При варикозе, тромбах, геморрое и других подобных патологиях врачи могут прописать Гепариновую мазь или Троксевазин. Однако эти средства — не аналоги, поскольку имеют разный состав и воздействие на организм. Чтобы понять, какой из препаратов лучше, необходимо узнать их сходства, различия, сравнить между собой.
При варикозе, тромбах, геморрое и других подобных патологиях врачи могут прописать Гепариновую мазь или Троксевазин.
Сходства составов
Главное сходство в том, что Троксевазин и Гепариновая мазь используются при терапии воспаленных сосудов, варикозном дерматите, при риске развития тромбов, при геморрое и сильной отечности. Также мази подойдут при ушибах, трофических язвах, гематомах.
Чем отличается
Первое отличие — форма выпуска. Средство на основе гепарина продается только в форме мази. Троксевазин имеет 2 формы:
Второе отличие — состав. Активный компонент Троксевазина — троксерутин. Дополнительно в составе есть и другие компоненты, ускоряющие проникание средства через кожные покровы. Действующее вещество Гепаринового геля — гепарин, бензилникотинат.
Третье отличие — в механизме действия:
- Троксевазин. Данный препарат препятствует выделению тромбоцитов — клеток, которые нужны для предотвращения кровотечения. Но они также образуют тромбы. Лекарственный препарат имеет ангиопротекторный и противовоспалительный эффект. За счет укрепления сосудистых стенок снижается выработка жидкости, из-за которой возникают отеки.
- Гепариновая мазь. Входящий в состав гепарин — антикоагулянт, предотвращающий слипание кровяных клеток, что снижает вероятность развития тромбов. Есть в составе и анестезин, который после нанесения оказывает болеутоляющее действие. Бензилникотинат усиливает кровоток, предотвращает застойные явления, что приводит к тромбам, отекам.
Гепариновая мазь оказывает болеутоляющее действие.
Что лучше — Гепариновая мазь или Троксевазин
Чтобы понять, какой из препаратов эффективнее, следует вначале определить болезнь и стадию ее развития.
Троксевазин более эффективен при терапии на начальной стадии венозных заболеваний. В его составе также есть вещества, укрепляющие сосудистые стенки, что помогает избежать прогрессирования болезни. Гепариновая мазь подойдет для терапии запущенной стадии патологии. За счет активных компонентов при наличии синяков лучше всего пользоваться Троксевазином — средство не только обезболит, но и ускорит циркуляцию крови, поможет избежать развития застоев.
Выбирая средство для лечения геморроя стоит учитывать стадию развития патологии. Если болезнь только начала проявляться, отсутствуют болевые ощущения, нет выпадения узлов, лучше использовать Троксевазин. Средство защитит стенки сосудов, предотвратит появление отеков. При запущенной стадии, которая протекает с появлением болевых ощущений, лучше воспользоваться мазью на основе гепарина. Состав имеет обезболивающий эффект, предотвращает застой крови в тканях.
При варикозе важна стадия развития патологии. При незначительном увеличении вен, если нет боли и сильного покраснения, стоит воспользоваться Троксевазином. Благодаря ему укрепятся стенки сосудов, ускорится отток лимфы. Если патология находится в запущенной стадии, когда присутствует сильная боль и отеки, желательно использовать Гепариновую мазь — она не только нормализует микроциркуляцию крови, но и снимет боль.
Можно ли принимать вместе
Согласно клиническим исследованиям, одновременный прием средств не имеет побочных эффектов. Но лучше использовать мазь на основе гепарина с таблетками Троксевазин.
Противопоказания
Основные противопоказания к приему Троксевазина:
- непереносимость компонентов препарата;
- гемофилия;
- сахарный диабет;
- плохая работа почек, печени;
- болезни ЖКТ, особенно язвы и гастриты;
- болезни сердца:
- эпилепсия;
- астма;
- мигрень.
Противопоказанием Троксевазина является непереносимость компонентов препарата.
