Хронические заболевания вен требуют применения не только местных лекарств, но и качественного системного лечения. Что лучше при варикозе: Детралекс, Венарус или Флебодиа, в чем отличия этих препаратов – эти вопросы задают многие пациенты, которые хотят получить реальный эффект от терапии.
Состав
Если рассматривать активные компоненты, то можно с уверенностью сказать, что Детралекс является полным аналогом Венаруса. Эти средства содержат одинаковые действующие вещества: диосмин и гесперидин. Поэтому инструкции их являются идентичными.
Флебодиа немного отличается. Это лекарство имеет в составе один активный компонент диосмин. Учитывая, что два препарата – это аналоги, достаточно сравнить Флебодиа 600 и Венарус.
Действие и показания таблеток Венарус
Это лекарство назначают для профилактики и лечения варикозного расширения вен. Состав Венаруса и Детралекса активно действует на сосудистую стенку и нормализует ее тонус. Вены становятся эластичными, а капилляры устойчивыми к проницаемости.
Диосмин, содержащийся в составе таблеток Детралекс, оказывает положительное влияние на упругость сосудистых стенок. Гесперидин, являясь активным биофлавоноидом, препятствует венозному застою и улучшает кровообращение. В комплексе, активные вещества усиливают действие друг друга.
Таблетки назначают при симптомах сосудистой недостаточности нижних конечностей, трофических язвах, а также в целях профилактики.
Одновременное использование Детралекса с компрессионным бельем улучшает результат лечения.
Венотоники имеют серьезные побочные эффекты и противопоказания, поэтому назначаются только специалистами.
Действие и показания Флебодиа 600
Таблетки относятся к группе венотоников и венопротекторов. Благодаря диосмину, лекарство улучшает структуру венозных стенок и нормализует отток крови. Оно одинаково влияет на крупные сосуды и на мелкие капилляры. Таблетки предотвращают застойные явления и образование тромбов.
Показаниями к назначению препарата являются проявления варикоза на начальных стадиях и профилактика в группах риска. В отличие от Венаруса это средство не показано при трофических язвах.
Совместное использование Флебодиа 600 и наружных средств повышает эффективность таблеток.
Удобство применения
Детралекс и Венарус в дозировке 1000 мг принимают по 1 таблетке в сутки.
Рекомендовано пить средство в утренние часы во время приема пищи. Для удобства проглатывания на пилюлях есть риска для разламывания пополам. Курс лечения Детралексом довольно длительный, от нескольких месяцев до года. При повторном обострении болезни врач может назначить повторную терапию.
Флебодиа тоже принимают по одной таблетке, утром до завтрака. Но курс лечения составляет всего два месяца. Что значительно уменьшает риск развития побочных эффектов.
Противопоказания
Флебодиа нельзя принимать при повышенной чувствительности к диосмину. Детралекс и Венарус противопоказан при непереносимости гесперидина и диосмина.
Беременность и лактация
Флебодиа 600 запрещено принимать:
- в первом триместре беременности;
- во время кормления грудью;
- детям до достижения 18 лет.
Во втором и третьем триместре вопрос о назначении средства решает врач. В случае острой необходимости использование лекарства во время лактации проводится после оценки возможного риска для плода.
Инструкция к Детралексу и Венарусу не запрещает лечение в период беременности. Сведений о негативном влиянии на плод не имеется. Во время лактации препараты стоит ограничить в связи с недостаточностью клинических исследований.
Лечение Детралексом в период беременности нужно проводить под контролем флеболога и гинеколога.
Побочное действие
Несмотря на содержание в таблетках Флебодиа только одного активного компонента, это средство чаще вызывает побочные эффекты.
Нежелательное воздействие всех трех препаратов проявляется на пищеварительном тракте и нервной системе.
Венарус и Детралекс дополнительно могут спровоцировать появление кожной аллергии. Это связано с растительными компонентами в составе таблеток. Но наличие флавоноидов в Детралексе и Венарусе смягчает отрицательное влияние диосмина на организм.
