Нормализует проницаемость стенок капилляров, повышает их тонус. Увеличивает плотность сосудистой стенки, уменьшает экссудацию жидкой части плазмы и диапедез клеток крови. Снижает экссудативное воспаление в сосудистой стенке, ограничивает адгезию к ее поверхности тромбоцитов.
Троксерутин повышает плотность стенки сосудов, снижает диапедез клеток крови и экссудацию жидкой части плазмы. Понижает экссудативное воспаление в сосудистой стенке. Замедляет агрегацию и повышает показатель деформации эритроцитов.
Хорошо всасывается с поверхности кожи при наружном использовании (гель).
Применение троксерутина возможно не только на начальных, но и на поздних стадиях терапии хронической венозной недостаточности. Допускается использование препарата как в виде монотерапии одним из компонентов, так и в комплексной терапии.
Троксерутин снижает отечность и ощущение тяжести в ногах, уменьшает интенсивность судорог и боли, улучшает трофику тканей. Ослабляет симптомы геморроя – экссудация, боль, кровотечение, зуд.
Действующее вещество троксерутина представляет собой производный элемент рутина, относящийся к полусинтетическому типу. В обычном состоянии – это порошкообразный состав желтого цвета, легко растворяющийся в воде, пропиленгликоле, глицерине.
При приеме внутрь хорошо абсорбируется из ЖКТ. Легко проходит гистогематические барьеры. Tmax — 2 ч, терапевтическая концентрация в плазме поддерживается в течение 2 ч. Метаболизируется в печени с образованием двух метаболитов. Выводится почками и с желчью (11% в неизмененном виде) в течение суток.
Троксерутин выпускается в двух формах. Капсулы по 300 мг упакованы в специальные блистеры по 10 штук. Препарат имеет картонную коробку, в которой содержится инструкция по применению. Гель Троксерутин 2% продается в специальной тубе 35 г или 40 г. Средство местного применения также имеет картонную упаковку и инструкцию по применению.
Содержание
Показания по применению
От чего помогает Троксерутин? Назначают препарат в случае следующих заболеваний или состояний:
венозная недостаточность;
трофические нарушения при венозной недостаточности хронического типа (трофические язвы, дерматиты);
расширения вен при варикозных заболеваниях;
посттромбический синдром;
геморрагический диатез (повышенная проницаемость капилляров), в т.ч. при кори, скарлатине, гриппе,
побочные сосудистые эффекты лучевой терапии,
посттравматический отек,
отеки и гематомы посттромбического характера;
ретинопатия, диабетическая ангиопатия;
геморрой.
Троксерутин неэффективен при отеках, вызванных сопутствующими заболеваниями печени, почек и сердца.
Инструкция по применению Троксерутин и дозировки
Капсулы:
Стандартная дозировка Троксерутин для взрослых – 1 капсула препарата 2-3 раза в день.
Продолжительность лечения – до 2 месяцев. При рецидиве заболевания курс лечения можно повторить 2-3 раза в год.
Гель:
Препарат наносят тонким слоем на пораженные участки и втирают до полного его всасывания.
Кратность применения геля Троксерутин – 2 раза в день.
Продолжительность лечения определяется врачом.
В случае попадания на слизистые оболочки следует промыть их под большим количеством проточной воды. После применения геля следует тщательно вымыть руки.
Опыт применения препарата у детей ограничен, поэтому не рекомендуется назначать его детям.
Побочные действия
Обычно Троксерутин хорошо переносится пациентами, среди побочных эффектов препарат может вызвать головные боли и кожные высыпания (аллергия, крапивница). Также во время применения могут возникнуть проблемы с желудочно-кишечным трактом (диарея).
При возникновении каких-либо негативных симптомов лечение нужно прекратить и обратиться к врачу для подбора аналога Троксерутин.
Противопоказания
Повышенная индивидуальная чувствительность к компонентам препарата,
Детский возраст до 18 лет,
Непереносимость галактозы, лактазная недостаточность или глюкозо-галактозный синдром мальабсорбции,
I триместр беременности.
Нельзя принимать препарат в таблетках при язвенной болезни желудка и двенадцатиперстной кишки, при обострении хронического гастрита. С осторожностью следует назначать при почечной недостаточности, особенно при необходимости длительной терапии.
