Violation of the lower limb blood flow, arising from the deformation of vessel wall provides a complex therapy. The application of the ointment with varicose veins in the legs - a mandatory stage of the course of treatment, as its member active components reduce inflammation, reinforce vessel walls, prevent the formation of clots blood.
The content of the article:
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1 The main groups of ointments from varicose veins on the legs
- 1.1 Based on heparin
- 1.2 With venotonic components
- 1.3 With anti-inflammatory effect
- 1.4 decongestants
- 1.5 hormonal
- 2 Mechanism of action
- 3 Advantages of ointments from varicose veins
- 4 Contraindications for external treatment
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5 Names and price inexpensive ointments from varicose veins
- 5.1 Venitan
- 5.2 Gepatrombin
- 5.3 troksevazin
- 5.4 heparin ointment
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6 Drugs and money, it is better to help with varicose veins
- 6.1 troksevazin Neo
- 6.2 detraleks
- 6.3 flebodia 600
- 6.4 gel Lioton
- 6.5 Venolayf
- 6.6 buckeye
- 6.7 Apple vinegar
- 7 compression tools
- 8 Wound healing bandages
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9 Folk remedies
- 9.1 Ointment of lard
- 9.2 Ointment from the horse chestnut
- 9.3 Ointment on the basis of garlic
- 10 Video of ointments from varicose veins
The main groups of ointments from varicose veins on the legs
external action drugs can be divided into the following groups:
venous | Help to organize the work of the valve apparatus |
angioprotective | Reinforce and seal the vascular wall stretching |
antiplatelet | Eliminate trophic disturbances, decrease of blood viscosity |
Complex | Perform several functions at the same time |
Based on heparin
Heparin - a broad-spectrum anti-coagulant that prevents the development of increased blood clotting. This material has a decongestant, an analgesic and anticonvulsant effects, so it is used as component of external preparations for treating such diseases:
- varicose ulcers;
- varicose veins;
- thrombophlebitis;
- phlebitis.
Means, which include natural heparin:
- Heparin ointment;
- Gepatrombin;
- Trombless.
Ointment with varicose veins on the legs is applied to the problematic place a thin layer and rubbed into the skin delicate massage movements.
Contraindications to the use of external agents on the basis of heparin are:
- idiosyncrasy in a component;
- decreased hemoglobin;
- bleeding of various etiology;
- hepatic and renal pathology in acute stage;
- hemorrhagic diathesis;
- hypertensive intracerebral hemorrhage character.
Clinical studies have shown that the placenta protects the fetus against the penetration of heparin, so its use is permitted during pregnancy.
With venotonic components
Ointment with varicose veins on the legs with venotonic active agents has sosudoukreplyayuschim, absorbing and analgesic properties.
By venotoniki include:
- Antistax;
- venoruton;
- detraleks;
- Steam;
- Troksevazin.
The action of these drugs and their analogs is to promote the reduction of vascular walls and making operational the weak venous valves.
A significant difference between these drugs is not, however, choosing the name, it should be pay attention to the concentration of the basic substance: the higher it is, the sooner the therapy Effect.
Producers point to the need for comprehensive application of ointments venotonic simultaneously with oral agents with long courses (not less than 25 days), the frequency of which not limited.
With anti-inflammatory effect
Ointment with varicose veins on the legs with the anti-inflammatory effect may be a non-steroidal (NSAID) or steroidal origin.
To include such non-steroidal anti-inflammatory drugs:
- diclofenac;
- ibuprofen;
- ketoprofen;
- Nise gel.
Effect of these ointments is to reduce receptor sensitivity to the effects of inflammatory mediators, leading to the elimination of pain, severity and discomfort.
NSAIDs have a narrow spectrum of action. They should be lightly applied, since a strong massaging entail absorption in the blood of active substances through the major vessels. Contraindications to the use of anti-inflammatory ointments actions are open wounds and sores.
decongestants
To remove the varicose leg edema at ointments based on corticosteroids and drugs of combined effect:
- vetotoniziruyuschie (flebotonicheskie);
- anti-inflammatory;
- healing;
- painkillers.
Effectively eliminate the edema such pharmaceutical agents:
- Venitan;
- Heparin ointment;
- Dolobene;
- lioton;
- Trombless;
- Troksevazin.
The effect of all these ointments directed to:
- relief of symptoms of edema;
- improvement of blood circulation;
- reducing the likelihood of blood clots;
- reducing inflammation.
hormonal
Due to the numerous side effects of hormonal drugs are prescribed only in case of failure of NSAIDs. The indications for the use of steroid drugs on the basis of varices is complicated by microbial eczema or dermatitis.
Hormonal agents include:
- prednisolone;
- Advantan;
- hydrocortisone;
- flutsinar;
- Tselestoderm.
