Сайт предоставляет справочную информацию исключительно для ознакомления. Диагностику и лечение заболеваний нужно проходить под наблюдением специалиста. У всех препаратов имеются противопоказания. Консультация специалиста обязательна!
Описание и фармакологические свойства
Эскузан (Aescusan) относится к препаратам растительного происхождения. Ему свойственны следующие терапевтические эффекты:
1. Антиэкссудативный – устраняет повышенную проницаемость сосудов, благодаря чему снижается выделение экссудата (кровь, гной, серозная жидкость), который всегда имеется при различных воспалительных процессах.
2. Венотонизирующий – повышающий тонус сосудов.
3. Противоотечный – уменьшающий отечность тканей.
4. Антиоксидантный – препятствующий старению клеток.
5. Капилляропротекторный (ангиопротекторный) – защищающий мелкие кровеносные сосуды от повреждающего воздействия.
Активный метаболит экстракта семян конского каштана — эсцин. Он стимулирует продукцию гормонов коры надпочечников, и увеличивает содержание в стенке сосудов простогландинов (биологически активных веществ). В результате этого восстанавливается адекватная сократительная способность мышечных волокон сосудистой стенки. Эсцин также уменьшает распад протеогликанов (белково-углеводных веществ) в стенках сосудов за счет воздействия на ферменты, содержащиеся в каждой живой клетке.
Все вышеперечисленные эффекты обеспечивают улучшение состояния сосудистой стенки (в том числе стенки капилляров), уменьшают застой крови в венозной сети. В результате улучшается обмен веществ в тканях, происходит уменьшение отёков или снижение вероятности их появления.
К терапевтическим эффектам Эсцина относится антиагрегационное действие, то есть под его влиянием снижается образование тромбов в просвете сосудов.
Тиамин, входящий в состав препарата Эскузан, оказывает антиоксидантное действие, угнетая перекисное окисление липидов, которое является главной причиной старения клетки.
Лекарственная форма
Эскузан капли (раствор для приёма внутрь)
Описание
Показания
Противопоказания
- аллергические реакции в виде зуда, сыпи, крапивницы, анафилактического шока после применения препаратов, содержащих экстракт конского каштана, в прошлом;
- беременность в первом триместре;
- выраженное нарушение функции почек;
- дети в возрасте до 12 лет.
Побочное действие
Инструкция по применению
Эскузан 20 таблетки
Описание
Показания
- Варикозная болезнь ног и наружных половых органов;
- венозная недостаточность, проявляющаяся отеками нижних конечностей, чувством тяжести, болью, судорогами по ночам;
- ушибы и растяжения связок, мышц;
- гематомы (посттравматические и послеоперационные);
- все формы геморроя;
- в пластической хирургии для предупреждения образования и снижения интенсивности послеоперационных отеков;
- посттромбофлебитический синдром;
- трофические язвы кожных покровов.
Противопоказания
Побочное действие
Инструкция по применению
Передозировка
Особые указания
При беременности
При геморрое
Эскузан детям
Взаимодействие с другими лекарственными средствами
Лечебный эффект Эскузана несколько уменьшают инфузионные растворы, содержащие сульфиты. При одновременном приеме может усиливать эффект непрямых коагулянтов.
Аминогликозиды при одновременном приеме с Эскузаном проявляют более выраженное нефротоксическое действие (повреждающее действие на почки).
Антибиотики цефалоспоринового ряда вытесняют действующее вещество Эскузана (эсцин) из связей, которые он образует с белками плазмы крови. В связи с этим эффект от применения препарата значительно уменьшается. Если по каким-либо причинам вам назначены антибактериальные препараты, обсудите с лечащим врачом возможность повышения дозировки на время приема антибиотиков.
Условия хранения и отпуска из аптек
Препарат Эскузан разрешен к продаже в аптечной сети без рецепта врача.
Аналоги
Препараты, похожие на Эскузан по лечебным эффектам
В аптеках Москвы Эскузан раствор (капли) для приема внутрь продают по цене от 105 рублей до 125 рублей (средняя цена составляет 115 рублей).
