При болях в ногах, появлении варикоза нужно срочно начинать прием венотоников. Среди всех мазей, кремов и таблеток высокой эффективностью отличается Троксевазин, при этом средство имеет ряд аналогов.
Описание и показания лекарства
Троксевазин относится к группе средств для лечения хронической венозной недостаточности, является венотоником. Фармпрепарат выпускается в форме геля и капсул для приема внутрь. Активным веществом является троксерутин, в капсулах его — 300 мг. Цена 50 капсул — 380 рублей, геля — 180 рублей.
Как ангиопротекторное средство, вещество действует на вены и капилляры, улучшая их функцию.
Лекарство при курсовом приеме уменьшает поры между клетками, модифицируя волокнистый матрикс.
Также оно угнетает избыточное склеивание тромбоцитов, дает сильное противовоспалительное действие, распространяющееся на сосудистую стенку. При проведении лечения снижается тяжесть отеков, судорог и болевого синдрома. Препарат показан при венозной недостаточности, поскольку купирует все ее основные признаки. Он служит профилактикой трофических нарушений и появления язв на фоне варикоза. Список прочих показаний к применению:
- постфлебитический синдром;
- состояние после удаления, склеротерапии вен;
- венозная недостаточность у беременных (с 2-го триместра).
Как вспомогательное средство, препарат способен улучшить состояние сосудов у людей с атеросклерозом, гипертонией. Назначается он и при ретинопатии у диабетиков, хорошо помогает от геморроя — устраняет зуд, боль, останавливает кровотечения.
В продаже есть и одноименный гель, который используют местно. Он также включает флавоноид троксерутин — производное рутина. Препарат применяется в качестве дополнительного средства при венозной недостаточности, уменьшая отек и воспаление в области нижних конечностей.
Противопоказания и побочные действия
Капсулы могут вызывать раздражение ЖКТ при приеме, потому они имеют ряд противопоказаний. Нельзя пить их при остром гастрите, язве в период обострения — возможно прогрессирование заболевания и усиление боли. Также лекарство не пьют при гиперчувствительности к рутозидам, вспомогательным компонентам, в 1 триместре гестации, до 18 лет.
При почечной недостаточности лечение возможно, но с большой осторожностью.
Со стороны пищеварительного тракта побочные действия на препарат возникают чаще всего. Это — понос, тошнота, эрозии и язвы, изжога.
Реже отмечаются аллергические явления — сыпь, крапивница, зуд кожи, ощущение жара. Мазь не провоцирует системные побочные эффекты, лишь приводит к местным аллергическим явлениям. У некоторых людей они могут быть довольно сильными — дерматит, экзема, крапивница.
Инструкция по применению
Капсулы нельзя пить натощак, чтобы не вызвать проблемы с желудком. Принимают их во время еды, сразу после приема пищи. Их глотают без раскрытия, раскусывания, запивая водой. Доза равна 1 капсуле трижды/сутки в течение 14 дней. За этот период развивается начальный терапевтический эффект. Далее дозу снижают до 2 капсул/сутки или оставляют прежней — по назначению врача. В некоторых случаях терапию останавливают, ее результаты сохраняются минимум на месяц. Но чаще курс терапии составляет 21-28 дней. Доза при диабетической ретинопатии — 3-6 капсул/сутки.
Гель применяют так:
- наносят вещество на зону поражения;
- количество нанесений/сутки — 2 (утром, вечером);
- средство надо осторожно втирать до полного впитывания;
- на запущенных стадиях патологий лучше надевать противоварикозные чулки, бинтовать ноги после применения геля.
Рекомендуется совмещать прием капсул и втирание местной формы, эффект будет намного выше. Не меньше результативность зависит от регулярности проведения наружного лечения.
