Троксерутин – это лекарственное средство группы ангиопротекторов и обладает выраженной венотонической, капиляропротекторной, мембраностабилизирующей и противовоспалительной активностью. Относится к фармакологической группе лекарственных средств, оказывающих спазмолитическое действие, способствующих расслаблению гладкой мускулатуры кровеносных сосудов и других внутренних органов.
Действующее вещество Троксерутин — производный элемент рутина, в обычном состоянии является порошкообразным веществом желтого цвета, легко растворяющимся в воде, пропиленгликоле, глицерине.
Препарат выпускается в виде геля Троксерутин для наружного нанесения и капсул Троксерутин для приема внутрь. Сочетание лечебных форм существенно усиливает эффективность препарата и лечебное воздействие при терапии некоторых заболеваний..
Действие лекарства основано на блокировке венорасширяющего действия брадикинина и гистамина (медиаторы воспаления). Стабилизирует гиалуроновую кислоту в клеточных оболочках, оказывая противодействие гиалуронидазе. Троксерутин способен снизить проницаемость капилляров и уплотнить стенки сосудов — это свойство широко используется для лечения варикозного расширения вен, геморроя и др.
Противовоспалительный эффект достигается за счет ограничения прилипания тромбоцитов к поверхности сосудистой стенки. По своему механизму действия препарат сходен с витамином Р, оказывающий общеукрепляющее действие на сосуды.
Троксерутин способствует снижению различного рода воспалений и участвует в выведении из тканевых структур остатков метаболизма.
После приема таблетки (станд. дозировка) сразу всасываются из ЖКТ в кровь, достигая максимальной концентрации через 2-6 часов. Выводиться печенью и почками через 24 часа после приема.
В отличие от капсул, Троксерутин гель в кровь не всасывается, однако, хорошо проникает в ткани через кожный покров. Поэтому во время беременности эта лекарственная форма относительно безопасна (соблюдение инструкция по применению).
Показания к применению Троксерутин
Широкое распространение Троксерутин получил для лечения варикоза и геморроя, но используется препарат для терапии достаточно большого количества заболеваний, связанных с венозным кровотоком:
- венозная недостаточность (ХВН);
- флебит, тромбофлебит и постфлебитные состояния;
- варикозный и предварикозный синдром;
- отеки и боли при травмах нижних конечностей;
- судорожное стягивание икроножных мышц;
- варикозный дерматит и язвы;
- геморроидальные узлы;
- перелом позвоночника, радикулит, остеохондроз;
- болезнь Бехтерева;
- применяется для профилактики после оперативных вмешательств на венах.
Инструкция по применению Троксерутин, дозировка
Капсулу Троксерутин следует глотать целиком, не разжевывая и не измельчая, запивая достаточным количеством жидкости. Рекомендуется принимать во время приема пищи.
Стандартная схема лечения составляет в 3-4 недели, необходимость более длительной терапии определяется индивидуально врачем. Оптимальным курсом лечения ХВН и венозного застоя является приём препарата в течение 1 месяца в сочетании с применением эластических компрессионных средств.
Дозировка взрослым – по 1 капсуле Троксерутин 2-3 раза в день, до исчезновения выраженных симптомов, после переходят на прием поддерживающей дозы – 1 капсула 1 раз в день.
Гель Троксерутин наносят утром и вечером равномерно тонким слоем на кожу над болезненным участком и слегка массируют до полного всасывания.
Доза препарата зависит от площади поврежденной поверхности, но не должна превышать 3-4 см геля (1.5-2 г). Гель можно накладывать под окклюзионную повязку.
Общая суточная дозировка не должна превышать 20 см. Длительность применения — не больше 10 дней.
Побочные эффекты Троксерутин
Троксерутин обычно хорошо переносится пациентами. В единичных случаях отмечалось развитие нарушений стула, гиперемии кожного покрова, а также головной боли (прием капсул).
При применении геля отмечалось развитие местных побочных эффектов, в том числе кожной сыпи, зуда, крапивницы, гиперемии и дерматита. Основное побочное действие Троксерутин может проявляться:
- головная боль,
- сыпь, зуд, покраснениекожи,
- расстройство желудка,
- тошноты и рвоты.
