Иногда при покупке лекарства основным фактором выбора является цена. Зарубежные препараты чаще всего стоят дороже российских аналогов, хотя и имеют те же свойства. Решая, что выбрать — венотоник Флебофа или Флебодиа — лучше заранее ознакомиться с отзывами пациентов и описанием каждого препарата.
Флебофа и Флебодиа являются венотониками.
Характеристика Флебофа
Препарат Флебофа — продукция российского производства. Предприятие производит только 1 форму лекарственного средства: таблетки с содержанием 600 мг основного действующего вещества (диосмина).
Лекарственный препарат относится к группе ангиопротекторных медикаментов и предназначен для укрепления стенок кровеносных сосудов и повышения их эластичности. Входящий в состав таблеток диосмин относится к веществам с флеботонизирующими свойствами. Биофлавоноид способствует лечению заболеваний вен и влияет на организм следующим образом:
- уменьшает растяжимость венозной стенки;
- устраняет застой в кровеносной системе;
- усиливает лимфодренажные процессы (укрепляет капилляры, повышает их тонус и частоту сокращений, снижает давление лимфы);
- способствует лучшей микроциркуляции жидкостей в тканях;
- оказывает противовоспалительное, противоотечное и анальгезирующее действие.
При приеме внутрь лекарство быстро всасывается и поступает в кровоток уже через 2 часа после того, как выпита очередная таблетка. Метаболиты диосмина выводятся почками (79%), кишечником (11%) и желчным пузырем (2,4%).
Показаниями к применению венотоников служат:
- варикозное расширение вен (для симптоматического лечения);
- хроническая лимфовенозная недостаточность;
- обострения геморроя;
- идиопатический отек или другие аномалии микроциркуляции в тканях.
Основные противопоказания — повышенная чувствительность и 1 триместр беременности. Препарат не назначают детям до 18 лет.
От венозных застоев часто страдают беременные женщины на поздних сроках. Экспериментальные исследования свидетельствуют об отсутствии тератогенных свойств у диосмина и препарата с его содержанием. Не выявлены и негативные реакции организма женщин при клинических исследованиях. Но из-за незначительного срока применения лекарства рекомендуется с осторожностью использовать его при лечении геморроя и варикоза у беременных во 2 и 3 триместрах. Самостоятельное применение не рекомендуется, перед началом приема нужно проконсультироваться с гинекологом.
Более подробный обзор лучших венотоников можно найти здесь.
Характеристика Флебодиа
Флебодиа 600 — венотоник французского производства. Каждая таблетка содержит 600 мг диосмина.
Основное действие лекарственного средства — флеботонизирующее. Препарат оказывает следующие эффекты:
- повышает эластичность венозных стенок и препятствует их чрезмерному растяжению;
- уменьшает проницаемость капилляров и улучшает микроциркуляцию крови и лимфы;
- устраняет застойные явления в области расширенных вен и варикозных узлов;
- обладает противовоспалительными и обезболивающими свойствами;
- снимает отеки.
Назначают прием таблеток Флебодиа при хронической венозной недостаточности и связанных с ней симптомах варикозной болезни и геморроя. Лекарство способно устранять и последствия тромбоза глубоких вен.
Флебодиа 600 — венотоник французского производства.
Препарат применяют для симптоматического лечения и устранения болей, судорог, предотвращения кровоточивости при внутреннем геморрое и внешнем геморрое. Лечение с применением лекарственного средства выполняется только в комплексе с другими препаратами.
Лекарство практически не имеет противопоказаний. Его прием ограничивается только плохой переносимостью компонентов, составляющих таблетку. Не рекомендуется прием на ранних сроках беременности. Во 2 и 3 триместре определять необходимость лечения Флебодиа должен гинеколог. Во время терапии желательно его постоянное наблюдение за состоянием пациентки. Препарат назначают только после 18 лет.
