В данной статье можно ознакомиться с инструкцией по применению лекарственного препарата Троксерутин. Представлены отзывы посетителей сайта — потребителей данного лекарства, а также мнения врачей специалистов по использованию Троксерутина в своей практике. Большая просьба активнее добавлять свои отзывы о препарате: помогло или не помогло лекарство избавиться от заболевания, какие наблюдались осложнения и побочные эффекты, возможно не заявленные производителем в аннотации. Аналоги Троксерутина при наличии имеющихся структурных аналогов. Использование для лечения варикоза, геморроя и синяков у взрослых, детей, а также при беременности и кормлении грудью. Состав препарата.
Троксерутин — венотонизирующее, ангиопротекторное средство, биофлавоноид. Уменьшает проницаемость и ломкость капилляров, укрепляет сосудистую стенку, улучшает микроциркуляцию, оказывает противоотечное действие. Участвует в окислительно- восстановительных процессах, блокирует гиалуроновую кислоту клеточных оболочек. Увеличивает плотность сосудистой стенки, уменьшает экссудацию жидкой части плазмы и диапедез клеток крови. Снижает воспаление в сосудистой стенке, ограничивая прилипание к ее поверхности тромбоцитов.
Пациентам с хронической венозной недостаточностью рекомендуется применение как в начальных, так и в поздних стадиях заболевания. При состояниях, характеризующихся повышенной проницаемостью сосудов (в т.ч. при скарлатине, гриппе, кори, аллергических реакциях), используют в сочетании с аскорбиновой кислотой для усиления ее эффекта.
Не токсичен, имеет большую широту терапевтического действия.
Состав
Троксерутин + вспомогательные вещества.
Фармакокинетика
При нанесении геля на кожу активный компонент геля быстро проникает через эпидермис, через 30 минут обнаруживается в дерме, а через 2-5 ч в п/к жировой клетчатке.
После приема внутрь препарат абсорбируется из ЖКТ, терапевтический уровень в плазме поддерживается в течение 8 ч.
Метаболизируется в печени, частично выводится в неизмененном виде с мочой и желчью.
Показания
- хроническая венозная недостаточность;
- трофические нарушения при хронической венозной недостаточности (дерматиты, трофические язвы);
- варикозное расширение вен;
- поверхностный тромбофлебит, перифлебит;
- посттромботический синдром;
- посттравматический отек, гематомы;
- геморрой;
- диабетическая ангиопатия, ретинопатия.
Формы выпуска
Гель для наружного применения 2% (иногда ошибочно называют мазь) Врамед и ВетПром.
Капсулы 300 мг (иногда ошибочно называют таблетки) Зентива и Врамед.
Инструкция по применению и способ использования
Наружно: гель наносят равномерно тонким слоем утром и вечером 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.
Капсулы следует проглатывать целиком, во время еды. Обычно назначают 1 капсулу внутрь 3 раза в сутки, в качестве поддерживающей терапии — 1 капсулу 2 раза в сутки. Курс лечения составляет в среднем 3-4 недели, необходимость более длительного лечения определяется индивидуально.
Побочное действие
- головная боль;
- раздражение слизистой ЖКТ;
- аллергические реакции в виде кожных высыпаний и зуда.
Противопоказания
- язвенная болезнь желудка и двенадцатиперстной кишки, хронический гастрит (в фазе обострения);
- детский возраст до 15 лет;
- повышенная чувствительность к препарату.
Применение при беременности и кормлении грудью
Прием препарата Троксерутин противопоказан в 1 триместре беременности. Лекарственный препарат можно применять во 2 и 3 триместре беременности, а также в период лактации. Возможность применения препарата во время беременности определяется врачом.
Применение у детей
Опыт применения препарата у детей в возрасте до 15 лет отсутствует.
Особые указания
С осторожностью следует применять препарат (длительное применение) при почечной недостаточности.
При лечении поверхностного тромбофлебита или тромбоза глубоких вен применение препарата Троксерутин не исключает необходимость назначения средств противовоспалительной и противотромботической терапии.
Влияние на способность к вождению автотранспорта и управлению механизмами
Прием препарата Троксерутин Зентива не оказывает влияния на двигательные и психические реакции, не препятствует управлению транспортными средствами и работе с механизмами.
Лекарственное взаимодействие
При одновременном применении усиливает действие аскорбиновой кислоты на структуру и проницаемость сосудистой стенки.
