Спас мои ножки
Прописали мне это средство от тяжести в ногах, в качестве профилактики развития варикоза. Эта беда обнаружилась случайно, так что небольшое отступление-совет – проверяйте веночки, хотя бы раз в год, на ранних стадиях еще можно лечить, а дальше беда…
Меня после самолета скрутило, оказалось так бывает часто – самолеты для сосудов очень тяжелая нагрузка. Вот так слетала туда-сюда – и потом месяц пила венотоник, и три недели тромбовазим. Чулочки носила. И ножки попустило, судороги бы и сами прошли, а вот ощущение что у меня ножки как у статуэтки, в смысле чугунные – оно давно у меня, и то что прошло, приписываю именно лечению.
С полгода было все хорошо, а как жарко стало, так снова смотрю – ноги отекли, к вечеру устают до онемения. Пришлось курс повторить, только на этот раз без компрессии, чулки совсем не по сезону.
Оказалось, летом многие тромбовазим принимают – это я с аптекарем разговорилась, она сказала что как жара, так его начинают прямо помногу разбирать. Кровь становится гуще, и у кого варикоз конкретный и такие как я, все покупают.
Итак: препарат в капсулах, классических красно-белых, размер ни большой ни маленький, глотается без проблем. Принимала по 2 штуки в день, утром и вечером. Инструкции чем запивать не было, но я все таблетки запиваю водой, на всякий. По моим ощущениям, существенное облегчение наступает через 2-3 дня, тяжесть с ног уходит. Отеки держатся чуть дольше, но оба раза не больше недели, хотя воды пью много – врач сказала что ограничивать себя не нужно, наоборот.
Для тех, у кого опасность тромбов, дозировка больше, это уже инфа из аптеки. Побочек никаких не заметила, бывает у меня реакция на лекарства, но на этот раз все спокойно.
Крайний раз принимала без венотоника, потому что недавно пропила курс, а частить нельзя. Что скажу, разницы не заметила, но у меня не особо запущенная стадия, в принципе доктор говорит что хорошо их сочетать – варикоз вообще лучше лечить комплексно.
Когда не следует принимать лекарство
Существуют также противопоказания к применению данного лекарства:
- высокая чувствительность в отношении к лекарственному средству;
- аллергические процессы на принятие данного средства;
- язва желудка (в период обострения);
- язва двенадцатиперстной кишки ;
- повышенная вероятность кровоизлияния в пищеводе;
- угроза появления диспепсии;
- также недопустимыми являются: тетрациклин и окситетрациклин гидрохлорид, хлортетрациклин гидрохлорид;
- поливалентная аллергическая реакция;
- средство не рекомендуется употреблять людям, возрастом младше 18 лет, так как исследования в детской категории не были проведены;
- уролитиаз.
Механизм действия Тромбовазима следующий:
- он рассасывает уже сформировавшиеся тромбы;
- препарат увеличивает скорость венозного тока по лимфе;
- средство уменьшает отёки, и как следствие, уменьшает болезненные ощущения;
- Тромбовазим является противовоспалительным средством, укрепляет и восстанавливает венозные стенки, препятствует появлению свежих тромбов.
Показания к применению
Согласно аннотации, таблетки необходимо принимать перорально за полчаса до еды, дважды в день. Рекомендованная длительность курса – 20 дней.
За это время значительно уменьшатся отечность и болезненные ощущения в нижних конечностях, рассосутся небольшие тромбы. При наличии венозной недостаточности врачи советуют несколько раз в год проводить терапию препаратом «Тромбовазим».
Капсулы способствуют укреплению венозных стенок, улучшению кровотока и не допускают образование новых тромбов. Также препарат эффективен при трофических язвах (ускоряет заживление).
Показания к применению следующие: Тромбовазим выступает в роли вспомогательного лекарственного вещества в комплексном лечении болезни хронической и венозной недостаточности.
Прежде чем принимать лекарство стоит изучить инструкцию по применению Тромбовазима.
Способ применения и дозировки
Препарат принимается перорально за 30 минут до принятия еды, дважды в день, курсом в 20 дней.
В каких видах выпускается лекарство
Форма выпуска: таблетки и капсулы. Таблетки в упаковке из фольги с термолаком. Выпускаются по 5-10 штук. Капсулы в упаковке из ПВХ и фольги с термолаком. Выпускаются строго по 4 штуки.
- отеки в области ног;
- болевой синдром;
- чувство тяжести;
- появление сосудистой сетки;
- застой крови в ногах;
- появление венозных узлов;
- тромбофлебит.
Целесообразность применения препарата при выявлении варикоза и других сосудистых патологий окончательно определяет медицинский специалист, а именно, флеболог или сосудистый хирург.
Так как форма выпуска Тромбовазима — это либо капсулы, либо таблетки, принимать препарат необходимо перорально, запивая большим количеством воды. Принимают препарат за полчаса до употребления пищи, суточную дозировку определяет каждому пациенту врач в индивидуальном порядке. Но в среднем будет достаточно 2 капсул или таблеток в сутки. Курс лечения составляет приблизительно 20 дней.
