch?v=xznte0QVBaI

Release forms:

1. The form of the drug intended for oral administration is a yellow cylindrical gelatin capsule (often called Troxevasin tablets, which is erroneous). Inside such a capsule contains green-yellow powder (the presence of small conglomerates is allowed). One blister contains 10 capsules. Blisters of 5 or 10 pieces are packed in cardboard boxes.
2. Gel. This form of troxevasin has a light brown (yellowish) color. The gel is packaged in aluminum or plastic tubes with a volume of 40 g.

The drug in the form of a gel, when used externally, is well absorbed through the skin, and when taken orally in capsules, it is well absorbed through the mucous membrane of the gastrointestinal tract. The active substance of the product easily penetrates histohematic barriers. The drug is metabolized in the liver and excreted throughout the day with bile and kidneys (11% unchanged).

Feature 2 Indications and contraindications

Indications for the use of Troxevasin are not only diseases of the circulatory system, but also the symptoms accompanying them. Among them are:

• Chronic venous insufficiency, which is accompanied by swelling and pain.
• Superficial thrombophlebitis and spider veins or spider veins.
• Feeling of heaviness and fatigue in the legs, including due to varicose veins.
• Trophic disorders caused by varicose veins.
• Postphlebitic syndrome and periphlebitis.
• Haemorrhoids.
• Post-traumatic swelling and pain.
• After sclerotherapy of veins;
• After surgical removal of veins.

The drug is used as an auxiliary treatment of retinopathy in patients with diabetes mellitus, atherosclerosis, and arterial hypertension. Indicated for use for hemorrhoids and venous insufficiency in pregnant women, starting from the second trimester as prescribed by the attending physician.

Troxevasin is contraindicated in the following cases:

• In case of hypersensitivity to the components of the drug.
• During pregnancy in the first trimester.
• For peptic ulcers of the stomach and duodenum.
• With acute chronic gastritis.
• Children under 15 years of age.

During long-term treatment, Troxevasin should be used with caution in case of renal failure. The drug should not be used in case of violations of the integrity of the skin or various rashes on it of an unclear nature.

Pharmacological action of Troxevasin

In accordance with the instructions for Troxevasin, the active ingredient of the drug in all forms of release is troxerutin. The excipients included in the capsules are gelatin, titanium dioxide, lactose monohydrate, magnesium stearate, dye. Additional components of the gel are benzalkonium chloride, disodium edetate dihydrate, trolamine, carbomer and purified water.

When used, Troxevasin acts primarily on capillaries and veins. The drug narrows the pores between endothelial cells due to modification of the fibrous matrix that is located between them. The drug inhibits aggregation and increases the degree of deformability of red blood cells.

When used, Troxevasin reduces the severity of pain, swelling, cramps, varicose ulcers, and trophic disorders. The product significantly relieves the symptoms of hemorrhoids, which include bleeding, itching, and pain.

Troxevasin has a beneficial effect on the resistance and permeability of capillary walls, thereby blunting the development of diabetic retinopathy. The drug affects the rheological properties of the blood, which prevents the risk of microthrombus of the retinal vessels.

When taken orally, troxerutin is well and quickly absorbed from the gastrointestinal tract. Penetrates the histohematic barrier. The maximum concentration in blood plasma is reached 2 hours after administration. The therapeutic effect lasts for 8 hours. Metabolized in the liver to form several metabolites. It is excreted from the body with bile within 24 hours.

When used externally, it is well absorbed from the skin surface.

Is overdose possible and how to treat it

When used externally, cases of gel overdose have not been encountered in medical practice.

However, if a large amount of Troxevasin ointment is carelessly swallowed (for example, by a child), a negative reaction of the body is possible. In this case, you should immediately induce vomiting to clear the stomach, and then consult a doctor for help.

He will definitely prescribe symptomatic treatment to alleviate the unpleasant symptoms of an overdose. To more quickly remove the drug from the body, the use of peritoneal dialysis is recommended in individual cases.

Are several active ingredients always better?

Some analogues of Troxevasin are multicomponent - unlike the original. This is explained by the fact that sometimes complex therapy or mutual enhancement of the effects of drugs is required.

Under certain conditions, this is a plus, since it provides additional influence:

• Sodium heparin reduces blood viscosity and prevents thrombus formation;
• Indomethacin relieves pain well and has a strong anti-inflammatory effect;
• Dexpanthenol regenerates the skin and promotes the healing of ulcers and damage;
• Benzocaine is a mild anesthetic that improves the absorption of other drugs;
• Ascorbic acid enhances and prolongs the effect of rutin.

That's not to say that a few potent ingredients are always a good thing. They increase the load on the kidneys, liver and skin; increase the likelihood of allergic reactions. Often, multicomponent drugs have to be discontinued and replaced with simpler ones - patients lose time and money.