Нет данных о неблагоприятном взаимодействии троксерутина в виде геля с другими препаратами.
Аналоги лекарственного препарата Троксерутин
Структурные аналоги по действующему веществу:
- Троксевазин;
- Троксевенол;
- Троксерутин ВетПром;
- Троксерутин Врамед;
- Троксерутин Зентива;
- Троксерутин Лечива;
- Троксерутин МИК.
Аналоги по фармакологической группе (средства для лечения варикозного расширения вен):
- Агапурин;
- Агапурин ретард;
- Анавенол;
- АнгиоНорм;
- Антистакс;
- Антистакс Гель;
- Вазокет;
- Вазонит;
- Венен;
- Венолайф;
- Веноплант;
- Венорутон;
- Виатромб;
- Гепароид Лечива;
- Гепатромбин;
- Еллон гель;
- Индовазин;
- Лиотон 1000;
- Пентоксифиллин;
- Ралофект;
- Репарил гель H;
- Рутин;
- Стиламин;
- Стугерон;
- Тромбовар;
- Ультралан;
- Фибро Вейн;
- Флебодиа 600;
- Цикло 3;
- Циннасан;
- Эмеран;
- Эскузан;
- Эскулюс композитум.
Сердечно-сосудистые заболевания являются наиболее распространенными в мире. В частности, венозные патологии представляют большую опасность для здоровья и жизни человека. Для терапии подобных нарушений ведущие специалисты часто отдают предпочтение препарату Троксерутин Ветпром, который помогает вернуть стенкам вен тонус, снимает неприятные ощущения в нижних конечностях и оказывает благоприятный эффект при реабилитационной терапии.
Описание препарата
Данное лекарственное средство оказывает следующие фармакологические действия:
- тонизирует вены и капилляры;
- обезболивает;
- купирует воспалительные процессы;
- снижает кровоточивость на поврежденных участках.
Препарат позволяет также добиться уменьшения повышенной проницаемости капилляров, остановить расширение вен вследствие действия гистамина и других компонентов, провоцирующих воспалительные процессы. Мазь снимает воспаление вокруг вен, уменьшает отечно-болевой синдром и улучшает трофику тканей.
Состав и условия хранения
Основные составляющие компоненты препарата Троксерутин Ветпром приведены ниже (Табл. 1).
Таблица 1 – Состав Троксерутина Ветпром
Наименование | Описание |
---|---|
Троксерутин (20 мг на 1 г геля) | Активное вещество, оказывающее действие на средние и внешние части венозных стенок. Компонент быстро впитывается внешним слоем кожи и проникает в кровеносные сосуды подкожных тканей |
Троламин | Вспомогательные вещества |
Бензалкония хлорид | |
Троламин | |
Динатрия едетат | |
Очищенная вода |
Срок годности препарата составляет 5 лет (1 месяц – после открытия тубы с мазью), при условии хранения в темном, не доступном для детей месте при температуре от 15 до 25 градусов.
Форма выпуска и цена
Медпрепарат представлен в виде однородного геля, имеющего желтый или желто-зеленый оттенок. Мазь используется наружно путем нанесения на пораженные участки кожи. В одной упаковке находится одна туба геля (40 г) и инструкция.
Стоимость геля невысокая, поэтому средство доступно практически для каждого. Средняя цена лекарственного препарата в России составляет 45 рублей.
Показания к использованию
Итак, для чего применяется препарат? Согласно рекомендациям производителя, лекарство используется при следующих патологических состояниях:
отечно-болевые ощущения, спровоцированные хронической недостаточностью вен;
- ощущение усталости, судороги, припухлость;
- поверхностный тромбофлебит и перифлебит;
- ощущение тяжести и боль в нижних конечностях;
- дерматит, вызванный варикозным расширением вен;
- отечно-болевой синдром, связанный с травмами, ушибами и растяжением связок.
Не рекомендуется нанесение геля людям:
- имеющим повреждения кожи;
- на начальных сроках вынашивания ребенка;
- склонным к аллергическим реакциям на отдельные компоненты медпрепарата.
Способ применения
Использование препарата, согласно инструкции по применению, возможно только наружное. Рекомендуется наносить гель утром и вечером в небольшом количестве, размазывая его легкими движениями до полного впитывания. Пользоваться средством можно и в другое удобное время, только при условии, что между нанесениями на кожу пройдет не менее 10 часов.
Продолжительность терапевтического курса лечения может составлять от 14 дней до 2 месяцев. При повторном появлении заболевания лечение можно повторять до 3 раз за год.