При возникновении каких-либо побочных эффектов применение препарата следует прекратить. При сильном проявлении симптомов промыть желудок, принять активированный уголь, при необходимости начать симптоматическое лечение.
Осторожно – усиливает действие аскорбиновой кислоты на структуру и проницаемость сосудистой стенки.
Противопоказания Троксерутин
- Поврежедение целостности кожных покровов (для геля);
- Синдром мальабсорбции (для таблетированной формы);
- Лактазная недостаточность (для таблетированной формы);
- Гастрит (хронический) в фазе обострения;
- Язвенная болезнь желудка и 12-перстной кишки;
- Детский возраст до 15 лет;
- Аллергия на препарат и его составляющие;
- Печеночная недостаточность, крайне тяжелое течение;
- Сердечная недостаточность 3 степени.
С осторожностью: почечная недостаточность (длительное использование).
Беременность и лактация
Прием Троксерутин противопоказан в I триместре беременности. Возможно использование во II и III триместре беременности, а также в период лактации по назначению и под контролем врача.
Передозировка
При значительном превышении дозировки Троксерутина в форме капсул возможно развитие следующей симптоматики:
- Тошнота;
- Рвота;
- Головная боль;
- Психическое возбуждение;
- Ощущение приливов крови к голове.
С такими признаками необходимо отменить прием препарата, вызвать лечащего врача и принять активированный уголь (из расчета по 1 таблетке на каждые 10 кг веса пациента).
Аналоги Троксерутин, список препаратов
Аналоги Троксерутин по действующему веществу (список):
Аналоги фармацевтической группы (по лечебному эффекту):
Следует учитывать, что инструкция по применению Троксерутин, цена и отзывы к аналогам не относится и не может использоваться как руководство по применению аналогичных препаратов любой формы или группы. При замене троксерутин на аналог настоятельно рекомендуем получить консультацию врача.
Всего отзывов: 3 Оставить отзыв
Очень классный гель с широким спектром применения. Лично мне очень помог во время беременности именно он. Чего только не перепробовала, причем не из дешевых средств, а помог именно он! Рекомендую.
Хорошее средство, аналог Троксевазину по доступной цене. Очень довольна что купила именно это средство.
Троксерутин это недорогой но эффективный преарат от варикоза, очень хорошо помагает. и это единственное средство от варикоза на которое хватило денег в аптеке. сейчас читаю инструкции, многие гели содержат этоже действующее вещество, но цена в аптеке гораздо больше!
Цены в интернет-аптеках:
Троксерутин – венотонизирующий и венопротекторный лекарственный препарат для внутреннего (капсулы) и наружного (гель) применения.
Форма выпуска и состав
Лекарственные формы Троксерутина:
- капсулы: твердые желатиновые, размер №0, с корпусом и крышечкой желтого цвета; содержимое – желтый, зеленовато-желтый, желто-коричневый или желто-зеленый порошок с частицами и гранулами различного размера, или порошок, спрессованный в цилиндры, которые распадаются при надавливании (по 10 шт. в блистерах, в картонной пачке 3, 5 или 6 блистеров; по 15 шт. в блистерах, в картонной пачке 2, 4 или 6 блистеров; по 20 шт. в блистерах, в картонной пачке 3 или 5 блистеров; по 30, 50, 60, 90 или 100 шт. в полимерных банках, в картонной пачке 1 банка);
- гель для наружного применения: прозрачный, однородный, от желтого до желто-зеленого или светло-коричневого цвета (по 20, 25, 30, 40, 50, 60, 70, 80 или 100 г в полимерных банках, банках оранжевого стекла или алюминиевых тубах, в картонной пачке 1 банка или 1 туба).
Состав на 1 капсулу:
- действующее вещество: троксерутин – 300 мг;
- вспомогательные компоненты: тальк, карбоксиметилкрахмал натрия, кальция стеарат, целлюлоза микрокристаллическая, повидон;
- корпус и крышечка капсулы: титана диоксид, краситель оксид железа желтый, желатин.
Состав на 100 г геля для наружного применения:
- действующее вещество: троксерутин – 2000 мг;
- вспомогательные компоненты: динатрия эдетат, натрия гидроксид 30%, карбомер 940, бензалкония хлорид, вода очищенная.