Several active ingredients in any drug make it difficult or impossible to prescribe the drug to pregnant, lactating, elderly people, and patients with liver or kidney failure.

Analogs

Troxevasin analogues that can be used to treat bruises include:

• Badyagu. Available in powder and gel form. Resorption of hematomas occurs due to the local irritant properties of the drug.
• Heparin ointment. The drug, like Troxevasin, helps cope with pathologies of the venous system. Its use for bruises improves the resorption of blood clots and relieves inflammation.
• Trombless. The main component of the gel is heparin. The drug accelerates the resorption of cones after impacts, helps relieve inflammation, and reduces pain.
• Traumeel. The drug contains a complex of natural components. The use of Traumeel for bruises is not prohibited even if a child was injured. The herbal preparation can be used if the integrity of the epidermis at the site of the bruise is compromised.

Analogs of Troxevasin should be selected taking into account all post-traumatic manifestations, contraindications and possible side effects.

Indications for use

Troxevasin can be used to treat diseases and conditions accompanied by impaired microcirculation of fluids, as well as various forms of capillary and venous insufficiency. The medicine is widely used for varicose veins of the extremities: the drug helps eliminate swelling, get rid of the feeling of fatigue, reduce the intensity of pain and the degree of exudation in the inflamed veins. For varicose veins of the pelvic organs, taking Troxevasin in capsule form is indicated.

Troxevasin gel can be used to accelerate tissue regeneration, prevent edema and platelet adhesion after surgical treatment, for example, venectomy or sclerothermia. A good effect is achieved by using the medicine for the symptomatic treatment of hemorrhoids: troxerutin, which is part of the gel, reduces itching, prevents the accumulation of exudate, and reduces the degree of inflammation.

• Other indications for the inclusion of Troxevasin in combined treatment regimens are:
• deep vein thrombophlebitis, leading to functional venous insufficiency and manifested by pain in the limbs and a feeling of fullness in the affected veins;
• long-term non-healing local defects of the skin and surrounding tissues (trophic ulcers);
• paresthesia of the extremities (a sensitivity disorder characterized by tingling, numbness, a feeling of “pins and needles”);
• a symptom complex of skin pathologies that arise against the background of long-term, advanced varicose veins of the lower extremities (venous dermatitis).

As an adjuvant, the instructions for use allow the use of Troxevasin capsules for the prevention and treatment of hypertension and vascular atherosclerosis in patients with various forms of diabetes mellitus (including the insulin-dependent type).

For children

In pediatric practice, Troxevasin is used primarily for the treatment of skin hematomas, bruises and bruises. For bruises, the product helps speed up healing, reduce pain intensity, and restore blood microcirculation in damaged vessels.

In the absence of other contraindications, the drug can be used for topical application from 1 year of age. For infants under this age, the medicine can only be used as directed by a doctor.

Contraindications

The instructions for use do not contain absolute contraindications for the use of Troxevasin gel, with the exception of intolerance to the components of the drug or violation of the integrity of the skin. In some cases, when used topically, the patient may experience skin reactions (urticaria, itching, dermatitis) - these conditions are not a normal reaction to treatment and require discontinuation of the drug.

Taking the medicine in the form of tablets (capsules) is contraindicated in case of impaired renal function, as well as chronic gastritis and local ulcerative defects of the gastrointestinal tract in the acute phase. Failure to comply with this restriction may increase the symptoms of digestive disorders and provoke heartburn, dyspepsia, nausea, vomiting and stool disorders (functional diarrhea). Long-term use of Troxevasin without consultation and supervision of a doctor can lead to the formation of ulcers and erosions in the mucous membrane and submucosal layer of the intestines and stomach.

Indications

Troxevasin ointment can be used for many problems. It can be prescribed for:

• varicose veins;
• superficial thrombophlebitis;
• venous insufficiency, which manifests itself as swelling, pain, fatigue of the lower extremities;
• impaired tissue nutrition caused by venous insufficiency (manifestations of the disorder include: pale skin, bruising, slow healing for minor injuries);
• dermatitis;
• hemorrhoids;
• hemorrhagic diathesis;
• decreased sensitivity of the lower extremities after sleep;
• the appearance of cramps in the calf muscles at night;
• viral diseases in which vascular permeability increases;
• trophic ulcers.

The drug has shown itself well in the treatment of chronic venous insufficiency, postphlebitic syndrome, trophic disorders in varicose veins and trophic ulcers.
The main category of patients to whom the drug is prescribed are men and women aged 18 to 50 years. However, if necessary, it can also be used in younger patients. For children from 15 to 17, it can be prescribed for the treatment of bruises, to relieve swelling, and for hematomas. In this case, it is necessary to take into account the age limit for children specified in the instructions: Troxevasin ointment is not recommended for use by children under 15 years of age.