Обратите внимание! Применяется препарат и для лечения женщин во 2- и 3-м триместрах беременности, а также при вскармливании грудью, если его назначает лечащий врач. Специалист оценивает риск для ребенка и пользу для матери в каждой конкретной ситуации.
Побочные эффекты
В отдельных случаях могут возникать определенные негативные реакции:
- эрозии и язвы желудочно-кишечного тракта;
- цефалгия;
- аллергические реакции на отдельные компоненты медпрепарата (покраснения, зуд, высыпания).
Полезная информация! Если возникли такие реакции, то, скорее всего, произошла передозировка препаратом, требуется прекратить его использование и применить десенсибилизирующую терапию.
Аналогичные средства
При отсутствии в региональных аптечных сетях данного препарата можно воспользоваться медпрепаратами, оказывающими аналогичное действие на организм человека. Схожим эффектом обладают Тромболесс, Тромбо Асс, Троксерутин-Дарница и т. д. Перед применением любого из лекарств необходимо ознакомиться с инструкцией либо проконсультироваться с квалифицированным специалистом.
Их эффективность и ценовая политика отличается, поэтому замещающий препарат рекомендуется подбирать только после консультации с врачом, что поможет избежать аллергических реакций и осложнений.
Отзывы об использовании
Множество людей и опытных врачей выбирают Троксерутин Ветпром, о чем свидетельствуют положительные отзывы в сети, а основным недостатком считают только маленький объем тубы с препаратом:
Троксерутин является эффективным препаратом, оказывающим благоприятное действие на венозные стенки. Это помогает противодействовать варикозному расширению, поддерживать вены в тонусе, купировать отечно-болевые синдромы и снимать усталость нижних конечностей.
Препарат относится к дешевым, что делает его доступным абсолютно для каждого человека. Для уточнения нюансов по применению стоит обратиться к квалифицированным специалистам.
Лекарственным средством, обладающим венотонизирующими и ангиопротекторными свойствами, является Троксерутин. Инструкция по применению предлагает принимать капсулы или таблетки 300 мг Зентива, Врамед и ВетПром, гель или мазь 2% при геморрое и варикозе.
Форма выпуска и состав
Препарат выпускают в следующих лекарственных формах:
- Гель для наружного применения 2% (иногда ошибочно называют мазь) Врамед и ВетПром.
- Капсулы 300 мг (иногда ошибочно называют таблетки) Зентива, Врамед и ВетПром.
Гель упакован в алюминиевые тубы объемом 25 г, в пачку с препаратом вложена подробная аннотация с описанием. Гель не имеет запаха и цвета, в 100 г препарата содержится 2 г активного действующего вещества Троксерутина, в качестве вспомогательных компонентов выступают динатрия эдетат, бензалкония хрориднатрия гидроксида раствор, воды очищенная.
Капсулы твердые, желатиновые, желтого цвета, упакованы в блистеры по 10 штук (5-10) в картонную коробку с прилагающейся инструкцией.
Каждая капсула препарата содержит 300 мг активного действующего вещества – Троксерутина, также в состав препарата входит ряд вспомогательных компонентов: диоксид титана, краситель, желатин, лактозы моногидрат, магния стеарат.
Показания к применению
От чего помогает Троксерутин? Применение таблеток и геля целесообразно при:
- посттромбофлебитическом синдроме;
- посттравматических гематомах и отечности тканей;
- геморрое;
- пери- и тромбофлебите;
- сопровождающейся трофическими поражениями кожи, статической тяжестью в ногах, язвами голени, хронической венозной недостаточности;
- болезни Шенлейн-Геноха (геморрагическом капилляротоксикозе; в тоМ числе при гриппе, кори или скарлатине);
- осудистых эффектах, развившихся на фоне лучевой терапии;
- диабетической ретино- и микроангиопатии;
- геморрагических диатезах, которые характеризуются повышенной проницаемостью капиллярных стенок;
- варикозной болезни (в том числе при беременности).
В качестве профилактического средства лекарство может применяться после проведения операций на венах.
Инструкция по применению
Троксерутин гель
Наружно: гель наносят равномерно тонким слоем утром и вечером 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.
Капсулы Троксерутин
Предназначены для приема внутрь. Препарат принимают во время еды, сразу глотая, запивая необходимым количеством воды.
