Многие люди, столкнувшиеся с варикозным расширением вен и другими патологиями сосудов, интересуются, чем устранить некрасивые дефекты на теле. «Лиотон» или «Троксевазин», что лучше? Как определиться с выбором? В первую очередь, необходимо ознакомиться с основными характеристиками медикаментов, выяснить их отличия, и обратиться за помощью к врачу, ведь варикоз – это тяжелая патология, требующая комплексного лечения.
Общая информация о препаратах
Итак, подробнее. Что эффективнее — "Троксевазин" или "Лиотон" — сразу сказать сложно.
Оба относятся к группе антикоагулянтов. Попадая на кожу, проникают в глубокие слои и оказывают местное воздействие на проблемные сосуды, а именно:
- разжижают кровь;
- укрепляют стенки;
- повышают упругость и эластичность;
- обладают защитными свойствами;
- обезболивают;
- снимают воспаление;
- устраняют гематомы.
Многим интересно, чем отличается "Лиотон" от "Троксевазина". В первую очередь, они имеют абсолютно разный состав, но оказывают сходное действие.
Терапевтический эффект
Терапевтический эффект достигается благодаря следующим активным компонентам:
- Троксерутину ("Троксевазин"). Полусинтетический гликозид, который выделяют из определенных веществ, содержащихся в растениях красного цвета.
- Гепарину ("Лиотон"). Кислый серосодержащий гликозаминогликан. Является натуральным веществом, получаемым из печени и легких копытных животных.
Судя по отзывам пациентов, оба геля эффективно решают проблему. Однако более длительный результат наблюдается при наружном и внутреннем лечении.
Если учитывать возможность одновременного применения капсул и мази, "Троксевазин" подойдет больше. Потому что в "Лиотон-геле" средства для перорального использования отсутствуют.
Кому подойдет
«Лиотон» или «Троксевазин», что лучше? Этот вопрос необходимо задать врачу, который подберет оптимальный вариант, в зависимости от ситуации.
Применение геля на основе гепарина рекомендовано при наличии следующих патологий:
Может использоваться в качестве вспомогательного средства. В послеоперационный период.
Лекарство "Троксевазин" предназначено для наружной и внутренней терапии:
- Варикоза.
- Воспаления венозных стенок.
- Участков, подвергшихся удалению сосудов.
- Дерматитов, связанных с нарушением кровообращения на определенном участке.
- Перифлебита.
Капсулы применяют для повышения эффективности лечения при вышеперечисленных патологиях. Кроме того, их можно применять в составе комбинированной терапии внутреннего и внешнего геморроя. Наружное применение геля в таких случаях не годится.
Показания к применению "Лиотон" и "Троксевазин" практически идентичны. Оба средства оказывают на сосуды сходное действие.
Как правильно использовать
Наружную форму троксерутинового геля наносят тонким слоем на пораженные поверхности два раза в день. Лучше это делать утром и вечером. Мазь необходимо втирать полностью.
Капсулы применяют 2 раза в сутки, в зависимости от показаний и рекомендаций врача. Курс лечения в среднем составляет 1 месяц. При отсутствии положительной динамики через 7 дней лучше выбрать другое средство.
По инструкции «Лиотон» необходимо использовать от 1 до 3 раз в день. Длительность терапии составляет от 1 месяца.
Противопоказания
Мазь на гепарине не назначают при наличии:
- индивидуальной непереносимости;
- язв и других травм кожного покрова;
- тромбоцитопении;
- гемофилии;
- сниженной вязкости крови;
- пурпуры;
- геморрагического диатеза.
"Троксевазин-гель" нельзя использовать:
- при аллергии на компоненты;
- на поврежденных поверхностях (в том числе, инфицированных) и слизистых оболочках;
- лицам, младше 18 лет.
Капсулы не применяют при:
- непереносимости лактозы;
- аллергии на составляющие;
- язвенной болезни желудка, 12-палой кишки, гастрите в стадии обострения.
С осторожностью при наличии в анамнезе:
- обструкции дыхательных путей;
- тяжелой почечной и печеночной недостаточности.
Все формы препаратов могут использоваться при беременности и лактации. Однако капсулы "Троксевазин" в первом триместре стараются не назначать, потому что данные клинических испытаний отсутствуют.
В педиатрической практике медикаменты не используют. Абсолютно.
Передозировка. Побочные эффекты
Важный момент. Согласно инструкции «Лиотон-геля», из побочных эффектов при наружном использовании могут возникнуть местные аллергические реакции:
При длительном применении может наблюдаться сухость кожи.
Прием капсул на основе троксерутина в основном переносится хорошо. В редких случаях возможно появление:
- болей в животе;
- диспепсических расстройств;
- местных и системных аллергических реакций;
- головных болей;
- расстройства сна;
- головокружения.