You can use the ointment for congestion in the pelvic area, manifested by pain and itching. Troxvazin can be used for hemorrhoids during pregnancy. You should not make your own decision about using the ointment during this period.

Release form and composition

Gelatin, cylindrical, yellow capsules (sometimes mistakenly called Troxevasin tablets), yellow-green powder inside, possible presence of conglomerates. 10 capsules in a blister, 5 or 10 blisters in a cardboard pack.

Light brown gel. 40 grams in an aluminum tube - one tube in a cardboard pack or 40 grams in a plastic tube - one tube in a cardboard pack.

One capsule of the product contains 300 mg of troxerutin. Additional components: titanium dioxide, lactose monohydrate, quinoline yellow dye, magnesium stearate, sunset yellow dye, gelatin.

The composition of 1 g of gel (troxevasin ointment) 2% for external use includes 20 mg of troxerutin. Additional components: carbomer, trolamine, disodium edetate dihydrate, benzalkonium chloride, water.

Application

The ointment is applied to previously cleansed skin 2 times a day. Rub it gently, without strong pressure, until completely absorbed. Troxevasin can only be applied to skin that is not damaged. When used by children and adults, care must be taken to ensure that the medicine does not get on mucous membranes or in the eyes.

For hemorrhoids

Troxevasin for hemorrhoids is applied after bowel movements and hygiene procedures to the affected area. You can also make applications by applying gauze swabs soaked in the product to the anus. Using the cream allows you to quickly heal wounds. However, reviews vary - we can definitely say that for hemorrhoids, Troxevasin ointment can only be part of a comprehensive treatment.

Varicose veins

For manifestations of varicose veins, the product is applied with a light massage of all extremities. Thanks to massage actions, blood circulation improves and blood delivery to tissues and muscles is normalized. In already advanced cases, the use of the gel will not help, so it is better to start using Troxevasin when the very first symptoms of varicose veins occur: pain and fatigue in the legs, cramps. Combining it with vitamin C will help increase the effect of using the product.

The gel is applied to the affected area 2 times a day in the morning and evening, gently rubbing until completely absorbed. If necessary, the gel can be applied under bandages or elastic stockings. The success of treatment with the drug largely depends on its regular use over a long period of time.

Use for bruises

Damage to soft tissues is accompanied by the formation of hemorrhages, swelling, pain, and hematomas. Troxevasin quickly penetrates deep into damaged tissues and begins to work, due to which bruises resolve faster and pain is eliminated. When treating, ointment for bruises and contusions is applied 2-3 times a day for 5 days.

Swelling and bruising under the eyes

As we age, bruises and bags under the eyes become a real problem, especially for women. Troxevasin can be successfully used to eliminate them. It has a light texture, thanks to which it easily penetrates inside, increasing the tone of capillaries and strengthening the walls of blood vessels. This action allows you to stop the outflow of fluid from the vessels, as a result of which swelling forms under the eyes. The ointment should be applied in a thin layer to an area where there is no damage to the skin.

In addition, Troxevasin can also be used in the treatment of rosacea. However, before using it for this purpose, you should consult a doctor, since rosacea can be a consequence of serious changes in the body.

To treat rosacea on the face, rub the gel into the affected areas twice a day. The drug must be completely absorbed. Use until the vascular “webs” disappear completely

Release forms

The drug is produced in two forms, so it can be used for different purposes:

• Troxevasin capsules (reviews about them are not very common).
• The product is in the form of a gel or ointment.

Troxevasin tablets (we will definitely provide instructions and reviews for them in this article) are yellowish gelatin capsules. Each contains powder. Depending on the manufacturer, the color of its granules ranges from pure yellow to greenish. Typically, one blister contains ten tablets. The package may contain five or ten blisters. Naturally, the price of one pack of Troxevasin also depends on the number of capsules.

Judging by the reviews of the Troxevasin gel, it is used by patients much more often than the same drug, but in tablet form. The ointment is a yellowish-brown substance placed in a 40-gram tube. Usually one package is enough for an entire course of treatment, but in rare cases, when the disease is advanced, the doctor advises patients to purchase two tubes at once.

Method of using Troxevasin

Depending on the release form, according to the instructions, the medicine is used as follows:

• The ointment is applied with light, massaging movements to the affected areas of the skin several times during the day (morning and evening). Since the gel does not have an unpleasant odor and does not leave a greasy residue, it can be used just before leaving the house. The duration of treatment depends on the patient’s condition; in severe forms of varicose veins, the gel is used in combination with capsules until symptomatic manifestations completely disappear.
• The dosage for oral administration of the medicine is prescribed exclusively by the doctor in each individual case individually, depending on the severity of the disease. The initial therapeutic dosage is 1 capsule three times a day. The medicine is taken with food, washed down with a sufficient amount of boiled water. The effectiveness of oral treatment becomes noticeable already 7-10 days after the start of administration. Then the dosage is reduced to 1 capsule twice a day or completely canceled. The duration of the course of treatment is prescribed by the doctor.