Противопоказания к применению Гепариновой мази схожи:
- гемофилия;
- открытые раны на коже;
- тромбоцитопения.
Побочные действия
После терапии Троксевазином могут наблюдаться:
- появление зуда, сыпи на коже;
- тошнота и рвота, боли в животе;
- головные боли;
- тахикардия.
В результате применения Гепариновой мази в редких случаях развивается кровотечение. При обнаружении такого побочного эффекта следует прекратить терапию, обратиться к врачу для изменения схемы лечения. Кроме того, использование средства может стать причиной появления дерматита и крапивницы. Поэтому перед применением состава нужно провести тест на небольшом участке кожи: если в течение 1 часа после наружного нанесения не возникнет покраснение и зуд, мазь можно использовать.
Как принимать
Согласно инструкции, Троксевазин необходимо использовать дважды в сутки, втирая в кожу до впитывания. Рекомендовано после нанесения использовать компрессионное белье для повышения эффективности терапии. Длительность — до 1 недели.
Мазь на основе гепарина можно наносить до 3 раз в день на пораженный участок кожи тонким слоем. Терапию стоит продолжать до исчезновения симптомов, но не более 7 дней. При отсутствии положительного результата важно обратиться к врачу — он либо продлит период использования средства, либо пропишет иное лекарство.
Оба этих лекарственных средства допустимо использовать при беременности, кроме третьего триместра, но только с разрешения врача.
Условия отпуска из аптек
Лекарственные препараты отпускаются безрецептурно, но использовать их без предварительной консультации с врачом не стоит.
Средство на основе гепарина стоит дешево — до 60 руб., цена Троксевазина — от 150 руб.
Отзывы
Татьяна, 39 лет, Москва
Врачи поставили диагноз расширение фен второй степени: вены начали выпячиваться, появилась боль. Врачи прописали использовать Троксевазин в виде мази и таблеток. Через 5 дней приема заметила улучшения, прошли болевые ощущения. Единственный недостаток средства — неприятный запах, но при этом оно эффективно.
Ксения, 31 год, Пермь
После родов начал проявляться варикоз. Вначале использовала народные методы, но они не помогли. Когда боль усилилась, пошла к врачу — он прописал гель Троксевазин. Использовала согласно инструкции, но эффекта — никакого, только стало хуже. Поэтому доктор прописал дополнительно использовать мазь, в составе которой есть гепарин. Спустя 10 дней после терапии вены стали не так сильно выражены, прошла отечность.
Наталья, 37 лет, Владивосток
Работа — сидячая, поэтому начался геморрой, доставляющий массу неудобств. Из-за боли невозможно было ни сидеть, ни двигаться. Специалист после осмотра прописала использовать 2 мази в течение 14 дней. Результат: прошли болевые ощущения, исчезла кровоточивость, средство помогло унять зуд.
Многие пациенты интересуются, что лучше: Гепариновая мазь или Троксевазин. Оба препарата используются при лечении варикозного расширения вен и других заболеваний, сопровождающихся нарушением микроциркуляции. На этом сходство между лекарствами заканчивается, они имеют разные составы и фармакологические действия. Перед принятием решения о необходимости применения того или иного лекарства врач проводит обследование пациента.
Оба препарата используются при лечении варикозного расширения вен и других заболеваний, сопровождающихся нарушением микроциркуляции.
Сходства составов
Сходных веществ в составах этих средств мало. Все они относятся к вспомогательным компонентам и не играют важной роли в лечении заболевания. В состав Гепариновой мази входят:
- Гепарин. Вещество высвобождается постепенно, накапливаясь в тканях и оказывая противовоспалительное действие. Гепарин растворяет тромбы и снижает вероятность образования новых. Это становится возможным благодаря блокированию выработки тромбинов и снижению скорости склеивания тромбоцитов.
- Бензокаин. Вещество обладает выраженным обезболивающим действием. Бензокаин часто используется для устранения болей при варикозе.
- Бензилникотинат. Расширяет просветы вен и артерий, что помогает повысить скорость всасывания гепарина.