Сходства составов
В состав таблеток Флебодиа и Флебофа входит одно и то же действующее вещество. Его содержание составляет 600 мг в обоих случаях. Лекарственные средства можно считать структурными аналогами друг друга, т. к. различаются только вспомогательные вещества, формирующие таблетку. У препаратов одинаковые показания и действие, их применяют в одной и той же дозировке (указано в инструкции по применению, если врач не советует иное). Медикаменты отпускаются без рецепта.
В чем разница между Флебофа и Флебодиа?
Препараты не имеют сильных различий в составе и фармакологическом действии. Незначительная разница есть только в составе вспомогательных веществ:
- в российском аналоге применен желатин и карбоксиметилкрахмал натрия;
- французское лекарство содержит тальк и диоксид кремния.
Эти вещества образуют массу таблетки и служат связующими для порошка диосмина, поэтому на эффективность медикаментов не влияют.
Препарат назначают только лицам после 18 лет.
Лекарства можно различить по внешнему виду. Флебофа сформирована в виде овальных выпуклых таблеток с риской, без оболочки. Цвет — серовато-коричневого цвета, с мелкокристаллическими вкраплениями. Флебодиа — округлые пилюли в розовой пленчатой оболочке.
Фасовка российского препарата производится в пластиковые банки по 10-100 шт. или блистеры по 10 шт. в каждом. Упаковка может содержать 1-10 блистеров, количество таблеток указано на пачке.
Французский препарат поступает в продажу в блистерах по 15 шт. (1-2 в пачке для терапии варикоза) и по 18 шт. с инструкцией и схемой приема при остром геморрое (рассчитано на 1 курс).
Что лучше: Флебофа или Флебодиа?
Лекарственные средства являются аналогами и содержат равные количества одного действующего вещества. Проведенные исследования (ФГБУ НЦССХ им. А.Н. Бакулева РАМН) показали, что эффект от применения лекарств в 2 группах пациентов, которые получали тот или другой препарат, был одинаковым.
Выбрать, какой из них лучше, можно по личным предпочтениям или отпускной цене. Российский препарат стоит примерно в 2 раза дешевле импортного.
Отзывы врачей
Валентин Сергеевич, проктолог, Курск
При сравнении результатов от применения венотоников без диосмина и Флебодиа предпочтение отдаю этому относительно новому препарату. По статистике, он получил 80% хороших и отличных результатов против 32% у препаратов, не содержащих диосмин. А сейчас в аптеки начал поступать российский аналог — Флебофа. Он не менее эффективен, и пациенты предпочитают его из-за низкой цены.
Мария Анатольевна, флеболог, Нижний Тагил
Хорошие результаты при лечении пациентов с варикозом удается наблюдать уже в конце 1 месяца применения. Лекарства имеют мало побочных эффектов, нетоксичны. При необходимости можно повысить дозировку до 2 таблеток в день или увеличить продолжительность курса. Оба препарата удобны в приеме: достаточно выпить 1 таблетку с утра и в течение дня не испытывать неприятных ощущений, от которых страдают пациенты с ХВН.
Отзывы пациентов о Флебофа и Флебодиа
Виктория, 37 лет, Москва
Раньше все время покупала французскую Флебодиа. Но лекарства постоянно дорожают и пропивать 2 курса в год стало накладно. Решила сэкономить и приобрела Флебофу по совету фармацевта в аптеке. Прохожу уже второй курс лечения, препаратом довольна — он полностью заменил дорогое французское средство.
Анатолий Иванович, 53 года, Кемерово
Советовался с врачом, что предпочесть для лечения геморроя. Были рекомендованы эти два средства, как аналогичные друг другу. Рисковать не стал, купил импортное. Там удобная фасовка и схема, в какой день сколько таблеток принять. Обострение прошло через 1 неделю, но эффект заметил сразу, после приема первой таблетки. В следующий раз, возможно, опять возьму Флебодиа.
Светлана, 47 лет, Пермь
Зашла в аптеку за таблетками от варикоза и увидела акцию: 2 упаковки Флебофы по цене одной. С первого же приема возникли побочные последствия в виде диареи и рвоты. Они обозначены в инструкции, но характеризуются, как редкие. До этого (при приеме аналогичного средства) никакой чувствительности к нему не было.
