Troxevasin or troxerutin – which is better to choose, similarities and differences, professional opinions and customer reviews

In Russia, about 37 million people suffer from venous pathologies, and in 9 million patients the disease is acute or complicated.

A wide range of specialized medications have been developed to treat these ailments. Some patients cannot decide on a suitable drug at all, due to the large number of them. A striking example of this is the debate regarding which is better - troxevasin or troxerutin. Let us dwell on this pressing issue in more detail.

What is better, “Troxevasin” or “Troxerutin”?

The main question that we have to look at is: Troxerutin and Troxevasin, what is the difference between them and which of these drugs is better? Medicines have a positive effect on the condition of blood vessels and also provide a tonic effect.

Doctors prescribe Troxevasin or Troxerutin for the following diseases:

1. - phlebeurysm;
2. – hemorrhoids;
3. – bruises and hematomas.

These drugs have one active component, but the medications are completely different.

Instructions for use

The instructions for use regulate the method of use of each dosage form.

1. The gel is used to treat problem areas of the body no more than 2 times a day (in the morning and before bed). The composition is rubbed into the epithelial layer with light massaging movements until completely absorbed by the skin (15-20 minutes). The phlebologist individually determines the dosage and frequency of application of the medicine. A pronounced therapeutic effect is observed with systematic use of the drug.
2. Tablets are taken orally, 1 pc. 2 times a day. The limit dose is 600 mg, with the possibility of increasing it to 800 mg as prescribed by a doctor. The duration of therapy varies from 4 to 8 weeks, based on the advanced stage of the disease, symptoms and condition of the patient.

The instructions presented above are relevant for both troxerutin and troxevasin. There are no differences in taking medications.

Indications and contraindications

Indications for the use of troxevasin and troxerutin coincide (according to the official instructions) by 99%. These pharmaceuticals are prescribed to patients with the following vascular pathologies:

• increased venous permeability;
• varicose veins (including hemorrhoids);
• dysfunction of capillary blood flow;
• thrombophlebitis;
• phlebitis;
• venous insufficiency;
• intravascular inflammation;
• chronic or acute form of hemorrhoids;
• varicose veins due to diabetes mellitus.

Some patients use ventonics to treat ear diseases of various etiologies. Relevant studies have not been conducted, so doctors do not recommend using the medication for other purposes.

Despite their high tolerability, gels are contraindicated for use in patients with the following diagnoses:

• gastrointestinal diseases, associated complications;
• galactose or lactose intolerance;
• renal failure;
• liver dysfunction.

Drugs are prescribed with caution to pregnant women. No official clinical trials have been conducted, and therefore the effect of the drug components on the fetus has not been established.

Side effects

Pharmaceutical products do not cause significant side effects if the doses prescribed by the phlebologist and the frequency of use are followed. In case of an overdose, troxevasin or troxerutin can only provoke allergic reactions in the form of itching, mild burning and redness. Minor gastrointestinal discomfort is allowed for capsules.

The listed effects are temporary and do not require treatment or any intervention on the part of the patient. To eliminate them, it is enough to stop taking the medication.

Directions for use and doses

In accordance with the instructions, the gel is used externally, the tablets are used internally. The dosage and duration of the course of treatment are prescribed by the attending physician. In the absence of a prescription, it is recommended to use the drug in the following doses:

Troxerutin gel is applied to the problem area in a thin layer

1. Elimination of the consequences of bruises and abrasions - 3-5 cm per problem area 2-3 times a day. Duration of therapy is 4-5 days.
2. In cosmetology (including for bruises under the eyes), troxerutin is applied in a thin layer with an even distribution of the composition, 1 time per day, 1 g. The course lasts up to 4 days with the possibility of extension.
3. Treatment of inflammation of hemorrhoids, varicose veins - troxevasin is used no more than 2 times a day. Course duration is up to 1 month.
4. The tablets are taken orally no more than 2 times a day, 1 piece each, and the daily dose should not exceed 600 mg. In rare cases, it is increased to 800 mg. The duration of course therapy is until clinical symptoms are eliminated. For therapeutic purposes – 1 capsule weekly.

The indicated dosages are average values. They do not take into account the characteristics of the patient, the severity and neglect of the disease. The safest option is to consult a doctor.

Mechanism of action of drugs

For patients with venous diseases, doctors prescribe tonic medications for external and internal use. Most of these drugs contain the active component troxerutin. This is a derivative of rutin, which has a positive effect on the condition of the vein walls.