Фармакологические свойства
Фармакодинамика
Троксерутин представляет собой полусинтетический биофлавоноид из класса бензопиранов. Он оказывает ангиопротекторное, противоотечное, венотонизирующее и противовоспалительное действие, снижает ломкость и проницаемость капилляров, а также проявляет Р-витаминную активность.
Фармакодинамические свойства препарата обусловлены участием биофлавоноидов троксерутина в ингибировании фермента гиалуронидазы и окислительно-восстановительных реакциях. За счет подавления гиалуронидазы стабилизируется гиалуроновая кислота клеточных оболочек и снижается их проницаемость. Антиоксидантная активность препарата помогает предотвратить окисление липидов, адреналина и аскорбиновой кислоты. Троксерутин предупреждает повреждение базальной мембраны в эндотелиальных клетках под воздействием различных повреждающих факторов. Препарат повышает плотность стенки сосудов, снижает экссудацию жидкой фракции плазмы и проникновение форменных элементов крови в окружающие ткани; уменьшает адгезию тромбоцитов к поверхности сосудистой стенки; подавляет агрегацию и повышает деформацию эритроцитов.
Троксерутин эффективен при хронической венозной недостаточности на разных стадиях лечения (возможно применение препарата в комплексной терапии). Он уменьшает отечность ног, устраняет ощущение тяжести в ногах, способствует улучшению трофики тканей, снижает интенсивность болевого синдрома и судорог.
Препарат облегчает такие симптомы геморроя, как боль, зуд, экссудация и кровотечение.
У пациентов с диабетической ретинопатией замедляется прогрессирование заболевания, так как Троксерутин воздействует на резистентность и проницаемость стенок капилляров.
Из-за влияния препарата на реологические свойства крови предотвращается вероятность микротромбоза сосудов сетчатки.
Фармакокинетика
Быстро абсорбируется после приема внутрь. Максимальная концентрация в плазме достигается через 1,75±0,46 часа после перорального применения. Всасывание троксерутина составляет около 10–15%. При увеличении дозы его биодоступность повышается. Период полувыведения препарата равен 6,77±2,37 часа. Лечебная концентрация сохраняется в плазме в течение 8 часов. Второй максимум плазменной концентрации троксерутина наблюдается через 30 часов после приема препарата. Этот максимум обусловлен энтерогепатической рециркуляцией. Метаболизм происходит в печени. Около 65–70% выводится через кишечник в виде метаболитов (тригидроэтилкверцитина и глюкуронида) и примерно 25% – почками в неизмененном виде.
При наружном применении препарата в форме геля троксерутин быстро проходит через эпидермис и уже через 30 минут обнаруживается в дерме, а спустя 2–5 часов – в подкожной жировой клетчатке.
Показания к применению
Капсулы и гель Троксерутин применяют в комплексном лечении следующих заболеваний:
- варикозное расширение вен;
- хроническая венозная недостаточность, которая сопровождается болями, отечностью и чувством тяжести в ногах;
- поверхностный тромбофлебит;
- поражение наружных венозных стенок и прилегающей к ним клетчатки (перифлебит);
- варикозный дерматит;
- посттравматический отек, ушибы мягких тканей.
Дополнительные показания для Троксерутина в форме капсул:
- трофические язвы и трофические нарушения, возникающие при хронической венозной недостаточности;
- геморрой (с целью облегчения симптомов);
- посттромботический синдром;
- ретинопатия, диабетическая ангиопатия;
- вспомогательная терапия после операции по удалению варикозно расширенных вен и/или склеротерапии.
Противопоказания
Общие противопоказания для обеих лекарственных форм препарата:
- детский и подростковый возраст до 18 лет;
- гиперчувствительность к основному или вспомогательным компонентам лекарственного средства.
Троксерутин в форме капсул нельзя применять у пациентов с обострением хронического гастрита, язвенной болезнью желудка и двенадцатиперстной кишки, а также у беременных (в первом триместре) и кормящих женщин.
Препарат в форме геля запрещено наносить на поврежденные кожные покровы.
При хронической почечной недостаточности Троксерутин применяют с осторожностью (особенно в течение длительного времени).
Троксерутин, инструкция по применению (способ и дозировка)
Капсулы
Капсулы Троксерутин принимают внутрь, во время еды. Капсулу необходимо проглатывать целиком, не разжевывая и запивая достаточным количеством жидкости.