Эффективность
Если сравнить описание Венарус и Флебодиа 600, можно прийти к выводу, что эти средства одинаково эффективны в борьбе с симптомами варикоза. Они восстанавливают нормальный кровоток и устраняют застои, укрепляют сосуды и нормализуют их тонус. Терапевтическое действие таблеток доказано множеством клинических испытаний. Но состав лекарств не одинаков, они по-разному влияют на организм.
Флебодиа отличается быстрым всасыванием и накоплением. Возможность короткого курса сводит к минимуму нежелательное влияние на организм. Отзывы врачей об этих таблетках только положительные. Ведь лекарство относится к венопротекторам системного действия нового поколения.
Венарус и Детралекс проверены годами, они способны помогать при трофических язвах, а значит эффективнее. Ведь кожные покровы страдают в более поздних стадиях. Флавоноиды, входящие в состав лекарственных средств, усиливают венотонизирующее действие и повышают иммунитет. К тому же эти препараты можно использовать при беременности.
Стоимость
Флебодиа 600 можно купить за 977 рублей 30 штук. Этого хватит на месячный курс лечения. Цена Детралекса 1426 рублей за те же 30 таблеток по 1000 мг. Венарус стоит 897 рублей за 30 штук.
В итоге терапия препаратами Венарус или Флебодиа 600 обойдется примерно одинаково на один месячный курс. Но Флебодиа нужно пропить всего два месяца, а Венарус около года. Дороже всего обойдется лечение Детралексом.
Что выбрать
Все три препарата обладают аналогичным действием на сосуды и кровоток. Выбор лекарства напрямую зависит от стадии варикоза, наличия осложнений и сопутствующих заболеваний. Только специалист может решить, какое средство целесообразней применить, чтобы добиться эффекта.
Отзывы врачей
Чаще всего назначаю Детралекс. Он хорошо переносится, и пациенты отмечают быстрое облегчение симптомов варикоза.
Артур Рафикович, Москва
Ни Флебодиа, ни Детралекс, ни другие таблетки не помогут избавиться от хронической варикозной болезни. Как ангиохирург признаю только радикальные методы лечения. А эти средства назначаю только для профилактики и при первых проявлениях заболевания.
Алексей Павлович, Самара
Отзывы пациентов
Хирург назначил прием Детралекса от варикоза. Препарат очень эффективен, но дорого стоит. Поэтому спустя 2 месяца перешла на лечение Венарусом. Он тоже хорошо снимает боль и тяжесть.
Рита, Ставропольский край
Пропила курс Флебодиа 600 год назад. Были постоянные судороги и отеки. Эффект появился уже через месяц и держится до сих пор.
Вера Григорьевна, Ялта
Венарус – просто спасение для ног. Но у меня от него постоянные расстройства кишечника. Мучаюсь, но лечение не прекращаю.
При варикозном расширении вен не обойтись без приема внутрь препаратов тонизирующих вены. Популярностью пользуются такие средства как Венарус или Детралекс. Отзывы врачей и пациентов о них – самые лучшие.
Интерес заболевших варикозом вызывает и сравнительно новый препарат Флебодиа 600. Какими они обладают свойствами, какой из них лучше, а также что думают врачи и пациенты – читайте в этой статье.
Состав и содержание активного вещества
Все три описанных в статье препарата содержат аналогичные компоненты и, соответственно, обладают похожим эффектом. Ниже разберем каждый из них подробнее.
Венарус
Венарус – отечественный препарат, выпускается в форме таблеток для внутреннего применения. Особенность таблеток в их оболочке – она растворяется только в кишечнике, а не в желудке, что обеспечивает быстрое и полное всасывание и усвоение.
В состав препарата входят два активных вещества: диосмин 450 мг и гесперидин 50 мг. Благодаря им достигается следующий эффект:
- происходит укрепление стенок сосудистой и лимфатической систем за счет коллагена;
- укрепляются не только крупные вены, но и мелкая сосудистая сетка;
- лучше начинают работать клапаны в венах, благодаря чему улучшается кровоток и уменьшается риск растягивания сосудов;
- кровь и лимфа начинают лучше циркулировать, уменьшая застойные явления.