These ointments locally improves tissue nutrition, pain quickly cropped possess antihistaminic properties.
Mechanism of action
Ointments of varicose veins on the legs have such therapeutic properties:
- reinforce vessel walls, they increase the elasticity, reduce permeability;
- reduce inflammation;
- prevent the formation of blood clots;
- alleviate the symptoms of swelling of tissues;
- improve the functioning of the venous valves;
- regulate the circulation of blood and lymph;
- prevent the occurrence of venous ulcers;
- relieve itching and leg fatigue;
- participate in the process of skin regeneration.
Advantages of ointments from varicose veins
Ointment, in comparison with other topical medications with varicose veins on the legs, has a number of advantages:
- It contains substantially no water, which makes the structure compact and maximally concentrated;
- penetrating deep into the skin, it has a therapeutic effect directly at the disease site;
- Soak the leaves on the skin a film, there remains a need lipid balance;
- It has a complex mechanism of action: it reduces inflammation, pain, swelling;
- strengthens blood vessels, prevents blood clots;
- minimum number of contraindications;
- large selection and reasonable price.
Contraindications for external treatment
Ointment has a soft, gentle effect on the body, but the external treatment of varicose veins is contraindicated if the following phenomena are observed:
- damage to the upper layer of the skin;
- ulcers;
- psoriasis;
- an allergic reaction to a substance contained in the product.
Precautions need to use the ointment for varicose pregnant, since the instructions from different manufacturers meet the opposite data on the possibility of using external funds during this period.
Names and price inexpensive ointments from varicose veins
Official medicine offers a wide variety of ointments different price category. In this case, low cost is not an indication of the ineffectiveness of the drug. Price depends on the composition of active substances and ointments from the manufacturer (domestic medicines are cheaper than imported).
Venitan
Venitan produced as a gel, a basic substance which is plant component escin, and cream based on horse chestnut. Both forms are assigned when detecting the initial stage of varicose veins, tired legs due to standing work or edema during pregnancy.
Benefits | disadvantages |
Quickly relieves pain and reduces swelling | Slowly absorbed into the skin |
Venoprotektornuyu performs not only the function (strengthens blood vessels), but also thrombolytic (thins the blood) | Can cause itching, and allergic reactions |
Water-based facilitates easy washout | Can not be used in patients with renal insufficiency |
It can be used during pregnancy | It has age restrictions |
Sold without a prescription | Long-term treatment (2 months) |
Price tubes weighing 50 g in different pharmacies varies from 252 to 290 rubles.
Gepatrombin
Ointment Active ingredient - sodium heparin - anti-inflammatory and anti-edematous action, prevents the formation of blood clots, locally enhances blood flow. Price per tube 40 g, depending on the amount of active agent - from 165 to 280 rubles.
Benefits | disadvantages |
It is a means of integrated actions with varicose veins | It has age restrictions |
It is used for muscle tension | Contraindicated during pregnancy |
Effectively removes puffiness | May cause allergic reactions |
Quickly absorbed into the skin without leaving a greasy stains | Can not be used when a deep vein thrombosis leg |
troksevazin
The main active substance is troxerutin Troxevasin agent having absorbing, anti-inflammatory and analgesic properties. The drug is effectively acts on the capillaries and veins, reducing the severity of edema, varicose used to treat ulcers.
Produced in a 2% gel in tubes of 40 g. The average cost - 200 rubles. Sales have cheaper analogues of this tool (Troxerutin).
Benefits | disadvantages |
Effectively eliminates swelling and swelling of veins, prevent cramps | Long-term treatment |
Gives a cooling effect, so quickly relieves tired feet | May cause allergic reactions such as eczema, dermatitis and urticaria |
Easily absorbed into skin | It stains the skin yellowish |
It has no peculiar smell | It can not be used if the skin has open wounds |
Contraindications minimal | Not studied the effect on the fetus during pregnancy |
heparin ointment
This is the cheapest way for the external treatment of varicose veins. The average cost of a 25-gram tube does not exceed 100 rubles. The active ingredient - sodium heparin - protivotrombicheskoe and exerts anti-inflammatory action.
Benefits | disadvantages |
It can be used to cure many skin defects | Can not be used in the presence of spot exposure to infected wounds or ulcerative necrosis |
It has no strict contraindications | Is effective only in the initial stage of the disease |
It does not cause performance changes in blood clotting | Slowly absorbed into the skin |
It can be used for children from 1 year | It is not recommended to use during breastfeeding |
Low price | May cause burning and itching |
Drugs and money, it is better to help with varicose veins
The best remedy for the treatment of varicose veins are those that solve several problems at once:
- prevent pathological vasodilation and malfunction of the valve system;
- reduce the symptoms of inflammation secondary veins;
- reduce the permeability of vascular walls.