How can I replace Troxevasin?

The pharmaceutical market offers an extensive list of cheap analogues of Troxevasin - these are drugs based on rutin (or rutoside) and its derivative troxerutin. Their instructions are identical.

Analogues of the drug Troxevasin in tablets:

• Ascorutin 50 mg 50 pcs. Manufacturer Pharmstandard. 90 rub.;
• Ascorutin 50 mg 50 pcs. Medisorb. 130 rub.;

• Troxerutin-mic 200 mg 50 pcs. Arsvital. 170 rub.;
• Troxerutin capsules 300 mg 50 pcs. Ozone. 240 rub.;
• Troxerutin vramed capsules 300 mg 50 pcs. Sopharma. 350 rub;
• An expensive analogue of Troxevasin – Troxerutin zentiva capsules 300 mg 50 pcs. Manufacturer: Zentiva. 530 rub.
• An even more expensive analogue is Venoruton capsules 300 mg 50 pcs. Manufacturer: GlaxoSmithKline. 940 rub.

All generics of Troxevasin, regardless of the release form, have the same mechanism of action and are approximately equivalent in therapeutic effect.

Analogues of Troxevasin gel:

• Troxerutin gel 2% 40 g. Manufacturer Ozone;
• Troxerutin vramed gel 2% 40 g. Sopharma;
• Troxerutin vetprom gel 2% 40 g. Dominant service;
• Series 03 leech extract horse chestnut troxerutin gel 75 ml. Mirolla;
• Shark power superhash and troxerutin ointment 50 ml;
• Natura Medica chestnut troxerutin cream 85 ml. Twinstack;
• Shark oil gel leech with troxerutin and horse chestnut 75 ml Twinstack;
• Sofia troxerutin forte gel 75 ml. Forafar;
• Troximethacin 40 g. Dominant service.

Indovazin gel 45 g. Teva;

• Venolife gel 40 g. Akrikhin;
• Trombless plus 50 g. Nizhpharm.

The pharmaceutical industry is constantly releasing new products and their analogues, some leave the market - therefore the above list is incomplete and not final

When choosing an analogue of Troxevasin, you should pay attention to the active substance or its derivatives, dosage and amount of product in the package

Description of the drug

Troxevasin belongs to the angioprotectors and venotonics used in the complex treatment of pathologies of the vascular system. Its main purpose is to correct blood microcirculation. For effective therapy, it is important to decide on some points at the preliminary stage - to establish what troxevasin helps with, and how to properly administer it into the body.

The drug, regardless of its form, is indicated for hemorrhoids accompanied by itching, pain, and chronic venous insufficiency. The active ingredients of the drug provide pronounced decongestant, antioxidant and anti-inflammatory properties.

Pharmacological group and action

Cream (ointment, gel) troxevasin is a compound based on bioflavonoids with the main active element troxerutin. The drug belongs to the pharmacological group of microcirculation correctors and angioprotectors.

When acting locally on problem areas of blood vessels, the drug provides:

• relieving inflammation from the inside of the capillary walls, strengthening them;
• increasing the elasticity of vascular walls;
• leveling the likelihood of blood clots;
• elimination of excess swelling;
• weakening of painful symptoms characteristic of varicose veins and venous insufficiency;
• normalization of nutrition of tissues localized near blood vessels.

The active substance of the drug is concentrated in the endothelial layer of venules and penetrates deeply into the structure of blood vessels. Troxerutin neutralizes the negative effects caused by oxidation processes at the cellular level and protects membrane structures from damage.

Troxevasin eliminates congestion in blood vessels.
In fact, it inhibits hydroxyl radicals, lipid peroxidation and the oxidative properties of incoming oxygen. This ensures a pronounced antioxidant effect. The main component of the drug suppresses the aggregation activity of erythrocytes, the synthesis of pain mediators during inflammation, and prevents the adhesion of neutrophils.

Release form and composition

The pharmaceutical product in question is presented in 2 forms - gel and encapsulated composition. Gel (2%) is used exclusively externally and is available in aluminum tubes of 40 g.

Capsules (300 mg) are sealed in plastic blisters and are intended for oral administration. Regardless of the form, the medicine is packaged in a cardboard box and comes with an insert with detailed annotations and instructions for use.

Questions about what is better, troxevasin ointment or gel, are meaningless, since the drug is available exclusively in gel form. Many patients call it an ointment, despite the absence of this form in principle. In this case, ointment and gel are synonymous.