Существенный плюс препарата Венарус – отсутствие противопоказаний при беременности. Во время вынашивания плода у женщин часто ухудшается состояние вен и сосудов, возникают варикоз и геморрой. Поэтому им особенно нужны поддерживающие препараты.
Кроме того, Венарус можно применять не только для лечения, но и для профилактики. Выпускается он и в виде геля для наружного применения для комплексной терапии заболевания.
Важно! Сочетание геля и таблеток в комплексе оказывает более быстрый лечебный эффект, особенно эффективно в запущенных случаях и при обострении.
Детралекс
Детралекс содержит то же, что и Венарус: диосмин 450 мг и гесперидин 50 мг. Тогда возникает вопрос: в чем разница? А разница в производителе. Венарус – отечественное средство, а Детралекс выпускается во Франции.
Но не только. Иностранный препарат производится по особой технологии. Благодаря ей активные компоненты находятся в форме, позволяющей им быстрее проникать в кровь. А значит, лекарственный эффект наступает быстрее.
Вот какими свойствами обладает Детралекс:
- уплотнение стенок вен;
- повышение упругости сосудов;
- укрепление венозных клапанов;
- устранение растяжения сосудов;
- нормализация кровотока;
- нормализация микроциркуляции;
- снижение хрупкости и проницаемости сосудов;
- устранение застойных явлений.
В целом – повышается тонус вен и сосудов, улучшаются процессы восстановления тканей. При геморрое уменьшаются кровотечения. Как и Венарус, Детралекс можно применять во время беременности.
Важно! Исследований по поводу попадания препарата в грудное молоко не проводилось, поэтому принимать его во время кормления грудью следует с осторожностью и при любых тревожных симптомах прием прекратить.
Флебодиа
Флебодиа 600 – новый препарат на рынке, он широко рекламируется, а потому вызывает интерес у больных варикозным расширением. Чем он отличается от других препаратов? Как и у Детралекса – производство Франция. Выпускается в виде таблеток. Но Флебодиа – препарат, в который входит только одно активное вещество: 600 мг диосмина.
Активное вещество распределяется избирательно, то есть действует преимущественно там, где это и требуется. Вот какое действие оказывает Флебодиа 600:
повышение тонуса стенок сосудов;- устранение растяжения сосудов;
- обезболивающий и противовоспалительный эффект;
- уменьшение хрупкости и проницаемости сосудов;
- улучшение микроциркуляции;
- устранение застойных явлений;
- улучшение лимфотока;
- снятие отеков;
- предупреждение образования трофических язв.
повышение тонуса стенок сосудов;Препарат можно применять во время беременности, однако досконально процесс влияния на плод еще не изучен.
Сравнительный анализ
Итак, попробуем сравнить, что эффективнее при лечении варикозного расширения вен. Венарус и Детралекс содержат один и тот же активный компонент. Отличие – в его форме. Поэтому и действие немного отличается.
Так, Детралекс быстрее всасывается в кровь, а значит, лечебный эффект тоже наступает быстрее, чем у Венаруса. Чтобы последний подействовал в полной мере, придется подождать. Зато, благодаря отечественному производству, стоимость Венаруса значительно ниже, чем у его французского аналога.
В остальном же эти два препарата можно считать равнозначными и взаимозаменяемыми. Поэтому, что лучше – Детралекс или Венарус при варикозе, каждый больной решает сам для себя.
Что касается Флебодиа 600, то он содержит только один активный компонент против двух у Венаруса и Детралекса. А значит, того действия, что оказывает отсутствующее в нем вещество, он не окажет. Принимать Флебодиа проще – достаточно одной таблетки в день, поскольку дольше длится период распада. Из-за кратности приема суточная доза активного вещества будет меньше, чем в Венарусе или Детралексе.
Что касается стоимости, то Флебодиа дороже российского препарата, однако полный курс лечения последним в конечном итоге будет стоить выше.