Таблетки Эскузан 20 можно купить по средней цене 330 рублей.
В украинской аптечной сети капли Эскузан продают по цене от 17 до 25 гривен (в среднем цена составляет 21 гривну).
Отзывы
Отзывы об Эскузане, как о препарате, улучшающем тонус сосудов и микроциркуляцию, и обладающем противоотечным действием, довольно противоречивы.
Можно встретить массу положительных комментариев о лечебном эффекте данного препарата. Люди отмечают быстрое и стойкое уменьшение интенсивности отеков, вплоть до полного их исчезновения, снижение выраженности симптомов геморроя, быстрое уменьшение гематом, стойкое уменьшение боли и чувства тяжести ног при варикозной болезни нижних конечностей.
Препарат хорошо себя зарекомендовал при лечении различного рода травматических повреждений: гематом, растяжения, ушибов.
Однако есть пациенты, которым данный препарат не помог — они не увидели в процессе лечения ожидаемого эффекта. К данной категории, в основном, относятся пациенты, применяющие Эскузан по поводу тяжелых форм варикозной болезни и геморроя. В этом случае нужно знать, что препарат убирает лишь местные симптомы заболевания (отеки, боль, тяжесть в ногах), тогда как воздействие на причину болезни должно быть комплексным. Поэтому необходимо использовать в лечении также другие группы лекарственных средств.
Есть также упоминания о довольно частом появлении нарушений, связанных с раздражением слизистой оболочки желудка и кишечника (тошнота, диарея, рвота), хотя в этом случае многие пациенты отмечали, что препарат принимался до еды, натощак, что не рекомендовано по инструкции.
Перед началом лечения препаратом Эскузан, и в его процессе, необходимо консультироваться с врачом. Если появились побочные эффекты, или нет улучшения от лечения, необходимо рассмотреть вопрос о целесообразности дальнейшего приема лекарственного средства.
Отзывы при использовании Эскузана у детей
Автор: Пашков М.К. Координатор проекта по контенту.
Эскузан – недорогое средство, выпускаемое в форме раствора и таблеток для устранения симптомов, вызванных нарушением работы вен. В российских аптеках обычно предлагают Эскузан в каплях.
Основной компонент — эсцин, выделяется из плодов каштана конского. Вещество способствует сохранению эластичности и целостности капилляров, снижению проницаемости эндотелия.
Эсцин стимулирует сократительную способность венозных стенок. После лечения уменьшается давление в венозном русле, повышается скорость тока крови, улучшается питание тканей и скорость обменных процессов.
Входящий в состав капель тиамин стимулирует сокращение гладких мышц сосудистых стенок, тормозит окислительный процесс в клеточных мембранах сосудов.
Эскузан капли показаны при варикозной болезни, трофических язвах, геморрое, проявлениях ХВН: отечности, сосудистой сеточке, онемении, ощущении тяжести и боли.
Препарат противопоказан в первом триместре беременности, в период кормления грудью. Во время приема Эскузана могут возникнуть тошнота, кожные высыпания, жидкий стул. Большинство больных оставляют положительные отзывы об Эскузане, отмечают невысокую стоимость.
Лекарство снимает отечность и воспаление на всех стадиях варикозной болезни. На раннем этапе, удается улучшить структуру сосудов.
Средняя цена препарата 250 рублей. Если лекарственное средство отсутствует в продаже, можно приобрести аналоги Эскузана в таблетках и жидкой лекарственной форме.
Аналоги
К аналогичным по фармакологическому действию и составу можно отнести следующие средства.
Веноплант
Содержит экстракт конского каштана. Таблетки с отсроченным высвобождением, обеспечивают оптимальную концентрацию эсцина продолжительное время. За счет этого принимают по 1 таблетке два раза в сутки.
При медленном высвобождении вещество не раздражает слизистую оболочку кишечника. На ранней стадии Веноплант препятствует развитию варикозной болезни и тромботических осложнений. На позднем этапе снижает периферические отеки, болевые ощущения, способствует эпителизации язв.
