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Троксевазин ® |
Форма выпуска, упаковка и состав Троксевазин ®
Капсулы твердые желатиновые, размер №1, цилиндрические, желтого цвета; содержимое капсул — порошок от желтого до желто-зеленого цвета, допускается наличие конгломератов, которые при надавливании распадаются.
| 1 капс. | |
| троксерутин | 300 мг |
Вспомогательные вещества: лактозы моногидрат — 47 мг, магния стеарат — 3 мг.
Состав оболочки: краситель хинолиновый желтый (E104) — 0.9%, краситель солнечный закат желтый (E110) — 0.039%, титана диоксид (E171) — 3%, желатин — до 100%.
10 шт. — блистеры (5) — пачки картонные.
10 шт. — блистеры (10) — пачки картонные.
Фармакологическое действие
Ангиопротекторный препарат, действует преимущественно на капилляры и вены.
Уменьшает поры между эндотелиальными клетками за счет модификации волокнистого матрикса, расположенного между клетками эндотелия. Ингибирует агрегацию и увеличивает степень деформируемости эритроцитов; оказывает противовоспалительное действие.
При хронической венозной недостаточности Троксевазин ® уменьшает выраженность отека, боли, судорог, трофических расстройств, варикозных язв. Облегчает симптомы, связанные с геморроем — боль, зуд и кровотечение.
Благодаря благоприятному воздействию на проницаемость и резистентность стенок капилляров, Троксевазин ® способствует замедлению развития диабетической ретинопатии. Кроме того, его влияние на реологические свойства крови способствует предотвращению микротромбоза сосудов сетчатки.
Фармакокинетика
После приема внутрь абсорбция составляет около 10-15%. C max в плазме крови достигается в среднем через 2 ч после приема, терапевтический уровень в плазме сохраняется в течение 8 ч.
Метаболизм и выведение
Метаболизируется в печени. Частично выводится в неизмененном виде с мочой (20-22%) и с желчью (60-70%).
Показания препарата Троксевазин ®
- хроническая венозная недостаточность;
- постфлебитический синдром;
- трофические нарушения при варикозной болезни;
- трофические язвы;
- в качестве вспомогательного лечения после склеротерапии вен и удаления варикозных узлов;
- геморрой (боль, экссудация, зуд, кровотечение);
- венозная недостаточность и геморрой при беременности, начиная со II триместра;
- в качестве вспомогательного лечения ретинопатии у больных сахарным диабетом, с артериальной гипертензией и атеросклерозом.
Коды МКБ-10
| Код МКБ-10 | Показание |
| H35.0 | Фоновая ретинопатия и ретинальные сосудистые изменения |
| H36.0 | Диабетическая ретинопатия |
| I83.2 | Варикозное расширение вен нижних конечностей с язвой и воспалением |
| I87.0 | Посттромботический синдром |
| I87.2 | Венозная недостаточность (хроническая) (периферическая) |
| K64 | Геморрой и перианальный венозный тромбоз |
| L89 | Декубитальная язва и область давления |
| O22 | Венозные осложнения и геморрой во время беременности |
Режим дозирования
Препарат принимают внутрь, во время еды. Капсулы следует проглатывать целиком, запивая достаточным количеством воды.
В начале лечения назначают по 300 мг (1 капс.) 3 раза/сут. Эффект обычно развивается в течение 2 недель, после этого лечение продолжают в той же дозе или снижают до минимальной поддерживающей — 600 мг, либо приостанавливают (при этом достигнутый эффект сохраняется в течение не менее 4 недель). Курс лечения составляет в среднем 3-4 недели, необходимость более длительного лечения определяется индивидуально.
При диабетической ретинопатии назначают в дозе 0.9-1.8 г/сут.
Побочное действие
Со стороны пищеварительной системы: тошнота, диарея, изжога, эрозивно-язвенное поражение ЖКТ.
Прочие: кожная сыпь, головная боль, приливы крови к лицу.
Побочные эффекты быстро исчезают после прекращения лечения.