Для справки! В зависимости от дозировки длительность лечения может быть короче, например, если врач назначает Тромбовазим 800 ед.
Показания к назначению
Препарат может применяться в составе комплексной терапии при венозной недостаточности (в том числе и хронической). Исследования показали, что он может использоваться в кардиологии при лечении инфаркта Миокарда, острого коронарного синдрома. Следует учитывать, что без рекомендаций специалиста самостоятельно принимать лекарство не желательно.
Принимать средство запрещено в следующих случаях:
- Беременность и период лактации.
- Возраст до 18 лет (исследования для данной возрастной категории не проводились).
- Повышенная чувствительность к компонентам.
- Не применяется в комплексе с антибиотиками из ряда тетрациклинов и препаратами, содержащими соли двухвалентного железа (интервал между приемами лекарств должен составлять не менее часа).
- Язвенная болезнь в период обострения.
- Обструктивная патология легких.
Прежде чем начинать лечением посредством Тромбовазима, необходимо ознакомиться со списком противопоказаний к таблеткам или капсулам. Противопоказан препарат в следующих случаях:
- возраст младше 18 лет;
- индивидуальная непереносимость компонентов;
- предрасположенность к диспепсии;
- высокие риски кровоизлияния в пищевод;
- язвенные заболевания органов ЖКТ.
В качестве побочных действий при передозировке таким препаратом может наблюдаться гиперкинез или низкое артериальное давление. Также при нерациональном применении препарата возможна аллергическая реакция или диспепсия.
Формы выпуска и цена в рублях
Цена на Тромбовазим в таблетках и капсулах лежит в диапазоне от 1050 до 1200 рублей.
Форма выпуска: в виде таблеток покрытых оболочкой, а также в капсульном виде.
Основными преимущественными отличиями препарат Троксевазим является широкая доступность в аптеках России, невысокая цена, а также возможность приобретения средства без рецепта от врача. При этом нужно помнить, что принимать такой препарат от варикоза лучше в качестве комплексной терапии, а не монолечения. Ценовой диапазон на капсулы и таблетки составляет 1000-1200 рублей.
Побочный эффект: отзывы
Производитель утверждает, что средство практически не имеет побочных эффектов по сравнению с ранее известными тромболитиками. В редких случаях возможно появление аллергической сыпи и зуда. Такие симптомы, как тошнота и рвота, возможны только при индивидуальной непереносимости составляющих лекарства.
Относительно новое лекарственное средство в настоящее время пользуется огромной популярностью и заслужило немало положительных откликов. В большинстве случаев препаратом остались довольны те пациенты, которые давно страдают варикозной болезнью.
Также успешно борется и с отечностью нижних конечностей после рабочего дня. Особым спросом пользуется тромболитик у стюардесс и людей, вынужденных часто пользоваться услугами аэрокомпаний (при длительных перелетах ноги обычно сильно отекают).
Если из-за работы приходится долго сидеть или стоять, то в качестве профилактики венозной недостаточности можно принимать «Тромбовазим».
Отзывы врачей про Тромбовазим указывают на невысокую эффективность при устранении тромбов.
Эффективнее будет процедура введения лекарственного средства в сам тромб.
Венозная недостаточность – это часто встречающаяся патология. Она доставляет массу дискомфорта. При проявлении каких-либо симптомов обязательно необходимо обратиться к специалисту за помощью. Только врач может назначить наиболее подходящее лечение. Очень часто показан препарат Тромбовазим 800. На этой почве многие задаются вопросом, что представляет собой препарат и насколько он эффективен.
Фармакологическая группа
Препарат Тромбовазим имеет тромболитическое, антифлогистическое и кардиопротективное действие. Медикамент выступает фибринолитиком.
Формы выпуска препарата
Средство производится в разных формах:
Таблетки. В ячейковой таре находится 10 таблеток. Картонная коробка имеет по 5, 7 либо 10 таблеток.
- Капсулы. В ячейковых упаковках по 4 либо 10 капсул. Картонные коробки имеют по 1, 3 или 5 капсул.
- Лиофилизат для изготовления раствора. Выпускается во флаконах.
Важно! Перед приобретением средства обязательно необходимо получить рекомендации лечащего врача для покупки нужной формы.
Состав
Состав Тромбовазима не вызывает аллергических реакций. Активным веществом выступает Тромбовазим – 400 ЕД, 600 ЕД, 800 ЕД. Одна таблетка имеет совокупность протеиназ, производимых Bacillus subtilis. Совокупность обездвижена радиационным методом с дополнением декстрана. Вспомогательными веществами выступают:
- крахмал из картофеля – 0, 261 г;
- целлюлоза микрокристаллическая – 0,120 г;
- хлорид натрия – 0,009 г.
Желатиновые капсулы имеют желтоватый оттенок. Корпус капсул белесого оттенка, крышечка розового. Внутри капсул находится белесый порошок. В одной капсулке имеется:
- сочетание протеиназа;
- крахмал из картофеля;
- целлюлоза микрокристаллическая;
- хлорид натрия.
Эта форма имеет такие красители, как патент синий V E 131, титана диоксид E 171, желатин и азорубин Е 122.