Мнение врачей
Воробьева И.В., хирург, г. Москва: «Детралекс мне нравится тем, что при его применении терапевтический эффект достигается максимально быстро. Это особенно хорошо при обострении заболевания, при выраженном болевом эффекте. Также быстро спадают отеки, уменьшается дискомфорт при нагрузках. Назначаю его своим пациентам.»
Кузнецов О.П., терапевт, г. Нижневартовск: «Не вижу принципиальной разницы между препаратами Венарус и Детралекс. Действуют они одинаково. А что касается более быстрого эффекта от французского средства, то в любом случае этого недостаточно для полного курса. Лечение должно быть продолжительным и комплексным.»
Ивушкина М.К., сосудистый хирург, г. Екатеринбург: «Все три препарата зарекомендовали себя неплохо. Однако все они хороши только в составе комплексной терапии. Вылечить ими варикозное расширение нельзя, можно только облегчить состояние и устранить болезненные симптомы. А для запущенных стадий и вовсе показана лишь операция.»
Мнение пациентов
Ольга, 38 лет, г. Москва: «После рождения второго ребенка появился сильный варикоз. Пользовалась разными мазями сама, потом не выдержала и пошла к врачу. Он посоветовал Венарус. Теперь регулярно прохожу курс лечения и гелем тоже пользуюсь. Стало значительно лучше.»
Катерина, 49 лет, г. Курган: «С варикозом живу уже много лет, перепробовала много средств – как таблеток, так и мазей. Вздохнула с облегчением, только когда попробовала Флебодиа 600. Облегчение наступило быстро, сразу же стали спадать отеки и боли. Работаю я учителем – полдня на ногах, поэтому для меня это очень важно.»
Василий, 42 года, г. Ульяновск: «Врач прописал Детралекс. Отличный препарат, действует быстро, снимает все неприятные симптомы. Однажды его не было в аптеке, и фармацевт посоветовала Венарус, сказала, что это аналог. Попробовал – и перешел на него. Разницы вот вообще никакой, только стоит гораздо дешевле.»
Заключение
Каждый решает сам для себя, что ему лучше принимать: Детралекс, Флебодиа 600 или Венарус. Отзывы о них в сети можно найти разные, от положительных до резко отрицательных.
Однако в любом случае не стоит заниматься самолечением. Любой из препаратов стоит принимать только по рекомендации врача, а при малейших ухудшениях прием прекратить. Ведь халатное отношение к венам может привести к тромбофлебитам, трофическим язвам и даже летальному исходу.
Современная фармацевтическая промышленность предлагает большое количество различных препаратов-венотоников. «Что лучше: Детралекс, Венарус или Флебодиа?» – вопрос, остающийся до сих пор открытым. Данные лекарственные средства относятся к одной группе медикаментов, имеют одинаковые показания к применению и оказывают идентичное терапевтическое воздействие.
Однако некоторые отличия всё же существуют. Чтобы разобраться в свойствах и действии препаратов, необходимо сравнить Детралекс, Флебодию и Венарус. Эти препараты применяются при варикозе и геморрое для повышения тонуса кровеносных сосудов, усиления микроциркуляции крови. Лечение данными медикаментами хорошо зарекомендовало себя во врачебной практике.
Состав
Лекарственный препарат Детралекс включает флавоноидную формулу.
В состав таблеток включены:
- 500 мг диосмина;
- 50 мг гесперидина.
Эти вещества улучшают отток лимфы, усиливают микроциркуляцию крови, устраняют застои кровяных масс, ликвидируют варикозный недуг. Препарат относится к капилляростабилизирующим лекарствам. Он укрепляет большие и мелкие крепкие сосуды, увеличивает эластичность сосудов и предотвращает их ломкость.
Средство Флебодиа также имеет в своём составе диосмин. Однако в него не включен гесперидин. К тому же, количество диосмина в таблетке 600 мг, а в Детралексе — 500 мг. Это основные отличия двух препаратов. Медикамент Флебодиа также улучшает кровообращение и укрепляет большие и мелкие сосуды.