Противопоказания к применению
- язвенная болезнь желудка и двенадцатиперстной кишки в фазе обострения;
- хронический гастрит в фазе обострения;
- I триместр беременности;
- повышенная чувствительность к компонентам препарата;
- повышенная чувствительность к рутозидам.
С осторожностью следует применять препарат длительно при почечной недостаточности, а также у детей в возрасте от 3 до 15 лет.
Применение при беременности и кормлении грудью
Применение препарата Троксевазин ® в I триместре беременности противопоказано.
Во II и III триместрах и в период лактации (грудного вскармливания) применение препарата возможно в случае, когда ожидаемая польза терапии для матери превышает потенциальный риск для плода или грудного ребенка.
Применение при нарушениях функции почек
Применение у детей
Особые указания
Если в период применения препарата выраженность симптомов заболевания не уменьшается, следует проконсультироваться с врачом.
Использование в педиатрии
Опыта применения препарата Троксевазин ® у детей в возрасте до 15 лет недостаточно, что требует осторожности при его применении.
Влияние на способность к вождению автотранспорта и управлению механизмами
Прием препарата не оказывает влияния на двигательные и психические реакции, не препятствует управлению транспортными средствами и работе с механизмами.
Передозировка
Симптомы: возбуждение, тошнота, головная боль, приливы крови к лицу.
Лечение: промывание желудка, прием активированного угля, при необходимости — проведение симптоматической терапии.
Лекарственное взаимодействие
Действие препарата усиливается при одновременном приеме аскорбиновой кислоты.
Условия хранения Троксевазин ®
Препарат следует хранить в недоступном для детей, сухом, защищенном от света месте при температуре не выше 25°С.
- Фармакокинетика
- Показания к применению
- Способ применения
- Побочные действия
- Противопоказания
- Беременность
- Взаимодействие с другими лекарственными средствами
- Передозировка
- Форма выпуска
- Условия хранения
- Синонимы
- Состав
- Дополнительно
Троксевазин — ангиопротекторное средство действующее преимущественно на капилляры и вены.
Уменьшает поры между эндотелиальными клетками за счет модификации волокнистого матрикса, расположенного между клетками эндотелия. Ингибирует агрегацию и увеличивает степень деформируемости эритроцитов; оказывает противовоспалительное действие.
При хронической венозной недостаточности троксевазин уменьшает выраженность отека, боли, судорог, трофических расстройств, варикозных язв.
Облегчает симптомы, связанные с геморроем — боль, зуд и кровотечение.
Благодаря благоприятному воздействию Троксевазина на проницаемость и резистентность стенок капилляров, он способствует замедлению развития диабетической ретинопатии. Кроме того, его влияние на реологические свойства крови способствует предотвращению микротромба сосудов сетчатки.
Капсулы Троксевазин – это ангиопротекторное средство, оказывающее противовоспалительное и противоотечное действия. Действующее вещество – троксерутин.
Представляет собой смесь гидроксиэтиловых производных рутина, в которой преобладает три-гидроксиэтилрутозид, обладающий Р-витаминной активностью.
Троксевазин обладает выраженным венотоническим, капилляротоническим, антиэкссудативным и гемостатическим эффектом. Уменьшает проницаемость и ломкость капилляров, оказывает противоотечное и противовоспалительное действие.
Действует противовоспалительно на околовенозную ткань, обладает выраженным антиагрегантным эффектом. Не обладает эмбриотоксическим, тератогенным и мутагенным эффектом.
При хронической венозной недостаточности Троксевазин уменьшает выраженность отека, боли, судорог, трофических расстройств, варикозных язв. Облегчает симптомы, связанные с геморроем — боль, зуд и кровотечение.
Благодаря благоприятному воздействию на проницаемость и резистентность стенок капилляров способствует замедлению развития диабетической ретинопатии. Кроме того, его влияние на реологические свойства крови способствует предотвращению микротромбоза сосудов сетчатки.
Быстрый переход по странице
Цена в аптеках
Информация о цене капсул Троксевазин в аптеках Москвы и России взята из данных интернет-аптек и может несколько отличаться от цены в Вашем регионе.