Аналоги лекарства
Существуют более дешевые аналоги, есть в продаже и фармпрепараты дороже Троксевазина. Некоторые содержат то же активное веществ, иные — прочие вещества с аналогичным действием:
| Препарат | Форма | Состав | Цена, рубли |
| Троксерутин | Капсулы | Троксерутин | 230 |
| Троксевазин Нео | Гель | Троксерутин гепарин, декспантенол | 290 |
| Гепарин | Крем | Гепарин натрия | 70 |
| Лиотон | Гель | Гепарин натрия | 360 |
| Троксиметацин | Гель | Троксерутин, индометацин | 200 |
| Венолайф | Крем | Троксерутин, декспантенол, гепарин | 400 |
Нужно помнить, что средства с иным составом могут различаться по показаниям и противопоказаниям, потому самостоятельно заменять их друг другом нельзя.
Троксевазин Нео
Данный фармпрепарат является усовершенствованной формой рассматриваемого. Отличия Троксевазина Нео и Троксевазина исходят из состава. В новом препарате в форме геля, кроме троксерутина, присутствуют гепарин натрия и декспантенол. Это лекарство является комбинированным, потому действует более выраженно. Троксерутин обладает Р-витаминной активностью, является мощным ангиопротектором. Он снимает отек, боль, воспаление со стенок вен.
Гепарин как прямой антикоагулянт служит противосвертывающим фактором, препятствует тромбообразованию.
Гепарин улучшает локальный кровоток, не дает формироваться тромбам, что важно при любой форме варикозной болезни.
Декспантенол после попадания в ткани преобразуется в пантотеновую кислоту, помогающую клеткам быстрее регенерировать. Уже спустя 2 часа все вещества в комбинации начинают активно работать, устраняя признаки заболевания. Лекарство применяют при варикозе, венозной недостаточности, трофических нарушениях. Противопоказано оно только при наличии открытых ран, поскольку гепарин мешает их заживлению.
Лиотон в форме геля
При варикозе пациенту часто назначают Лиотон или Троксевазин — именно эти лекарства являются самыми популярными против тягостных симптомов заболевания.
Состав Лиотона иной, но эффективность не менее высока. Лиотон содержит гепарин натрия, потому относится не к ангиопротекторам, а к антитромботическим средствам. Основные действия лекарства:
- дает противовоспалительный, умеренный противоотечный эффект;
- не дает формироваться тромбам;
- улучшает фибринолитические качества крови;
- снижает количество жиров в кровотоке.
Показания к нанесению мази — тромбофлебит, инфильтраты тканей, состояние после травм, подкожные гематомы. Нельзя пользоваться средством при нарушенной целостности кожи, кровотечениях, при снижении тромбоцитов в крови, наличии гноя на коже.
Троксерутин от варикоза
Данный препарат является полным структурным аналогом, только стоит дешевле. Но разница Троксевазина и Троксерутина заметна при внимательном ознакомлении с инструкцией. Несмотря на аналогичное действующее вещество (троксерутин), его в препарате — всего 200 мг. Лекарство назначают по 4 капсулы/сутки 14 дней, далее переходят на поддерживающую дозу — 2-3 капсулы/сутки. Среди побочных действий регистрируются:
- сыпь на коже;
- тошнота;
- головные боли;
- приливы к лицу;
- гастрит, эрозии.
Применять средство можно даже в 2-3 триместрах гестации, у детей с 15 лет (для Троксевазина возраст ограничения составляет 18 лет). Показания к приему — варикоз, лимфовенозная недостаточность, геморрой.
Гепариновая мазь
В вопросе, Троксевазин или Гепариновая мазь лучше, нужно учесть принципиальную разницу в действии этих средств. Как прочие рутозиды, рутин снимает воспаление и укрепляет стенки сосудов.
Гепарин же в составе Гепариновой мази является естественным противосвертывающим фактором, потому при местном нанесении рассасывает тромбы, уплотнения, отеки, гематомы.
При варикозе оба средства можно применять в комплексе, их эффективность взаимно повысится.
Гепариновая мазь редко дает побочные действия, в основном, это — зуд, сыпь, аллергические реакции. Важно не применять ее при кровотечениях, открытых ранах, язвах, чтобы не замедлить регенерацию кожи из-за снижения свертываемости.