Для комплексного лечения варикоза, венозных застоев и других болезней вен врачи рекомендуют применение наружных мазей и гелей, ношение компрессионного белья и прием таблеток — венотоников, ангиопротекторов и корректоров микроциркуляции. К числу таких препаратов относятся Флебодиа 600 и Флебофа. Они входят в одну группу лекарственных средств и назначаются при сходных заболеваниях.
При болезнях вен врачи рекомендуют применение препаратов Флебофа и Флебодиа.
Характеристика препаратов
Флебодиа 600 (дальше по тексту — Флебодиа) — оригинальный препарат, разработанный французской фармацевтической компанией Лаборатория Иннотек Интернасиональ. Препарат выпускается в форме круглых двояковыпуклых таблеток, покрытых оболочкой розового цвета.
Флебофа — таблетки российского происхождения, которые производятся в цехах фармацевтической компании Озон. Они имеют продолговато-вытянутую форму и серо-коричневую окраску. Производитель не стал использовать какие-либо красители, чтобы придать лекарству привлекательный вид, но тем самым снизил вероятность появления у пациентов аллергических реакций.
Действие сравниваемых препаратов направлено на укрепление кровеносных сосудов и повышение эластичности их стенок. Флебодиа и Флебофа оказывают комплексное действие:
- ангиопротекторное (укрепление стенок капилляров и вен);
- антиагрегантное (уменьшение вязкости крови);
- венотонизирующее;
- противоотечное;
- противовоспалительное;
- обезболивающее;
- спазмолитическое.
Регулярный прием данных венотоников позволяет оздоровить не только проблемные сосуды, но и всю венозную систему. В отличие от наружных кремов и гелей, действие таблеток является более выраженным и продолжительным. Препараты содержат особые вещества — флавоноиды, которые способны регулировать проницаемость и эластичность стенок мелких и крупных кровеносных сосудов, уменьшать ломкость капилляров, предотвращать склеротические поражения.
Регулярный прием Флебодии позволяет оздоровить не только проблемные сосуды, но и всю венозную систему.
Сравнение Флебофа и Флебодиа
Чтобы решить, что лучше использовать, следует сравнить состав медикаментов, перечень показаний к применению, отзывы пациентов и врачей.
Сходства составов
Основным действующим веществом в составе рассматриваемых препаратов является диосмин. Этот полусинтетический биофлавоноид после приема внутрь способствует улучшению общего самочувствия:
- увеличивает венозный отток;
- снижает венозное гипердавление;
- активизирует лимфодренажные процессы;
- повышает тонус вен;
- избавляет вены от растяжимости и застоя, укрепляет и делает их стенки более эластичными;
- улучшает микроциркуляцию крови и межклеточной жидкости;
- снимает отеки, тяжесть в ногах и болевые ощущения.
Содержание активного компонента в таблетках Флебодиа и Флебофа идентично и составляет 600 мг на один прием. Поэтому французские и российские препараты относятся в одной группе лекарственных средств и являются аналогами или синонимами. Подтверждением полной аналогии служит основная информация, указанная в инструкции по применению обоих препаратов.
Флебофа и Флебодиа рекомендуется применять при одинаковых патологиях вен и сосудов. В список показаний входят:
- варикозное расширение вен и хроническая лимфо-венозная недостаточность нижних конечностей, вызванные нарушением кровообращения, снижением тонуса сосудов и повышенной нагрузкой на них;
- острый геморрой, сопровождающийся сильными периодическими болями, кровотечением, выпадением набухших вен в форме узлов;
- нарушение микроциркуляции — движения крови и лимфы по микрососудам и перемещения межклеточной жидкости в тканях и органах;
- ломкость и хрупкость капилляров, о которой свидетельствуют частые синяки, появляющиеся при незначительных по силе ударах, сосудистые «сетки» и «звездочки» на коже, постоянно холодные конечности даже в теплое время года.
Флебофа помогает устранить ломкость и хрупкость капилляров.
Для терапии перечисленных патологий Флебофа или Флебодиа нужно принимать длительно. Курс лечения при заболеваниях вен составляет 2 месяца, в течение которых нужно ежедневно выпивать по 1 таблетке венотоника в день. При геморрое показан прием 2-3 таблеток в сутки на протяжении первых 7 дней после обострения, а затем по 1 таблетке в течение 1-2 месяцев.
Ангиопротекторы противопоказано принимать при индивидуальной непереносимости действующего вещества или вспомогательных компонентов, входящих в состав таблеток, а также в период грудного вскармливания.
Т. к. нет достоверных данных о влиянии диосмина на плод, беременным женщинам необходимо согласовать с врачом целесообразность и безопасность приема Флебодиа или Флебофа. И французский, и российский препарат нельзя назначать детям до 18 лет.
В чем разница?
Отличий между препаратами немного. Первое из них заключается в перечне дополнительных компонентов, используемых для придания таблеткам нужной формы, массы, объема, товарного вида, прочности и стабильности в процессе хранения. Список вспомогательных веществ представлен в таблице:
| Флебодиа | Флебофа |
|
|
Французский производитель использовал большое количество разных веществ для покрытия таблеток оболочкой, окрашенной в приятный для потребителя цвет. Российская компания Озон пошла по другому пути: ее таблетки имеют малопривлекательный вид, зато не содержат красителей, являющихся потенциальными аллергенами.
Второе отличие между препаратами состоит в том, что Лаборатория Иннотек Интернасиональ предлагает несколько вариантов упаковок Флебодиа — по 15, 30 и 60 шт. в одной коробке. Российская компания Озон решила выпускать только один вариант Флебофа по 30 таблеток в одной пачке.
Третье отличие между венотониками заключается в цене — импортный препарат примерно в 1,5 раза дороже отечественного.
Упаковка Флебодиа 600 обойдется российскому потребителю дороже, чем аналогичное количество таблеток Флебофа. Для наглядности порядок цен на препараты продемонстрирован в таблице:
| Наименование | Количество таблеток в упаковке, шт. | Цена, руб. |
| Флебодиа | 15 | От 675 |
| 30 | От 1035 | |
| 60 | От 1885 | |
| Флебофа | 30 | От 700 |
Условия отпуска из аптек
Препараты с диосмином отпускаются без рецепта, однако их прием желательно согласовать с лечащим врачом — флебологом или сосудистым хирургом.
Что лучше: Флебофа или Флебодиа?
Ни у медиков, ни у пациентов нет однозначного ответа по поводу того, какой из 2 препаратов эффективней и безопасней. Считается, что оригинальное средство содержит высокоочищенные синтетические компоненты, а в составе отечественного дженерика присутствует сырье более низкого качества. Поэтому специалисты чаще назначают проверенные импортные медикаменты.
Единичные отзывы пациентов подтверждают тот факт, что Флебофа чаще вызывает неприятные побочные эффекты, связанные с желудочно-кишечным трактом:
- тошноту;
- рвоту;
- метеоризма;
- боль в области живота.
Однако такие же симптомы появляются у некоторых больных во время приема таблеток Флебодиа. Как утверждают производители, виной всему — индивидуальная переносимость действующего или вспомогательных веществ, входящих в состав того или иного лекарственного средства.
Иногда даже лечащий врач не способен предугадать, какое лекарство окажется эффективней и безопасней для данного пациента.
Поэтому можно порекомендовать два варианта действий. В первом случае следует прислушаться к советам лечащего врача и приобрести тот препарат, который он рекомендовал. Во втором варианте можно купить пластинку (15 таблеток) более дешевого аналога и по результатам двухнедельной терапии сделать вывод о том, насколько хорошо он переносится и подходит ли для продолжения терапии.
Отзывы пациентов
Юлия, 43 года, Красноярск: «Пью таблетки Флебофа курсами с тех пор, как узнала об их существовании. Причиной перехода с Флебодиа на отечественный аналог стала нехватка свободных денег. Принимаю препарат строго по инструкции — выпиваю 1 таблетку с утра перед завтраком. Никаких побочных реакций не ощущаю, зато ноги не отекают и не болят, новые сосудистые сеточки не появляются, а старые становятся менее выраженными».