Доза препарата определяется врачом индивидуально и на начальном этапе терапии составляет 300 мг за один прием и 900 мг в сутки, разделенные на 3 раза. Заметный терапевтический эффект препарата наблюдается примерно на 2 неделе от начала терапии, после этого суточную дозу препарата снижают до 600 мг (по 300 мг 2 раза в сутки).
Длительность курса терапии препаратом составляет в среднем 1 месяц, но может меняться в индивидуальном порядке по указанию врача.
Фармакологическое действие
Активный компонент препарата Троксерутин Ветпром – это биофлавоноид с венотонизирующим и ангиопротекторным действием. Снижает ломкость и проницаемость капилляров, повышает их тонус, укрепляет стенки сосудов, усиливает микроциркуляцию и оказывает противоотечное действие.
Кроме того, он уменьшает экссудацию жидкой части плазмы, а также диапедез клеток крови. Принимает участие в окислительно-восстановительных процессах, блокирует гиалуронидазу и стабилизирует гиалуроновую кислоту клеточных оболочек. Под воздействием троксерутина в сосудистой стенке снижается воспаление, ограничивается прилипание тромбоцитов к ее поверхности.
При местном применении геля его активное вещество быстро проникает через эпидермис. В течение 30 минут обнаруживается в дерме, через 2–5 часов в подкожно-жировой клетчатке.
Противопоказания
Противопоказаниями к применению являются:
- возраст до 15 лет;
- хронический гастрит в фазе обострения;
- первый триместр беременности;
- язва двенадцатиперстной кишки;
- повышенная чувствительность к компонентам препарата;
- грудное вскармливание;
- язва желудка.
Средство с осторожностью назначают при недостаточности функции почек (в случае необходимости длительного применения).
Побочные явления
Препарат Троксерутин хорошо переносится пациентами, но в некоторых случаях при повышенной индивидуальной чувствительности к компонентам капсулы возможно развитие негативных реакций:
- аллергические реакции – ощущение жара в лице, сыпь на коже, покраснение кожи, крапивница;
- со стороны органов пищеварения – повышенная жажда, отсутствие аппетита, тошнота, рвота, нарушение стула;
- со стороны нервной системы – головные боли, психомоторное перевозбуждение, головокружения.
При появлении побочных эффектов лечение препаратом прекращают и обращаются за медицинской помощью.
Детям, при беременности и кормлении грудью
Прием препарата Троксерутин противопоказан в 1 триместре беременности. Лекарственный препарат можно применять во 2 и 3 триместре беременности, а также в период лактации. Возможность применения препарата во время беременности определяется врачом. Опыт применения препарата у детей в возрасте до 15 лет отсутствует.
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.
Лекарственное взаимодействие
С целью предупреждения развития побочных эффектов со стороны пищеварительного тракта капсулы Троксерутин не рекомендуется назначать пациентам одновременно с аскорбиновой кислотой. Витамин С усиливает терапевтический эффект Троксерутина, что может вызывать тошноту, рвоту, головные боли, аллергические реакции.
Капсулы можно сочетать с применением препарата в форме геля – это усилит терапевтический эффект медикамента.
Аналоги лекарства Троксерутин
По структуре определяют аналоги:
- Троксевенол.
- Троксевазин.
- Троксерутин ВетПром (Врамед; Зентива; Лечива; МИК).
Для лечения варикозного расширения вен назначают аналоги:
- Вазокет.
- Эмеран.
- Веноплант.
- Эскузан.
- Стугерон.
- Индовазин.
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- Гепатромбин.
- Фибро Вейн.
- Репарил гель H.
- Антистакс Гель.
- Виатромб.
- Агапурин ретард.
- Анавенол.
- Венен.
- Ралофект.
- Флебодиа 600.
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- Лиотон 1000.
- Антистакс.
- Агапурин.
- Цикло 3.
- АнгиоНорм.
- Ультралан.
- Циннасан.
- Венорутон.
- Пентоксифиллин.
- Эскулюс композитум.
- Рутин.
- Тромбовар.
- Гепароид Лечива.
Условия отпуска и цена
Средняя стоимость Троксерутин (гель 2% 40 г) в Москве составляет 28 рублей. Цена 50 капсул по 300 мг — 169 рублей. Отпускается без рецепта.
Хранить в сухом месте, вдали от света, при температуре не выше 25 °С. Беречь от детей. Срок хранения – 5 лет.
Ознакомьтесь также с инструкцией по применению близкого аналога Троксевазин.
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