Кризис ударяет по всем слоям населения: пациенты, у которых есть проблемы с венами, сокращают расходы и ищут дешевые аналоги Троксевазина. Средство относится к венотоникам и венопротекторам. Оно давно и прочно заслужило признание пациентов и врачей. Препарат входит в группу медикаментов высокой ценовой категории, поэтому дженерики эконом-класса доступны большинству людей с диагнозом «варикоз».
О троксевазине коротко
Троксевазин хорошо снимает симптомы при венозной недостаточности: отеки, чувство напряжения, уменьшает воспаление и боль. Действующее вещество препарата Троксевазин – образованный от рутина троксерутин, сильный ангиопротекстор и антиоксидант. Препарат приводит вены в тонус и значительно снижает выпот жидкости в окружающие ткани – чем уменьшает отеки и препятствует образованию новых. Благодаря его действию хрупкие стенки венозных сосудов и капилляров становятся менее проницаемыми и более эластичными, воспаление в стенках сосудов купируется.
Лекарство назначают при хронической венозной недостаточности, варикозе, тромбофлебите, синяках, ушибах и растяжениях.
Капсулы Троксевазин для приема внутрь и гель наружно часто прописывают совместно, так как системное лечение дает более выраженный и устойчивый эффект.
Побочных эффектов медикамента почти не встречается. Передозировки Троксевазина не бывает.
Препарат Троксевазин и его заменители продаются без рецепта – множество людей пользуются ими без консультации врача при болезненных ощущениях в ногах. Медикамент отлично зарекомендовал себя для профилактики варикоза и как симптоматическое лечение на начальной стадии.
Троксевазин капсулы 50 шт 300 мг стоят 430 рублей, гель 2% 40 г – 270.
Производитель BALKANPHARMA-TROYAN AD (Болгария).
Чем можно заменить Троксевазин
Фармацевтический рынок предлагает обширный список дешевых аналогов Троксевазина – это препараты на основе рутина (или рутозида) и его производного троксерутина. Их инструкции идентичны.
Аналоги препарата Троксевазин в таблетках:
- Аскорутин 50 мг 50 шт. Производитель Фармстандарт. 90 р.;
- Аскорутин 50 мг 50 шт. Медисорб. 130 р.;
- Троксерутин-мик 200 мг 50 шт. Арсвитал. 170 р.;
- Троксерутин в капсулах 300 мг 50 шт. Озон. 240 р.;
- Троксерутин врамед капсулы 300 мг 50 шт. Софарма. 350 р;
- Дорогой аналог Троксевазина – Троксерутин зентива капсулы 300 мг 50 шт. Производитель Зентива. 530 р.
- Еще более дорогой аналог – Венорутон капсулы 300 мг 50 шт. Изготовитель ГлаксоСмитКляйн. 940 р.
Все дженерики Троксевазина, независимо от формы выпуска имеют одинаковый механизм действия и приблизительно равнозначны по лечебному эффекту.
Аналоги геля Троксевазин:
- Троксерутин гель 2% 40 г. Производитель Озон;
- Троксерутин врамед гель 2% 40 г. Софарма;
- Троксерутин ветпром гель 2% 40 г. Доминанта сервис;
- Серия 03 экстракт пиявки конский каштан троксерутин гель 75 мл. Миролла;
- Акулья сила суперхаш и троксерутин мазь 50 мл;
- Natura Medica каштан троксерутин крем 85 мл. Твинстэк;
- Акулий жир гель пиявка с троксерутином и конским каштаном 75 мл Твинстэк;
- Софья троксерутин форте гель 75 мл. Форафар;
- Троксиметацин 40 г. Доминанта сервис.
- Индовазин гель 45 г. Тева;
- Венолайф гель 40 г. Акрихин;
- Тромблесс плюс 50 г. Нижфарм.
Фармацевтическая промышленность постоянно выпускает новые средства и их аналоги, какие-то уходят с рынка – поэтому приведенный список является неполным и не окончательным. При выборе аналога Троксевазина следует обращать внимание на активное вещество или его производные, дозировку и количество средства в упаковке.
Несколько активных веществ – всегда ли это лучше
Некоторые аналоги Троксевазина многокомпонентны – в отличие от оригинала. Это объясняется тем, что иногда требуется комплексная терапия или взаимное усиление действия препаратов.
При определенных условиях это плюс, так как обеспечивается дополнительное влияние:
- Гепарин натрия снижает вязкость крови предотвращает тромбообразование;
- Индометацин хорошо обезболивает и оказывает сильное противовоспалительное действие;
- Декспантенол регенерирует кожу и способствует заживлению язв и повреждений;
- Бензокаин легкий анестетик, улучшающий всасывание других препаратов;
- Аскорбиновая кислота усиливает и пролонгирует действие рутина.
Нельзя сказать, что несколько сильнодействующих ингредиентов — это всегда хорошо. Они увеличивают нагрузку на почки, печень и кожу; повышают вероятность аллергических реакций. Часто многокомпонентные препараты приходится отменять и заменять на более простые по составу – пациенты теряют время и деньги.
Несколько действующих веществ в составе любого препарата делают затруднительным или невозможным назначение лекарства беременным, кормящим, пожилым людям, больным с печеночной или почечной недостаточностью.
Почему цены на аналогичные медикаменты настолько разные
Разница в цене между аналогами Троксевазина может достигать 7-9 раз – цифра впечатляет. Естественно желание многих пациентов не переплачивать деньги за «раскрученный бренд» и красивую упаковку и не потратить время и здоровье впустую, купив неработающий сомнительный аналог.
В цену оригинала входят расходы на разработку, исследования, длительные клинические испытания. Все эти процедуры проводятся качественно, с соблюдением многочисленных стандартов и требований. (именно поэтому в инструкциях по применению оригинальных препаратов огромные списки побочных эффектов и противопоказаний – это результат кропотливой работы и доказанной эффективности средства). Производство аналогов-дженериков не несет такой финансовой нагрузки.
Также в цену любых препаратов входят затраты на маркетинговые исследования, разработку удобной формы выпуска, привлекательной упаковки, рекламную кампанию (чем она агрессивнее, тем выше расходы), продвижение в аптечных сетях. И для аналогов, и для оригинальных медикаментов это может быть вместительная статья расходов.
Если лекарство импортное – цена всегда повышается за счет затрат на ввоз товара в страну и оформление документов.
Как выбрать аналог Троксевазина
При подборе аналогов следует помнить, что дешевый препарат далеко не всегда неэффективный, а дорогой не всегда оправдывает ожидания.
Если есть возможность, лучше проконсультироваться с врачом – видя клиническую картину и зная индивидуальные особенности больного, он поможет подобрать аналог.
Если до врача далеко, а симптомы варикоза беспокоят прямо сейчас – имеет смысл ориентироваться в подборе аналогов на действующий компонент, свой кошелек и самочувствие при применении.
Варикозные заболевания диагностируются у 40% людей. Для лечения патологического процесса существует множество медикаментозных средств, одним из препаратов, который чаще всего рекомендую специалисты, является Троксевазин. Средство обладает уникальными свойствами, но в некоторых случаях необходимо подбирать аналоги препарата.
Характеристика оригинала
Медикаментозный препарат представляет собой противовоспалительное средство с противоотечным эффектом. Механизм действия лекарства направлен на повышение тонуса и укрепление сосудистых стенок, а так же на устранение воспаления и улучшение циркуляции крови.
Лекарственное средство в аптеке можно приобрести в двух формах:
Несмотря на то, что официальная форма выпуска гель, средство для наружного применения часто называют мазью.
Троксевазин капсулы содержат 300 мг. действующего компонента – троксерутин. В состав геля входит 20 мг. активного вещества.
Показания к применению Троксевазина:
- поверхностные формы флебита в острой фазе;
- варикоз вен;
- синдром послеварикозный;
- микроангиопатия (диабетическая);
- сосудистые нарушения после лучетерапии;
- венозная недостаточность хронического типа;
- язвенная болезнь кожных покров (на фоне варикоза);
- геморроидальное воспаление.
Помимо основных показаний, связанных с варикозной недостаточностью и закупоркой сосудов, инструкция по применению Троксевазина рекомендует использовать препарат против повреждений мышц и суставов (например, при ушибах).