Препарат Венарус содержит:
- 900 мг диосмина;
- 100 мг гесперидина.
Это немного больше, чем в Детралексе. Поэтому назвать Венарус полным аналогом Детралекса никак нельзя. Отличием Венаруса от Детралекса и Флебодии является другая дозировка лекарственного вещества диосмина.
В остальном, состав всех трёх препаратов идентичный. Таблетки также включают дополнительные вещества и воду. Существует небольшая разница в дополнительных веществах, но в сравнении состава лекарств, это уже незначительные мелочи.
Как действуют лекарства
Медикаменты Венарус, Флебодиа 600 или Детралекс обладают идентичным воздействием.
В организме человека лекарства:
- увеличивают тонус вен;
- оказывают ангиопротекторное действие;
- улучшают отток лимфы;
- выводят лишнюю жидкость из организма;
- укрепляют стенки кровеносных сосудов;
- делают вены эластичнее, что предотвращает их ломкость;
- усиливают микроциркуляцию крови;
- предотвращают образование тромбов.
Препараты ликвидируют воспалительный процесс в клапанах вен и венозную недостаточность. Именно поэтому основными показаниями к применению Венаруса, Флебодиа и Детралекса часто являются геморрой и варикоз . Но выбирать лекарства должен врач.
Лекарства понижают ломкость капиллярной сети и уменьшают проницаемость мелких и крупных сосудов. Аналоги Венарус, Флебодиа и Детралекс одинаково благоприятно воздействуют на состояние любых сосудов в человеческом организме. Отличие средства Детралекса от Флебодии, в основном, в составе.
Противовоспалительный эффект препаратов Венарус, Флебодиа и Детралекс обусловлен ингибирующим воздействием на выработку простогландинов. Флавоноидные активные вещества диосмин и гесперидин эффективно защищают вены от различных негативных факторов. Медикаменты Венарус, Флебодиа и Детралекс полностью ликвидируют венозную недостаточность и способны лечить трофические язвы и геморрой.
Применение
Лекарственный препарат Венарус принимают по 2 таблетки в сутки. Для уменьшения венозной недостаточности пьют Венарус по таблетке утром и вечером. Лекарство проглатывают целиком, запивают водой. В качестве поддерживающей терапии препарат Венарус принимают по 1 таблетке в сутки. Длительность терапевтического курса назначает врач. В некоторых случаях лечение может занять около 3-х месяцев. В состав Венаруса включен гесперидин, который совершенно безопасен при длительном применении.
При остром геморрое Венарус принимают по такой схеме:
- по 3 таблетке дважды в сутки 4 дня;
- далее доза снижается до 4 табл. в сутки.
Применение препарата Флебодиа несколько отличается от лечения Венарусом. Средняя продолжительность курса – около 2-х месяцев. Принимают лекарство Флебодиа по 2-3 таблетки в сутки около недели, далее по 1 таблетке однократно в сутки. Максимально разрешённая доза лекарства составляет 1800 мг или 3 таблетки.
Приём Детралекса зависит от особенностей заболевания. Данный препарат выводится в течение 12 часов и обладает длительным действием. При хронической венозной недостаточности Детралекс принимают по 2 таблетки (500 мг) в день. Препарат назначается в утренние и вечерние часы. Максимальная продолжительность терапевтического курса может быть около 1 года. Длительность терапии назначается в индивидуальном порядке и зависит от особенностей недуга.
При геморрое Детралекс принимают по 3 таблетки утром и 3 таблетки вечером на протяжении четырех дней. Далее дозировка постепенно снижается. Детралекс можно принимать и в качестве профилактики геморроя для улучшения микроциркуляции крови в анальном канале и ногах.
Побочные эффекты
Что касается побочных проявлений от препарата, то они могут несколько отличаться в зависимости от индивидуальных особенностей организма.
В некоторых случаях могут наблюдаться:
- головные боли;
- головокружения;
- тошнота;
- диспепсия.