Formulations of complex action in combination with the prophylactic and non-drug therapies not only help to stabilize the condition of the veins, but also eliminate the need to buy multiple ointments.
troksevazin Neo
This gel - an improved version of the well-proven troksevazin, the active component of which is a flavonoid troxerutin.
As part of the Neo troksevazin besides troxerutin, have heparin sodium and dexpanthenol, so he not only performs vetotoniziruyuschuyu function, but also has a number of other therapeutic properties:
- antithrombotic;
- angioprotective;
- anti-inflammatory;
- pain reliever;
- regenerative;
- vitaminizing;
- decongestant;
- enhancing metabolic activity.
Available in aluminum and Laminate tubes weighing 40 and 100 grams The average cost of a small tube - 270 rubles.
Contraindications to the use of gel Troxevasin Neo are:
- age of 18 years;
- open infected wounds;
- idiosyncrasy components.
On the application during pregnancy instructions differ: some manufacturers specify the inadmissibility of the use of the gel, the other - note the drug's safety.
detraleks
And venotonic angiprotektivnoe medicament Detraleks produced in the form of tablets, film-coated and gel entitled Detragel. Doctors recommend the use of tablet form simultaneously with the preparation of local action.
This medicine is considered one of the best venotoniki as diosmin and hesperidin, are included in it, have a wide range of activities:
- reduce extensibility vessels;
- reduce the permeability of the vascular walls;
- strengthen capillaries;
- prevent the risk of stagnation;
- mitigate the negative effects of inflammatory mediators on the vascular wall and venous valves;
- relieve swelling and leg fatigue.
Detragel contain essential phospholipids that promote deeper penetration of the drug through the skin. Escin combination of heparin and helps to quickly stop the pain, reduces swelling, to get rid of spasms of the lower limbs and bruising.
Detragel easy to apply without leaving traces that can be used in the daytime. The only negative drugs Detraleks general and local action - the high price. The average value of 30 tablets - 750 rubles 40 g gel tube -. 516 rubles.
flebodia 600
OTC drug angioprotektornoy and correcting microcirculation group. Available in the form of pills and cosmetic products Flebodia® cream-gel for legs
Part of the flebotonik diosmin has the following properties:
- seals the vein wall;
- It prevents stagnation;
- improving microcirculation;
- anaesthetises;
- reduces inflammation.
The composition of the cream-gel contains menthol, has a cooling effect. Average price Phlebodia 600 for 15 tablets of 670 rubles per 30 tablets -. 1020 rubles. The cost of cream-gel tubes of 50 ml - 380 rubles.
gel Lioton
The medicament Lioton 1000 based on the sodium salt of heparin is produced in the form of gel volume in tubes 30, 50 and 100 ml. The average cost of the package, depending on weight - 375, 495 and 760 rubles. respectively.
The active substance of the preparation - Heparin - having antiinflammatory and antiexudative action aimed at elimination increased vascular permeability and fluid access to the tissue, so when it is administered varices, edema, hematomas.
Sold in pharmacies without a prescription, but should be used with caution, since the gel can cause skin irritation, itching, hives.
Contraindications to the use are open wounds, bleeding tendency and intolerance to heparin.
Venolayf
The gel composition for external application comprises 3 Venolayf active component: heparin sodium, troxerutin and dexpanthenol, and the drug is multifunctional.
It is indicated in the following cases:
- veins with varicose veins;
- edema and tenderness of tissues;
- violation of blood circulation;
- venous insufficiency;
- acute thrombosis;
- bruising;
- sprains;
- stretching.
In the absence of a part of the means of toxic substances, it is approved for use during pregnancy. The manual says that it is forbidden to apply the gel on the bleeding and infected wounds.
buckeye
The Buckeyes have escin, fraksin, esculin, tannins and vitamins, beneficial effect on the blood vessels, so it became a series of pharmaceutical ingredient preparations for external application:
- Venitan (cream and gel);
- Gerbion AESCULUS (gel);
- Reparil (gel);
- Eskuljus (ointment);
- Aescusan (cream, gel, aqueous-alcoholic extract).
Pharmacological properties of these funds are similar.
They have the following effects:
- venoprotektornoe;
- venotoniziruyuschee;
- anti-inflammatory;
- improves microcirculation in veins;
- antithrombotic;
- analgesic.
Drugs with horse chestnut is contraindicated in low blood clotting and a tendency to bleed.
Apple vinegar
When varicose veins in conjunction with pharmacy drugs can be used topically 6% natural apple cider vinegar has anti-inflammatory, tonic, anti-impact. These properties are due to the presence in the composition of the product group of vitamins A, F, C, E, beta-carotene, 16 kinds of amino acids, magnesium, iron and other trace elements.