В начале терапии назначают по 300 мг препарата (1 капсула) три раза в сутки. Терапевтический эффект, как правило, развивается в течение первых двух недель лечения. В последующие дни Троксерутин принимают в той же дозе или уменьшают дозу до средней терапевтической, которая составляет 600 мг в сутки (по 1 капсуле два раза в день). Кроме того, возможно приостановить терапию, при этом полученный эффект сохраняется не менее 4 недель. Также возможно увеличение дозы, но только после консультации со специалистом.
С целью поддерживающей терапии принимают по 300 мг (1 капсула) Троксерутина в сутки на протяжении 3–4 недель.
Для лечения диабетической ретинопатии препарат назначают в суточной дозе 1800 мг (по 2 капсулы три раза в день).
В среднем продолжительность терапии составляет 3–4 недели. Более длительный курс лечения возможен только по назначению врача.
Гель для наружного применения
Гель Троксерутин применяют наружно. Препарат наносят на пораженные участки и слегка втирают до полного впитывания. Разовая доза составляет столбик геля длиной около 4–5 см, кратность применения – 3–4 раза в сутки. Максимальная суточная доза препарата – 20 см геля. В случае необходимости возможно нанесение геля под эластичные чулки или бинты. Курс лечения – до 10 дней.
При сохранении симптомов заболевания или ухудшении состояния через 6–7 дней лечения Троксерутином необходимо обратиться к врачу для назначения дальнейшей терапии и определения продолжительности курса лечения.
Побочные действия
Препарат очень хорошо переносится пациентами. Побочные реакции возникают редко.
Прием Троксерутина в форме капсул может вызывать следующие нежелательные эффекты:
- желудочно-кишечный тракт: боль в желудке, тошнота, эрозивно-язвенные поражения желудка и/или кишечника, рвота, жидкий стул, метеоризм;
- сердечно-сосудистая система: ощущение приливов крови к лицу;
- нервная система: головная боль;
- кожа и подкожные ткани: зуд, сыпь, эритема;
- иммунная система: реакции повышенной индивидуальной чувствительности.
При лечении гелем Троксерутин возможны аллергические кожные реакции (экзема, крапивная сыпь, дерматит), которые быстро проходят после отмены препарата.
Усугубление перечисленных побочных эффектов или появление других, не указанных в инструкции нежелательных реакций, является прямым показанием для обращения к врачу с целью консультации.
Передозировка
Троксерутин относится к препаратам с низкой токсичностью. В случае его передозировки при системном применении могут наблюдаться симптомы, описанные выше в разделе «Побочные действия».
Лечение рекомендуется проводить симптоматическое и поддерживающее. Если после приема препарата прошло менее одного часа, нужно промыть желудок и принять активированный уголь.
Случаи передозировки гелем Троксерутин до настоящего времени не зарегистрированы. Случайное проглатывание геля может вызвать слюнотечение, ощущение жжения в ротовой полости, тошноту и рвоту. При этом следует промыть рот и желудок, если необходимо – назначить симптоматическую терапию.
При попадании геля на открытые раны, в глаза и на слизистые оболочки возникает местное раздражение, проявляющееся гиперемией, жжением, слезотечением и болью. В таком случае необходимо смыть препарат большим количеством раствора хлорида натрия или дистиллированной воды до исчезновения или уменьшения выраженности перечисленных симптомов.
Особые указания
Лечение тромбоза глубоких вен и поверхностного тромбофлебита Троксерутином не исключает применение прочих противовоспалительных и противотромботических препаратов.
Троксерутин не назначают при отеках, причиной которых являются сопутствующие заболевания почек, сердца и печени, так как в этих случаях он неэффективен.
Самостоятельная терапия препаратом должна проводиться с соблюдением рекомендованных доз и максимальных сроков лечения.
Гель Троксерутин можно наносить только на неповрежденные участки кожи. Следует избегать его попадания в глаза, на слизистые оболочки и открытые раны.
У пациентов с повышенной проницаемостью сосудов (например, при аллергических реакциях, гриппе, скарлатине и кори) гель применяют совместно с аскорбиновой кислотой, чтобы усилить ее эффект.