Случаи передозировки при использовании наружных форм не наблюдались. Это объясняется тем, что они незначительно всасываются в кровь, поэтому небольшие дозы компонентов не могут привести к ухудшению самочувствия. Однако терапевтическая польза от более частого нанесения не увеличивается.
Превышение рекомендуемых дозировок при внутренней терапии может приводить к усилению побочных эффектов. Сочетание троксерутина с витамином С, усиливает положительное действие на вены, поэтому их рекомендуется употреблять вместе.
Упаковка. Средняя стоимость
Не менее важно. Большинство людей при покупке медикамента интересует инструкция по применению, цена, отзывы о "Троксевазин-геле" или "Лиотоне".
Гель на основе троксерутина продается в тубе по 40 грамм, иные обемы у производителя отсутствуют. Его цена составляет около 200 рублей. Цвет содержимого варьируется от прозрачно-желтого до коричневого.
Для получения максимального эффекта гель рекомендуется использовать в комплексе с капсулами. Их можно купить в картонной коробке по 50 или 100 шт. Стоимость небольшой упаковки составляет приблизительно 300 руб.
"Лиотон" производится только в виде геля в тюбиках по 30, 50 или 100 грамм. Стоит он дороже предыдущего варианта. За 30-граммовую упаковку придётся заплатить около 350 рублей.
Задаваясь вопросом: «Лиотон» или «Троксевазин», что лучше? Больных может не устраивать цена обоих препаратов. В таком случае, можно подобрать подходящий, более бюджетный аналог.
К идентичным по составу "Троксевазин-гелю" относятся:
- "Троксерутин". Продается в тубах по 20 грамм, стоимость — около 50 рублей.
- "Троксевенол". Его можно приобрести в упаковке по 40 грамм за 70 – 90 руб.
Капсулы на основе троксерутина выпускаются под торговым названием «Флеботон». Они продаются в упаковке по 50 шт, стоимость — около 250 рублей.
Наиболее бюджетным аналогом "Лиотона" является "Гепариновая мазь" (25 гр. – около 100 руб.). Или гель (30 гр. – около 120 руб.).
Кроме того, "Гепарин" выпускается в виде растворов для инъекций (5 ампул – 400 руб.). Их может порекомендовать врач для получения более быстрого и длительного результата.
Судя по отзывам многих больных, которым удалось избавиться от варикозной болезни вен, аналоги ничуть не уступают по эффективности более популярным маркам. Небольшим недостатком, по их мнению, является более густая структура. Такие мази хуже впитываются, и могут оставлять жирные следы на одежде и постельных принадлежностях.
"Лиотон" или "Троксевазин". Что лучше?
Подытожим. Отзывов о "Лиотоне", "Троксевазине" и их аналогах довольно много. Большинство пациентов, регулярно применявших средства на основе разных компонентов, были довольны полученным результатом.
Многие выбирают "Лиотон", потому что он имеет более приятный запах и нежную консистенцию. Однако, его стоимость часто заставляет сделать выбор в пользу другого средства.
Комбинированная терапия при помощи медикаментов, содержащих троксерутин, дает быстрый результат. Который сохраняется на длительное время.
Выбирая препарат для устранения варикоза, необходимо, в первую очередь, учитывать его показания. И степень запущенности патологического процесса.
По утверждению врачей нельзя однозначно ответить пациенту на вопрос о том, какой препарат приобрести – «Лиотон» или «Троксевазин». Что лучше? Оба успешно справляются с поставленной задачей. Наилучший результат показывают при комплексной терапии и коррекции образа жизни.
Запущенные формы варикоза и других патологий сосудов плохо поддаются лечению без хирургического вмешательства. В этом случае и "Троксевазин", и "Лиотон" могут оказаться бесполезными. Для подбора эффективной терапевтической схемы потребуется консультация специалиста.
При варикозном расширении вен практикуется комплексная терапия с применением различных лекарственных препаратов. В рамках лечебной программы назначаются наружные средства в форме мазей, гелей, кремов. Они оказывают местное терапевтическое действие. Многих пациентов интересует вопрос, что лучше Лиотон или Троксевазин. Оба препарата включены в группу ангиопротекторов, имеют различия и схожие свойства.
Особенности состава
Основное отличие Лиотона и Троксевазина заключается в компонентном составе. Оба препарата выпускаются в форме геля для наружного применения. Они относятся к венотоникам и ангиопротекторам, но в их основу положены разные по природе действующие (активные) вещества.
| Критерий сравнения | Лиотон | Троксевазин |
|---|---|---|
| Название действующего вещества | Гепарин натрия | Троксерутин |
| Содержание (дозировка) | 1000МЕ/1г | 20мг/1г |
| Природа активного вещества | Серосодержащий гликозаминогликан | Полусинтетический гликозид |
| Производитель | Берлин Хеми/Менарини, Германия | Балканфарма, Болгария |
Формы выпуска
В Лиотон геле содержится гепарин натрия, который используется исключительно для наружных целей. Высокая концентрация активного вещества обеспечивает быстрый локальный эффект. Молекулы гепарина проникают через кожу, концентрируются в пораженной зоне, производят терапевтический эффект. Максимальна концентрация обнаруживается через 8 ч после аппликации. Метаболиты выводятся почками в течение 24 ч.
