Геморрой является достаточно сложным заболеванием, которое сопровождается расстройством в работоспособности венозной системы в области прямой кишки. Для устранения проявлений данного патологического состояния достаточно часто используют Троксерутин. Это универсальный медикамент, с помощью которого можно излечить геморрой на начальной стадии.
Действие лекарства
Троксерутин – это венотоник, а также ангиопротектор. Благодаря данным свойствам лекарства обеспечивается максимально быстрая борьба с геморроем. Для препарата характерно наличие противовоспалительного и антиоксидантного свойства.
Действие лекарства направлено на снижение проницаемости капилляров. При регулярном применении медикамента наблюдается повышение тонуса венозных стенок.
Троксерутин положительно влияет на процессы метаболизма в сосудистых стенках. Препарат укрепляет сосуды, что способствует скорейшему заживлению геморроидальных узлов. Благодаря снижению экссудации клеток крови и плазмы, действующим веществом значительно уменьшается отек в области протекания воспалительного процесса.
Состав и форма выпуска
Производством лекарства занимается болгарская компания Софарма. Выпуск препарата осуществляется в виде геля. Для его упаковки осуществляется применение алюминиевых туб.
В одной тубе содержится от 35 до 40 грамм средства. Троксерутин в виде геля применяется только наружно.
Состоит препарат на 20% из основного действующего вещества. Остальные 80% занимают вспомогательные компоненты. Это однородная прозрачная субстация, которая имеет желтоватый оттенок.
Капсулы состоят из троксерутина, стеарата магния и макрогола. Капсулы характеризуются твердой желатиновой консистенцией и корпусом, которые имеют белый цвет.
Производство лекарства может осуществляться в виде раствора в ампулах. Их широко применяют для внутримышечных или внутривенных инъекций. В большинстве случаев, инъекции назначаются пациентам в течение 10 дней. По истечении этого времени рекомендуется применение капсул.
Достоинства медикамента
Неоспоримым преимуществом лекарства является то, что оно обладает широким спектром воздействия.
Препарат характеризуется наличием таки эффектов, как:
- антиоксидантный;
- ангиопротекторный;
- венотонизирующий;
- противоотечный;
С помощью медикамента осуществляется максимально быстрое устранение воспалительного процесса. Троксерутин является активным участником окислительных и восстановительных процессов. С помощью лекарства производится укрепление сосудистых стенок, улучшение микроциркуляции крови, уменьшение ломкости и проницаемости капилляров.
Благодаря универсальному эффекту воздействия Троксерутина, осуществляется улучшение тонуса венозных сосудов и снижение интенсивности воспалительных процессов. Препарат характеризуется отсутствием токсического влияния, что дает возможность его применения широкому кругу пациентов.
Инструкция по применению лекарства
Гель при развитии геморроя использовать достаточно просто:
- Для этого необходимо всего лишь небольшой участок нанести на проблемный участок после водных процедур.
- Площадь нанесения геля должна составлять не более 4 см. Наносить гель необходимо легкими движениями в течение 2-3 минуты.
Показания и противопоказания
Применение лекарства должно проводиться только при наличии соответствующих показаний:
- Если у пациента наблюдается болезненность в области анального отверстия или появляются геморроидальные узлы, то ему необходимо в обязательном порядке использовать лекарство.
- При наличии запоров, которые сопровождают геморрой, доктора также рекомендуют использовать данный препарат.
Несмотря на отменную эффективность лекарства, оно характеризуется наличием противопоказаний:
- Троксерутин не рекомендуется при повышении чувствительности организма человека к его компонентам.
- Если у больного поврежден кожный покров, то использовать лекарство категорически запрещено.
- При развитии почечной недостаточности у больного, применять препарат необходимо только под контролем доктора.
Побочные эффекты
При неправильном наружном применении лекарства может наблюдаться появление побочных эффектов в виде аллергии.
Применение препарата беременным
Беременные представительницы слабого пола достаточно часто страдают геморроем, что объясняется повышением давления на прямую кишку растущим плодом. Троксерутин в виде геля или капсул не рекомендуется применять женщинам в первом триместре.
Если у пациентки протекает 2 или 3 триместр, то использовать лекарство вполне возможно. Назначение препарата должно проводиться только доктором.
Только врач может определить форму и дозу лекарства для женщины. В период лечения специалист должен регулярно контролировать самочувствие женщины.
Троксерутин для профилактики
Препарат обладает широким спектром воздействия. Именно поэтому его широко применяют не только для лечения, но и для профилактики заболевания.
С его помощью устраняется возможность появления варикозного расширения вен в области прямой кишки, а также увеличения геморроидальных узлов.