Препараты Венарус, Флебодиа, Детралекс не оказывают влияние на скорость психомоторных реакций и не вызывают сонливость. Их можно смело принимать водителям и руководителям механизмов.
Из побочных реакций иногда развивается аллергия. Чаще всего она сопровождается:
- покраснением кожи;
- зудом;
- появлением отечности;
- температурой.
Ни в коем случае нельзя принимать лекарства Венарус, Флебодиа и Детралекс при индивидуальной непереносимости компонентов препарата. Важно придерживаться инструкции, которую предоставляет в упаковке производитель и не заниматься самолечением. Передозировка данных средств может привести к негативным последствиям, которые потребуют врачебной коррекции.
Противопоказания
Основными противопоказаниями к приёму Венаруса являются:
То есть препарат почти не имеет противопоказаний и даже разрешен к приему во время беременности.
При приеме Флебодиа круг противопоказаний почти идентичен:
- непереносимость препарата;
- аллергия;
- лактация;
- детский возраст до 18 лет.
Противопоказания к приёму препарата Детралекс несколько расширены:
- лактация;
- детский возраст;
- индивидуальная непереносимость;
- аллергия;
- трофические язвы;
- нарушенная свертываемость крови.
При наличии противопоказаний необходимо воздержаться от лечения венотониками Детралекс, Флебодиа и Венарус. Врач должен подобрать в таком случае другое лечение.
Стоимость
Сравнивая три лекарственных препарата, не следует забывать об их стоимости. Иногда это наиболее важный и решающий фактор в выборе венотоника. Стоимость препаратов часто является наиважнейшей у пациентов.
В отечественных аптеках цена на препараты Детралекс, Флебодиа и Венарус может варьироваться в различных пределах.
В среднем, она такова:
- Детралекс – 750-1300 рублей;
- Флебодиа – 600-630 рублей;
- Венарус – 560-610 рублей.
В некоторых аптеках можно приобрести лекарства со скидкой.
Производитель
Производителем лекарственного препарата Детралекс является французская фармацевтическая компания Servier. Транспортировка оригинального лекарства до аптеки может сказаться на цене лекарственного препарата, поэтому Детралекс наиболее дорогое лекарственное средство из всех трех.
Производителем препарата Венарус является российское фармацевтическое предприятие «Оболенское», расположенное в Московской области. Безусловно, отечественный вариант Детралекса стоит несколько дешевле.
Производитель препарата Флебодиа – французская фармкомпания Иннотера Шузи. Российский представитель АО «Лаборатория Иннотек Интернасиональ» в Москве.
Отличия препаратов
Как уже было выяснено, лекарственные препараты Детралекс, Венарус и Флебодиа – не одно и то же. Данные венотоники могут применяться для одинаковых болезней. Однако только лечащий врач может решать, какой именно лекарственный препарат окажется лучше в том или ином случае.
Лекарства Детралекс, Венарус и Флебодиа отличаются по цене, производителю и составу. Незначительные отличия они имеют в противопоказаниях. Например, детский возраст в качестве противопоказания не указан в инструкции к препарату Венарус.
Основное отличие препаратов – в дозировке активного лекарственного вещества диосмина. Наибольшая его концентрация есть в таблетке Венаруса 900 мг, наименьшее – в Детралексе – 500 мг. Выбор препарата для лечения часто зависит от дозировки препарата, поэтому необходимо учитывать ее в каждом конкретном случае.
Лекарственные средства отпускаются в аптеках без рецепта. Однако не стоит злоупотреблять самолечением. Перед приобретением Детралекса, Венаруса или Флебодиа важно проконсультироваться с врачом. Что выбрать, зависит от назначения медика.
Как показывает сравнение медикаментов, отличие Детралекса от Флебодии – в составе и цене.
Среди отзывов врачей существуют различные мнения о действии и эффективности Детралекса, Венаруса и Флебодиа. Все зависит от индивидуальных особенностей организма и характера заболевания. Принимать Детралекс вместе с Венарусом нельзя – это два идентичных препарата. Иначе прием может привести к передозировке лекарственных веществ.
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