Троксевазин относится к группе препаратов, способных стабилизировать тонус сосудов. Его действие направленно на снятие отёка и воспалительного процесса в кровеносных сосудах. Препарат приносит облегчение при варикозной болезни, снижает болезненность, уменьшает отёчность, частоту и силу судорожных сокращений.
Неплохо зарекомендовал себя в лечении геморроя, снижая его основные симптомы: зуд, болезненность, кровоточивость. Препарат восстанавливает функции капилляров и вен. Благотворно влияет на свёртывающую систему крови, благодаря чему значительно уменьшается риск тромбозов.
Действующее вещество препарата, фармакологическое действие
Основным действующим веществом капсул и мази является троксерутин. В каждой из капсул содержится 300 миллиграммов троксерутина, а в мази концентрация составляет 2%, то есть в одном грамме — 20 миллиграммов действующего вещества.
Троксерутин является полусинтетическим производным рутина. Этот биофлавоноид имеет венотонизирующее, антиоксидантное, противоотёчное, противовоспалительное, ангиопротективное действие.
Результатом его применения является снижение ломкости и проницаемости капилляров, а также уменьшение болезненности и воспалительных процессов в близлежащих тканях. Происходит улучшение микроциркуляции, в результате которого восстанавливается нормальное питание тканей.
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Показания к применению
- Варикозная болезнь. Целесообразно использовать комбинацию капсулы для внутреннего приёма + мазь для наружного применения.
- Хроническая венозная недостаточность (отёки, боль и тяжесть в нижних конечностях).
- Ретинопатия при сахарном диабете.
- Трофические язвы.
- Тромбофлебит. Использовать мазь и капсулы, как дополнение в комплексном лечении.
- Перифлебит.
- Варикозный дерматит.
- Травмы без повреждения целостности кожных покровов (ушибы, переломы, синяки). Эффективно применение троксивазина в виде мази.
- Геморрой, с наличием узлов или без них.
- При повышении проницаемости капилляров (вирусные инфекции, грипп, скарлатина и т. д.).
В этой статье мы подробно пишем о том, от чего помогает Аскорутин.
Противопоказания
Как, правило, препарат хорошо переносится пациентами. Но у любого фармакологического средства есть свои противопоказания.
Категорически нельзя использовать троксевазин в таких случаях:
- Язва желудка или двенадцати перстной кишки.
- Хронический гастродуоденит или гастрит, в период обострения.
- Хроническая почечная недостаточность.
- В случае индивидуальной непереносимости хотя бы одного из компонентов препарата.
- Нельзя применять троксевазин мазь при нарушенной целостности кожных покровов.
- Первый триместр беременности.
Побочные действия
Неблагоприятное воздействие во время приёма препарата выражается в виде эрозивно-язвенных процессов со стороны желудочно-кишечного тракта, в случае использования капсул. А также кожных аллергических реакций при нанесении мази.
Инструкция по применению Троксевазина
Капсулы рекомендуется принимать по одной — два или три раза в день обязательно с едой, что бы предотвратить раздражающее действие троксерутина на желудок. Суточная доза не должна превышать 900 миллиграммов в сутки и назначается максимум на две недели.
В дальнейшем пациент переходит на поддерживающую дозировку по 200-400 мг, на протяжении 2 или 3 недель. При лечении ретинопатии рекомендованная дозировка составляет 300-600 мг три раза в день.
Улучшение наступает только при регулярном нанесении средства довольно длительное время. С целью усиления терапевтического эффекта целесообразен одновременный приём троксевазина в капсулах.
По истечении недельного срока лечения заметны первые признаки воздействия препарата, в виде снижения отёчности, болезненности, зуда. В случае отсутствия положительной динамики в процессе лечения, или ухудшении первоначальных клинических симптомов, приём средства необходимо немедленно прекратить и обратиться на консультацию к опытному врачу.
Для улучшения действия троксевазина нужен параллельный приём аскорбиновой кислоты. Используя токсевазин мазь необходимо предотвратить доступ солнечных лучей к обработанным участкам кожи. Храните лекарственные средства в тёмном, прохладном и сухом месте.
Стоимость Троксевазина
Троксевазин относится к довольно дорогостоящим препаратам. Ценовая политика зависит от фирмы производителя (используют сырьё разного качества), а также количества капсул в упаковке или миллилитров в тюбике.
В среднем в аптеках России цена колеблется:
- на капсулы №100 в упаковке от 550 до 650 рублей;
- на капсулы №50 в пределах 280-380 рублей;
- на 2% мазь весом 40 граммов от 150 до 210 рублей;
- на гель троксивазин Нео от 230 до 250 рублей.
Почему стоит искать аналоги?
Фармакологическая промышленность выпускает большое количество аналогов троксевазина, причём большинство из них не уступают по качеству.
Но выбирая более дешёвый препарат, не забудьте проконсультироваться с врачом, потому, что его действие может быть несколько иным, чем ожидается.
Причины, в связи с которыми стоит искать аналоги:
- Более низкая цена.
- Отсутствие ожидаемого эффекта от применения данного лекарственного препарата.
- Отсутствие противопоказаний по применению.
В этой статье вы сможете узнать цену аналога Ксарелто 20 мг.
Аналоги
В аптечной сети представлено довольно обширный круг аналогичных по действию лекарственных средств.
К ним относятся:
Детралекс. Французский препарат на основе растительных компонентов. Возможен длительный приём во время беременности. Повышает тонус вен, препятствует их разрушению. Цена – 630-1300 рублей. Аналоги Детралекса смотрите тут.- Антистакс. Содержит биологически активные вещества. Цена от 500 рублей за 20 таблеток до 1555 за 100.
- Вазокет. Аналогичен детралексу. Цена от 600 до 850 рублей.
- Гинкор. Препарат растительного происхождения. Цена от350 до 850 рублей.
- Венорутон. В продаже капсулы и гель. Передозировка грозит язвами слизистой желудка и кишечника, головной болью или лёгкой диспепсией. Цена 600-750 рублей.
- Венолан. Идентичен по действию на капилляры и вены. Имеет более низкую цену. К сожалению, при нарушении работы почек противопоказан длительный приём.
- Диосмин. Аналог детралекса. Цена от 500 рублей.
- Троксерутин. Наделён прекрасными абсорбирующими свойствами. Вывод из организма занимает 24 часа. Продаётся в виде капсул и геля. Цена просто демократичная.
- Троксегель. Повышает тонус вен, защищает капилляры. Продолжает время венозного наполнения. Минусом является повышенная чувствительность, в результате длительного использования. Цена 120-140 рублей.
- Троксевенол. Лучший из аналогов троксивазина, по довольно приемлемой цене.
- Флебодиа 600. Сходен по действию с детралексом. Цена от 520 рублей.
- Флебатон. Наделён антиаллергическим и детоксическим действием. Улучшает отток жидкости и лимфы.
Детралекс. Французский препарат на основе растительных компонентов. Возможен длительный приём во время беременности. Повышает тонус вен, препятствует их разрушению. Цена – 630-1300 рублей. Аналоги Детралекса смотрите тут.Также рекомендуем прочитать нашу статью, где вы найдете аналоги Контратубекса дешевле.
А уж потом приниматься за лечение. В этом случае риск побочных явлений сводится к нулю, а эффективность от приёма фармацевтического препарата значительно повышается
Мазь Троксевазин – это многофункциональный препарат, обладающий антивоспалительными, противоотечными свойствами. Он используется для устранения симптоматики венозной недостаточности и расширения венозных сосудов. Это основное, но далеко не единственное назначение медикаментозного средства.
Кроме этого Троксевазин назначают при появлении симптомов геморроидальной болезни, патологии сосудов, расположенных в сетчатке глаза, которое стало следствием сахарного диабета. Свое назначение этот препарат нашел и в косметологической отрасли, и в гинекологии.
Состав
Среди компонентов мази можно распознать такие вещества:
- Троксерутин – самый главный компонент лекарственного препарата. Обладает свойствами, аналогичными рутину, однако получен, в отличие от своего
природного аналога, полусинтетическим путем. Рутин принимает участие в большинстве процессов, происходящих в организме человека. Он способствует повышению эластичных свойств кровеносных сосудов, уплотняет их стенки, а благодаря повышению содержания гиалуроновой кислоты, благоприятствует продлению молодости и замедлению старения. Уменьшает свертываемость крови,
- Троламин – оказывает обезболивающее действие в месте течения патологических процессов быстро и эффективно.