Влияние на способность к управлению автотранспортом и сложными механизмами
Троксерутин не влияет на психические и двигательные реакции, поэтому во время лечения данным препаратом разрешено управлять автотранспортными средствами и другими потенциально опасными механизмами.
Применение при беременности и лактации
Троксерутин противопоказан беременным женщинам в первом триместре. При необходимости применения препарата во втором и третьем триместрах беременности следует проконсультироваться с врачом, который после оценки соотношения польза для матери/риск для плода вынесет решение о возможности назначения данного средства.
Применение Троксерутина в период лактации противопоказано, так как нет данных о проникновении действующего вещества препарата в грудное молоко.
Применение в детском возрасте
По инструкции, Троксерутин не назначают детям и подросткам в возрасте до 18 лет, поскольку опыт его применения в данном возрасте недостаточен.
При нарушениях функции почек
У пациентов с хронической почечной недостаточностью Троксерутин применяют с осторожностью, особенно при длительном использовании.
Лекарственное взаимодействие
Препарат усиливает влияние аскорбиновой кислоты на проницаемость и резистентность сосудистой стенки.
Аналоги
Аналогами Троксерутина являются: Троксевенол, Троксевазин, Троксерутин-МИК, Троксерутин ВетПром, Троксерутин Зентива, Троксерутин Врамед.
Сроки и условия хранения
Хранить в темном месте, недоступном для детей, при температуре не более 25 °С.
Срок годности: капсулы – 3 года; гель для наружного применения – 2 года.
Условия отпуска из аптек
Отпускается без рецепта.
Отзывы о Троксерутине
Отзывы о Троксерутине в подавляющем большинстве положительные. Пациенты делятся впечатлениями о его эффективности, отмечая, что препарат помогает при сосудистых звездочках на ногах, варикозе, отеках ног, геморрое и даже простатите. Еще одним достоинством Троксерутина является его невысокая цена, особенно в сравнении с другими препаратами аналогичного действия.
Некоторые пациенты жалуются на то, что эффект лекарственного средства проявляется только через месяц, других не устраивает консистенция геля и его излишняя липкость.
Цена на Троксерутин в аптеках
Капсулы Троксерутин 300 мг по 30 шт. в упаковке можно купить по цене от 180 рублей, по 50 шт. в упаковке – от 230 рублей.
Цена на Троксерутин в форме геля для наружного применения в тубах или банках по 40 г – от 26 рублей за упаковку.
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Описание актуально на 18.01.2015
- Латинское название: Troxerutin
- Код АТХ: C05CA04
- Действующее вещество: Троксерутин (Troxerutin)
- Производитель: ОАО “Биохимик”, Российская Федерация Sopharma AD, Адифарм ЭАТ, Болгария ЧАО ФФ “Дарница”, ПАО “Химзавод “Красная звезда”, Украина
Состав
В состав Троксерутина, выпускаемого в форме капсул, входит 300 мг троксерутина (Troxerutin) и вещества-эксцепиенты: лактозы моногидрат (Lactose monohydrate), кремния диоксид коллоидный (Silicon dioxide colloidal), макрогол 6000 (Macrogol 6000), стеарат магния (Magnesium stearate).
Для изготовления капсулы используются: титана диоксид (Titanium dioxide), желатин (Gelatin), красители (хинолиновый желтый — 0,75%, солнечный закат желтый — 0,0059%).
Состав геля: троксерутин (Troxerutin) в концентрации 20 мг/грамм, метилпарагидроксибензоат (Е218; Methyl parahydroxybenzoate), карбомер (Carbomer), триэтаноламин (Triethanolamine), динатрия эдетат (Edetate disodium), вода очищенная (Aqua purificata).
Форма выпуска
Лекарство выпускается в форме:
- геля для наружного применения в тубах из алюминия объемом 25, 35, 40, 50 и 100 грамм;
- капсул, расфасованных по 10 штук в блистеры, по 5 блистеров в одной картонной упаковке.
Фармакологическое действие
Препарат относится к фармакологической группе лекарственных средств, которые оказывают спазмолитическое действие, способствуют расслаблению гладкой мускулатуры кровеносных сосудов и других внутренних органов.