The composition of troxevasin includes 1 main substance - troxerutin (on average up to 20 mg for every 1 g of product), as well as a number of auxiliary components.

Additional ingredients (per 1 g):

• purified water – up to 960 mg;
• trolamine – no more than 7 mg;
• carbomer – about 6 mg;
• benzalkonium chloride – up to 1 mg;
• edetate disodium – about 0.5 mg.

The specific form of the drug is prescribed by the attending physician, and depends on the characteristics of the localization, the course of the pathogenic process, and the chosen treatment regimen.

Analogues and their differences from the original

Analogues containing the active component can be troxevenol and troxerutin. Considering belonging to the same pharmacological group, analogues can be detralex, venoruton, ascorutin D, rutin and diosmin. When comparing Detralex and Troxevasin, we can say that the first is based on completely natural raw materials and is available only in tablet form. But at the same time, its price is much higher, and the choice over Troxevasin can only be made after the doctor’s recommendations and an assessment of one’s economic ability.

Since troxerutin is the main component of Troxevasin, it is easy to understand that their action is the same. Of the two drugs, the patient can choose one - which one he likes. It is often believed that Troxevasin and Lyoton are similar in action. However, it is not. Lyoton can eliminate blood clots and neutralize their occurrence, but it does not have any effect on the veins. Since the two drugs are indicated for different problems, check their use with your doctor and carefully read the instructions for use.

Composition comparable to Troxevasin analogues

The external agent "Troxevasin", according to the annotation, has a venotonic and decongestant effect. Its main active ingredient is troxerutin (20 mg per 1 g of gel base) - a semi-synthetic substitute for natural rutin (vitamin PP), which is rich in certain types of medicinal plants. This medication is used to treat: varicose veins of any etiology; varicose dermatitis and varicose insufficiency; phlebitis and superficial thrombophlebitis; hemorrhoidal phenomena; muscle pain and swelling after injury; severe ailments of the optic nerve and retina resulting from complications of diabetes mellitus. The cheapest analogue of Troxevasin is a gel called Troxerutin.

It also contains the active ingredient of the same name. This budget Russian substitute is part of the same pharmaceutical group of drugs that strengthen vein walls and reduce capillary permeability as the original. Moreover, the amount of the active ingredient (troxerutin) in the analogue significantly exceeds its volume in Troxevasin due to the content of additional components in the latter. "Venolan" also has an identical active substance - troxerutin, supplemented by polyvinylpyrrolidone. The compositions of “Troxegel” and “Troxevenol” are as similar as possible in the set of ingredients to “Troxevasin”.

Troxevasin or Detralex

Both drugs are not analogues of each other. Troxevasin contains Troxerutin. It has venotonic, venoprotective, decongestant, anti-inflammatory, anticoagulant and antioxidant effects. Release form: gel for external use and capsules for oral administration. Detralex is a combination drug that has a venotonic and angioprotective effect. Active components: Diosmin and Hesperidin. Available in the form of film-coated tablets and sachets for oral administration. They also produce a gel for external use called Detragel. Detralex is indicated for the treatment of symptoms of venous-lymphatic insufficiency:

• pain;
• spasms of the lower extremities;
• feeling of heaviness and fullness in the legs;
• "tired" legs.

Treatment of manifestations of venous-lymphatic insufficiency:

• swelling of the lower extremities;
• trophic changes in the skin and subcutaneous tissue;
• venous trophic ulcers.

Symptomatic treatment of acute and chronic hemorrhoids.

The drugs are available without a prescription.

Detralex is produced in Russia or France. Troxevasin is produced in Bulgaria. Detralex is more expensive than Troxevasin.

Troxevasin or Detralex. Photo: yandex.ru

Dosage

Troxevasin is available not only in capsules, but also in tablets, but the latter form is most used in the European Union. In Russia, you can only find capsules in pharmacies, but if you suddenly bought tablets, they should be consumed in the same way as capsules. The instructions for these two forms of medication are the same.

Troxevasin capsules are taken orally during or after meals, and they should be washed down with plenty of water. Keep in mind that you cannot take other medications half an hour before, and also wait an hour after taking the capsules.

The exact dosage and duration of treatment can only be determined by a doctor, after studying the full picture of the disease and the severity of its course.

Basically, treatment is limited to taking 2 capsules per day, and after obvious signs of the disease decrease or completely disappear, maintenance treatment is prescribed, which consists of taking 1 capsule per day, lasting up to 4 weeks. The desired effect is achieved precisely in such dosages.

In case of venous insufficiency, it is recommended to use capsules together with gel or ointment for faster recovery. The simultaneous use of Troxevasin externally and internally will ensure the maximum concentration of the main substance of the drug in the vessels. The procedure must be repeated 2 times a day.

