Venotonics of polyvalent action with lymphotropic effect. Venotonics (venotonic preparations): types, tablets, ointments, suppositories. Their representatives are

Expansion of veins is the number 1 problem of our time. Both women and men of different ages and social status are susceptible to this disease. That is why the prevention and treatment of the disease is a priority for phlebologists. Venotonics for varicose veins of the legs are one of the most widely used drugs that have positive effects in the treatment of the disease.

Venotonics - drugs of complex action, which belong to the group of angioprotectors. This group of drugs has an improving effect on the condition of the vessels of the legs and is used in the treatment of diseases of the cardiovascular system. They are used not only for treatment, but also for prevention.

Venotonics - what it is will be explained in more detail by the attending physician. Self-medication for any disease is unacceptable, and with varicose veins it can have irreversible consequences.

Among the actions that venotonics have, the most important are:

toning of the walls of blood vessels, which increases the elasticity of blood vessels and normalizes pressure in the vascular bed;
strengthening of the walls of blood vessels by reducing the permeability of blood vessels and their fragility, which leads to an improvement in microcirculation and a decrease in the formation of edema;
anti-inflammatory by reducing the formation of pro-inflammatory factors and enzymes, which leads to a decrease in pain during varicose veins on the legs and a decrease in swelling;
general strengthening of blood vessels by improving blood flow.

Indications for the appointment of venotonics for the legs are:

phlebeurysm;
chronic venous insufficiency;
diseases of the cardiovascular system.

Contraindications for prescribing venotonic drugs are:

intolerance to the components that make up the drugs;
diseases of the digestive system;
pregnancy for a number of drugs.

Classification

According to the composition of venotonics from varicose veins are:

Plant origin:
- flavonoids, on the basis of which Detralex, Diosmin, Venarus, Vasoket are produced;
- saponins created from natural digitalis glycosides, calendula, licorice, chestnut, ginseng: Aescusan, Herbion esculus, Aescin;
Rutoside-containing, consist of glycosides with a high content of vitamin P, which act on the vascular wall: Rutin, Troxevasin, Venoruton, Troxerutin;
Combined venotonics containing in their composition components of plant and synthetic origin, which have additional effects on the legs with varicose veins in the form of a decrease in the inflammatory response, an analgesic effect, a decrease in blood clotting: Doppelherz, Troxevasin Neo, Vitrum Memory, Venorm, Angionorm;
Synthetic created on the basis of tribenoside, calcium salts: Glivenol, Tribenoside, Calcium Dobesilate;
Polyvalent, which act on different mechanisms of damage to the vascular wall and have a lymphotropic effect by increasing lymphatic outflow, restoring vascular muscle tone and activating blood circulation in small capillaries. Such venotonics cause an outflow of blood from varicose veins, which reduces pain in the legs and their swelling: Detralex, Troxevasin, Aescusan.

According to the form of release, they distinguish:

Venotonics for external use (cream, ointment, gel);
Preparations for internal use (tablets, capsules, injection solutions, suppositories).

Application during pregnancy

The use of venotonics during pregnancy is permissible only after consulting a pregnant woman with an obstetrician-gynecologist and phlebologist. Self-treatment for varicose veins is strictly prohibited, as this can cause a threatening spontaneous miscarriage or childbirth, as well as have a teratogenic effect on the fetus.

The appointment of venotonics is carried out according to the trimers of pregnancy.

In the first trimester of pregnancy for up to 12 weeks, it is possible to prescribe only drugs for external use in the form of ointments, creams or gels.
In the second trimester of pregnancy, it is possible to prescribe drugs inside.
Preparations based on troxerutin, diosmin and hesperidin (Detralex, Troxevasin, Phlebodia 600) do not have contraindications for the period of pregnancy.

During pregnancy, the legs can be treated in other ways. This and much more is discussed in detail.

Venotonic preparations in tablets and capsules

Venotonic preparations for varicose veins of the legs, which are available in the form of tablets or capsules, are divided depending on which component is included in their composition:

Venotonics containing Diosmin and/or Hesperidin. This group of drugs has decongestant, anticonvulsant, analgesic effects, as well as improved microcirculation and tissue trophism:

Preparations based on Diosmin:

Vasoket, tablets of 15 or 30 pieces, German manufacturer;
Venolek, tablets of 30 pieces, Russian pharmaceutical company;
Phlebodia 600, tablets of 15 or 30 pieces, French manufacturer. The drug is described in detail on.