- Карбомер – обладает вяжущими свойствами, благодаря чему легко наносится на пораженный участок, как бы обволакивая его, равномерно распределяя активные вещества. Способствует хорошему смешиванию компонентов и отсутствию неоднородных масс в субстанции
- Бензалкония хлорид – дезинфицирует раны и патологические образования, активно борется с бактериями, препятствует их попаданию вглубь тканей и развитию бактериальных инфекций. Хороший антисептик местного назначения.
- Динатрия эдетата дигидрат – отвечает за разжижение крови и мешает образованию кровяных сгустков.
- Очищенная вода используется в качестве растворителя основных компонентов мази.
Выпускается лекарство в форме мази, используемой для наружного нанесения. Есть еще это же средство, но в форме таблеток для употребления перорально.
Мазь фасуется в специальные тубы, покрытые внутри алюминиевой вставкой, по 40 грамм субстанции в каждую.
Чтобы препарат не окислялся и не портился под воздействием воздуха, тубу запаивают специальной защитной пленкой – мембраной.
Для вскрытия ее можно воспользоваться иглой-шпилькой, расположенной для удобства в крышечке, накручиваемой на тубу.
Каждая туба упаковывается в картонную коробочку, сюда же укладывают листок-вкладыш с указаниями по использованию.
Показания к применению
Если внимательно изучить инструкцию к препарату, то можно выделить следующие патологические состояния, когда Троксевазин назначают в качестве терапевтического средства:
- варикозное расширение венозных сосудов;
- недостаточность венозного кровообращения;
- геморройная болезнь;
- отечность и болезненность тканей;
- последствия травм;
- спазмы мышц;
- трофические язвенные образования;
- тромбофлебит;
- дерматит варикозного типа.
Во всех этих случаях Троксевазин проявляет себя как эффективное средство.
От чего помогает
Рассмотрим подробнее действие препарата в каждом конкретном случае.
- От варикоза. Троксевазин наносят при варикозном расширении венозных сосудов массажными движениями и распределяется по всей конечности, пораженной заболеванием. Благодаря этому начинается интенсивный прилив крови ко всем тканям и органам.
Препарат показывает более высокую эффективность, если начинать его наносить уже при первых проявлениях варикоза: тяжести в нижних конечностях, болезненных ощущениях, судорогах, образовании гематом и синяков на кожном покрове, раздражительности и зуде кожи ног, ломкости венозных стенок.
Заболевание, перешедшее в тяжелую или хроническую форму, вылечить посредством мази невозможно.
Для улучшения состояния могут назначить комплексное лечение мазью и капсулами Троксевазина при одновременном подключении аскорбиновой кислоты.
- От отеков, гематом и синяков под глазами. Троксевазин обладает легчайшей текстурой, что способствует его быстрому впитыванию. Он оказывает тонизирующее действие на гладкие мышцы мелких кровеносных сосудов, укрепляет стенки капилляров. Такое действие образует барьер на пути влаги, и мешает ей просачиваться из сосудов, образовывая столь ненавистные всеми женщинами мешки под глазами.
Для получения лучшего эффекта препарат следует наносить на очищенную кожу, следить за тем, чтобы на ней не было никаких повреждений.
- От ушибов. Во время ушиба происходит травмирование мягких тканей, возникают гематомы, кровоизлияния, болезненные ощущения. Троксевазин же быстро всасывается, способствует заживлению и регенерации, снятию отечности и болезненности.
Троксевазин при геморрое
При геморройной болезни Троксевазин может быть полезен в случае начальной стадии заболевания. Самое главное требование, которое следует соблюдать при использовании этой мази, — гигиена перианальной области. Чтобы не усугубить положение дел возникшим воспалением, следует тщательным образом смыть остатки каловых масс после акта дефекации и просушить кожу.