The modern pharmaceutical market offers a huge selection of such drugs and similar analogues. The most popular are “Troxevasin” and “Troxerutin” (Russian analogue). While highly effective, they have a minimal list of adverse reactions.

Most patients were satisfied with the results of treatment with these drugs. But before we find out which is better and what is the difference between Troxerutin and Troxevasin, let's take a closer look at the mechanism of action of both drugs.

Therapeutic effects of drugs:

• – anti-inflammatory;
• – antithrombotic;
• – venotonic;
• – hemostatic (stops microscopic bleeding in the capillaries);
• – capillarotonic;
• – anti-exudative (relieves swelling caused by plasma leakage).

"Troxevasin" and "Troxerutin" are prescribed to patients with the following diseases:

• – thrombophlebitis (veins become inflamed and blood clots form in them over time);
• – chronic insufficiency of the venous system (severe heaviness in the lower extremities);
• – periphlebitis (tissues near the venous vessels become inflamed);
• – sprains and bruises;
• - haemorrhoids;
• – varicose dermatitis;
• – capillary network.

Restrictions on the use of external preparations:

• – first trimester of pregnancy;
• – children’s age (up to 15 years);
• – personal intolerance to components.

Restrictions on taking medications for internal use:

• – renal and liver failure;
• – disruption of the gastrointestinal tract;
• – pregnancy (1st trimester);
• – individual intolerance to one of the components of the drug.

Preparations in the form of gels and ointments are prohibited from being applied to damaged skin (cuts, abrasions, irritations, rashes). Otherwise, an allergic reaction or burning sensation may occur in the bottom area.

Monural or Furadonin, which is better?

Description of drugs

The medications in question are representatives of the pharmacological group of correctors of microcirculatory processes; these drugs are classified as angioprotectors. Troxevasin gel fully corresponds to troxerutin in terms of concentration of active ingredients. Drugs are prescribed to treat varicose veins, restore the elasticity of the walls of blood vessels, eliminate painful symptoms, itching and swelling.

High therapeutic effectiveness is ensured when using gels in the early stages of the disease.

The components of venotonics have pronounced anti-inflammatory, antioxidant and decongestant properties.

pharmachologic effect

It is not advisable to make a comparison between troxevasin and troxerutin due to the identity of the composition and, as a consequence, pharmacological action.

• The active substance of the drug is absorbed by the epithelial layer and penetrates deep into the dermis. The active components have a cumulative effect, which ensures a prolongation of the therapeutic effect relative to the venous walls.
• Troxeratine has a targeted effect on norepinephrine.
  Troxeratine has a targeted effect on the pain mediator called norepinephrine, which eliminates vasoconstriction.
• The active components suppress leukocyte adhesion to the venous walls, thereby stopping inflammation and eliminating swelling.
• The active element neutralizes the destruction of the endothelium of the venous walls, preventing an increase in the concentration of reactive oxygen species.

The listed features increase lymphatic outflow, capillary resistance, resistance of vascular walls to inflammation, and venous tone.

Composition and release form

Troxevasin and troxerutin are available in two forms - gel and capsules. The encapsulated medication is packaged in plastic blisters (300 mg) of 30 and 50 pcs. packaged. Use only orally for moderate and severe forms of the disease as prescribed by a doctor. Gel (2%) is supplied in 40 g aluminum tubes for external use. This form is suitable for the treatment of vascular diseases at an early stage.

Composition of the medicine:

• troxerutin is the key and only active element in the composition of the drug (concentration in the gel is 20 mg/1 g of product, in the tablet – up to 300 mg/1 g);
• distilled water – 960-980 mg;
• benzalkonium chloride – 1 mg;
• carbomer – 6 mg;
• trolamine – 7 mg.

Auxiliary compounds are included in the medication to increase the effectiveness of the main component, the concentration is nominal.

"Troxevasin"

There are gels and ointments for external use, and capsules for internal use. The main active ingredient of the drug, regardless of the release form, is troxerutin.

• One gram of gel contains 2 milligrams of troxerutin (concentration 2%).
• One capsule contains 300 milligrams of active substance.
• An aluminum tube contains 40 grams of ointment or gel.
• Capsules are sold in plastic containers. It may contain 50 or 100 capsules.

"Troxerutin"

The drug has a similar active substance. Release form: gel for external use and capsules for internal use. One aluminum tube can contain 10, 20 or 40 grams (2% concentration).

• One capsule contains 300 milligrams of troxerutin.
• Sold in 50 and 100 capsules in a plastic container.