Веноплант в редких случаях вызывает аллергическую сыпь, при совместном применении с антитромботическими средствами усиливает их действие.
В отзывах отмечаются ярко выраженные противоотечные и противовоспалительные свойства. Цена Венопланта составляет 350-450 рублей.
Репарил
Драже пролонгированного действия в сахарной оболочке, снимает отеки, тонизирует сосуды, усиливает ток крови. Рекомендованная доза для поддерживающей терапии — 1 драже трижды в день после или во время еды. Такое количество редко вызывает побочные явления в виде крапивницы, диспептических расстройств.
Для лечения варикозной болезни специалисты рекомендуют принимать Репарил курсами совместно с гелем или спреем.
Выраженный эффект заметен через несколько дней после начала лечения. После улучшения дозу можно сократить до двух драже в сутки.
Стоимость REPARIL Dragees 100 штук около 3000 рублей. Репарил гель можно купить за 150-200 рублей.
Эскувит
Препарат украинского производства выпускается в таблетках и каплях, имеет идентичный состав с Эскузаном и примерно одинаковую стоимость.
Аэсцин
Выпускается в таблетках, содержит хорошо растворимый в воде альфа-эсцин. Лекарство быстро снимает боль и отечность, ускоряет процесс заживления язв, уменьшает цианотичность конечности.
Наиболее выраженный клинический эффект достигается при расширенных мелких сосудах.
Венарус
Уменьшает выраженность венозной недостаточности. Компоненты препарата диосмин и гесперидин действуют на вены и мелкие сосуды.
Венарус снимает отечно-болевой синдром, снижает проявления трофических нарушений, устраняет гематомы после травмирования мягких тканей, нормализует венозно-лимфатическую циркуляцию.
Принимают лекарство во время еды по 1-2 таблетке в день. Осложнения в виде крапивницы, тошноты, головной боли, рвоты встречаются редко. Таблетки можно принимать во время беременности.
Несмотря на то что лекарство производится в России, цена Венаруса довольно высокая. Упаковка из 60 таблеток обойдется в 1000-1100 рублей.
Отзывы свидетельствуют о том, что лекарственное средство значительно улучшает состояние больных с венозными нарушениями, уменьшает и устраняет геморроидальные шишки, способствует уменьшению размеров трофических образований.
Детралекс
Веностабилизирующее средство французского производства имеет одинаковый с Венарусом состав, но отличается быстрым всасыванием благодаря дополнительным компонентам.
Стоимость Детралекса составляет около 900 рублей за 30 таблеток.
Флебодиа 600
Один из лучших заменителей Эскузана, помогает добиться устойчивого улучшения при регулярном применении. В состав лекарственного средства французского производства входит 600 мг микронизированного диосмина.
Такая дозировка способствует усилению сосудистого тонуса и уменьшению венозной емкости. Улучшается отток крови, снижается растяжимость вен и проницаемость эндотелия. На начальной стадии варикоза принимают одну таблетку Флебодиа в сутки на протяжении двух месяцев.
При запущенном варикозе курс длится четыре месяца. При трофических язвах таблетки принимают шесть месяцев. Курс лечения рекомендуется повторять после двухмесячного перерыва.
Лечение курсами поможет поддержать сосуды, не допустить ухудшения кровообращения в конечностях. При приеме могут возникнуть метеоризм, тошнота, жидкий стул, изжога. Стоимость 30 таблеток Флебодиа 850-1100 рублей.
В отзывах о лекарстве больные указывают на уменьшение отечности, болевых ощущений после нескольких дней применения.
Флебофа
Препарат российского производства содержит 600 мг диосмина, но отличается от Флебодиа вспомогательными ингредиентами.
Самая низкая цена за упаковку из 30 таблеток около 700 рублей. Пациенты отмечают, что лечебный эффект у обоих препаратов примерно одинаковый, но Флебофа чаще вызывает побочные эффекты.