The therapeutic effect should appear after two weeks, but treatment cannot be suspended, you just need to reduce the dosage. The period of use of the medicine is long, the first course, as well as subsequent ones, should last at least 40 days, then a break should be taken, and the course should be carried out every autumn and spring. This therapy stops venous insufficiency and partially restores vascular valves.

Dosage of Troxevasin for various diseases.

The course of treatment is prescribed by a doctor and is individual for each person.

How the drug works

Troxevasin provides angioprotective and venotonic effects. The effect of the drug applies only to veins and capillaries. The active component reduces the pores between endothelial cells, thereby reducing the permeability of the walls of blood vessels.

Troxerutin, which exhibits antioxidant properties, protects adrenaline, ascorbic and hyaluronic acids from oxidation. As a result, the walls of blood vessels are strengthened, their fragility is prevented, and venous outflow is improved.

Thanks to Troxevasin, the symptoms of chronic venous insufficiency are reduced: pain disappears, swelling goes away, trophic ulcers heal. Signs of hemorrhoids disappear: bleeding stops, the size of hemorrhoids decreases, and itching stops bothering you.

The drug slows down the development of retinopathy caused by diabetes mellitus and arterial hypertension, and prevents thrombosis of retinal vessels.

Retinopathy is a disease of the retina of the eye associated with impaired blood circulation in it. The disease progresses rapidly and threatens vision loss, which is facilitated by the death of light-sensitive cells as a result of insufficient blood supply to tissues.

Properties and Application

The main action of the ointment:

• The venous walls are strengthened, blood flow is regulated, as a result of which congestion in the limbs is eliminated;
• Angioprotective effect. The walls of blood vessels are strengthened, and resistance to external adverse conditions increases. Vessels can withstand heavy loads without damage;
• Relieves inflammation of the venous wall, muscles, ligaments;
• The swelling that occurs due to sweating (leakage of blood plasma through the vessels) from veins with weak tone is reduced;
• The antioxidant effect consists of eliminating molecules that can damage vascular walls, making them thinner and more easily penetrated.

Due to this effect of the gel on small vessels, the following therapeutic effect occurs:

• The permeability and fragility of capillaries becomes less;
• The walls of blood vessels are strengthened;
• Prevention of blood clots, due to the fact that the process of platelet attachment to the vessel wall is reduced;
• Swelling is relieved;
• Blood circulation improves;
• The pain caused by the inflamed state of the capillaries and nearby tissues is reduced;
• Some symptoms of chronic venous insufficiency disappear.

These properties of Troxevasin ointment are used to treat the following conditions:

• Venous insufficiency;
• Various types of phlebitis;
• Trophic ulcers;
• High vascular permeability;
• Various cuts, bruises, sprains.

Troxevasin Neo, in addition to the main component, also contains heparin and dexpanthenol. Thanks to this, the gel has additional properties. Heparin prevents blood clotting and prevents the formation of blood clots. Dexpanthenol helps improve the absorption of heparin and ensures the restoration of damaged tissues.

For some types of diseases, simultaneous administration of Troxevasin capsules is recommended. If the pathological changes are minor, only ointment is used.

For various types of phlebitis and trophic ulcers, the use of Troxevasin Neo, which has a stronger antithrombotic and restorative effect, is recommended.

Both gels are used:

• Manifestation of various signs of venous insufficiency;
• Varicose veins and dermatitis caused by this disease;
• Superficial thrombophlebitis, periphlebitis;
• Trophic ulcers;
• Swelling, bruises;
• Haemorrhoids;
• The occurrence of leg cramps at night;
• With high capillary penetration (during influenza, ARVI);
• Some side effects after radiation sickness;
• Paresthesia – lack of sensation in the limbs at night and upon awakening;
• After removal of varicose and hemorrhoids, sclerotherapy of veins. Helps restore vascular function;
• For diabetes, atherosclerosis, hypertension, it is used as an auxiliary drug to improve blood circulation;
• Starting from the 13th week of pregnancy if venous insufficiency and hemorrhoids occur.

Pharmacological features

According to the instructions for use for troxevasin ointment, after application to the skin, the helium mass of this medication is quickly absorbed, leaving no traces on the surface. This agent is able to penetrate through the walls of blood vessels, while the main active element accumulates in the venous endothelium.

The drug has antioxidant properties, which helps quickly eliminate the oxidative effects of oxygen, suppress lipid peroxidation, and prevent the negative effects of hydroxyl radicals. As a result of this effect, “Troxevasin” helps protect vascular cell membranes from various damages. The use of this pharmacological drug leads to an increase in the tone of the veins and increases the resistance of red blood cells to deformation, and significantly reduces the permeability of capillary vessels.