The drug is prohibited from taking:

• – children under 15 years of age;
• – nursing women;
• – first trimester of pregnancy.

Similarities and differences between Troxevasin and Troxerutin

The main similarity between these drugs is one active component, troxerutin.

How are the drugs similar?

Preparations for internal and external use have the same effect on the human body.

In addition to the main component, the gels contain additional substances:

• – carbomer;
• – filtered water;
• – triethanolamine.

Magnesium stearate is added to the capsules.

The main differences between the drugs

What is the difference between the drugs:

1. There is no significant difference between the medications. Troxerutin is considered a simpler medicine. It does not contain expensive additives that improve the digestibility of the gel. If they are present, the medicine is better absorbed into the skin. This fact is reflected in the price of the drug.
2. Macrogol is added to Troxerutin. This polymer substance improves the penetration of the active component into the skin. In addition, it does a good job of cleansing the intestines. Troxerutin capsules contain a large amount of synthetic dyes.

Price and which product is cheaper?

• Troxerutin is more affordable . Most of its analogues have a high price. Available in the form of gel, ointment and capsules. One aluminum tube can contain 10-40 grams of gel. You can buy a 40 gram tube for 50 rubles.
• "Troxevasin" of the same volume will cost 250 rubles.
• The price of capsules also varies greatly. So 50 capsules (300 milligrams) of “Troxevasin” will cost 350 rubles, 100 capsules – 600 rubles
• Troxerutin capsules 50 pieces (300 milligrams) cost 330 rubles, and 100 capsules cost 500 rubles.

Compound similarities

When choosing a drug, you need to pay attention to its composition. In order not to make a mistake with your choice, you should compare the component composition of both products. No matter how strange it may sound, there are no significant differences between them.

In both Troxerutin and Troxevasin, the main active ingredient is troxerutin. Both drugs contain a 2% concentration of the active component. Auxiliary ingredients are also the same:

• trolamine;
• carbomer;
• disodium edetate;
• benzalkonium chloride;
• purified water.

In both Troxerutin and Troxevasin, the main active ingredient is troxerutin.

Possible side effects

Possible adverse reactions of the body to Troxevasin and Troxerutin:

• - dizziness;
• - weakness;
• - headache;
• – allergic manifestations (itching, redness, urticaria);
• – flatulence;
• - attacks of nausea.

Adverse reactions depend on the method of use of the drug. The use of the gel most often provokes local allergies. Taking capsules may be accompanied by headache or depression.

Which drug is better?

Which is better, Troxerutin and Troxevasin? When choosing a medicine, you need to take into account the characteristics of the disease, the presence of allergic reactions to the components that are part of the drug.

Doctors consider Troxevasin to be a better medicine. It is not recommended to replace it with similar means. Therapy must be carried out according to the clear instructions of a specialist.

"Troxerutin" has a smaller list of restrictions. It’s just that the manufacturer of a foreign product does not want to be held accountable for something that has not been fully studied. For example, “Troxerutin” can be used by children over 15 years of age. "Troxevasin" can only be used after 18 years of age.

Diabetes

This disease often provokes disorders of the venous system. Using Troxevasin will help relieve swelling and strengthen blood vessels.

• If there is severe heaviness in the lower extremities, it is better to use Troxevasin Neo, an improved version of the popular remedy.
• In complex therapy of diabetes, Troxerutin is often prescribed.

Haemorrhoids

Troxevasin ointment is more suitable for the treatment of this disease. It should be applied to externally located hemorrhoids. For greater effect, it is recommended to soak a cotton swab with ointment and place it on the problem area for 15 minutes. Before using this product, you need to visit a proctologist.

• Most patients note a significant improvement in their condition after the first use of the drug.
• The pain syndrome decreases, hemorrhoids decrease in size.

Cosmetology

The tonic effect of the drugs allows them to be used for cosmetic purposes. Apply in a thin, even layer.

• The product relieves swelling, eliminates circles under the eyes and spider veins.
• A gel is more suitable for applying to the face.
• For dry and thin skin, it is better to use Troxevasin. It has a denser consistency, so it lies on the skin in an even layer.

Knitwear and varicose veins: what you need to know?

When the veins cannot stand it, worried citizens rush to the pharmacy to buy tights, stockings and knee socks. Compression hosiery is indeed one of the main assistants in the fight against varicose veins, but often this is the only information that the buyer has. We have collected a dozen popular questions of interest to potential owners of medical knitwear, and as an expert we invited Mikhail Lukyanenko, vascular surgeon, phlebologist, ultrasound diagnostic doctor, head of the Cardiovascular Center (Novosibirsk).