Malic acid causes skin burns, therefore, this agent is used in diluted form. To prepare compress in one part of vinegar added 4 parts of cold water. The bandage should be made of natural cotton fabrics (eg, gauze). It is applied to the affected area for 1 hour. The procedure is performed every day for 2-3 weeks.
To enhance the therapeutic effect do wrap: top fabric soaked in the solution to be imposed polyethylene, then wrap the affected area a warm blanket.
Reduce symptoms symptoms of varicose veins can use medicinal baths. To this end, 10 liters of water (not above 20-25 ° C) must add 0.5 liters of vinegar (6%). The solution is better to pour into a bucket, so that the liquid covers the legs up to the knees. The procedure should be carried out not more than 5-7 minutes every night for several months.
The easiest way to use apple cider vinegar for the treatment of varicose veins is a weakly acidic solution of rubbing the sore spots in or dousing legs several times a day.
If during any of these manipulations will be felt itching and burning, treatment should be stopped or made less concentrated solution.
Patients say that after one month of treatment cider vinegar passes heaviness in the legs, reduces swelling, reduces the level of pain.
compression tools
Compression therapy for varicose veins by means of elastic bandages and special knitwear, which tightly fits the sore spots, while narrowing gaps superficial veins of the legs.
Bandaging and wearing medical underwear (socks, stockings, tights, golf) eases the load on the walls of blood vessels, reducing the chance of stretching and the risk of blood clots. After application of the compression means, patients reported a reduction in pain and heaviness in the legs.
For athletes and pregnant women have a special sale of knitted fabrics, designed for additional loads. Depending on severity of the disease physician phlebologist assigns wearing preventive, curative or antiembolicheskogo (hospital) knitwear.
For prophylaxis compression used in these cases:
- for the prevention of varicose veins in the last trimester of pregnancy;
- with heaviness in the legs after a hard day;
- if there is a family history of venous pathologies;
- in the postoperative period;
- the appearance of vascular nets or "stars".
Bandaging helps minimize the effects of stagnation in the vessels and slows the progression of the disease.
If there are prerequisites for the development of chronic venous abnormalities, the preventive model of linen should be worn at all times. After surgical treatment of vascular phlebologists recommend regular use of therapeutic compression tools, which are selected based on the desired degree of pressure.
Wound healing bandages
The mechanism of action of the wound healing dressings based on electropositive sorption: Material articles It absorbs bacteria and inhibit their silver ions, which helps speed up the purification process the affected area.
The bandage must be chosen in accordance with the phase of wound healing:
- purification (high absorbency, good ventilation and low adhesion);
- granulation (moist environment can support);
- epithelialization (protecting the wound from infection).
Wound dressings are such types:
- superabsorbent;
- foam dressing;
- gidroaktivnye dressings;
- atraumatic mesh ointment dressings with antiseptic and healing agent;
- wound semipermeable film.
Folk remedies
Traditional medicines are divided into two types:
- Outdoor exposure (rubbing, ointments, packs, gels, applicants, bandages);
- for internal reception (tinctures, decoctions, teas).
All of them are aimed at improving blood circulation, reduce inflammation and swelling caused by venous congestion.
Ointment of lard
To prepare the means previously melted lard be mixed with honey, aloe juice, juice of onion, liquid soap, balsamic liniment (as Wisniewski) ichthyol ointment. The amount of each ingredient - 1 tbsp. l.
The resulting mixture should be heated until complete dissolution of the components (not boil). The finished ointment should be stored in a glass jar. Apply the product need to rubbing movements on the entire surface of the patient. To enhance the therapeutic effect can be superimposed cloth bandage or tight bandage legs.
Working patients are advised to use the ointment at bedtime (to leave on all night). If possible, it is possible to use a means of day and night, changing the bandage every 12 hours until the end of the mixture.
Ointment from the horse chestnut
For the preparation of ointments 5 fruits, 5, Art. l flowers horse chestnut to grind and mix with 100 g of each fatty base (glycerol internal melted lard, sunflower or butter). The mixture should be kept warm (e.g., water bath) at least 3 hours, then strain through a cheesecloth and pour into clean glass containers.
Ointment need to be rubbed into the sore spots 3-4 times a day. The course of treatment lasts for 2 weeks (can be extended up to 1 month).
Ointment on the basis of garlic
Garlic ointment is prepared immediately before use. The amount depends on the extensiveness of the patient area. To prepare the comminuted garlic teeth means to mix with the softened butter in a proportion of 1 to 2. The mixture is applied as a compress for the night.
No matter what the ointment is used for varicose (pharmacy or home-made), to achieve the maximum therapeutic effect is necessary complex treatment as external agents act only on smaller superficial blood vessels on legs and can not penetrate to the major veins, in which lies the main cause of disease.
Author: Svetlana Maslennikova
Registration of the article: Mila Friedan
Video of ointments from varicose veins
Malyshev tell ointment from varicose veins: