Troxevasin is a widely known drug for venous insufficiency and other vascular pathologies.
The active substance of the drug is a synthetic analogue of the bioflavonoid rutin, or vitamin P, which has the following properties:
- antioxidant;
- healing;
- anti-inflammatory.
Troxevasin increases the tone of the venous walls and their density; reduces aggregation, or sedimentation, of platelets, and therefore prevents blood thickening and the formation of blood clots; reduces the permeability of vessel walls and thereby prevents the release of plasma into the tissue and the formation of edema.
Troxevasin is produced in two forms:
- in the form of yellow capsules in a gelatin shell (300 mg) for internal use;
- transparent yellow gel (2%) for topical use.
In addition to synthetic rutin, Troxevasin contains the following auxiliary components:
- Capsules: lactose monohydrate, magnesium stearate, colors E110 and E171, gelatin, quinoline.
- Gel: disodium EDTA, carbomer, triethanolamine, non-alkonium chloride solution, purified water.
When applied externally, the drug is well absorbed from the surface of the skin and a quick effect occurs.
When taken orally, it is quickly absorbed from the gastrointestinal tract, metabolized in the liver, and excreted by the kidneys and bile within one day.
It is prescribed for varicose veins, hemorrhoids, thrombophlebitis, phlebitis, phlebothrombosis, post-thrombotic syndrome, varicose dermatitis, edema and hematomas, etc.
Troxevasin is used in both forms for hemorrhoids.
What are hemorrhoids
Hemorrhoids are a very common disease, which is varicose veins of the rectum in the anus. Patients with this diagnosis make up approximately a quarter of all proctological patients, with men suffering three to four times more often than women. The exact cause of the disease has not been established. It is assumed that hemorrhoids develop due to a congenital deficiency of connective tissue.
There are acute and chronic forms of the disease. Nodes can be internal or external. About half of all patients suffer from the combined form
Hemorrhoids develop gradually:
- Discomfort in the rectum (foreign body sensation).
- Pain and bleeding during bowel movements.
- Prolapse of hemorrhoids.
- Infringement of nodes.
Treatment of the disease is complex:
- diet (the goal is to prevent constipation);
- drugs for oral administration;
- external preparations - ointments for hemorrhoids;
- rectal suppositories;
- surgical intervention, including minimally invasive methods.
Troxevasin is also prescribed for hemorrhoids, although not often. The choice of medication form and treatment regimen depends on the type of disease and the prevailing symptoms.
How to use for hemorrhoids
Troxevasin for hemorrhoids is prescribed both externally and internally. The treatment regimen differs for different forms of the disease.
Acute form
Troxevasin is most often prescribed specifically for acute hemorrhoids. The medicine copes well with the main tasks that arise with this form of the disease:
- relieves inflammation;
- reduces swelling in tissues;
- improves vascular tone;
- reduces platelet aggregation and prevents thrombus formation in varicose veins.
The use of both capsules and Troxevasin gel for hemorrhoids is especially effective.
According to the instructions for use, the course of treatment is usually two weeks. But only the attending physician should prescribe the dosage, and self-medication is unacceptable. It is usually recommended to take one capsule three times a day.
The gel is applied to hemorrhoids once (or twice) a day. To do this, take a gauze bandage, squeeze a little gel onto it and apply it to the external nodes
This treatment is quite effective in the acute form, it promotes a speedy recovery along with diet and giving up bad habits and prevents complications (bleeding from the anus, necrosis of hemorrhoids).
Chronic form
In this case, the main task is to prevent exacerbation of the disease. Usually one tablet of Troxevasin is prescribed once or twice a day as maintenance therapy, although this drug is prescribed for hemorrhoids quite rarely.
Is it possible to smear Troxevasin on hemorrhoids in chronic form? The gel is not used in this case, since varicose veins are not located outside, but in the lumen of the rectum, and its administration there is contraindicated.
The drug has five pharmacological effects
- Venotonic – reduces the stretching of veins, tension in the walls of capillaries, blood vessels and increases the movement of lymph.
- Antioxidant - inhibits the oxidation of hyaluronic, ascorbic acids and lipids, which leads to improved blood microcirculation and reduces the risk of blood clots.
- Angioprotective - reduces the permeability and fragility of small capillaries, increases the density of vascular walls and increases the transport of nutrients to tissues and organs.
- Anti-inflammatory - prevents the removal of fluid and blood cells from the capillaries, resulting in reduced swelling and inflammation.
- Antihemorrhagic - helps reduce pain and stop bleeding.
How to use Troxevasin for hemorrhoids
The external agent is applied only to intact areas of the skin or mucous membrane. If there are trophic changes, damage to the mucous membrane or skin, or bleeding hemorrhoids, it should not be used.
Apply troxevasin ointment for hemorrhoids twice a day: in the morning and before bed. Before use, wash the area of skin or mucous membrane with cool water, then rub in the gel with massage movements.
Troxevasin capsules for hemorrhoids are taken with meals so that the components of the medicine do not irritate the gastric mucosa. The dosage is determined by the attending physician. The maximum content of the drug in the blood is observed seven hours after administration. The course of therapy is up to 4 weeks.
Analogs
If you are individually intolerant to the drug in question (or if the inflamed nodes have not become smaller after 2 weeks), the doctor will prescribe a substitute. There is a wide range of medications on sale with a similar mechanism of action.
The closest analogues of troxevasin:
- "Heparin ointment";
- "Phleboton";
- "Troxerutin";
- "Troxegel";
- "Venorutinol".