Применение при беременности
Троксерутин в капсулах не рекомендуется применять в первом триместре беременности. Во втором и третьем триместре беременности препарат может быть назначен лечащим врачом в случае, если ожидаемая польза для матери выше, чем потенциальные риски для плода.
Препарат в форме геля может быть назначен в период беременности лечащим врачом. При необходимости применения препарата в форме капсул в период лактации следует проконсультироваться с лечащим врачом и решить вопрос о возможном прерывании грудного вскармливания. Гель Троксерутин не требует прерывания грудного вскармливания в связи с низкой системной абсорбцией.
Передозировка
На данный момент сообщений о передозировке препарата Троксерутин не поступало.В случае приема препарата в форме капсул в дозе, значительно превышающей рекомендуемую, или при случайном пероральном приеме препарата в форме геля для наружного применения показано промывание желудка и прием энтеросорбентов.
Аналоги Троксерутин, список препаратов
Полные аналоги Троксерутин это препараты, список:
Венорутинол гель;
Венорутинол таблетки;
Троксегель.
Среди аналогов по механизму действия и фармакологической группе можно выделить:
Выбирая аналоги важно понимать, что инструкция по применению Троксерутин, цена и отзывы на препараты схожего действия не распространяются. Важно получить консультацию врача и не производить самостоятельную замену препарата.
В аптеках цена Троксерутин геля начинается от 107 рублей.
Троксерутин и Аскорутин – это одно и то же?
Это препараты – аналоги, однако, у Троксерутина другой состав, фармакологическая группа, и количество активного вещества. Аскорутин – это витаминный препарат. В своем составе имеет Витамин С и рутин.
В комплексе эти вещества эффективнее, поскольку усиливают действие друг друга. Троксерутин же, в свою очередь, является венотонизирующим антикоагулянтом, в составе которого находится троксерутин – производное рутина, действие которого направлено на нормализацию работы венозной системы.
Условия хранения – в сухом, защищенном от света месте, при температуре не выше 25° С. Хранить в недоступном для детей месте! В аптеках продается без рецепта.
Срок годности геля для наружного применения – 2 года. Срок годности капсул – 5 лет.
Троксерутин – лекарственный препарат, широко применяющийся в кардиологической, хирургической и флебологической практике для лечения заболеваний вен и сосудов. Это один из первых венопротекторов, помогающих быстро достичь противовоспалительного эффекта и скорректировать микроциркуляцию жидкостей в кровеносных сосудах (включая плазматические компоненты крови). Инструкция по применению таблеток Троксерутин не рекомендует принимать препарат дольше четырех недель из-за высокого риска развития побочных эффектов, например, аллергической сыпи или раздражения желудочно-кишечного тракта. Средство включено в реестр жизненно необходимых лекарств и может выписываться по бесплатному рецепту.
Троксерутин состав
Действующее вещество препарата – троксерутин – является флавоноидом, производным рутина полусинтетического происхождения. Рутин – это вещество с P-витаминными свойствами, впервые полученное из вытяжки руты душистой (дикорастущего растения, широко распространенного в Южной Европе и на побережьях Крыма). По фармакологическим свойствам троксерутин относится к корректорам движения крови и лимфы в микроциркуляторном русле и ангиопротекторам. Препарат используется преимущественно для повышения тонуса венозных стенок, профилактики слияния тромбоцитов у пациентов, входящих в группу риска по развитию тромбоза и тромбоэмболии (пациенты старше 50 лет, люди с хроническими заболеваниями сердца, больные после хирургического лечения).
Терапевтическое действие Троксерутина:
повышает эластичность венозных стенок;
снижает агрегацию тромбоцитов;
выводит излишки жидкости, избавляя от отечного синдрома (часто встречается при хронической венозной недостаточности);
проявляет свойства антиоксидантов (выводит токсины, шлаки, очищает сосуды).
Широко распространено применение Троксерутина от геморроя, так как средство обладает выраженным противовоспалительным действием и уменьшает степень воспаления в сосудах и венах геморроидального сплетения. Препарат показан к применению у лиц пожилого и старческого возраста, подростков, беременных женщин для восстановления сосудистого тонуса при гематомах, ушибах и синяках.
Форма выпуска
Лекарство выпускается в двух лекарственных формах. Для местного использования применяется гель Троксерутин.
Несмотря на минимальный перечень побочных эффектов, применять его без назначения врача нельзя: сначала необходимо получить консультацию и выяснить, от чего помогает мазь Троксерутин (под мазью подразумевается препарат в форме геля). Гель может быть показан при болевом и отечном синдроме нижних конечностей, связанном с варикозной болезнью или другими патологиями вен (включая глубокие вены). Хорошо помогает средство при усталости ног у людей, чья работа связана с длительным стоячим положением или профессионально занимающихся спортом.
Таблетки Троксерутин применяются в случаях, когда требуется системная коррекция микроциркуляции в сосудах.
Концентрация действующего вещества составляет:
в 1 таблетке – 300 мг;
в 1 г геля – 20 мг.
Срок хранения таблеток составляет 5 лет с даты, указанной на упаковке. Гель можно хранить при комнатной температуре 2 года.
Показания к применению
Перед использованием препарата необходимо не только выяснить, для чего применяют гель и таблетки Троксерутин, но и какие заболевания являются показаниями для включения лекарства в состав комбинированных лечебных схем в качестве вспомогательной терапии.
Основными показаниями для назначения препарата являются:
воспаление и патологическое расширение геморроидальных вен, составляющих геморроидальное сплетение прямой кишки (геморрой);
варикозная болезнь (включая варикоз органов малого таза и паховой области);
хроническая венозная недостаточность;
трофические поражения кожи;
инфекционное или наследственное воспаление вены, сопровождающееся развитием тромбоза и закупоркой ее просвета (тромбофлебит);
отечный синдром на фоне посттравматической гематомы или перенесенного операционного вмешательства;
сложные патологии системы кроветворения, при которых у больного наблюдаются спонтанные кровотечения различной локализации, длительность и интенсивности.
Препарат может назначаться лицам пожилого возраста, страдающим сахарным диабетом, для коррекции патологических поражений мелких кровеносных сосудов (венул, капилляров), а также глазной сетчатки и капилляров, составляющих сосудистое русло почечной системы. Троксерутин может включаться в состав комплексных лечебных схем при системных васкулитах геморрагического типа, например, ревматической или аллергической пурпуре.
Троксерутин при беременности
При необходимости лекарство может использоваться во время беременности, начиная с 14 недели гестации. Применение в первом триместре нежелательно из-за отсутствия достаточных клинических данных о безопасности использования троксерутина в указанный период. Одним из главных показаний для назначения Троксерутина беременным женщинам является нарушение плацентарного кровотока в сосудах плаценты, которое может стать причиной острой внутриутробной гипоксии плода и связанных с этим пороков и дефектов развития.
Местное использование Троксерутина во 2 и 3 триместре беременности показано для профилактики геморроя и лечения воспалительных процессов в геморроидальных венах. С этой же целью средство может применяться в послеродовом периоде, так как геморрой является одним из самых распространенных осложнений физиологических родов. Более подробно о том, для чего применяется гель Троксерутин во время беременности, расскажет гинеколог, ведущий беременность.
Во время кормления грудью лечение Троксерутином противопоказано.
Противопоказания
Троксерутин в форме геля практически не имеет противопоказаний – исключение составляет индивидуальная непереносимость компонентов. Несмотря на то, что официальная инструкция не рекомендует применение Троксерутина у подростков младше 15 лет, в некоторых случаях лекарство может быть назначено детям в возрасте от 7 до 14 лет для местного использования.
Таблетки нельзя применять при подтвержденных локальных дефектах слизистой оболочки желудка и кишечника, а также пациентам с хронической инвазией бактериями Helicobacter pylori, являющимися возбудителями инфекционного гастрита (в период обострения).
Инструкция по применению
При системных патологиях системы кроветворения лечение необходимо начинать с инъекционного введения раствора Троксерутин-МИК. Суточная дозировка препарата составляет 0,5 г. Вводить средство необходимо в вену или мышцу, медленно, в течение 10 дней с интервалом в 48 часов. С десятого дня терапии пациента переводят на прием пероральных лекарственных форм, если в этом есть необходимость.
Троксерутин таблетки (капсулы)
Таблетки необходимо принимать во время еды 3 раза в день в течение 2-4 недель. Суточная дозировка препарата, указанная в инструкции, составляет 0,9 г, но на практике большинство сосудистых хирургов и флебологов увеличивают этот показатель до 1,5 г (5 таблеток). Это связано с достаточно низкой биодоступностью синтетических производных рутина, но самостоятельно увеличивать дозировку нельзя из-за высокого риска развития системных побочных эффектов: аллергических реакций, болей в животе, обострения хронических патологий пищеварительного тракта.