Затем нанести мазь наружно на пораженную область. Практически сразу после впитывания, а впитывается она очень быстро благодаря легкости своей структуры, активные вещества начинают свою лечебную деятельность непосредственно в местах образования патологии. Пациенты оставляют только позитивные отклики об эффективности применения Троксевазина в начальный период развития геморройной болезни.
Как использовать — инструкция по применению
Использовать мазь для устранения мешков под глазами нужно крайне аккуратно. Очень важно избегать попадания ее на слизистую оболочку глаза, и
предотвращать возможность затекания в глаз. Если это все-таки произошло, следует немедленно промыть глаза прохладной проточной водой.
Перед тем, как начинать использование, следует хорошо вымыть руки с мылом. Очистить кожу лица от макияжа и нанести на нее совсем крошечную горошинку крема. Втирая препарат не растягивайте нежную кожицу, а лишь слегка прохлопывайте ее подушечками пальцев. Смывать средство не нужно.
Нанесение Троксевазина принесет ожидаемый эффект при ушибах или варикозе, если наносить его с четкой периодичностью два раза в сутки. При этом важно распределять мазь равномерно тонким слоем и втирать легкими круговыми движениями в кожу, не допуская надавливания.
Средняя цена
Цена на препарат Троксевазин, выпускаемый в форме мази, в среднестатистической российской аптеке будет колебаться от 170 до 240 рублей за тюбик.
Дешевые аналоги
Для любого медицинского препарата можно подобрать аналогичное средство будь то по входящим в его состав активным веществам или по производимому действию и списку показаний к использованию.
Так и у Троксевазина есть ряд аналогов. Среди них:
- Троксерутин. Эта мазь содержит в себе тот же главный компонент. Назначают его при дерматитах варикозной этиологии, образованиях тромбов в венозных сосудах, язвах на голени и венозной недостаточности. Препарат зарекомендовал себя как очень эффективное и доступное средство. Стоимость одного тюбика мази не превышает 50 рублей.
- Венопагинол. Также противостоит тромбообразованию в венах, прекрасно снимает воспалительные процессы, восстанавливает кровоток даже в самых мелких капиллярах, тонизирует стенки сосудов и способствует их укреплению. Применяется наружно. Оказывает стимулирующее действие на регенерируемые участки тканей.
- Венорутон. Назначается при наличии выраженных отеков ног, небольших припухлостях, варикозном расширении вен и язвах. Устраняет любые виды болей, способствует хорошему оттоку лимфы, улучшает тканевое питание, нормализует состояние геморроидальных узлов.
Противопоказания
У каждого медикамента есть свои противопоказания. У какого-то больше, у какого-то меньше. Мазь Троксевазин относится к той группе эффективных лекарственных средств, которые в основном переносятся хорошо как взрослыми пациентами, так и детьми.
Случаются редкие исключения, когда у больного наблюдается аллергическая реакция на воздействие основного компонента средства. Выражаться она может в виде крапивницы, дерматоза, экземы кожных покровов.
Среди основных противопоказаний для применения Троксевазина можно выделить:
- гиперчувствительность пациента к активному веществу – троксерутину;
- первые 3 месяца беременности;
- язва 12-перстной кишки или язвенная болезнь желудка;
- обостренная форма гастрита.
- Если у больного обнаружена почечная недостаточность, то использование мази Троксевазин должно проводиться очень аккуратно и под внимательным наблюдением лечащего врача.
Если женщина вынашивает ребенка, и срок беременности составляет уже более 12 недель, то назначается Троксевазин с оглядкой на желаемый результат. Если предполагаемый эффект для здоровья мамочки превышает возможные риски для развития ребенка, то можно осторожно использовать лекарство. Такой же метод применяет и в случае периода грудного вскармливания.
Взаимодействие препарата с другими лекарственными средствами не было установлено в ходе клинических исследований.
В случае непреднамеренного проглатывания определенного количества мази, необходимо сразу же вывести ее наружу при помощи рвотного рефлекса.