Фармакодинамика и фармакокинетика
Средство повышает тонус стенок венозных сосудов и уменьшает их растяжимость, устраняя тем самым застой венозной крови и препятствуя развитию отеков, уменьшает интенсивность воспалительного процесса, оказывает мембраностабилизирующий и капилляропротекторный эффекты.
Троксерутин принимает активное участие в окислительно-восстановительных процессах, ингибируя процессы перекисного окисления липидов и гиалуронидазу, а также процессы окисления эпинефрина (адреналина) и аскорбиновой кислоты.
Препарат характеризуется Р-витаминной активностью, стимулирует процессы элиминации продуктов метаболизма из тканей, не оказывает эмбриотоксичекого действия, не вызывает мутаций и нарушений развития плода.
После перорального применения хорошо абсорбируется из пищеварительного тракта. Плазменная концентрация вещества достигает своих пиковых значений спустя 2-8 часов после приема капсулы. Второй пик отмечается спустя приблизительно 30 часов.
Троксерутин практически полностью элиминируется из организма в течение 24 часов после приема, при этом около 75-80% вещества выводится печенью, оставшиеся 20-25% — почками.
При местном применении всасывания вещества в системный кровоток не происходит, тем не менее, препарат хорошо проникает в прилегающие ткани через кожный покров.
Показания к применению: от чего назначают Троксерутин
Применение таблеток и геля Троксерутин целесообразно:
- при сопровождающейся трофическими поражениями кожи, статической тяжестью в ногах, язвами голени, хронической венозной недостаточности;
- при варикозной болезни (в том числе при беременности);
- припосттромбофлебитическом синдроме;
- при пери- и тромбофлебите;
- при геморрое;
- при геморрагических диатезах, которые характеризуются повышенной проницаемостью капиллярных стенок;
- при посттравматических гематомах и отечности тканей;
- при болезни Шенлейн-Геноха (геморрагическом капилляротоксикозе; в тоМ числе при гриппе, кори или скарлатине);
- при диабетической ретино- и микроангиопатии;
- при сосудистых эффектах, развившихся на фоне лучевой терапии.
В качестве профилактического средства лекарство может применяться после проведения операций на венах .
Противопоказания
Противопоказаниями к применению являются:
Средство с осторожностью назначают при недостаточности функции почек (в случае необходимости длительного применения).
Побочные действия
Применение препарата может сопровождаться следующими побочными эффектами:
Инструкция по применению Троксерутина
Капсулы Троксерутин: инструкция по применению
Таблетки Троксерутин принимают во время еды, проглатывая целиком. В соответствии со стандартной схемой лечения назначают прием внутрь 0,9 грамм троксерутина в сутки (по одной таблетке три раза в день). Если лекарство используется в качестве поддерживающего средства, его следует принимать по одной капсуле два раза в день.
Полный курс лечения длится от 3 до 4 недель. Целесообразность более длительного применения определяется индивидуально лечащим врачом.
Инструкции на препараты различных производителей могут несколько отличаться между собой.
Так, например капсулы Троксерутин Зентива принимают по вышеописанной схеме, а капсулы Троксерутин Врамед на начальных этапах лечения принимают по одной 2 или 3 раза в день, после чего переходят на поддерживающее лечение, которое предполагает прием одной капсулы в сутки.
Лечение с применением Троксерутина-МИК начинают с внутривенного или внутримышечного введения 0,5 грамм троксерутина в форме инъекционного раствора. Процедуры повторяют через день, при этом рекомендуется сделать не менее 5 уколов препарата.
После этого переходят на прием лекарственных форм для перорального применения. Стартовая доза — 0,6-0,9 грамм в сутки, поддерживающая доза — 0,3 грамма в сутки. Курс лечения — от 2 до 4 недель, если нет других показаний.
Гель Троксерутин: инструкция по применению
Мазь Троксерутин представляет собой средство для наружного применения. Наносить ее следует два раза в день (в утренние и вечерние часы), тонким слоем, равномерно распределяя на коже болезненного участка от дистальной (наиболее удаленной) к проксимальной (наиболее близко расположенной) его части и слегка массируя до полного впитывания.
Доза определяется площадью поврежденной поверхности, однако не должна превышать 1-2 грамма (это соответствует приблизительно 3-4 см геля). После нанесения лекарства на пораженный участок кожи можно наложить окклюзионную повязку.