Капсулы и мазь Троксевазин применяют для лечения геморроя во время беременности со второго триместра.
Троксевазин имеет противопоказания, которые описывает аннотация. Лекарство не назначают при наличии у больного:
- хронического гастрита;
- язве желудка;
- почечной недостаточности;
- аллергии на действующее вещество и другие компоненты состава.
Противопоказан препарат женщинам в первый триместр беременности. Так же не рекомендуется одновременное лечение аскорбиновой кислотой.
Троксевазиновая мазь противопоказана к использованию в случае, если на кожном покрове пациента (в месте нанесения) имеются открытые раны, гнойные и инфекционные поражения.
Применение лекарственного средства вызывает побочную реакцию в редких случаях. Проявляется побочный эффект в виде дерматического поражения кожи, крапивницы и экземы.
- Троксевазин гель – от 200 рублей;
- Троксевазин в капсулах – от 350 рублей.
Аналоги
Мазь Троксевазин и капсулы – эффективное медикаментозное средство, которое в короткие сроки борется с проявлениями и последствиями варикозного расширения. Однако, стоимость на лекарство, а так же сопутствующие заболевания, являющиеся противопоказанием, могут потребовать использовать для лечения аналоги Троксевазина.
Подбирают аналог в зависимости от состава, фармакологических свойств и формы выпуска. Если пациенту назначена Троксевазиновая мазь, то заменять ее рекомендуется на препарат наружного применения. Капсулы заменяют на медикамент аналогичной формы выпуска.
Можно заменить Троксевазин на более дешевые аналоги:
- Троксерутин;
- Гепариновая мазь;
- Троксевенол.
К более дорогим аналогам относят:
Подбирать аналог Троксевазин следует совместно с врачом. Необходимо учитывать все особые указания, а не только стоимость лекарства.
Троксетурин
Дешевый аналог оригинала – Троксерутин, считается заменителем, имеющим идентичное фармакологическое действие. Лекарство является полным аналогом, оказывающим венотонизирующее и венопротекторное действие на венозные сосуды. Применение Троксерутина рекомендовано на любой стадии венозного расширения сосудов.
Препарат, содержащий одноименное действующее вещество, выпускается в форме капсул и лечебного геля. В состав геля, помимо активного компонента входит гидроксид натрия и хлорид бензалкония.
Троксерутин гель и таблетки показаны к применению при наличии:
- флебиты вен;
- травматические повреждения кожи;
- отек и гематомы;
- геморрой;
- хроническая венозная недостаточность;
- варикозный дерматит.
Полный список показаний описывает инструкция. Противопоказан дешевый заменитель Троксевазина:
- в первый триместр беременности;
- при наличии аллергии на состав;
- язва желудочно-кишечного тракта;
- детям до 18 лет.
Отзывы о Троксерутине подтверждают, что, несмотря на разницу в цене, Троксевазин мазь ничем не отличается в действии от аналога.
Сравнивая сколько стоит Троксерутин и оригинальное средство, можно отметить, что стоимость заменителя намного ниже. Цена геля в среднем составляет 70 рублей, а капсул – 180 рублей. Цена на медикамент различается и в зависимости от производителя. Наиболее популярная форма – Троксерутин Врамед (от 70-80 рублей).
Гепариновая мазь
Еще один аналог дешевле Троксевазина – Гепариновая мазь. Препарат обладает свойствами, влияющими на свертываемость в сосудах крови.
Форма выпуска заменителя – мазь. Других видов препарата не существует. Активные компоненты лекарства – бензокаин, натриевый гепарин и кислота бензоникотиновая.
Препарат применяют для терапии:
- геморрой;
- флебиты;
- трофические язвенные поражения;
- лимфангит;
- мастит поверхностный;
- отечность кожи;
- травма мышц;
- варикоз.
Основным показанием является развитие венозной недостаточности в области нижних конечностей.
Перечень противопоказаний включает:
- непереносимость состава;
- инфекционные процессы на коже;
- плохая свертываемость крови;
- повреждение целостности эпителия.
Возможно лечение Гепариновой мазью в детском возрасте и во время беременности.
Гепариновая мазь во много раз дешевле оригинала. Цена на лекарство – от 50 рублей.
Троксевенол
Выбирая аналоги Троксевазин, специалисты часто рекомендуют еще один препарат стоимостью дешевле оригинала – Троксевенол. В его состав так же входит троксерутин. Троксевенол оказывает аналогичное воздействие на организм при борьбе с хронической венозной недостаточностью и ее последствиями.
Форма выпуска – гель для наружного применения.
Троксевенол применяется при наличии следующих заболеваний:
- расширение венозных сосудов;
- снижение прочности капилляров;
- осложнения венозной недостаточности;
- поверхностный тромбофлебит;
- ревматизм и отечность мягких тканей;
- мышечные травмы;
- микроангиопатия (диабетического типа);
- побочный эффект от лучевой терапии;
- геморроидальные узлы.
Заменитель имеет противопоказание:
- язва или гастрит желудка;
- непереносимость компонентов лекарственного состава;
- лактация;
- первый триместр беременности;
- детский возраст;
- астма бронхиальная.
Стоит препарат относительно дешево. Его стоимость – от 100 рублей.
Детралекс
При необходимости заменить оригинал на более эффективное средство врачи рекомендуют Детралекс. Активный компонент медикамента – соединение гесперидина и диосмина. Выпускается Детралекс только в форме таблеток.
Показан Детралекс не только при наличии венозной недостаточности, но и при следующих патологических состояниях:
- боль и судороги в нижних конечностях;
- признаки варикоза (усталость, тяжесть в ногах и т. д);
- трофические поражения кожного покрова;
- геморроидальное воспаление сосудов.
Детралексом можно заменить капсулы Троксевазин. Помимо этого, аналог имеет меньшее количество противопоказаний. Применение препарата не рекомендуется только при лактации и непереносимости состава самого медикамента.
Цена – от 740 рублей.
Венолан
Лекарство Венолан сложно найти в продаже. Его действие направлено на восстановление состояния и функциональности венозных сосудов. В лекарстве содержится троксерутин, оказывающий основное действие на кровеносную систему.
Заменитель оригинала в капсулах показан:
- при закупорке венозных сосудов и ослаблении сосудистых стенок;
- при травмах и отечности мягких тканей;
- при флебитах;
- при геморрое;
- при язвах эпителия;
- при геморрагии и петехии.
Противопоказания к применению аналогичны другим препаратам, содержащим тоже действующее вещество.
Несмотря на то, что медикамент не относится к списку недорогих аналогов, капсулы Венолан стоят дешевле оригинала. Цена на лекарство – от 200 рублей.
Лиотон
Подбирая аналоги мази Троксевазин, следует обратить внимание на современное средство – Лиотон гель.
Лекарство оказывает антитромботическое действие за счет входящего в состав компонента (гепарин натрия). Рекомендуется к применению при патологиях:
- флебиты вен;
- последствия после операции на венозные сосуды;
- травмирование мышц;
- симптоматика варикоза;
- хроническая венозная недостаточность;
- гематомы.
Заменитель лекарственного средства Троксевазин гель противопоказан только в случае аллергии на составляющие.
Среди заменителей – кремов, Лиотон гель имеет высокую стоимость (от 350 рублей).
Венолайф
Универсальное средство комплексного воздействия Венолайф, является эффективным аналогом оригинала. Действие медикамента основано на его уникальном составе, сочетающим в себе три активных компонента: троксерутин, дексапантенол и натриевый гепарин.
- болевой синдром;
- отечность;
- тромбофлебит;
- лимфостаз;
- венозная недостаточность;
- трофические язвы на поверхности эпителия;
- варикоз.
Противопоказан гель при чувствительности к составляющим веществам и при наличии открытых повреждений дермы.
Нередко специалисты рекомендуют и другие дешевые заменители оригинала: Троксевенол или Троксегель. Также как Троксевазин, аналоги следует использовать после консультации со специалистом, занимающимся лечением сосудистых заболеваний.
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