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Вера, 29 лет
Я не довольна этим препаратом. Прежде всего хочу сказать об эффективности. Да, конечно, действие лекарственного средства можно заметить, но оно совсем незначительное, к тому же длится недолго. А что уж говорить, если проблемы у человека не сиюминутные, а хронические? Не вижу таких уж плюсов, чтоб эта мазь так сильно рекламировалось. К тому же есть его полный аналог Токсерутин, который даже выпускается там же – в Болгарии. Только стоит он раза в три дешевле. Так что я для себя выбор сделала.
Лекарственный препарат на гормональной основе. Применение: варикоз, отеки ног, синяки, геморроидальные узлы.
Ориентировочная цена (на момент публикации статьи) от 164 рублей.
В этой статье расскажем об инструкции по применению геля «Троксевазин». Вы узнаете об особенностях применения лекарственного препарата. В каких случаях его можно применять, а в каких лучше воспользоваться аналогом.
Препарат фармакологической группы ангиопротекторов
Лекарственное средство наружного применения группы венотонизирующих средств. Представляет однородную консистенцию светло-коричневатого оттенка со специфическим, но приятным запахом.
Его применяют для снятия отеков, болезненности нижних конечностей, синяков.
Высокоэффективный медикамент оказывает длительное лечебное действие.
Медикамент широкого спектра действия применяется на ранних стадиях нарушения стенок сосудов и в позднем периоде развития патологий. Его можно сочетать с аскорбиновой кислотой для усиления эффекта.
Фармакологическое действие
Тонизирующий венозные сосуды и стенки гель предназначен для наружного применения.
Действующее вещество
Активно действующим веществом является троксерутин. Компонент представляет полусинтетический биофлавоноид y-бензопирона, обладающий Р-витаминной активностью. Он проявляет ангиопротекторные свойства.
От чего помогает
Приостанавливает склеивание тромбоцитов, ликвидирует в венах, капиллярах застойные явления. Оказывает благотворное влияние на самочувствие больного:
- снижаются боли в области увеличения вен;
- исчезает усталость ног;
- укрепляется и восстанавливается проницаемость стенок сосудов, вен, капилляров;
- профилактический эффект действия;
- снимается отечность;
- улучшается питание на клеточном уровне тканей при травмах;
- устраняются спазмы сосудов;
- улучшается кровообращение в месте нанесения лекарственного средства;
- снимается воспаление, сокращаются геморроидальные узлы, исчезают кровоподтеки и другие неприятные явления.
Форма выпуска, состав и упаковка
Лекарство производится фармакологическими компаниями в Болгарии и Исландии.
Рекомендуется применять больным, страдающим варикозным расширением вен, венозной недостаточностью, при флебитах, тромбофлебитах, для комплексного лечения геморроя.
В аптеках можно купить препарат в двух видах. Официальной формой выпуска считается гель, но его часто называют мазью.
Действующим веществом традиционного препарата выступает троксерутин и такие дополнительные компоненты, как карбомер, хлорид бензалкония и динатриевый дигидрат.
Существует более совершенная форма геля Троксевазин Нео. Он отличается составом активных компонентов.
В составе Троксевазина Нео содержатся три соединенные активные вещества: троксерутин, натриевый гепарин и декспантенол.
Лекарственный препарат выпускается в форме геля и упаковывается в алюминиевые, ламинатные (пластиковые) в тубы по 40, 50 и 100 г.
Хранить рекомендовано в сухом, защищенном от света, и недоступном для детей месте при температуре до 25 Сº. Срок годности зависит от вида материала упаковки.
В алюминиевом тубе он может храниться 5 лет, а в пластиковом – до 2-х лет.
Пациентки часто спрашивают о том, троксевазин гормональный или нет. Несмотря на его гормональную основу, он относится к категории не гормональных средств.
Показания
К основным направлениям интенсивной терапии, при которых он оказывает эффективное воздействие, относится обострение геморроя с последующим рецидивом и расширение вен.
Консервативное лечение проводится в сочетании с другими лекарственными средствами.
Используется при нарушенном кровообращении в капиллярах и сосудах вен. Он оказывает комплексный эффект действия, способствуя восстановлению эластичности сосудистых тканей и препятствуя их ломкости, деформации.