Троксевазин отличается содержанием троксерутина, схожего по природе с рутином (витамином Р). Это активное вещество используется не только для наружных целей, но и перорально.
Троксевазин выпускается в двух лекарственных формах – в виде геля (наружно) и капсул (внутрь). Препарат удобен для комплексной терапии варикоза, включающей местную обработку пораженных зон и пероральный прием медикаментов.
Фармакологическое действие
Лиотон и Троксевазин относятся к венотоникам, широко используются для лечения варикоза ног. Активные вещества в их составе оказывают благоприятное действие на венозные сосуды и капилляры. Благодаря антитромбическому эффекту, они улучшают реологические свойства крови. Основные фармакологические свойства Лиотона и Троксевазина:
| Название геля | Фармакотерапевтическая группа | Фармакологическое действие |
|---|---|---|
| Лиотон | Венотоники, ангиопротекторы, антикоагулянты | Обладает умеренным противовоспалительным, противоотечным (антиэкссудативным) действием. Препятствует образованию тромбина (тромбов), агрегации тромбоцитов. Улучшает фибринолитические свойства крови, препятствует образованию кровяных сгустков. |
| Троксевазин | Производит венотонический, антиэкссудативный, противовоспалительный, гемостатический эффект. Снижает проницаемость, ломкость стенок капилляров и сосудов, повышает их тонус, эластичность. Препятствует агрегации тромбоцитов, разжижает кровь, устраняет гематомы, улучшает состояние околовенозных тканей. |
Показания для применения
Препараты с гепарином натрия рекомендуются для местного лечения сосудистых патологий. Производитель указывает на возможность применения Лиотон геля в следующих случаях:
- при тромбофлебитах, флебитах, флеботромбозах поверхностных вен;
- при локализованных инфильтратах, отеках мягких тканей;
- в послеоперационный период для предупреждения осложнений;
- для устранения подкожных гематом разной этиологии;
- после перенесенных травм мягких тканей, суставов.
Троксевазин рекомендуется включать в комплексную терапию для местного (наружного) и перорального (внутреннего) применения. Показания к применению препарата:
- при варикозной недостаточности разной степени выраженности;
- при остром поверхностном тромбофлебите, перифлебите;
- при болях, отеках, дерматитах варикозной этиологии;
- в послеоперационный период после флебэктомии;
- при нарушении кровообращения в кожных покровах.
Лиотон или Троксевказин при варикозе назначаются лечащим врачом, исходя из анамнеза, результатов обследования, диагноза. Оба медикамента пользуются потребительским спросом, что вызвано их высоким терапевтическим эффектом. Практическая польза препаратов достигается при условии правильного применения, учета противопоказаний.
Правила применения
Лиотон и Троксевазин в форме геля предназначены исключительно для местного применения. Их наносят наружно на поверхность кожи в пораженной зоне. Способы использования подробно описаны в инструкции к препаратам.
| Лиотон | Троксевазин |
|---|---|
| Тонкий слой геля выдавить на пораженный участок, аккуратно втирать в кожу до впитывания. Регулярность нанесения 1-3 раза в сутки. Длительность терапии 3-7 дней. | Гель наносится тонким слоем в области варикозного расширения вен, втирается мягкими круговыми движениями. Периодичность обработки – до 2-х раз в сутки. Продолжительность лечения до 5-7 дней. |
В каждом конкретном случае продолжительность местной терапии определяется врачом в зависимости от тяжести заболевания. Нередко терапевтический курс затягивается на 2-3 недели до полного исчезновения внешних признаков варикозной недостаточности.
Гели Лиотон и Троксевазин эффективны на начальной стадии варикоза вен на ногах – устраняют боли, отеки, тяжесть. В запущенных случаях наружные средства применяются в комплексе с пероральными препаратами, физиопроцедурами, в реабилитационной программе после хирургического вмешательства.
Побочные эффекты
Производитель предупреждает, что при использовании Лиотона допускается появление побочных явлений. При повышенной чувствительности на поверхности кожи возникают высыпания, красные пятна, зуд или жжение. Они самопроизвольно проходят по окончании лечения. Аналогичные аллергические реакции местного характера могут быть при нанесении геля Троксевазин.
