Varicose veins are a serious chronic disease, the main signs of which are the stretching of the tissues of the vascular wall with the formation of venous nodes. In this case, there is a significant violation of the outflow of blood and its stagnation in the vascular system.
Drug therapy for this disease is an important component in the complex treatment of varicose veins. In practice, only 9-10% of the patients suffering from this disease are undergoing surgery. Most of the case histories confirm the effectiveness of treatment of varicose with the help of medicines.
General treatment strategy
Treatment of varicose drug should be started as soon as possible. In this case, it stops the process and does not allow it to progress. Funds usually are taken in long-term courses, sometimes up to 6 months both as an independent therapy and preventive measure, and as an additional component at the pre and postoperative stages.
Medical therapy will not eliminate the venous nodes and completely can not remove the sprouting asterisks .But with a competent scheme of treatment, medicines act as a serious barrier to the development and progression of the disease.
To thrombophlebitis, trophic ulcers and thrombosis did not become your constant companions, start taking medications for varicose veins on the legs of with the first symptoms of .Even surgical intervention will help only with the help of drug therapy.
Drug groups and their effects
In venous varicose, the medicinal substances are classified according to the type of action on the into three main groups of :
- venotonic or phlebitropic agents;
- blood thinning agents( anticoagulants) and medications that suppress the clumping of platelets( antiaggregants);
- anti-inflammatory drugs.
Research and medical practice have proved the effectiveness of phlebotonics, developed on the basis of natural flavonoids - diosmin and hesperida. These substances not only protect the veins, but stimulate the outflow of lymph and stabilize the work of capillaries. Especially effective is the simultaneous use of combined drugs in which there are both flavonoids.
Most often, the phlebotrophic drugs take from 2 to 3 months courses .It is important that the reception coincides with the hot season, when the load on the vessels increases due to high air temperature and the use of large volumes of water. If varicose veins are accompanied by chronic venous insufficiency, phlebotonics are taken continuously in a half dose.
A patient with a diagnosis of varicose veins from the outset should receive systematic treatment of to prevent the development of the disease and reduce the likelihood of complications.
The second task is solved by drugs that dilute blood( anticoagulants) and improve its fluid properties, preventing the formation of thrombotic clots( antiaggregants).
The formation of thrombi, their separation from the vascular wall and movement along the venous channel leads to the closure of the vessels of the heart, lungs and the human brain. As a result, the likelihood of developing a heart attack, pulmonary embolism and ischemic stroke is very high.
Antiagretates are not a cure for varicose veins, but are used as a remedy for the prevention of its serious complications of - thrombosis and thrombophlebitis. We can say that these drugs save the patient's life and minimize the threat of disability to a minimum.
List of the most effective tools
Phlebotonics
Important: in the form of tablets, phlebotrophic drugs for varicose are contraindicated for use in the first trimester of pregnancy, with breastfeeding and particular sensitivity to the components.
The dosage and duration of therapy with drugs for varicose veins of the lower extremities is calculated by the doctor depending on the severity of the varicose process and the anamnesis.
- Detralex .Contains diosmin. It significantly increases the resistance of the vessel wall to stretching, relieves swelling and stagnation of blood, increases the tone of the veins. The tablets covered with a cover, accept on 2 pieces in day - in the morning and in the afternoon. The course is from 2 to 6 months. Approximate cost Detraleksa - 700 rubles for packing with 30 tablets.
- Flebodia 600 .Can be sold under the name Diovenor 600. This venotonizing drug with varicose contains a diosmin, which has the property of increasing the tone of blood vessels, reducing their fragility and reducing swelling. Has antioxidant effect. Take 1 tablet, in the morning before breakfast. The course of treatment is similar to Detralex. The cost of Flebodia 420 is 1300 rubles.for 15 and 60 tablets respectively.
- Antistax .It contains a dry extract of the leaves of red grapes and is made in the form of capsules, cream, gel and spray. Especially effective in the early stages of varicose veins. Improves microcirculation, removes puffiness. Usually it is recommended to take 2 capsules before breakfast. The result is manifested to the maximum extent in 5-6 weeks. The cream is applied to the skin 2 times a day. Estimated cost Antistaks - capsules from 570, gel up to 710 rub.(depending on the dosage form).
- Venoruton .It is made on the basis of routine, reduces the permeability of the walls of the capillaries, increases the venous tone. Increases the density and elasticity of blood vessels, reduces exudative inflammation. Dosage form: capsules and gel. Average cost: capsules( 50 pcs.) About 730, gel - 380 rubles.respectively.
- Troxevasin .Combines the properties of angioprotector, antioxidant, phlebotrophic and anti-inflammatory drug. It is available in the form of gel and capsules, which it is desirable to combine to obtain the best result. Approximate cost: gel 180-240, packing with 100 capsules - 600 rubles.
- Eszin( Venitan) .It is made using the extract of horse chestnut fruit. Strengthens the venous wall, tones, relieves inflammation. The cream is applied up to 3-4 times a day. The price is 210-270 rubles.
- Escuzan .Drops( 20 ml) have a horse chestnut extract and vitamin B1.The agent has angioprotective and tonic properties, at the same time is an antioxidant, anti-inflammatory and anticonvulsant. The average cost is 230 rubles.
Medicines for the dilution of blood in varicose veins
The appointment of antiaggregants in the form of injections and tablets that improve blood flow and prevent thrombosis is the responsibility of the attending physician only. The dosage and treatment regimen for patients is only assigned individually to .
- Lyoton 1000 .Gel, made on the basis of heparin - a substance that increases fluid properties of blood, preventing the formation of clots. It is applied to the affected area 1-3 times a day. The cost is about 340 rubles.for 30 g.
- Venolife .In addition to heparin, venolife contains additional medicinal substances that improve vascular microcirculation, accelerating the regeneration of affected tissues at the cellular level. The gel is used up to 3 times a day, the standard course duration is up to 20 - 30 days. The price is 310 rubles.for a tube of 40 g.
- Kurantil has the property to stimulate blood flow and circulation in small vessels, to reduce stagnation of venous blood. The dose is calculated by a phlebologist, the duration of the course is also determined by the doctor. The cost of 540 to 650 rubles.for 100 capsules of 25 mg and 40 capsules of 75 mg respectively.
- Trental( pentoxifylline) .Angioprotector, improves flow properties of blood, reduces viscosity, prevents aggregation of red blood cells and platelets in blood clots, improves cellular metabolism.480 rubles.for 60 tablets. Pentoxifylline - from 90 to 130 rubles.(60 tablets).
- Aspirin and preparations based on it .Anticoagulants. Cardiomagnet from 150 to 260 rubles.depending on the amount and content of the active substance in mg. Trombot ACC from 45 rubles.(28 tablets of 50 mg each).
Anti-inflammatory non-steroid substances
Such medications are necessary for severe pain spreading along the course of the vessel's channel, with temperature increase, to reduce edema and other symptoms of the inflammatory process. They will help to stop the development of varicose veins in thrombophlebitis and thrombosis, which are life threatening.
The dosage and duration of the course is determined only by the doctor, since these medicines have serious contraindications and side effects.
- Diclofenac .Actively affects the process of suppression of platelet adhesion and inflammation, perfectly reduces pain, especially with intramuscular injections. In tablets and injections used for acute inflammation and pain, in the form of a gel - for local use on the surface of the skin.
Contraindications are primarily to the age category up to 16 years, pregnant and lactating mothers .In addition, contraindications include:
- a change in the blood composition of an unclear genesis;
- gastrointestinal ulcer;
- systemic lupus erythematosus, porphyria;
- hypertension, acute heart failure;
- renal failure, pyelonephritis, cholecystitis;
- respiratory tract diseases, bronchial asthma - bronchospasm is possible;
- allergic reactions.
Estimated price: from 20 to 80 rubles depending on the dosage form.
- Indomethacin ( Intebane, Metindol-retard, Algomethacin, Artizinal, Bonatol, Zindocin, Kosmokalm, Dolopas, Dolovin, Reumadolon).Has a pronounced analgesic, anti-inflammatory, anti-edematous activity. Form release: gel, rectal suppository, solution for injection, tablets. Has similar contraindications( like diclofenac).Estimated cost from 40 to 100 rubles.
What can not be done
With the diagnosis of varicose veins, attention has to be paid to lifestyle, nutrition and exercise. Not allowed:
- active physical activity, running, jumping( yoga classes are allowed);
- long standing or prolonged sitting position;
- use of all medicines without consulting a phlebologist;
- long flights with forced fixed position of legs. In addition, at high altitudes there is a sharp concentration of blood, which leads to the formation of blood clots;
- taking hot tubs, visiting the sauna;
- categorically forbidden canned and honey massage, only a manual kind of medical massage is allowed.
Possible complications of
- Trophic ulcers is a form of complication in varicose veins, which manifests itself in the development and deepening of a long-term non-healing sore. Usually, a separate painful ulcer arises on the shin, inside of which "wetting" is often observed in the form of a discharge of serous bloody fluid covering the affected tissues.
- Thrombophlebitis is characterized by acute inflammation of the wall of the affected vessel, with the formation of thrombotic masses overlapping the vein lumen and disturbing the normal blood flow. When walking or standing, pain, hyperemia and tightness of tissues along the vein, often the temperature rises.
- A ruptured vein or node of causes severe bleeding, requiring urgent medical attention.
Emergency medical assistance
Immediate medical attention is required if you experience the following symptoms:
- Increased pain in the affected limb, inability to climb out of bed or take several steps;
- The skin on the leg is hot, swollen and dense to the touch.
- Skin color changes from pale to cyanotic or cyanotic red;
- Sudden shortness of breath, lack of air, sweating and severe weakness;
- Bleeding from a site of the affected skin or varicose veins.
The necessary drugs for varicose veins of the lower extremities must necessarily be present in the complex treatment regimen. Even after the surgery, several courses of phlebotonic and antiplatelet agents for will be required to prevent possible trophic disorders, inflammation and complications of the disease.
Many multicomponent drugs against varicose act in combination, they have several functions. The effectiveness of such drugs is more pronounced. Optimal application of treatment courses in the correct dosage calculated by the phlebologist , in combination with compression therapy, yoga, swimming in the pool, phytotherapy.