Назначение
Под системой тромболитического воздействия понимается уничтожение ниток фибрина. Они образуют основу тромба. Система антифлогистического действия – это оказание воздействия на назначение окисления тканевых макрофагов и нейтрофилов крови. Под системой кардиопротективного воздействия понимается повышение снабжения кровью миокарда. Средство не понижает уровень тромбоцитов и не оказывает воздействия на время свертывания крови.
- нормализовать венозное давление;
- утолщает стенки капилляров;
- препятствует возникновению новых накоплений тромбоцитов;
- растворить уже имеющиеся тромбы в венах;
- нормализовать лимфооток;
- понизить болезненность и отечность.
Показания к применению
Этот медикамент показано употреблять в виде дополнительного лекарства в составе полного излечения хронической венозной недостаточности для устранения отечности, усталости, болевых ощущений в конечностях, предупреждения развития разных осложнений.
Тромбовазим в форме Лиофилизат для изготовления раствора показан при остром инфаркте миокарда.
Факторы риска
Наиболее склонны к болезни:
- пациенты старше 30 лет;
- представительницы женского пола;
- больные с генетически ослабленными венозными стенками;
- курящие;
- пациенты с избыточным весом;
- люди, имеющие длительные статические нагрузки.
Инструкция по применению
Медикамент показан для перорального употребления. Инструкция по применению Тромбовазима допускает применять максимально 2000 ЕД в сутки, рекомендуется принимать по 1-2 таблетки либо капсулы за день. Применение необходимо разделить на два раза. Употреблять внутрь за полчаса до употребления еды по 800-1600 ЕД в сутки. Продолжительность излечения составляет 20 дней. Случаев передозировки препаратом выявлено не было.
Если не замечается положительный результат в период курса терапии, то необходимо получить совет лечащего врача. При необходимости специалистом назначается повторный курс излечения. Запрещается самостоятельный прием медикамента.
Дополнительный курс осуществляется только лишь по рекомендации. В противном случае можно нанести вред здоровью.
Медикамент в виде Лиофилизат для изготовления состава инъецируется внутривенно. Заранее он разводится в 0,9% эссенции хлорида натрия. Дозировка медикамента составляет 30 ЕД/кг массы тела. Максимально допустимая дневная дозировка составляет 60 ЕД/кг массы тела. Дозировка за весь период терапии не должна быть более 10000 ЕД.
Для правильного использования необходимо развести содержимое флакончика в 10-20 мл хлорида натрия. Подобранную дозу необходимо вводить внутривенно на протяжении 30-60 минут. Скорость введения должна быть не более 60 ЕД/мин.
Отзывы
Отзывы Тромбовазим имеет исключительно положительные. Это благодаря эффективности препарата.
Татьяна Воронина, 37 лет, Воронеж
«Венозная недостаточность – это то, что мучает меня на протяжении всей жизни. Я перепробовала очень много различных медикаментов, но все безуспешно. Порой наблюдались сдвиги в лучшую сторону, но результат был лишь временным. Я снова обратилась к врачу. Специалист подобрал мне грамотный курс излечения и посоветовал включить в общую терапию недуга это лекарство. Изначально сдвига я не увидела, но через неделю после употребления стала чувствовать себя гораздо лучше. После пройденного курса мне удалось максимально справиться с проявляющейся симптоматикой.»
Виктор Григорьев, 48 лет, Санкт-Петербург
«С венозной недостаточностью, наверное, сталкивались многие. Это очень неприятная патология, которая вызывает ужасный дискомфорт. Побороть болезнь крайне сложно. Я обращался ко многим специалистам, но назначенные курсы мне не помогали. Но вот по совету друга приобрел Тромбовазим. Показан он в составе комплексной терапии, но я им просто воспользовался, чтобы избавиться хотя бы от симптомов. Препарат помог устранить дискомфорт, поэтому планирую найти хорошего специалиста, чтобы получить грамотный курс лечения, в который будет включен этот препарат.»
Благодаря проведенным исследованиям, отзывы среди врачей Тромбовазим получает лишь положительные.
Алексей Максимович, флеболог
«Данный препарат не входит в число обязательных медикаментов при лечении венозной недостаточности. Но я как врач, с многолетним опытом работы в своей сфере, могу сказать, что медикамент является очень эффективным в составе комплексной терапии заболевания. Благодаря лекарству значительно ускоряется процесс заживления трофических язв. Могу порекомендовать этот препарат, но применять его только по назначению врача.»
Аналоги
Аналоги Тромбовазим имеет следующие:
Все медикаменты схожи по показаниям к употреблению и своему фармакологическому действию. Аналоги медикамента по структурной группе не различаются между собой. Но Тромбовазим не просто уничтожает тромбы, но и понижает вероятность появления новых тромбообразований в капиллярах ног. Препарат не обладает особыми сторонними реакциями и дозволен к использованию широкой группе больных.
Заключение
Из всего сказанного можно подвести итог, что данный препарат весьма эффективен при венозной недостаточности, но в составе комплексной терапии. Перед применением этого медикамента обязательно необходимо получить рекомендации своего лечащего врача.
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