Галина, 39 лет, Ялта: «Всегда покупала Флебодиа и принимала для поддержки вен. В последний раз решила сэкономить и приобрела упаковку Флебофа. После приема первой таблетки сильно разболелся желудок. Такие же симптомы появлялись каждое утро, после того как я выпивала лекарство. Не знаю, что стало причиной такого поведения организма, но через 5 дней я решила прекратить свои мучения и отдать таблетки маме, а себе купить французский препарат. Мама не почувствовала каких-либо неприятных побочных эффектов и сказала, что будет и впредь покупать таблетки компании Озон».
Ирина, 29 лет, Одинцово: «После родов столкнулась с проблемой геморроя. Врач посоветовал купить Флебодиа и принимать по инструкции. Боль, жжение и кровоточивость исчезли через 5 дней приема, но я продолжила пить по 1 таблетке в день, пока не закончилась упаковка. При очередном обострении для лечения геморроя приобрела российский аналог Флебофа. Результат терапии был таким же, как в первый раз. Поэтому для себя сделала вывод, что препараты при необходимости можно заменять друг другом».
Отзывы врачей о Флебофа и Флебодиа
Светлана Михайловна, 35 лет, Мурманск: «Своим пациентам, страдающим хронической венозной недостаточностью, варикозом и тромбозом вен рекомендую не менее 2-3 раз в год пропивать любой венотоник с диосмином. Это вещество содержится в препаратах Детралекс, Вазокет, Флебодиа 600, Флебофа и других. Эффективность данных ангиопротекторов одинакова, а переносимость того или иного лекарства можно определить только опытным путем».
Николай Валерьевич, 48 лет, Москва: «Флебофа — препарат выбора при венозной недостаточности нижних конечностей. Лекарство имеет накопительное действие, поэтому его необходимо принимать не меньше 4-8 недель, а при необходимости — заменить любым аналогом на основе диосмина. Если же пациент плохо переносит действующее вещество, рекомендую прибегнуть к помощи ангиопротекторов с другим составом».
Флебофа — препарат отечественного производства, предназначенный для устранения проблем, связанных с венами, в частности, при варикозе нижних конечностей. Лекарство замедляет прогрессирование заболевания, нормализует венозную гемодинамику. Препарат входит в комплексную терапию при заболеваниях вен.
Фармакологическое действие препарата
Лекарство скапливается в венах, после чего равномерно в них распределяется. Высокая концентрация активного вещества наблюдается через 9 часов после приема и сохраняется на протяжении 4 суток. Большая часть лекарства выходит с мочой, а также с калом и желчью.
Действие препарата направлено на регуляцию гемодинамики в пораженных венах. Флебофа укрепляет стенки кровеносных сосудов, снижает их проницаемость. Препарат улучшает диффузию кислорода и оказывает противовоспалительное действие. При варикозе нижних конечностей уменьшает застойные явления в ножных венах.
Производитель таблеток ООО ОЗОН.
Показания к применению
Флебофа входит в терапевтический комплекс при болезнях вен и капилляров. Таблетки назначают при следующих диагнозах:
- варикозное расширение вен;
- лимфовенозная недостаточность;
- нарушение кровообращения;
- геморроидальный криз;
- ломкость капилляров.
Флебофа назначают после оперативного вмешательства в качестве восстановительной терапии.
Состав
Это лекарство — продолговатые таблетки серо-коричневого или серо-желтого цвета. В состав одной штуки входит:
- диосмин;
- желатин;
- магния стеарат;
- микрокристаллическая целлюлоза;
- карбоксиметилкрахмал.
Основной компонент – диосмин, остальные компоненты имеют дополнительное значение. В одной таблетке содержится 600 мг этого вещества. Диосмин оказывает благоприятное действие на сосуды, укрепляет их, улучшает насыщение их кислородом.