Троксевазин противопоказан при повреждениях и инфекционных поражениях кожи.
В состав геля Троксевазин входит троксерутин — действующее вещество, относящееся к производным рутина. Оно укрепляет стенки сосудов, нейтрализует действие свободных радикалов, устраняет застойные явления. Препарат обладает противовоспалительными свойствами, он препятствует оседанию тромбоцитов на стенках вен.
Чем отличается?
Отличия препарата заключаются в:
- Форме выпуска. Гепариновая мазь показана для наружного нанесения. Троксевазин же имеет и таблетированные формы выпуска.
- Сфере применения. Гепарин является антитромбическим средством, быстро устраняющим болевые ощущения. Мазь применяют при геморрое, варикозном дерматите, наличии отеков и синяков. Она ускоряет процесс заживления и помогает унять зуд. Средство может использоваться для лечения посттравматических осложнений и лимфостаза. Троксевазин применяется для устранения признаков венозных заболеваний. Препарат устраняет отечность, застойные явления и повреждения венозных стенок.
Что лучше: Гепариновая мазь или Троксевазин?
Сравнить положительные стороны этих средств и понять, что эффективнее, практически невозможно, так как средства обладают различными фармакологическими действиями. Выбор препарата зависит от характера течения патологии и наличия осложнений.
Гепариновая мазь ускоряет восстановление после удаления вен. Его можно использовать для предупреждения тромбофлебита и тромбоэмболии. Оно препятствует отрыву тромбов и закупорке крупных сосудов. Мазь Троксевазин при неосложненном варикозном расширении фен помогает предотвратить дальнейшее развитие заболевания и избежать опасных последствий.
Гепариновая мазь ускоряет восстановление после удаления вен.
Можно ли принимать вместе?
Опасных последствий взаимодействия веществ, входящих в составы препаратов, не выявлено. Гепариновая мазь может использоваться одновременно с капсулами и гелем Троксевазин.
Противопоказания
Препараты на основе гепарина нельзя использовать при следующих патологических состояниях:
- индивидуальной непереносимости действующих веществ и вспомогательных компонентов;
- наличии трофических язв;
- некротических поражениях мягких тканей;
- нагноении ран;
- обширных ожогах и ранах;
- инфекционных поражениях мягкой ткани;
- низкой свертываемости крови.
Троксевазин противопоказан при повреждениях и инфекционных поражениях кожи, аллергических реакциях на входящие в состав препарата ингредиенты, беременности и лактации.
Побочные действия
При использовании средств на основе гепарина может возникать незначительное покраснение кожи. Троксевазин хорошо переносится организмом. В редких случаях средство может вызывать экзему или дерматит. Оба препарата могут вызывать следующие побочные действия:
- кожный зуд;
- высыпания в виде крапивницы;
- признаки раздражения кожи.
Как принимать?
Небольшое количество Гепариновой мази наносится на чистую кожу. Средство аккуратно втирают в пораженные участки. Процедуру проводят 3 раза в сутки. После исчезновения признаков воспаления лечение прекращают. Не рекомендуется использовать препарат более 8 дней. Троксевазин используется длительными курсами (по 2-3 месяца). Лекарственное средство наносят на чистую кожу ног не чаще 2 раз в день. Использование геля сочетают с приемом капсул, который осуществляют 1 раз в день.
Условия отпуска из аптек
Оба препарата отпускаются без рецепта.
Отличия в составе предполагают существенную разницу в цене. Гепариновая мазь стоит не более 100 руб. Туба Троксевазина обойдется в 250-700 руб.
Отзывы
Ксения, 35 лет, Москва: "После вторых родов обострился варикоз. Пробовала лечиться народными средствами, эффекта не было. Пришлось обратиться к врачу, который назначил Троксевазин. Лекарство применяла в течение месяца, однако положительного результата не было. Болезнь продолжала развиваться, вены уплотнились, появились отеки и боли в ногах. Долго ходить и стоять было невозможно. При повторном посещении врача в схему лечения была включена мазь на основе гепарина. Средство помогло быстро справиться с болями и отечностью. Через неделю вены стали менее выраженными".