Троксерутин относится к категории действенных лекарств, с помощью которых можно не только устранить проявления заболевания, но и полностью вылечить геморрой.
Аналоги лекарства
При наличии у больного противопоказаний ему рекомендуется применение аналогов. Полный аналог препарата – Троксевазин.
Также, при возникновении необходимости в замене лекарства рекомендуется применение Гепатромбина в виде геля или мази. Качественными аналогами медикамента являются Лиотон гель и мазь Релиф.
Цена и отзывы
Приобрести лекарство может любой пациент в аптеке без рецепта. В среднем, стоимость препарата составляет 195 рублей.
Большинство больных геморроем использовали препарат для его лечения. Они оставили только положительные отзывы о нем:
«Я использовал Троксерутин при обострении геморроя. Мне удалось с помощью геля избавиться от ужасных проявлений болезни в течение нескольких дней».
Игорь, 43 года
«Мне Троксерутин в виде геля прописал доктор на втором триместре беременности. Мне очень понравилось то, что лекарство никак не повлияло на моего ребенка, но с его помощью мне удалось побороть болезнь».
Анна, 27 лет
«Я пользуюсь Троксерутином при каждом обострении геморроя. Мне это лекарство очень сильно помогает».
Анатолий, 38 лет
«Мне очень нравится использовать Троксерутин при геморрое, так как он является не только высокоэффективным, но и простым в применении».
В последнее время многие страдают от геморроя. Заболевание развивается на фоне малоподвижного образа жизни современных людей. Врачи часто назначают пациентам мазь или капсулы Троксерутин при геморрое. Препарат важно принимать по инструкции, с учетом противопоказаний и побочных эффектов. Лекарство имеет свои преимущества и недостатки, на которые также стоит обратить внимание, выбирая эффективное и безопасное средство.
Что такое Троксерутин
Вылечить геморрой непросто. Однако это заболевание все чаще встречается у современных россиян. Троксерутин от геморроя – это препарат широкого спектра действия. В аптеках реализуются таблетки и гель для наружного применения. Средство отличается сильным антиоксидантным эффектом, при этом не оказывает вредное воздействие на организм. Специалисты назначают данный препарат для лечения заболеваний, связанных с венозными сосудами.
Активные компоненты Троксерутина обеспечивают следующий эффект:
- купируют воспаление геморроидальных узлов;
- снимают отеки;
- запускают процесс регенерации тканей;
- уменьшают проницаемость сосудов;
- улучшают кровоток;
- тонизируют сосудистую систему.
От чего помогает
Мазь и таблетки Троксерутин используют при геморрое и других недугах. Как вспомогательное средство препарат рекомендуется применять после хирургического удаления геморроидальных узлов. Кроме того, активное вещество Троксерутина помогает при судорогах конечностей, гематомах, сосудистых эффектах после лучевой болезни. В профилактических целях препарат принимают для снижения риска проявления геморроя.
Для лечения гель и таблетки Троксерутина назначают в следующих случаях:
- при хроническом геморрое;
- для устранения осложнений геморроя;
- против тромбофлебита;
- при варикозном расширении вен;
- при венозной недостаточности хронической формы;
- против гематом и посттравматических отеков.
Состав и форма выпуска препарата
Купить данное средство можно в форме капсул или мази для наружного применения. От выбранного варианта зависят вспомогательные компоненты препарата и концентрация активного вещества. Двухпроцентный гель представляет собой однородную мазь светло-желтого цвета в металлическом или пластиковом тюбике. Капсулы имеют желтый оттенок и твердую желейную оболочку. В упаковке 2 блистера по 5 таблеток.
Троксерутин в капсулах
Препарат в форме таблеток является ангиопротектором. Каждая капсула содержит следующие элементы:
- троксерутин – 300 мг;
- макрогол;
- стеарат магния.
Троксерутин гель при геморрое
Препарат для наружного использования выпускается в виде геля желтого оттенка по 25 г в тюбике. 100 г средства содержат следующие вещества:
- троксерутин 20 мг;
- хлорид бензалкония;
- раствор гидроксида натрия 30%;
- очищенная вода;
- карбомер 940;
- эдетат динатрия.
Механизм действия
Средство является венотонизирующим, ангиопротекторным, биофлавоноидом. Таблетки и мазь Троксерутина принимают для уменьшения проницаемости сосудов, ломкости капилляров. Препарат укрепляет стенки сосудов, улучшает микроциркуляцию крови. Активные компоненты лекарства принимают участие в окислительно-восстановительных процессах, блокируют выделение гиалуроновой кислоты клеточными оболочками. Применение препарата снижает риск прилипания тромбоцитов к стенкам сосудов, уменьшает экссудацию жидкой части плазмы, укрепляет капилляры.
Данное средство обладает выраженной Р-витаминной активностью. После того, как наносят гель, его активный компонент обнаруживается в дерме через полчаса, в жировой клетчатке – через 2-5 часов. Капсулы абсорбируются из ЖКТ через несколько часов. Эффект поддерживается 8 часов после приема. Метаболизируется препарат в печени. Выводится частично с желчью и мочой в неизмененном виде.
Эффект от применения лекарства следующий:
- выраженный ангиопротекторный;
- венотонизирующий;
- антиоксидантный;
- противовоспалительный;
- укрепляющий;
- восстановительный.
Как использовать Троксерутин от геморроя
Метод использования данного средства при геморрое зависит от формы выпуска препарата. Терапия назначается врачом с учетом индивидуальных особенностей конкретного пациента. Мазь используется строго после тщательной гигиены зоны промежности и очистительной клизмы. Препарат наносят тонким слоем возле анального прохода. При внутреннем геморрое небольшое количество геля вводят в анальное отверстие.
Для внутреннего применения
Капсулы принимают по назначению врача. Стандартная инструкция представлена ниже:
- Лечение: по 1 таблетке ежедневно 3 раза вместе с едой.
- Профилактика: 1 таблетку 2 раза в день.
- Курс лечения – не более 4 недель.
При наружном использовании
При лечении геморроя гелем следует придерживаться такой инструкции:
- Средство наносят тонким слоем на участок кожи под проблемной зоной.
- Втирают состав массирующими движениями до полного впитывания.
- Повторяют процедуру утром и вечером.
- За один сеанс допускается применение не более 2 г средства.
Дозировка при одновременном применении капсул и геля
В особых случаях врачи назначают совместное применение двух форм данного препарата. Такое использование Троксерутина дает более быстрый эффект. Мазать проблемную зону гелем рекомендуется по инструкции 2 раза в день, массажными движениями. Дозировка капсул рассчитывается врачом индивидуально от 1 до 3 таблеток ежедневно. Курс терапии может длиться дольше рекомендуемых 4 недель, с учетом медицинских показаний и динамики лечения.
Особенности применения мази Троксерутин при беременности
Частой проблемой беременных женщин является геморрой. Развивается заболевание из-за роста матки и ее давления на органы малого таза. Гель и капсулы Троксерутина не назначают в первом триместре из-за риска для здоровья ребенка. С 4 месяца лечение допустимо по назначению врача под строгим наблюдением специалистов. Препарат в форме мази не всасывается в кровь, не влияет на качество и состав материнского молока, поэтому безопасен при грудном вскармливании. Для начала приема капсул стоит проконсультироваться со специалистом.
Побочные эффекты и противопоказания
Прежде чем использовать данный препарат для лечения геморроя, стоит ознакомиться с его противопоказаниями. Троксерутин не назначается в следующих случаях:
- Если на коже пациента (в проблемной зоне) есть повреждения, открытые раны.
- При повышенной чувствительности к компонентам средства.
- При почечной недостаточности.
- В возрасте меньше 15 лет.
- При язвенной болезни желудка, гастрите.
- При беременности (1 триместр).
Троксерутин редко вызывает побочные симптомы. Однако при неправильном использовании препарата в отдельных случаях можно обнаружить:
- аллергию;
- головные боли;
- гиперемию кожного покрова;
- раздражение слизистой оболочки ЖКХ;
- диарею;
- запор.
Превышение дозы препарата в форме капсул может спровоцировать появление следующих симптомов:
- возбуждение;
- тошнота;
- покраснение кожи;
- дерматит;
- головная боль.
Цена Троксерутина
Стоимость препарата зависит от фармацевтической фирмы производителя, формы выпуска и прочих факторов. Ниже представлена таблица с ценами на таблетки и гели в московских аптеках:
Гель с концентрацией 2 % (Россия), 40 г
Гель с концентрацией 2 % (Болгария Ветпром), 40 г
Гель с концентрацией 2 % (Болгария Врамед), 40 г
Капсулы 30/50 шт. (Россия)
Капсулы 30/60/90 шт. (Чехия, Зентива)
Капсулы 200 мг 50 шт. (Белоруссия, Мик)
Отзывы врачей
Ольга, 41 год, флеболог Советую своим пациентам Троксерутин при геморрое по причине эффективности и относительной безвредности. Использование геля допустимо даже при грудном вскармливании и со второго триместра беременности. Чтобы избежать побочных эффектов при приеме препарата, курс терапии не рекомендуется продолжать больше месяца.
Ирина, 32 года, гинеколог Я своим пациенткам рекомендую Троксерутин гель от геморроя для купирования острых симптомов только на ранних стадиях заболевания. От других лекарственных препаратов средство отличается тем, что борется с причиной болезни. После длительного применения Троксерутина нередко удается надолго забыть об этой деликатной проблеме.
Игорь, 46 лет, проктолог Советую лечить шишки геморроя до того, как они перешли в хроническую стадию. Еще лучше – найти время для профилактики заболевания. Троксерутин при геморрое лучше принимать перорально. Средство входит и в число лучших местных препаратов. Применение мази эффективным лечением не назовешь, но на начальных стадиях раздражение и зуд снять помогает.
Отзывы пациентов
Антон, 42 года Мне назначал врач таблетки Троксерутин при геморрое для устранения неприятных симптомов, улучшения состояния вен прямой кишки. Пил по инструкции. Средство быстро снимает симптомы геморроя, такие как жжение, боль, зуд. Эффективность препарата подтверждаю. Заказать можно в любой интернет-аптеке Москвы и Санкт-Петербурга с доставкой, цена приемлемая.
Анна, 35 лет После родов я часто страдаю кровотечениями, воспалениями венозных узлов и другими характерными для заболевания симптомами. Троксерутин Врамед при геморрое хорошо помогает купировать приступы. У меня уже внутренние узлы обнаружены были, но в результате комплексной терапии с таблетками и мазью удалось вылечиться.
Иван, 51 год У меня эта неприятная болезнь уже давно. При обострении хронического геморроя врач назначил терапию венозной недостаточности: капсулы одновременно с гелем. В результате лечения Троксерутином быстро наступило улучшение. Чувствуется противовоспалительный эффект почти сразу. Курс длился 4 недели, после чего состояние значительно улучшилось.
Гель Троксерутин при геморрое применяют как местное обезболивающее, противовоспалительное, антисептическое, регенерирующее средство.
Показания к применению
Лекарственное средство применяют при обострении и при хронической форме геморроя. Также гельиспользуется после операции по удалению геморройных узлов.
Способ применения и дозы
Гель Троксерутин равномерно наносят на область поражения чистыми руками после проведения гигиенических процедур. Затем легкими движениями втирают до полного впитывания в кожу. Препарат начинает действовать сразу же после его нанесения на поверхность. Доза не должна превышать 2 г за одну процедуру. Терапию проводят 2 раза в сутки: утром и перед сном.
Побочные действия
Побочные эффекты наблюдаются редко и могут проявляться следующим образом:
- головная боль;
- покраснение кожного покрова;
- кожные высыпания;
- тошнота;
- диарея.
При возникновении таких симптомов врач должен изменить схему лечения.
Противопоказания
Гель Троксерутин противопоказан:
- при повреждениях кожи;
- при аллергии на компоненты лекарства;
- при язве желудка и двенадцатиперстной кишки;
- в 1 триместре беременности;
- детям до 15 лет.
Длительность лечения
Продолжительность терапии Троксерутином определяется врачом и составляет 5-7 дней.
Взаимодействие с другими препаратами
Троксерутин не токсичен и хорошо сочетается с другими лекарственными средствами, а также применяется в комплексной терапии геморроя. Совместимость с алкоголем не допускается. Влияния на управление транспортным средством препарат не оказывает.
Передозировка
При терапии гелем Троксерутин возможны случаи передозировки медикаментом, когда проявляются следующие симптомы:
- повышение артериального давления;
- покраснение кожных покровов;
- головная боль;
- возбуждение;
- тошнота;
- рвота.
Если возникли признаки передозировки, то врач назначает промывание желудка и прием энтеросорбентов.
Условия хранения
Медикамент должен быть недоступен для детей и храниться в темном месте при температуре не более +25ºС.
Срок годности
Троксерутин годен в течение 5 лет после выпуска.
Состав и форма выпуска
Лекарство выпускается в форме геля и капсул. В состав геля входит активное действующее вещество троксерутин и дополнительные компоненты. Средство выпускают в тубах из алюминия или стеклянных банках, которые упаковывают в коробки из картона.
Капсулы Троксерутина предназначены для приема внутрь. Действующее вещество препарата — троксерутин.
Вспомогательные вещества:
Капсулы помещают в блистеры по 10 штук. Блистеры упаковывают в картонные коробки по 5 штук.
Беременность и лактация
Препарат запрещено применять в 1 триместре беременности. При грудном вскармливании и в другие периоды беременности лекарство назначают только при необходимости и применяют под строгим контролем лечащего врача.
Применение в детском возрасте
Детям до 15 лет Троксерутин не назначают.
Условия отпуска из аптек
Троксерутин в аптеках продается по рецепту лечащего врача.
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