Узнайте из этой статьи, что такое гиперемия, и как она лечится.
Как принимать лекарство
Точную дозировку лекарства рассчитывает специалист, учитывая диагноз и состояние больного. При варикозе курс лечения отличается продолжительностью. Таблетки пьют в течение двух месяцев, при необходимости курс продлевают до четырех месяцев.
Не рекомендуется принимать за одни сутки более 600 мг диосмина. Поэтому лекарство пьют по одной таблетки раз в сутки. Лекарство пьют утром перед приемом пищи.
В отдельных случаях дозировку повышают до З-х таблеток в сутки. Такая доза характерна для лечения хронического геморроя. Повышенная дозировка сохраняется в течение одной недели, затем переходят на стандартный разовый прием. Курс лечения – два месяца.
Таблетку проглатывают и запивают большим количеством воды. Перед началом лечения Флебофой инструкция по применению должна быть тщательно изучена, чтобы не допустить развития осложнений и побочных явлений.
Побочные явления и противопоказания
Как и все лекарства Флебофа может спровоцировать побочные явления, которые появляются при непереносимости препарата или, если не были соблюдены рекомендации врача.
Препарат влияет на деятельность пищеварительной и центральной нервной системы. Прием лекарства может сопровождаться головными болями, нарушением пищеварения и сбоями в работе ЖКТ. Лица, имеющие склонность к аллергическим проявлениям должны соблюдать осторожность при приеме таблеток, поскольку не исключается риск развития аллергической реакции.
Это лекарство не рекомендуется пить лицам не достигшим 18 лет. Также препарат противопоказан беременным и кормящим женщинам. При наличии проблем с функцией печени и почек данное лекарство принимать не следует.
Аналоги
Флебофа продается в аптеках без рецепта. Стоимость препарата варьируется от 700 до 1000 рублей за одну упаковку. Существуют более экономичные аналоги. К таким препаратам относят:
- Диосмин, главный компонент все тот же – диосмин, но дополнительные компоненты другие.
- Вазокет – немецкий препарат.
- Диосвен производят в Испании.
Сам препарат Флебофа — российский аналог Флебодиа 600. Флебодиа — лекарство французского производства.
Состав и механизм действия препаратов идентичны. Различие заключается в качестве дополнительный веществ, они могут повлиять на эффективность.
Средство Флебофа клинических испытаний не проходило. Стоит отметить высокую стоимость импортного лекарства Флебодиа 600, аналоги дешевле представлены в аптеках в широком ассортименте. Состав и производитель препарата Флебодиа влияет на стоимость лекарства.
Прежде чем принять решение что лучше: Флебофа или Флебодиа – следует тщательно изучить инструкцию по применению. Особому вниманию подлежит пункт с противопоказаниями. Не стоит самостоятельно заниматься поиском аналогов, лучше доверить это специалисту. При одинаковом составе, эффективность идентичных лекарств может быть различной.
Отзывы о средстве
Отзывы пациентов о препарате Флебофа носят положительный характер. Многие отмечают, что прием препарата сопровождался болевыми ощущениями в животе и диареей. Это объясняется особенностями воздействия на организм входящего в состав активного вещества – диосмина.
Флебофа является аналогом французских таблеток Флебодиа, поэтому многие пациенты более доверяют импортному средству и считают его более надежным. Иные пациенты не наблюдают разницу между этими средствами и предпочитают более экономичный вариант – препарат российского производства.
Отзывы врачей о Флебофа в большинстве случаев положительные. Специалисты сходятся во мнении, что Флебофа — эффективное средство от варикоза и геморроя. Но поскольку оно не прошло клинических испытаний, специалисты охотнее назначают французский аналог – Флебодию.
Заключение
Флебофу применяют на разных стадиях развития варикоза. Лекарство помогает облегчить состояние больного, устранить тяжесть и боль в ногах. Чтобы не навредить организму, лечение нужно проводить под контролем врача флеболога.
Врач проследит динамику лечения, при отсутствии эффекта назначит аналогичное средство.
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