Основными показаниями являются:
- отеки в мягких тканях;
- острая фаза флебита;
- варикозное расширение вен, варикозный дерматит;
- диабетическая микроангиопатия;
- после варикозный синдром;
- прогрессирующие спазмы мышц;
- расширение сосудов после лучевой терапии;
- язвенная болезнь кожного покрова, в том числе, варикозные и трофические язвы;
- хронический тип венозной недостаточности.
По инструкции используется в лечении геморроя, мышечном повреждении, травмах, гематомах, вывихах.
При беременности можно применять лекарственное средство для лечения геморроя и расширения венозных сосудов ног со 2-го триместра.
Инструкция по применению, способы
Применяется наружно. Лекарственный состав наносится на область поражения легкими движениями с втиранием в кожу до полного впитывания.
Важно! Лекарственное средство нельзя наносить на открытые раны, слизистые оболочки и экзематозные участки кожного покрова.
Необходимо соблюдать рекомендации специалистов при лечении с учетом показаний:
- совместно использовать с компрессионным трикотажем при сосудистых заболеваниях;
- компрессы, или марлевый тампон с гелем прикладывают к анальному отверстию при геморрое;
- гель просто наносится в случае травмирования мягких тканей и других неблагоприятных явлениях.
Применяют два раза в сутки, утром и вечером на протяжении одного месяца.
Внимание! Схема лечения подбирается индивидуально на консультации с врачом. Консультации можно получить у участкового терапевта, или у флеболога.
После исчезновения отечности и других явлений венозной недостаточности применение средства можно прекратить.
Курс лечения возобновляется в случае повторного возникновения симптомов, и проводится до полного их устранения.
В течение года допускается проводить 2-3 курса с интервалом до 4-5 месяцев. Если симптомы не исчезают на протяжении 7-ми дней регулярного использования, то следует обращаться за помощью к врачу.
Использовать препарат без ограничений разрешается пожилым людям. Для усиления терапевтического действия его можно сочетать с дополнительным приемом аскорбиновой кислоты.
Противопоказания
У троксевазина противопоказания также имеются, как и у других лекарственных средствах. К основным из них относятся:
- открытые формы ранений, ран, нарушения целостности кожного покрова;
- повышенная чувствительность к активным компонентам;
- болезнь двенадцатиперстной кишки, язва желудка;
- раны с нагноением;
- рецидивирующая стадия хронического гастрита;
- беременность в 1-м триместре;
- в период лактации.
На вопрос, троксевазин можно ли детям в некоторых случаях, необходимо проконсультироваться со специалистами.
Побочный эффект действия
Не оказывает токсического действия на организм. Но в некоторых случаях стоит ожидать побочного эффекта.
Как правило, проявление отмечается аллергической реакции, образованием язв на слизистой оболочке ЖКТ, головной болью. В этих случаях следует прекратить его применение и проконсультироваться со специалистом.
Применение при беременности и кормлении грудью
Как говорилось выше, при беременности гель можно использовать после 1-го триместра с особой осторожностью. При кормлении грудью его не используют.
Особые указания
- Состав наносится только на неповрежденные, цельные участки кожи.
- Если в организме больного развивается инфекция, то дополнительно принимается витамин С.
- Во время лечения медикаменты с сосудорасширяющим и кроворазжижающим эффектом не принимаются.
Соблюдая рекомендации врачей, снижается риск побочных эффектов и выздоровление проходит быстрее.
Взаимодействие с другими лекарствами
Сосудистые стенки эффективно укрепляются при взаимодействии геля с капсулами Троксевазин (другая форма выпуска) в дополнение с аскорбиновой кислотой (витамин С).
Аналоги
Самыми эффективными аналогами препарата на сегодняшний день являются:
Производитель
Фармацевтическая Ирландская компания — «Актавис групп».
Болгарская фармацевтическая компания — «Балканфарма-Троян».
Медикомент группы венотонизирующих средств
Используется при нарушенном кровообращении в капиллярах и сосудах вен
Нельзя наносить на открытые раны
В течение года нельзя проводить более 2-3 курса лечения
Запрещен во время кормления грудью
Видео: Троксевазин: применение, формы выпуска, побочные действия, аналоги
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