Противопоказания
Лиотон и Троксевазин в форме геля не используют при наличии индивидуальной непереносимости компонентов. Препараты не наносят на открытые раневые поверхности, кожные покровы с язвенными повреждениями. Лиотон гель противопоказан при сниженной свертываемости крови, тромбоцитопении. Производители не дают четких указаний по возможности использованию препаратов во время беременности и лактации.
Цена и аналоги
Стоимость лекарства – немаловажный фактор при выборе подходящего медикамента. Ценовые показатели Лиотона и Троксевазина различаются, что связано с особенностями производства, формой выпуска препаратов.
| Название препарата | Объем | Цена | Аналоги |
|---|---|---|---|
| Гель Лиотон 1000ЕД Берлин Хеми/Менарини, Германия | 100 г | 780-820 | Гепариновая мазь, Гепарин Комби, Контрактубекс, Тромблесс, Гепатромбин, Виабромб |
| 50 г | 460-550 | ||
| 30 г | 350-380 | ||
| Гель Троксевазин 2% | 40 г | 210-250 | Троксерутин, Троксевенол, |
| Капсулы Троксевазин 300 мг | 50 шт. | 350-420 | Троксерутин Биохимик, Троксерутин Зентива, Троксерутин-МИК, ТроксерутинВрамед |
| 100 шт. | 640-760 |
Отзывы
Мне прописал Лиотон гель мой врач. Пользовалась неделю, пропала отечность на ногах, практически не мучает усталость, вечерняя тяжесть после работы. Очень довольна. Купила сразу стограммовый тюбик, еще и мужу осталось.
Мне понравился Троксевазин – недорого, в тубе ровно столько, сколько надо для курса лечения. Довольно быстро исчезли звездочки, могу ходить без боли.
Что лучше при варикозе — Троксевазин или Лиотон — может решить только врач, поскольку оба лекарственных средства направлены на устранение патологий, снятие отечности, для возвращения нормальной функции ногам.
Лиотон является более дорогим по стоимости препаратом, а Троксевазин — его дешевый аналог.
Лиотон
Основным компонентом Лиотона является натриевая соль гепарина, принимающая участие в гомеостазе, поддержании крови в жидком состоянии, устранении сгустков. Средство хорошо борется со следующими видами патологий:
- Медленный кровоток по венам.
- Септические формы с варикозным заболеванием.
- Флебиты.
- Тромбофлебиты.
- Язвы.
После оперативного лечения могут возникнуть гематомы под кожей. Поэтому Лиотон применяют как косметическое средство, которое отлично снимает все признаки за довольно короткий промежуток времени.
Преимуществом Лиотона перед другими подобными препаратами стало то, что он способен устранять симптомы варикоза.
Троксевазин
Троксевазин же, в свою очередь, обладая широким спектром действия, способствует уменьшению количества патологий. Но при этом средство не имеет противосвертывающего действия, что не позволяет оказывать ему реологический эффект.Троксевазин предназначен для нормализации вен.
Главным элементом лекарства является троксерутин, имеющий натуральный состав. Его действие ориентировано на то, чтобы привести вены в тонус, создать барьер для возникновения их деформации, восстановить стенки сосудов. Это происходит благодаря положительному влиянию на процессы обмена в тканях и капиллярах.
Троксевазин назначается в том случае, когда лимфа нарушает нормальное кровообращение, что вызывает активное развитие варикоза.
Данное лекарство выписывается, когда у больных наблюдаются такие симптомы, как:
- отеки и постоянное ощущение усталости в конечностях;
- судороги, которые учащаются по ночам;
- темные пятна или синяки на коже;
- боль и зуд в ногах, что может быть вызвано хроническим воспалением.
На фоне этих признаков развиваются более серьезные проявления заболевания, при которых выписывается Троксевазин. При варикозе происходит следующее:
- начинается расширение и постепенная деформация вен;
- стенки вен становятся очень слабыми и воспаляются.
Применять гель нельзя при нарушении кожного покрова. Не наносится гель на слизистую оболочку органов.
Иногда прописывают препарат в виде капсул, но их прием отменяется, если у пациента фиксируется почечная недостаточность хронического характера, гепатит.
Какой препарат лучше
Для лечения заболевания вен хорошо подходят оба средства, но Лиотон имеет более широкий спектр действия, поэтому его активно используют в терапии и профилактике.
Связано это с тем, что лекарство способно стимулировать течение крови по сосудам, венам и капиллярам, что уберегает от появления отечности и дальнейшего образования тромбов.
При адекватном лечении кровь к венам начинает поступать в больших количествах, в результате чего начинает выводиться жидкость из лимфатических сосудов, позволяя убрать тяжесть и усталость в ногах.
Лиотон используют как профилактическое средство, действующее в конкретном направлении — средство стимулирует течение крови и ускорять его в случае застоя. Одновременно происходит снятие воспаления, устраняются барьеры и точки застоя, что предотвращает развитие варикоза
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