Наталья, 28 лет, Казань: "При беременности ноги сильно отекали и болели. Ходить могла не более получаса в день. Проблему помог решить флеболог, к которому обратилась, устав жить с варикозом. Врач назначил мазь с гепарином, которую наносила на кожу 2 раза в день. Отеки спали, вены спрятались, боли исчезли. После родов варикоз вернулся, схему лечения дополнили Троксевазином. Эти препараты вновь помогли избавиться от неприятных проявлений".
Елена, 55 лет, Новосибирск: "Из-за сидячей работы обострился геморрой, который доставлял множество неудобств. Боль мешала нормально сидеть и двигаться. Проктолог назначил мазь на основе гепарина и гель Троксевазин. Лечилась 2 недели, после чего наступило облегчение. Боли и жжение исчезли, кровотечения прекратились. Полный курс лечения помог справиться с обострением и избежать хирургического вмешательства. Побочных действий препараты не вызывали".
В качестве средств местного применения в комплексном лечении варикозной болезни часто используется Гепариновая мазь или Троксевазин. Эти препараты имеют схожее действие и должны привести к одинаковому результату. Но эффективность того или иного средства зависит от многих факторов.
В комплексном лечении варикозной болезни часто используется Гепариновая мазь или Троксевазин.
Характеристика Гепариновой мази
Активно действующим веществом является гепарин, выделяемый из КРС и слизистой оболочки тонкого кишечника свиней. Он обладает антикоагулянтными свойствами и способствует снижению свертываемости крови. Это обеспечивает нормализацию кровотока в сосудах.
Снижает выработку тромбина и агрегацию тромбоцитов. Способствует устранению уже образовавшихся тромбов и снижает риск появления новых. Подавляет ферментативную активность плазменных факторов свертывания, снижает вязкость и предупреждает застой крови. Активирует ее фибринолитические свойства. Устраняет воспаление. Помогает унять зуд.
Характеристика Троксевазина
Активно действующим веществом является троксерутин. Обладает антикоагулянтными и антиагрегантными свойствами. Воздействует на сосудистую стенку, улучшая ее тонус. Снижает проницаемость и ломкость сосудов. Снимает отечность. Устраняет ощущение тяжести в ногах. Препятствует образованию сосудистого рисунка. Предупреждает развитие судорог и парестезий.
Сходства составов
Применяются при нарушении микроциркуляции, хронической венозной недостаточности и варикозе.
Чем отличается Гепариновая мазь от Троксевазина
Средство, изготовленное на основе гепарина, обеспечивает противотромбический и обезболивающий эффекты. Гель Троксевазин оказывает комплексное воздействие на венозные сосуды конечностей и лучше устраняет отеки. Не являются аналогами.
Троксевазин: применение, формы выпуска, побочные действия, аналогиВарикозное расширение вен на ногах. Троксерутин и гепариновая мазь.Мази от варикоза на ногах, какую мазь лучше использовать для лечения вен?
Что лучше Гепариновая мазь или Троксевазин
Зависит от формы венозного заболевания и степени его тяжести. Определить, какое средство поможет эффективнее, а также рассчитать режим дозирования и продолжительность действия, может только врач. В некоторых ситуациях рекомендуется использовать оба этих средства одновременно.
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Отзывы пациентов о Гепариновой мази и Троксевазине
Елена, 39 лет, Бийск
Использовала эти средства для лечения варикозных узлов на ногах. Никаких улучшений не увидела. Кроме варикоза страдаю куперозом (на щеках и подбородке имеются небольшие капиллярные сеточки). Заметила, что после нанесения Троксевазина краснота немного спадает. Препарат хорошо устраняет отечность под глазами. Пробовала применять для этих целей и мазь на основе гепарина. Эффект такой же. Но, если их сравнить, то гель (в отличие от мази) не вызывает чувства жжения.
Светлана, 54 года, Красноярск
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