How do compression products help treat varicose veins?

The mechanism of action of therapeutic compression hosiery is to compress the limb from the outside. While wearing such underwear, constant pressure is applied to the superficial and partially deep veins. This helps normalize venous blood flow and prevents blood stagnation, which is what causes edema to form. In addition, compression products help stabilize the lymphatic system, which can also reduce swelling. Thanks to therapeutic knitwear, the flow of oxygen and nutrients to the tissues of the lower extremities is normalized. The feeling of fatigue and heaviness in the legs becomes less pronounced.

What is a “compression class” and how do products of different classes differ from each other?

The compression class is the degree of compression: the higher the class, the stronger the compression that the knitwear provides. Naturally, the question of the degree of pressure you need should be discussed with your doctor. Pressure is indicated by manufacturers in millimeters of mercury (mmHg). Knitwear of the 1st class (18–22 mm Hg) will help if small vessels are dilated, if after prolonged static load you feel pain and swelling in the legs. In case of multiple dilation of veins, the appearance of “nodes”, as well as during the rehabilitation period after operations on the veins, it is recommended to wear class 2 jersey (23–32 mm Hg). When it comes to chronic venous insufficiency, trophic disorders, and congenital defects of the vascular system, class 3 compression is required (33–46 mm Hg). The most powerful 4th class of knitwear is needed for post-thrombotic syndrome and complicated lymphostasis.

In what cases is prophylactic anti-varicose jersey recommended and how does it differ from therapeutic one?

The pressure exerted by preventive knitwear is quite low - up to 18 mm Hg. Art. Such underwear is used in the absence of pathological changes in the great vessels. Unlike therapeutic knitwear, preventive knitwear has no contraindications. It is recommended for people who, due to their occupation, spend a lot of time standing (for example, working at a counter) or, conversely, constantly sitting (like the vast majority of office workers). In addition, preventive knitwear is indicated in case of long trips and air flights - to prevent blood stagnation in the lower extremities. Those who have a hereditary predisposition to venous disease, take hormonal medications or are overweight should consider wearing preventive knitwear. Among the contenders for such knitwear are also lovers of high heels.

What is better to choose: tights, stockings, knee socks? What are the differences between these products, in which case which one is required?

The type of product required is determined by the level of damage to the venous or lymphatic system. If, according to ultrasound, pathological veins are located only on the lower leg, then it is enough to use knee socks. If changes are also present in the veins of the thighs, then it is necessary to use stockings or tights. In general, without ultrasound diagnostics and an appointment with a phlebologist, you can miss the choice of product and only harm yourself in the future.

How to choose knitwear by size? What parameters need to be taken into account and at what time of day should measurements be taken?

To select knitwear, the circumference of the lower leg and thigh is measured, the length of the limb and the size of the foot are determined. The selection is carried out according to special tables (each manufacturer has their own). In the tables of knitwear, several Latin letters are indicated, each of which indicates a special type of measurement. So, f corresponds to a measurement at 25–30 cm above the knee (thigh circumference). To find out your d value, you need to measure the widest point of the knee joint, for the c value - the widest point of the calf. By measuring the ankle slightly above the bone, you will determine parameter b (the circumference of the shin). In principle, measurements can be taken at any time of the day, but if in the evening you experience a significant increase in swelling, you need to measure in the morning.

Will wearing knitwear interfere with physical activity: playing sports, long walks and other physical activities?

Wearing knitwear not only does not interfere with sports activities, but, on the contrary, improves exercise tolerance and increases training performance. Knitwear is especially recommended for team sports, running, jumping, etc. Compression underwear helps increase muscle tone, muscles warm up better, and blood flow is activated. During activities, for example, athletics, wearing medical jersey helps minimize the feeling of fatigue and heaviness in the legs. The training takes place in a productive mode, the runner feels light even after covering a significant distance.

How to wear compression stockings correctly?

If you do not have significant swelling, which increases significantly when you simply get out of bed, there is no need to put on underwear immediately after waking up. You can calmly take a shower, have breakfast, get ready for work and put on knitwear just before leaving the house. If there is obvious swelling, you will have to put on medical underwear without practically getting out from under the blanket. To put on compression stockings or tights, remove rings or rings as they may damage the product. Use gloves - for example, medical rubber ones. When dressing, your legs should be raised or kept horizontal. Once you put it on, you can begin your usual morning routine.