В отличие от капсул, схема лечения с использованием гелей различных производителей ничем не отличается, то есть инструкция по применению мази Троксерутин Врамед идентична инструкции, к примеру, Троксерутина Ветпром.
Передозировка
На сегодняшний день сведения о случаях передозировки Троксерутина не поступали.
В случае случайного приема внутрь препарата в форме геля или капсул в дозе, существенно превышающей лечебную, следует провести процедуру промывания желудка и принять энтеросорбент.
Взаимодействие
Препарат потенциирует действие аскорбиновой кислоты на структуру и показатели проницаемости стенок кровеносных сосудов.
Условия продажи
Средство безрецептурного отпуска.
Условия хранения
Хранить в защищенном от солнечных от солнечных лучей месте. Оптимальный температурный режим для хранения геля — 8-15°С, для капсул — 15-25°С.
Срок годности
Гель годен к употреблению в течение 2 лет, капсулы в течение 5 лет с даты выпуска.
Особые указания
Гель и капсулы Троксерутин разрешается применять в качестве одного из компонентов комплексной терапии. Так, терапия тромбоза глубоких вен или поверхностного тромбофлебита не исключает необходимость назначения противотромботических и противовоспалительных лекарственных средств.
Опыт применения средства для лечения пациентов моложе 15 лет отсутствует.
Аналоги
Синонимы: Троксевазин, Троксерутин Врамед, Троксерутин Зентива, Троксерутин-МИК, Троксерутин Ветпром, Троксевенол.
Троксерутин при беременности
При беременности Троксерутин разрешается применять со второго триместра, в первые 13 недель использовать его не рекомендуется.
В период грудного вскармливания препарат может быть назначен, если ожидаемая польза для матери превысит по предварительной оценке потенциальные риски для ребенка.
Отзывы о Троксерутине
Найти негативные отзывы о геле Троксерутин достаточно сложно. При его невысокой цене (лекарство является стопроцентным аналогом значительно более дорогого препарата Троксевазин) средство описывается как очень действенное.
Однако, как справедливо отмечает большинство пациентов, для достижения максимального эффекта использовать его лучше на ранних стадиях заболевания.
На вопрос “Троксерутин — что это такое?” большинство людей с ранними проявлениями варикозной болезни отвечают, что мазь для них — это настоящее спасение от сосудистых звездочек, усталости и болезненности ног, а также от синяков и шишек.
Одним из показаний к применению препарата является наличие геморроидальных узлов (распространенная проблема, с которой в особенности часто сталкиваются беременные и недавно родившие женщины).
При геморрое лечение предполагает использование Троксерутина в виде компрессов, и многие остаются довольными достигнутым результатом. Хотя, объективности ради, следует сказать, что данный метод помогает не всем (здесь, наверное, все зависит от степени выраженности патологии).
Анализируя оставленные пациентами отзывы о капсулах Троксерутин и геле для наружного применения, можно сделать вывод, что обе лекарственные формы зачастую оказываются бессильными при тяжелых поражениях: они не помогают устранять крупные узлы на венозных сосудах, но, вероятно, препятствуют усугублению процесса.
Что касается отзывов врачей о таблетках и мази, то практически все специалисты отмечают необходимость их применения в комплексе. В более запущенных ситуациях терапию начинают с назначения препаратов троксерутина в форме раствора для инъекций.
Залогом успешного лечения, по мнению медиков, является регулярность и своевременность применения лекарства. Причем оптимально начинать использовать средство уже при появлении первых признаков развития патологического процесса.
Пациенты же отмечают, что наиболее выраженный результат достигался в случаях, когда применение препарата было дополнено плаванием, обливанием ног холодной водой, применением средств на основе эфирных масел (например, масла кипариса), Аскорутина.
При этом следует помнить, что состав не подходит для снятия отечности ног, которая связана с дисфункцией почек, болезнями печени и сердца. Перед использованием препарата и применением сопутствующих лечебных мероприятий следует обязательно проконсультироваться с врачом.
Цена Троксерутина
Цена геля Троксерутин начинается от 30 рублей, цена капсул Троксерутин — от 100 рублей.
В украинских аптеках цена таблеток Троксерутин — от 59 грн, цена мази Троксерутин — от 11 грн.
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