Мазь (гель)
Гель следует наносить на болезненные участки 2 раза в день. Разовая дозировка препарата не должна превышать 2 г – это около 3,5 см геля. Использовать средство необходимо до полного исчезновения симптомов, но не более 7-10 дней подряд.
Троксерутин гель для чего применяется? Для устранения усталости в ногах или борьбы с отечным синдромом средство наносится 1 раз в день после прохладной ножной ванночки (вечером).
Троксерутин цена
Троксерутин относится к средней ценовой категории, при этом стоимость таблеток существенно превышает цену геля Троксерутин. Для сравнения ниже приведены средние цены лекарства в различных регионах России.
В Москве:
гель – 27 рублей;
капсулы – 214 рублей.
В Санкт-Петербурге:
гель – 29 рублей;
капсулы – 237 рублей.
На территории Украины лекарство в форме 2 % геля можно купить за 20 гривен.
Троксерутин отзывы
Анна, г. Бийск:
«Троксерутин – это дешевый заменитель раскрученного Троксевазина. Мне его назначили после операции по удалению фиброзной опухоли молочной железы для уменьшения отека на месте швов. Мазала кожу вокруг шва 2 раза в день в течение 10 дней. Не знаю, есть ли заслуга этого препарата, но швы очень хорошо и быстро затянулись, и все синяки в месте разреза прошли уже через 3-4 дня после операции. Не понравился алюминиевый тюбик, который со временем треснул, и весь гель стал выходить наружу. В остальном – претензий нет».
Маргарита, г. Ростов-на Дону:
«Мне гель Троксерутин понадобился после неудачно сделанного укола, когда в месте инъекции образовалась очень болезненная и плотная шишка. Врач сказала мазать гелем 2-3 раза в день. В первые дни результата не видела, но через неделю шишка стала совсем маленькой, после чего полностью рассосалась».
Карина, г. Псков:
«Препараты для вен покупаю регулярно для мамы, так как у нее хронический варикоз на ногах. Троксерутин – одно из самых любимых лекарств в нашей аптечке: помогает быстро, стоит недорого, не вызывает побочных эффектов. Рекомендую всем, кто страдает тяжестью в ногах, связанной с заболеваниями вен».
Аналоги
Самым популярным аналогом Троксерутина является Троксевазин. Многие интересуются Троксевазин или Троксерутин что лучше? Большинство флебологов сходятся во мнении, что препараты обладают одинаковой эффективностью: они выпускаются в аналогичных лекарственных формах, имеют одинаковое действующее вещество и перечень противопоказаний и побочных эффектов. В сети можно увидеть отзывы о более высокой эффективности Троксевазина, но врачи считают, что результативность терапии и биодоступность компонентов у обоих лекарств одинаковая.
Другие аналоги препарата по действующему веществу и механизму воздействия:
Венорутон (370-660 рублей). Высокоэффективный препарат из группы корректоров микроциркуляции и ангиопротекторов. Имеет высокую стоимость, выпускается в форме геля и таблеток. Действующее вещество – рутозид (300 мг в 1 таблетке). Курс лечения составляет не более 4 недель.
Флебодиа 600 (510-1790 рублей). Препарат в форме таблеток на основе диосмина, обладающего выраженными ангиопротекторными свойствами. Используется для лечения хронической венозной недостаточности периферической системы крови, геморроя, варикозной болезни. Нельзя применять в 1 триместре беременности и детском возрасте.
Венарус (460-940 рублей). Венотонизирующее и венопротекторное лекарство. Хорошо справляется с трофическими язвами на нижних конечностях, спазмами, судорожным синдромом и отеками.
Замена назначенного препарата допускается только после согласования с лечащим врачом.
Троксерутин – доступный препарат из группы ангиопротекторов, который используется преимущественно в сочетании с другими лекарствами, корректирующими циркуляцию крови в сосудах. При необходимости средство можно применять во время беременности, предварительно проконсультировавшись с врачом о возможном вреде и противопоказаниях.
Автор статьи: Сергей Владимирович, приверженец разумного биохакинга и противник современных диет и быстрого похудения. Я расскажу, как мужчине в возрасте 50+ оставаться модным, красивым и здоровым, как в свои пятьдесят чувствовать себя на 30. Подробнее об авторе.
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.
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 болезниотвечают, 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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