How to care for compression hosiery and how long do they usually last?

Of course, each manufacturer has its own recommendations for caring for knitwear, but in general they come down to a few universal tips. You need to wash your clothes every day after wearing them, in warm water; hot water is contraindicated, and only by hand. At the same time, the use of household chemicals is contraindicated, but ordinary baby soap is suitable. You cannot dry compression products at high temperatures: on radiators and other heating devices; direct sunlight is also the enemy of compression. Dry special stockings and tights with a towel. In order for the compression garment to dry completely, you must leave it on a horizontal surface away from heating devices, stoves, etc. (the ideal temperature for compression is room temperature). The service life of therapeutic knitwear, of course, depends on its original quality, but proper care is also important. The time range for using underwear is very wide: knitwear can last 6–8 months even with constant wear, but it can tear or stretch just a few days after purchase. Suspiciously cheap knitwear will most likely not last long. High-quality knitwear is quite expensive.

Is it necessary to wear anti-varicose jersey during pregnancy and the postpartum period?

Wearing knitwear is mandatory both during pregnancy and in the postpartum period. As a rule, compression class 1 is sufficient; it is also possible to wear prophylactic knitwear if we are talking about a high-quality product. During childbirth, compression garments are also necessary, regardless of the type of obstetric care - even if a caesarean section is planned. The process of childbirth in any case is a colossal burden for the female body, and compression hosiery, in turn, helps to significantly reduce the risk of problems such as varicose veins, rupture of vein walls, and the formation of blood clots. Stockings are the most comfortable because they can be used at all stages - before, during and after childbirth. There are also tights, but they are used only in the second half of pregnancy.

How to understand that the purchase is not suitable?

There is no universal criterion by which you can determine whether compression hosiery is right for you or not. It is important to focus on your well-being: if you are plagued by severe pain or numbness in your limbs, there is clearly something wrong here - either the knitwear itself is of poor quality, or it was chosen incorrectly. I would like to draw attention to a very important point: there are a number of ailments for which wearing knitwear is contraindicated in principle. These include, for example, diabetic damage to blood vessels, heart failure, atherosclerosis, and skin diseases. Taking into account all the subtleties of choosing underwear and the presence of contraindications, you come to a logical conclusion: you need to choose and wear knitwear only after consulting a specialist - a surgeon, a vascular surgeon (phlebologist), in rare cases, a traumatologist and other surgical specialists. The mode of wearing knitwear and the duration of “compression therapy” are also determined by the specialist.

Source katrenstyle.ru

Photo istockphoto.com

Related products: (compression stockings), (compression tights)

Reviews

What do doctors say about drugs?

Andrey Denisovich, 59 years old, Yekaterinburg

The drugs are completely similar. However, most often I recommend Troxevasin to my patients. Due to the significant difference in price, many patients ask about an analogue of Troxevasin. The effectiveness of both drugs has been proven in practice. Troxerutin simply does not contain expensive components that facilitate the penetration of the active substance into the skin. To relieve heaviness in the lower extremities or eliminate vascular networks, you can use Troxerutin. However, for more serious diseases, I prescribe only Troxevasin.

TOP 10 Drugs for varicose veins on the legs in women

Igor Stepanovich, 52 years old, Voronezh

For the treatment of vascular diseases, it is recommended to use Troxevasin. This is an effective and reliable drug. To ensure maximum results, you can combine capsules and gel. The treatment regimen should only be determined by a specialist. For patients with severe forms of the disease, Troxevasin Neo is better suited. However, its price is significantly higher. This product contains heparin and additional components that strengthen the walls of the veins.

Victoria Alexandrovna, 61 years old, Irkutsk

I have been working as a doctor for many years. Before prescribing any drug, I carefully study the contraindications indicated in the instructions. For diseases of the venous system, Troxevasin is an indispensable remedy. The drug helps strengthen capillaries and blood vessels. The only restrictions are personal intolerance and gastrointestinal diseases (for capsules).

Reviews from doctors

Viktor Borisovich, 48 years old, Ekaterinburg

The course of treatment is long, so I try to prescribe Troxerutin to my patients, because... its price is lower. In case of severe venous insufficiency, only capsules are indicated; no gels will help.

Liliya Sergeevna, 39 years old, Lipetsk

The drugs contain the same active substance, which gives them the same properties. Therefore, first of all, when prescribing a drug, I take into account the financial component. After all, not every patient can afford to buy Troxevasin, because... it is almost 5 times more expensive.

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