Венозол
Дешевый российский препарат выпускается в форме капсул, таблеток, геля. Венозол зарегистрирован, как биологически активная добавка.Препарат отличается многокомпонентным составом. Диосмин и гесперидин уменьшают капиллярную проницаемость, улучшают лимфодренаж, усиливают венозный тонус.
Дигидрокверцетин активирует образование коллагена, укрепляет сосудистые стенки, сдерживает окисление липидов клеточных мембран, быстро купирует воспалительные процессы.
Экстракт плодов каштана восстанавливает свойства эндотелия, если в сосудах не произошли необратимые изменения. На поздних стадиях варикоза снимает отечность и воспаление.
Экстракт листьев и коры орешника повышает тонус вен, способствует заживлению язв. Таблетки и капсулы принимаются по одной штуке 1-2 раза в сутки. Курс терапии длится 1-3 месяца, может повторяться несколько раз в год.
Биодобавка при соблюдении дозировки побочных действий не вызывает. Стоимость Венозола №60 450-550 рублей.
Гинкор форт
Снижает болевые ощущения, нормализует венозный кровоток, препятствует дегенерации коллагеновых волокон. Входящая в состав вытяжка Гинкго билобы оказывает сосудорасширяющее действие, умеренно снижает агрегацию тромбоцитов, повышает эластичность сосудистых стенок.
Гепатоминол увеличивает сократительную силу мышечных и сосудистых тканей. Троксерутин дает противоотечный эффект, уменьшает проявления трофических нарушений. Язвы, возникшие на последних стадиях болезни, заживают значительно быстрее, не увеличиваются в размерах.
Курс лечения длится месяц, в день принимают две капсулы. При необходимости лечение можно продолжить.
Гинкор форт противопоказан при язве желудка, гастрите, первом триместре беременности, лактации. Возможные побочные действия: тошнота и рвота. Стоимость Гинкор форт №30 550-600 рублей.
Троксерутин
Капсулы Троксерутина принимают на начальных и поздних стадиях варикозной болезни. Лекарство уменьшает растяжимость венозных сосудов и интенсивность воспалительного процесса, улучшает микроциркуляцию.
Троксерутин принимают на протяжении месяца по одной капсуле трижды в сутки во время еды.
Отзывы свидетельствуют, что лекарственное средство хорошо переносится, в комплексе с гелем дает заметный положительный эффект на начальных стадиях варикоза: улучшается внешний вид ног, устраняются отеки, тяжесть, болевые ощущения. Препарат раздражает слизистую оболочку органов ЖКТ, противопоказан при язвенной болезни.
Троксерутин №50 российского производства стоит около 250 рублей, цена тюбика геля 40 рублей. Лекарство, выпущенное Болгарией, стоит немного дороже.
Заключение
Записаться к врачу, работающему в Вашем городе можно прямо на нашем сайте.
Заменителей Эскузана много. Вы можете самостоятельно выбрать лекарственное средство, подходящее по стоимости, или проконсультироваться, чем заменить капли у специалиста.
Все препараты на начальном этапе купируют основные симптомы варикозной болезни, предотвращают осложнения. При тяжелых поражениях улучшают состояние, но не дают значительного клинического эффекта.
Содержание
Фармакологическая группа
Нозологическая классификация (МКБ-10)
3D-изображения
Состав
| Раствор для приема внутрь | 100 г |
| активные вещества: | |
| конского каштана семян экстракт сухой (Hippocastani extractum siccum normatum) 5–7:1 | 4,725 г |
| (экстрагент — этанол 60% об/об) | |
| тиамина гидрохлорид | 0,5 г |
| вспомогательные вещества: этанол 96% — 26,4 г; вода очищенная — 67,675 г; лактозы моногидрат — 0,432 г; кремния диоксид коллоидный — 0,243 г |
Фармакологическое действие
Способ применения и дозы
Внутрь, перед едой. Перед употреблением развести в небольшом количестве воды.
По 12–15 капель 3 раза в день. Длительность терапии определяется лечащим врачом.
Перед применением взбалтывать.
Форма выпуска
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