Venotonics containing Troxerutin. This group of drugs increases the tone of the vascular wall, has an anti-inflammatory effect and improves blood microcirculation:

Ginkor fort, 30 capsules of French production;
Troxevasin 30 or 50 capsules produced in Bulgaria.

Preparations based on Rutozid . This group of medicines for varicose veins based on bioflavonoids can increase the elasticity of red blood cells, reduce vascular fragility, and improve microcirculation:

Anavenol 60 tablets of Czech production;
Venoruton 50 capsules from a Spanish pharmaceutical company.

Plant based venotonics with the content, grape leaves, sweet clover, hazel:

Venoplant, 20 tablets of a German company based on horse chestnut;
Antistax, 20, 50 or 100 grape leaf capsules, produced in Switzerland.

Biologically active additives based on Diosmin or Hesperidin:

Venozol 60 capsules or tablets, produced in Russia.

Among venotonics, which are used for varicose veins in the form of creams and ointments, the most common are:

Herbion escolus, created on the basis of Escin in combination with sweet clover extract from a Slovenian pharmaceutical company;

Created on the basis of grape leaves:

Antistaks, German-made gel.

Biologically active additives based on Diosmin and Hesperidin:

Venozol, gel from a Russian manufacturer.

Venotonics in food

As a preventive measure for varicose veins in the legs, venotonics contained in food can be used. As a method of treatment, products are ineffective, since a large number of them will be required for the required dosage. However, to maintain the vessels of the lower extremities, the intake of such products is necessary.

From food products with a high content of flavonoids have a tonic effect on the vascular wall:

red grapes;
natural grape wine;
dog-rose fruit;
all citrus fruits;
green tea;
peel of apples and the fruits themselves to a lesser extent;
buckwheat.

Against the background of deformation of bone and cartilage structures in osteochondrosis, blood vessels often suffer. Compression of arteries and veins adversely affects the vascular wall, the lumen decreases, blood flow worsens, and venous congestion develops.

To eliminate negative symptoms, restore vascular patency, and normalize blood flow to the heart and brain, pharmaceutical companies produce venotonic drugs. The list of drugs for osteochondrosis is specified by the attending physician, depending on the degree of damage to the vertebral arteries and veins.

Venotonics: what are these drugs

Medicines normalize the structure and tone of the veins, improve venous outflow. Studies have confirmed the effectiveness of drugs in this category as additional means in the treatment. The components of venotonics prevent the negative phenomenon - stagnation of blood in important sections - the sinuses of the brain, activate the flow of fluid into the general bloodstream.

Preparations of this group are suitable not only for combating venous congestion in the lower extremities, but also for normalizing blood circulation in the area "upper spine - head". With the defeat of the veins in the legs and in the head area, the list of names is different. A good result is given by venotonics in the treatment of patients with identified narrowing of the vertebral foramina against the background of osteochondrosis of the cervical zone.

Useful action

With cervical osteochondrosis, cerebral complications often occur against the background of brain hypoxia, compression of the vertebral arteries and smaller vessels in the paravertebral zone. The use of venotonics as part of complex treatment eliminates negative symptoms associated with damage to blood flow elements. For maximum efficiency in the treatment of osteochondrosis, a drug for topical application and oral administration is selected by a neurologist or: the compositions have several categories with different properties.

The action of venotonics:

prevent venous thrombosis;
activate blood flow in tissues while normalizing blood circulation in the capillaries;
improve the outflow of lymph, reduce the degree of swelling;
show anti-inflammatory action;
reduce the strength of manifestations of venous insufficiency;
increase the elasticity of the vascular wall.

Go to the address and read the information on how and how to treat thoracic osteochondrosis at home.

Overview and characteristics of drugs

Patients often say that they take venotonics "for the head" and "for the legs." Preparations with venotropic action have a different composition, differ in the type of effect: they reduce the penetration of plasma into neighboring tissues, reduce swelling, or the second option: increase the tone of the vascular wall. The most effective venotonics with a complex effect.

A neurologist or vertebrologist, based on the results of the tests, selects a suitable remedy to eliminate the unpleasant symptoms of cervical osteochondrosis. In the initial stage of the disease, you can use a gel or ointment, then change the dosage form to tablets or capsules. In the complex treatment of cervical osteochondrosis, venotonics “for the head” are needed, compositions “for the legs” are used for varicose veins, thrombosis, and damage to the veins in the legs.

Effective drugs:

Anavenol. The drug based on medicinal extracts of horse chestnut, peppermint and ergot reduces pain in the affected areas of nerve endings. Release form: dragees, drops and tablets. Venotonic Anavenol is allowed in the second half of pregnancy. Good tonic effect, increased elasticity of the vascular wall. Do not appoint up to 15 years, with a tendency to bleeding. The average price is from 120 to 190 rubles.
Aescusan. The drug has a positive effect on the state of blood vessels, rarely causes a negative effect. The basis is a complex of medicinal herbs. Aescusan is not prescribed for pregnant women, with allergic reactions to components, for patients with renal insufficiency, with a tendency to thrombosis. Drops, 20 ml - 240 rubles.
Eufillin. Inexpensive (up to 20 rubles), an effective remedy for severe pain and crunch in the area of the cervical vertebrae. To enhance the effect, a neurologist or vertebrologist prescribes a drug in combination with Hydrocortisone for infusions (drip administration), with moderate negative symptoms, tablets are enough.
Tanakan. An effective tool can be used for a long course. Ginkgo biloba extract increases the elasticity of the venous wall. The drug shows a cumulative effect, you need to drink tablets for 3 months or more. The main purpose is to eliminate signs of cerebrovascular insufficiency. Price: 30 tablets - 550 rubles, oral solution, 30 ml - 620 rubles.
Bilobil. A modern drug based on ginkgo biloba extract for the treatment of cerebrovascular insufficiency. The drug exhibits a venotropic effect, reduces the negative effects of ischemia, restores damaged neurons, and activates metabolic processes in the nervous tissue. The cost of 60 capsules is 540 rubles.
Doppel Hertz Venotonic. A popular dietary supplement contains a complex of active ingredients to normalize blood circulation. To improve the condition of the veins, improve the supply of oxygen to the brain, patients take 1 tsp. treatment solution three times a day for 8 weeks. With a positive result in a month, the course is repeated. The cost of 250 ml of the drug is 390 rubles.

Venotonics in cervical osteochondrosis have a positive effect on the state of blood vessels, reduce swelling, and reduce negative manifestations against the background of damage to the nervous tissue. The therapeutic effect is manifested in the selection of the optimal name, a combination of local formulations with capsules, drops or tablets.

Varicose veins are accompanied by violations of the tone of the walls of blood vessels and loss of their elasticity. In the absence of proper treatment, progression of varicose veins occurs. For this pathology, the nature of the complaint is pain, a feeling of fatigue even after a long rest and non-intense physical exertion, the formation of edema and vascular patterns. Effective venotonics for varicose veins of the legs help to solve the problems described, and also have the following therapeutic effects:

Normalize the state of the vascular wall: strengthen and increase tone.
Contribute to the restoration of normal blood flow functions, prevent the formation of blood clots and congestion.
Normalize the outflow of lymphatic fluids.
They thin the blood and prevent the formation of blood clots.
Prevent further progression of chronic venous disease.
Eliminate severe inflammatory processes.

Medicines of this group are used both in the course of complex treatment and for the prevention of further progression of the disease. In severe cases of the disease, the use of drugs will no longer be enough. The use of drugs that have a venotonic effect at the initial stage has a pronounced therapeutic and prophylactic effect.

Venotonic preparations do not have the ability to cure the disease completely, therefore they are prescribed in order to prevent further progression of the pathology and provide the following therapeutic effects:

Providing a preventive effect. This point should be paid special attention to groups of people who fall into the risk group: those who, due to the specifics of work, are forced to stand or sit for a long time, people with a hereditary predisposition to varicose veins, patients with systemic diseases such as diabetes mellitus 1 and 2 types, as well as arterial hypertension.
Eliminate the manifestations of the disease and improve the quality of life of patients: getting rid of the feeling of heaviness and pain in the legs, eliminating cramps and edema.
Prevention of the development of serious complications: trophic disorders accompanied by the formation of ulcers and infected wounds, thromboembolism.
Medicines are used in the period before preparation for an operative or minimally invasive method of treatment, as well as during the rehabilitation period in order to provide a general strengthening and preventive effect.

Venotonics for the legs in tablets for varicose veins are necessarily combined with the use of gels and creams. Additionally, alternative methods of treatment may be involved: the use of medicinal herbs, apple cider vinegar, wearing compression stockings, moderate physical activity. It is important to lead a healthy lifestyle, eat fruits and vegetables rich in vitamin C.

What is the use of polyvalent venotonics?

Venotonics of polyvalent action with lymphotropic effect act in several directions at once:

Contribute to the elimination of venous insufficiency.
Corrects violations of the functioning of the lymphatic system.

Patients often ask themselves: what is polyvalence? In this case, it is understood that drugs contribute to the provision of several therapeutic effects at once:

Increased contraction of the muscular elements of the vascular walls.
Normalization of capillary permeability.
Increased tone of veins and blood vessels.
Providing an anti-inflammatory effect.
Relieve pain and restless leg syndrome.
Prevention of blood clots.
Reduced swelling of soft tissues, due to the normalization of the functioning of the lymph flow.

Preparations of this group are made on a plant basis, are well tolerated by patients and have a complex therapeutic effect.

Similar drugs can be used in the treatment of varicose veins accompanied by lymphedema. The term "lymphostasis" refers to the pathological accumulation of fluid in the area of soft tissues, which provokes the development of extensive edema. The goal of therapy is to eliminate congestion and normalize lymph circulation in the affected tissues.

Medicines that have a complex (polyvalent) effect and a lymphotropic effect that can be used during treatment: Detralex in the form of tablets, Phlebodia. As an auxiliary element of treatment, Ginkor can be used in the form of capsules and gel for external application.

What drugs have the best effect?

There is a wide range of effective medicines on the pharmaceutical market that help eliminate the main manifestations of varicose veins. The drugs are available in the form of tablets for oral administration, as well as ointments, creams and gels for external application. It is important to know the best venotonics to improve the functioning of the veins of the lower extremities, which can be used as directed and under the supervision of the attending physician.

A single classification of drugs today does not exist. Consider the list of venotonic drugs, divided into subgroups:

Medicines, the active substance of which are flavonoids (drugs based on diosmin in combination with hesperedin). These drugs have a systemic effect on the pathology, i.e. act on the problem from within. Available in the form of tablets or capsules for oral administration. The drug of choice is often Detralex or its analogue Venarus. Mono preparations based on only one substance - diosmin include the drug Phlebodia 600 or its analogue Vasoket.
Herbal preparations, the active component of which is a highly effective substance - troxerutin. Trade names of this substance: Troxevasin, Troxyvenol. It is advisable to use such drugs in pairs in two dosage forms at once: in the form of capsules for oral administration, as well as a gel for topical application to the affected areas of the veins.
Medicines based on extracts of horse chestnut fruits: Aescusan in the form of drops and gel for external application. The drug helps to fight the progression of chronic venous insufficiency and helps to increase the tone of the veins and blood vessels.
Particular attention is paid to drugs that increase the tone of venous vessels and normalize capillary permeability. In this case, drugs can be used, the active substance of which is pentoxifylline. The use of such drugs helps to improve tissue trophism and eliminate congestion.

Plant-based products are also used: horse chestnut extracts, essential oils of mint, juniper, cypress, lavender, sweet almond and avocado oil, soybean and horsetail extracts. Such herbal preparations are produced in the form of ointments and creams and are used as an addition to the main treatment.

Before you start using any of the listed drugs, you must carefully study the attached instructions for the medicine and pay special attention to subsections with contraindications and possible side effects. It is recommended to refrain from self-medication.

Detralex: two-component composition and high efficiency

Doctors try to use effective and safe medicines in treatment regimens. This is due to the fact that the treatment of pathology can be lengthy and for this it is necessary that the drug involved has a minimum of side effects and a maximum of medicinal properties. Most often, in complex therapy schemes, herbal medicines with diasmin and hesperedin are used. The most popular is the drug Detralex.

The use of this drug allows you to have the following positive effects:

Reduce vein distensibility.
Increase vascular tone.
Increase the permeability of capillary walls.
Prevent fragility of the smallest vessels.
Normalize microcirculation in veins, vessels, arteries and arterioles.

The drug is well tolerated, but one should not forget about possible side effects: stool disorders, pain in the peritoneum, headache, development of a feeling of nausea. With the development of the described adverse reactions, it may be necessary to reduce the dosage or select a drug for replacement.

The regimen is determined by the doctor individually for each patient. In advanced cases, several courses of treatment may be required. According to the patient's reviews, the drug has a pronounced therapeutic effect and has a prolonged effect.

What is the benefit of troxerutin?

Troxerutin helps to eliminate edema, has an antioxidant effect, normalizes vein tone and capillary permeability. When taken internally, it helps to eliminate inflammatory processes. Against the background of treatment, pain and lymph flow disorders are quickly eliminated. Some patients have reported that the use of the gel helps with mild vascularity.

Patients with serious disorders of the normal functioning of the gastrointestinal tract (inflammatory diseases in the acute phase), intolerance to troxerutin will have to refrain from using this medication.

Dietary supplement Doppelgerz - German quality and high efficiency

It is also possible to use dietary supplements for internal use, one of them is Doppelhertz. This dietary supplement based on blueberries, grapes, chokeberry and butcher's broom is rich in anthocyanins and B vitamins.

The drug contributes to the provision of such therapeutic effects:

Elimination of decay products, providing an antioxidant effect.
Increasing the overall resistance of the body.
Normalization of tissue nutrition at the site of injury.
An increase in the tone of the veins.

Doppelhertz is used to eliminate pain in the lower extremities, a feeling of heaviness and fatigue. As the main method of treatment, such a remedy is not suitable, but can be used as a high-quality and effective auxiliary element.

What complications can occur?

If you do not use venotonic drugs in a timely manner in case of violation of the venous flow, then the risk of developing such irreversible complications increases:

The formation of blood clots that impede blood flow, the delivery of oxygen and nutrients to the tissues of the lower extremities.
Development of trophic disorders: ulcers that may not respond to conservative and alternative treatments.
The development of thromboembolism, as a result of which clogging of the arteries by broken blood clots is observed. This complication is one of the most serious and can be fatal if the patient does not quickly receive the necessary qualified assistance.
The development of bleeding from a vessel that has lost its elasticity.
The development of infectious and inflammatory complications requiring the use of antibacterial agents and, in some cases, surgical intervention.

The decision on which venotonics is better to take with advanced varicose veins can only be taken by the attending physician. Previously, the patient is recommended to undergo a comprehensive examination: ultrasound, Doppler sonography. In severe cases of the disease, the use of medicines may not be enough. In this case, radical or minimally invasive methods of therapy will be recommended.

Diseases of the cardiovascular system are the first cause of death worldwide. Most often, people do not pay attention to the first, minor manifestations of diseases of the heart and blood vessels. Lack of treatment leads to the development of the most serious complications, so each vascular problem should be approached in the most responsible way.

For example, venotonics can be used to treat and prevent varicose veins. The list of venotonic drugs is quite large, since the drugs differ in their composition and content of certain biologically active components.

(venoprotectors, angioprotectors) are drugs that improve the condition of venous vessels. They are most often used as part of complex therapy for both the treatment and prevention of varicose veins.

Varicose veins affect a third of the population of Russia, so it is so necessary to start treatment already in its first stages, as well as lead an active lifestyle that prevents the occurrence of dilated veins.

The pathological process of expansion of venous vessels is irreversible. In the later stages of the disease, the use of venotonics, unfortunately, is ineffective. These drugs are also used for other diseases of the cardiovascular system. They have a positive effect not only on the veins, but also on the entire system as a whole.

Mechanism of action

Venotonics are drugs to improve the functioning of the veins, which have a complex of actions on the vessels:

Classification

The classification of venotonics and venoprotectors is based on differences in the composition of the drugs. They may contain both natural and synthetic ingredients. Means differ in the presence of certain biologically active substances.

Flavonoid-containing preparations

Flavonoids are a group of biologically active substances that are able to fight the aging of the body. They are natural antioxidants. Flavonoids reduce the permeability of the vascular wall and its fragility. The group of flavonoids includes substances such as rutin, hesperedin, quercetin, diosmin, esculin, procyanidol oligomers. Flavonoid-containing venotonics are made from herbs, for example, from buckwheat. In natural venotonics, a plant called Japanese Sophora is also used.

Saponins

Preparations with saponins contain horse chestnut extract, the healing properties of which are known to almost everyone who has encountered varicose veins. The most famous substance of this group is escin. Escin has an angioprotective effect, that is, it protects blood vessels.

Ergot alkaloids with α-adrenergic blocking activity

In large quantities, ergot causes gangrene of the fingers and ears!

Synthetic venotonics

Synthetic drugs are prescribed to patients with chronic venous insufficiency, who managed to acquire trophic ulcers. They reduce the content of inflammatory mediators and improve microcirculation.

Combined venotonics

Combined products contain both natural and synthetic components.

Examples of drugs

According to many, Detralex is considered the best venotonic containing flavonoids. It contains hesperedin and diosmin. Its peculiarity lies in the fact that it contains diosmin in a special, easily digestible form.

Therefore, it increases the effectiveness of the drug. There are many on the market - cheap venotonics with a similar composition. This is Venozol.

Rutin, which is actively used in the treatment of venous insufficiency, contains drugs such as Venoruton.

The drug is a venotonic, produced in tablets, and it is rather a complex of vitamins that can be used additionally for the treatment of capillaries. Procyanidol oligomers, or proanthocyanides, which reduce vascular permeability and fragility and have antioxidant properties, are present in a drug called Endotelon.

Vasobral is a drug with ergot alkaloids. It reduces the activity of the process of gluing blood cells and increases vascular tone.

Preparations containing this component are contraindicated in people with arterial hypertension, coronary heart disease, angina pectoris and myocardial infarction.

They should not be taken with diseases of the liver and kidneys, in the first trimester of pregnancy and during lactation, as well as with sepsis.

The most popular synthetic agent is Glivenol, which contains tribenoside as an active ingredient. It, like its natural counterparts, increases the tone of the veins and improves microcirculation. It is prescribed to patients with chronic venous insufficiency with trophic ulcers on the skin. Another drug in this group is Calcium dobesilate, which has anti-inflammatory and anti-allergic activity.

The drug is an example of a combined drug that combines the flavonoid troxerutin and the synthetic component of heptaminol chloride.

Natural venotonics

Often, patients with venous stasis and other vascular problems opt for herbal preparations, considering them to be safer. It is worth noting that it is reasonable to use such drugs as Troxevasin, Venoruton, Endotelon only in the initial stages of venous stasis. Endotelon will be effective against the onset of varicose veins, since it protects the connective tissue fibers of the vessel wall from destruction.

The best venotonics

Doctors rated Ginkor Fort as highly as possible. It significantly reduces vascular permeability and platelet adhesion, improves microcirculation and tones the veins. It is slightly inferior to Glivenol, which, in turn, has more pronounced properties that enhance lymph flow.

Aescusan leaves not far from them, which loses to drugs in terms of improving trophism and reducing vascular fragility. Interestingly, the famous drug Detralex in a comparative analysis took only 12th place.

In any case, only a qualified specialist can choose the best drug for a particular patient, so a doctor's consultation before taking any medication is required.

Conclusion

An increase in vascular tone, a decrease in swelling and pain, an improvement in blood circulation in general - all this can be done by venotonics. What is it, if not an effective means to start the fight against vascular problems? However, they are not able to completely cure the disease, such drugs only weaken its manifestations. An incorrectly selected remedy can only worsen the condition, which means that any medication should be taken under the supervision of a doctor.

In contact with

Due to the influence of adverse factors, the lower limbs often suffer from venous insufficiency. Reducing vascular permeability, expanding their lumen and worsening blood circulation is fraught with serious complications in the form of thrombosis or trophic ulcers. Timely use of venotonics for varicose veins of the legs, it is possible to avoid the progression of the pathology due to the increase in venous tone and the elimination of congestion.

In the article we will tell:

general description

Venotonic preparations, also called phlebotonics, are part of complex therapy for varicose veins. Their task is to eliminate the main manifestations of venous insufficiency and prevent the development of dangerous consequences. Such funds must be prescribed to patients in preparation for surgery, as well as in the postoperative period.

Operating principle

Varicose veins occur against the background of a decrease in venous tone, therefore, to restore it, it will be necessary to increase the tension of the walls of the vessel and reduce their permeability. In the first case, the result is achieved by contraction of smooth muscle fibers located in the middle layer of the vascular wall.

Many venotonics used for varicose veins of the legs are able to simultaneously solve both problems. Therefore, phlebologists often recommend preparations of combined (polyvalent) action.

Thanks to the use of phlebotonics:

the tone of the veins increases;
normalizes blood circulation;
the risk of thrombosis decreases;
improves lymph flow;
inflammation and swelling disappear.

Pharmaceutical companies produce drugs with venotonic action in tablets or in the form of medicines for external use. The choice of drugs depends on the severity of the pathology, the form of release of the drug, clinical manifestations and individual characteristics of the organism.

Venotonics for varicose veins are most effective in the initial stages of the disease. It is important to understand: despite the presence of valuable properties, such remedies are not able to completely cure the pathology.

Active ingredients

In medicine, it is customary to classify phlebotonics based on the available active ingredients.

In particular, the effect of the use of drugs is determined by the content of:

Diosmin, hesperidin. Due to the presence of antioxidant, anti-inflammatory, antitumor properties, flavonoids are used to combat varicose veins, hemorrhoids, and lymphedema. Substances help reduce painful discomfort and swelling, eliminate excessive heaviness in the legs.
Escina. Present in horse chestnut, tones and increases the strength of blood vessels. Reduces the permeability of the venous walls, removes swelling and normalizes blood flow.
Troxerutin. Flavonoid with venotonic and angioprotective action, relieves inflammation and puffiness of the legs, has an antioxidant effect.

There are products with synthetic substances (tribunoside, calcium dobesilate), phytocomponents (herbal extracts), as well as a combined type.

Indications for use

To get rid of varicose veins, venotonic drugs are prescribed. In particular, they are indicated for:

reducing the likelihood of developing the disease, especially with a high risk of damage to the veins;
elimination of signs in the form of pain, swelling, heaviness in the legs;
prevention of complications - thrombophlebitis, ulcers, thrombosis;
high-quality preparation for the operation and after it (for preventive purposes).

Reception of venotonics will be appropriate for a long stay in a sitting or standing position, in the presence of a hereditary predisposition to the disease. Also at risk are diabetics, patients with hypertension and overweight people.

The appointment of drugs with a venotonic property is carried out not only with diseased veins of the lower extremities. They are suitable for the medical treatment of pelvic varicose veins, hemorrhoids, varicocele and disorders of the venous outflow of the brain.

Contraindications and side effects

If we consider contraindications to the use of phlebotonics, then they largely depend on the components contained. For example, herbal medicines have practically no restrictions on their use. In addition, the form of release of medicines matters.

individual intolerance to the components;
damage to the skin (for ointments);
stomach ulcer and 12 duodenal ulcer;
exacerbation of gastritis;
renal/liver failure;
pregnancy and lactation.

Drugs should not be given to children under the age of majority. Despite the fact that the period of bearing a child is included in the list of contraindications, doctors often decide to prescribe certain medications to combat the manifestations of varicose veins.

Side effects may include:

allergic reactions;
nausea and vomiting;
headache;
discomfort in the stomach;
problems with defecation.

The occurrence of undesirable signs is also associated with the way venotonics are used for varicose veins - orally or locally in the area of vascular damage.

Popular remedies

When a patient turns to a doctor for help, he can recommend the most effective venotonics for varicose veins of the legs or veins of the small pelvis, that is, drugs that best cope with existing disorders.

As practice shows, the best venotonics are presented:

Diosmin. Thanks to him, the vessels restore their former elasticity, and the permeability and congestive signs are reduced. Taking Diosmin contributes to a significant reduction in the severity of venous insufficiency. Produced in tablet form.
Detralex. Helps to fight with weak tone and extensibility of the venous walls. Improves tissue trophism. Tablets are well tolerated by the body, but side effects are not excluded. Usually this is due to intolerance to the active substances.
Troxerutin. The medicine in the form of a gel and capsules helps to strengthen the capillaries, reduce the permeability of the vascular walls, increase their elasticity and tone, and also prevents the development of edema and internal bleeding. The standard course of treatment lasts 4 weeks.
Venitan. It is a representative of drugs with affordable prices. Formulated with horse chestnut extract. The gel can be used during pregnancy. With open wounds and any damage to the skin, the application of the product is prohibited.
Venoruton. It has anticonvulsant, decongestant and analgesic effect. Increases the resistance of blood vessels to the effects of adverse factors.

The list of drugs that help to successfully resist varicose veins is quite large. It is impossible to say unequivocally that some means are good, while others are not useful. After all, venotonics for varicose veins are selected taking into account many factors, respectively, they will act differently in each individual case.