It is safer to delegate responsibility for selecting a pharmaceutical product to a doctor. Self-medication can be dangerous to health.
Contraindications
Troxevasin capsules and gel have contraindications:
- Oral administration is contraindicated in cases of hypersensitivity to rutin, exacerbation of chronic gastritis, stomach ulcers, duodenal ulcers, and during pregnancy (first trimester).
- The local remedy should not be used if you are hypersensitive or allergic to the components of the gel.
Troxevasin capsules and ointment are prescribed with caution for hemorrhoids:
- Children under 15 years old.
- For liver diseases.
- In case of renal failure.
If there is increased permeability of the vein walls, it is recommended to take Troxevasin against hemorrhoids along with vitamin C.
During pregnancy
Hemorrhoids often develop during pregnancy. During pregnancy, most medications are contraindicated or limited, including Troxevasin.
It should not be taken in the first trimester and during lactation; in the second and third - if the effect of therapy exceeds the likelihood of complications in the expectant mother and fetus.
Troxevasin can be taken for hemorrhoids during pregnancy only in cases of severe congestion:
- inflammation of the nodes;
- pain, itching.
- difficulty with bowel movements.
Description of the drug
Troxevasin is a pharmaceutical product based on troxerutin. It is produced by the company Balkanfarma. The main purpose of the drug is the treatment of diseases of the vascular system. We are talking about a venotonic and angioprotector. Some patients use the product as an ointment for hemorrhoids, despite the lack of relevant clinical studies.
In case of inflammation of hemorrhoids, it quickly relieves the patient of unpleasant symptoms (pain, itching, bleeding) that occur against the background of venous insufficiency. The components of the drug have anti-inflammatory, antioxidant and decongestant properties.
Clinical and pharmacological group
Troxerusin (regardless of its form) is one of the representatives of the pharmacological group of angioprotectors. The presence of rutin in the semi-synthetic substitute allows the medication in question to be classified as a microcirculation corrector or phlebotonic. Bioflavonoids compounds have the following properties:
- eliminate hemorrhages;
- tone blood vessels;
- increase the elasticity of internal smooth muscles;
- saturate tissues with oxygen and beneficial microelements;
- activate the intensity of venous blood flow.
To increase the effectiveness of the drug, ascorbic acid is used, which is a catalyst for a number of biochemical processes.
pharmachologic effect
The therapeutic and medicinal properties of troxevasin are due to the activity and properties of the key active ingredient - troxerutin. It is characterized by the following pharmacological action:
- Suppresses platelet activity in damaged vessels, which prevents their subsequent “gluing” and the formation of blood clots.
- Increases the intensity of microcirculation at the capillary level. Restores natural blood flow in problem veins.
- Increases the susceptibility of red blood cells due to which foci of inflammation are stopped and then suppressed.
- Protects the membrane structures of blood vessels from oxidative processes, thereby preventing their destruction (due to inhibition of lipid peroxidation, hydroxyl radicals).
- Relieves painful symptoms characteristic of venous insufficiency.
Regular use of Troxevasin gel for hemorrhoids helps reduce blood viscosity, which automatically eliminates the danger of thrombosis in inflamed areas. The drug normalizes blood flow in the pelvis and prevents the development of stagnant processes. The size of hemorrhoidal cones decreases, and after a short time they resolve.
Release form and composition
The medication is available in the form of capsules (some patients believe that these are rectal suppositories) and gel. The concentration of the active substance in the gel does not exceed 2%, which is much less than in capsules (about 300 mg). The form of the drug determines the features of its use. The gel is used only for external treatment, and the capsules are intended for oral administration.
Troxevasin is available in the form of gel and tablets
Composition of venotonic (per 1 g of product):
- troxerutin – 20 mg (for ointment) and 300 mg (for tablets);
- EDTA disodium – 4-8 mg;
- trolamine – 7 mg;
- benzalkonium chloride – up to 1 mg;
- triethanolamine – 4 mg;
- purified water – 970-990 mg;
- lactose monohydrate (for tablets);
- quinoline;
- magnesium stearate;
- carbomer – 6 mg.
The medication is sold in plastic and aluminum tubes (40 g). The capsule form is produced in plastic blisters, 10 capsules each, 5 blisters in 1 package. For a pronounced positive effect from therapy, it is important to combine these forms of drugs.
New medicine
In addition to the usual Troxevasin, you can see Troxevasin Neo on pharmacy shelves. The new drug is different in that it contains several active substances: troxerutin, heparin and dexpanthenol. Together they actively fight varicose veins.
Troxevasin Neo is available in gel and capsule form. Prescribed for external and internal hemorrhoids. The course of treatment is from two to three weeks.
Troxevasin Neo, if there is a tendency to form hemorrhoids, is indicated for use as a prophylaxis, which is carried out once every 4 months.
Note!
The description of the drug Troxevasin on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.
Reviews
Igor: Troxevasin can hardly be called an effective treatment for hemorrhoids, but in the initial stages it helps relieve unpleasant symptoms: itching, discomfort, swelling.
Alice: I treated hemorrhoids with Troxevasin during pregnancy. Indeed, the condition improved the very next day: the external nodes decreased, the pain subsided, and besides, it feels pleasantly cold when applied and thus brings relief.
Daria: I consider the use of Troxevasin for hemorrhoids as part of a complex treatment for non-advanced forms. It has a jelly-like consistency, is odorless, pleasant to use, and thanks to its cooling effect it quickly relieves discomfort.