In addition, the Troxevasin gel has effective anti-edematous and anti-inflammatory properties, which makes it possible to alleviate the course of various pathological processes and eliminate unpleasant symptoms. What does troxevasin ointment help with?

Reviews

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

Reviews of Troxevasin in almost all cases concern its use for the treatment of bruises and contusions or for eliminating the symptoms of venous insufficiency and varicose veins in the legs. In both cases, from 85 to 90% of reviews are positive, since the drug has a visible and tangible effect.

In reviews of the use of Troxevasin gel for the treatment of bruises and contusions, people indicate that even with a large area of ​​the hematoma, the drug leads to its complete disappearance within 3 to 5 days. Moreover, this applies to any bruise received either as a result of an injury, a bruise, or after numerous injections.

In reviews of the use of the drug for the treatment of venous insufficiency and varicose veins, people note that the gel and capsules quickly relieve swelling, relieve pain and reduce the feeling of heaviness in the legs. Many people note such a positive effect literally from the first days of using Troxevasin.

There are few negative reviews about Troxevasin and they are usually associated with the ineffectiveness of the drug in eliminating the problem for which the person started using it.

Reviews of the use of Troxevasin under the eyes are almost all positive, which is due to the visible effect of the drug. Women note that the gel really reduces the appearance of circles and bags under the eyes if used in periodic courses.

Course and features of treatment with Troxevasin

It is important to understand that Troxevasin in tablets and in the form of an ointment in a tube not only has a different release form. These are products and are used in different ways - tablets orally, ointment - only for external use

That is why the features of use will be different, as well as the methods of treatment, as well as the duration of the course and features of use.

When choosing a drug, many people cannot understand which is better: Troxevasin ointment or gel. This is one drug, but the release form is slightly different. The ointment has a denser structure, it quickly penetrates the tissue, and therefore can quickly alleviate the patient’s condition.

It can be used to treat bruises, abrasions, as well as weeping hemorrhoids, reducing the amount of discharge. The gel has a liquid consistency, which is convenient when applied to a large area of ​​skin.

Capsules or tablets

This is a remedy that is taken orally. This is the product that is used along with ointment. Many reviews of Troxevasin ointment for varicose veins are supplemented with advice on the parallel ingestion of tablets. This treatment makes the therapeutic course effective.

The dosage regimen often boils down to the fact that you need to take at least 1 tablet daily for 1–3 months. However, these are only recommendations; the final decision on the possibility of taking the drug, as well as on the dosage, is made by the attending physician. It is the doctor who is able to assess the patient’s condition in order to make recommendations regarding the correct treatment regimen.

Side effects

In rare cases, Troxevasin causes the following side effects:

• Headache;
• Nausea;
• Heartburn;
• Diarrhea;
• "Hot flashes" to the face;
• Allergy (usually in the form of urticaria);
• Damage to the gastrointestinal tract of an erosive-ulcerative nature.

Side effects can only be eliminated by discontinuing the drug.

Compound

Among the components of the ointment, the following substances can be recognized:

• Troxerutin is the most important component of the drug. It has properties similar to rutin, but is obtained in a different way from its

natural analogue, semi-synthetically. Rutin takes part in most processes occurring in the human body. It helps to increase the elastic properties of blood vessels, compacts their walls, and due to the increased content of hyaluronic acid, it helps to prolong youth and slow down aging. Reduces blood clotting,

• Trolamine - has an analgesic effect at the site of pathological processes quickly and effectively.
• Carbomer - has astringent properties, thanks to which it is easily applied to the affected area, as if enveloping it, evenly distributing the active substances. Promotes good mixing of components and the absence of heterogeneous masses in the substance
• Benzalkonium chloride – disinfects wounds and pathological formations, actively fights bacteria, prevents them from entering deep into tissues and the development of bacterial infections. A good local antiseptic.
• Disodium edetate dihydrate is responsible for thinning the blood and preventing the formation of blood clots.
• Purified water is used as a solvent for the main components of the ointment.

The medicine is available in the form of an ointment used for external application. There is also the same remedy, but in the form of tablets for oral use.

The ointment is packaged in special tubes coated inside with an aluminum insert, each containing 40 grams of substance.

To prevent the drug from oxidizing and deteriorating when exposed to air, the tube is sealed with a special protective film - a membrane.

To open it, you can use a pin needle, located for convenience in the cap that is screwed onto the tube.

Each tube is packaged in a cardboard box and includes an insert with instructions for use.

Can the ointment be used to treat pregnant women and children?