Купить препарат в аптеках Москвы можно по цене: Троксевазин капсулы 300 мг 100 шт. – от 640 до 682 рублей, стоимость упаковки в 50 капсул – от 350 до 389 рублей.
Условия отпуска из аптек – без рецепта.
Хранить в недоступном для детей, сухом, защищенном от света месте при температуре не выше 25°С. Срок годности — 5 лет.
Список аналогов представлен ниже.
Для чего назначают Троксевазин?
Капсулы Троксевазин назначают в следующих случаях:
- Побочные сосудистые эффекты при лучевой терапии;
- Ретинопатия;
- Диабетическая микроангиопатия;
- Капилляротоксикоз (включая грипп, скарлатину, корь);
- Геморрагический диатез, сопровождающийся повышением проницаемости капилляров;
- Гематомы и посттравматический отек;
- Геморроидальные узлы;
- Посттромботический синдром;
- Варикозный дерматит;
- Флеботромбоз;
- Перифлебит;
- Поверхностный тромбофлебит;
- Варикозное расширение вен;
- Хроническая венозная недостаточность, которая сопровождается трофическими поражениями кожи, язвами голени, статистической тяжестью в ногах.
Часто назначается совместно с мазью Троксевазин.
В случае венозной недостаточности и геморроя при беременности назначают только со 2 триместра.
Инструкция по применению капсул Троксевазин, дозы и правила
Препарат принимают внутрь, во время еды. Капсулы следует проглатывать целиком, запивая достаточным количеством воды.
Стандартная начальная дозировка капсул Троксевазин, согласно инструкции по применению – по 1 капсуле 3 раза в сутки. После 2 недель приема необходимо оценить результат лечения и скорректировать дозировку.
Минимальная поддерживающая доза – 2 капсулы Троксевазин 300 мг в сутки (по 1 шт. 2 раза). Курс лечения составляет в среднем 3-4 недели, необходимость более длительного лечения определяется индивидуально.
Важная информация
Если в период применения препарата выраженность симптомов заболевания не уменьшается, следует проконсультироваться с врачом.
Опыта применения препарата у детей в возрасте до 15 лет недостаточно, что требует осторожности при его назначении.
Применение при беременности и лактации
Противопоказано в 1 триместре беременности и при кормлении грудью, во 2 и 3 триместрах беременности можно применять только по назначению врача.
Особенности применения
Перед использованием препарата ознакомьтесь с разделами инструкции по применению о противопоказаниях, возможных побочных действиях и другой важной информацией.
Побочные эффекты Троксевазин
Инструкция по применению предупреждает о возможности развития побочных действий капсул Троксевазин:
- кожная сыпь, крапивница;
- эрозивно-язвенные поражения ЖКТ;
- головная боль.
Противопоказания
Противопоказано применять Троксевазин при следующих заболеваниях или состояниях:
- повышенная чувствительность к действующему веществу и вспомогательным компонентам препарата;
- хронический гастрит;
- 1 триместр беременности;
- язвенное поражение желудка и двенадцатиперстной кишки.
С особой осторожностью нужно применять беременным женщинам (со 2 триместра) и людям с почечной недостаточностью.
Передозировка
Симптомы передозировки — головная боль, возбуждение, тошнота, приливы.
Рекомендовано промывание желудка и употреблении активированного угля, или других сорбентов.
Список аналогов Троксевазин
При необходимости заменить препарат, возможно два варианта – выбор другого медикамента с тем-же действующим веществом или препарата со схожим действием, но другим активным веществом. Препараты со схожим действием объединяет совпадение кода АТХ.
Аналоги капсул Троксевазин, список препаратов:
Выбирая замену важно понимать, что цена, инструкция по применению и отзывы к Троксевазин на аналоги не распространяются. Перед заменой необходимо получить одобрение лечащего врача и не производить замену препарата самостоятельную.
Отзывы принимавших препарат людей свидетельствуют, что Троксевазин хорошо помогает от варикоза и синяков, находит применение для лица при выраженном сосудистом рисунке на коже. Препарат рекомендуют врачи для профилактики геморроя и заболеваний вен при беременности.
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