Pregnancy is a difficult period in the life of every woman, because she is prohibited from using many drugs, as they can negatively affect the development of the fetus in the womb. However, this category does not include Troxevasin ointment. Reviews about the use of this remedy during pregnancy are often positive. For example, doctors often prescribe it for the treatment of hemorrhoids in an expectant mother, because other drugs are contraindicated for her during this period. However, it is still recommended not to use it in the first trimester. The ointment can also be used during breastfeeding, as it does not pass into breast milk.

Bruises, contusions and other injuries often accompany active children, so many parents wonder whether this ointment can be used to treat children. No, the gel is contraindicated for children under 15 years of age, so for them it is better to choose a more gentle remedy for bruises.

Patient reviews

Alexey, 42 years old:

I take capsules and use Troxevasin ointment. Plus one more drug. All this helped me get rid of two old blood clots on my leg in 4 months. The tumor is gone. Pain too. Analyzes show significant improvement. I wish I had used Troxevasin regularly before the problem became so serious.

Angela, 40 years old:

In the evening I always felt tired in my legs. But I can’t give up heels. Smart people suggested using Troxevasin ointment. In the second week I felt that my legs didn’t hurt in the evening! This is some kind of miracle! And the ointment costs a penny.

Zoya, 34 years old:

I work in a store and am on my feet all the time. The veins began to appear. My feet were swollen and I couldn’t fit into my shoes. Everyone advised me to quit my job. No way!

I bought Troxevasin ointment freely at a pharmacy. And I couldn't be happier. Two weeks - and everything is great. I'm wearing my favorite shoes again. I also tried, on the advice of friends, to apply the cream to my lower eyelids. Excellent effect, no dark circles, no puffiness.

Irina, 47 years old:

I was born with ugly blue wreaths on my legs. They don't hurt, but they're not pretty! And with age they began to appear more and more. I started using Troxevasin ointment. I won’t say that there was an immediate effect. But I patiently continued to use the ointment. Only in the second month did I see that the veins were no longer sticking out so noticeably. And some became completely invisible.

Separate recommendations about the drug

What should a patient know before he starts using a drug such as Troxevasin Gel NEO? This form of medication should generally only be applied to the damaged area. In this case, it is necessary to avoid getting the drug into an open wound, eyes or mucous membranes.

In cases where patients have high vascular permeability, this type of gel is used in combination with ascorbic acid to enhance the effect. According to many specialists and doctors, the gel affects the patient’s ability to simply drive a car or work with dangerous loads and machinery.

Price for Troxevasin

Currently, the cost of various varieties of Troxevasin in pharmacies in Russian cities varies within the following limits:

• Gel 2%, 40 g – 156 – 184 rubles;
• Capsules, 50 pieces – 278 – 351 rubles;
• Capsules 50 pieces – 525 – 643 rubles;
• Gel Troxevasin Neo, 40 g – 215 – 278 rubles.

The cost of a medical drug is, on average, 200 rubles. Troxevasin ointment is available in every pharmacy and is available without a prescription. Since superficial self-medication cannot significantly harm the health of the buyer, this medicine can be purchased on the Internet. Ordering and delivery are not difficult, but it is quite possible to save on purchasing Troxevasin ointment. If virtual purchases remain beyond reality for the patient, below are the prices of medicines in real pharmacies in Moscow and St. Petersburg.

The cost of a 50 g tube of ointment is 164-300 rubles, the gel is estimated by manufacturers to be slightly more expensive - for the same volume you will have to pay 200-500 rubles.

special instructions

Women during pregnancy should take the drug only as prescribed by a doctor and under his supervision. In the 1st trimester, capsules are not prescribed. Before starting therapy while breastfeeding, you should first consult your doctor.

In patients with increased vascular permeability (this is observed in allergic reactions, influenza, and a number of infectious diseases), it is useful to combine the gel with ascorbic acid to increase efficiency.

It is not recommended to drink alcohol during treatment, as this may lead to a decrease in the therapeutic effect.

Troxevasin does not affect attention or reaction speed. Therefore, it does not create any interference with driving a car or other machinery that poses a potential danger.

Pros and cons of analogues

The popular "Troxevasin" has many analogues - capsules, tablets, ointments and gels. They correspond in structure to the original. Indications for use are identical.

The advantages of substitutes are:

• Low cost. Often the drugs are domestically produced, therefore significantly lower in cost.
• Additional components. The main purpose of Troxevasin is to strengthen the walls of blood vessels and reduce swelling. Analogues contain benzalkonium chloride, trometamol, sodium heparin. They relieve cramps. Injuries and sprains are treated with endomethacin in the chemical formula of ointments.
• Analogues are not counterfeited.
• A large assortment.

Weakness of substitutes:

• Cheap auxiliary components.
• Side effects. Additives (benzalkonium chloride) cause hypersensitivity to the drug.
• Cannot be used for a long time.

Consultation with your doctor

You can replace Troxevasin with analogues only on the recommendation of a doctor.