Pharmacological properties, forms, indications, limitations
Detraleks for varicose legs actively appoint phlebologists. Detraleks affects the venous wall. It increases the elasticity of the veins, and does not allow much of the veins to expand and stretch. Detraleks prevents stagnation of blood in the venous circulation. Under the action of the drug decreases the permeability of capillary vessels, increases their resistance to blood stagnation. All these processes improve the overall hemodynamics of the venous bed.
The effectiveness of the drug depends on the dosage. The higher the dosage, the more pronounced clinical benefit from drug therapy. This fact proves the study drug. The optimal dose is considered to be 1,000 mg per day. Detraleks 1000 at varices has high efficiency. At this dose in patients with positive dynamics. In patients improves the condition of the venous capillaries and veins themselves, decreases venous stasis in the lower extremities. The drug is perfectly helps with varicose veins and hemorrhoids.
Detraleks excreted in the feces and urine. Drug metabolism has been very active. Upon cleavage of the drug components in urine are recorded phenolic acids.
Cure for varicose veins Detraleks made in the form of tablet forms. There are 2 kinds Detraleks dosages: 500 mg, 1000 mg (1 g). As part of the drug are flavonoid fraction. Fractions formed diosmin and flavonoids.
Indications and limitations to the appointment of the drug
According to the instructions for use detraleks with varicose veins, the drug can be used when indicated.
Indications for detraleks:
- heaviness in the lower limbs;
- pain syndrome;
- feeling tired legs on waking;
- swelling crotch varicose vascular lesion;
- symptoms of hemorrhoids.
Do not use if allergic Detraleks. lactation included in the list of restrictions, as in clinical trials was not received sufficient information about the effects of the drug. During gestation Detraleks permissible to assign the presence of varicose veins symptoms. During clinical trials, the drug has not been registered signs of toxic effects on the fetus. Detraleks helps to reduce symptoms until the end of pregnancy.
Detraleks for the prevention of varicose veins is used in pregnant women, patients with liver disease. You can use detraleks women in menopause, as well as in patients at risk for the appearance of varicose veins. Detraleks prescribed to patients who have taken long-term oral contraceptives, when the first signs of varicose veins.
undesirable effects
Treatment of varicose veins detraleks may cause unwanted effects. Patients may cause pain in the head, vestibulopathy, feeling of weakness, loose stools, dyspepsia symptoms, colitis. May cause an allergic reaction: rash, itching, hives, swelling of the face. In severe allergy in a patient may appear angioedema.
The concept of varicose veins
Varicose veins often affects the veins of the lower extremities and pelvis. This pathology is characterized by thinning of the walls of the venous bed, the expansion of the lumen of veins. Mostly in patients with varicose veins appear uzlopodobnye expansion.
varicose veins cause may be:
- heredity (presence of varicose veins with relatives in the previous generation);
- gestation period;
- overweight;
- prolonged sitting or standing position, wearing tight clothing, corsets;
- reduced amount of fruit and vegetables in the diet;
- oral contraceptives, medicines for treatment of osteoporosis;
- use of drugs relieves symptoms of menopause.
The first symptoms of varicose veins of the lower extremities is the emergence of stellate vascular lesions. Over time, the veins in the legs begin to expand, there are nodes. Patients marked pain with prolonged standing on his feet or in a sitting position. Subsequently appear swelling of the feet and legs, cramps in the calves.
Many patients with varicose ulcers are observed, caused by skin malnutrition due to poor blood flow to the extremities. Formation localized on the inner surface of the tibia. development of eczema often occurs. Varices may be complicated thrombophlebitis (vein thrombosis), and rupture of the vessel walls. venous vessel rupture occurs due to the constant high pressure on the wall.
In addition to varicose veins of the legs meet the expansion of the esophagus venous bed. This pathology is diagnosed in patients with liver disease (cirrhosis, hepatitis). Cirrhosis complicated by portal hypertension, which causes the veins of the esophagus. Varicocele is accompanied by changes in venous spermatic cord.
During pregnancy, the possible expansion of the pelvic veins. This process is caused by an increase in blood flow to the pelvis. Patients taking oral birth control pills, blood clots can occur, making it difficult for the veins of the lower extremities outflow. In postmenopausal patients observed hormonal failure. It is also possible thickening of the blood, which leads to stagnation. The expansion of the pelvic veins observed in uterine fibroids. This disease is greatly disrupts the reproductive organs, can lead to prolonged uterine bleeding.
In women, varicose veins of small pelvis may be accompanied by an extension of the vaginal veins of the perineum. In this case, there is swelling of the labia majora, bleeding after sexual intercourse or childbirth. Disease complicated by thrombophlebitis of the veins of the perineum.
Frequent pathology varicose pelvic is hemorrhoids. This pathology is the risk of bleeding from the rectum, the formation of hemorrhoids. Nodes constantly injured, that provokes the loss of blood. Patients complain of itching in the anal area, pain.
Diagnostic and therapeutic measures in varicose leg disease
Diagnosis of the disease includes a physical exam, anamnesis data collection, patient complaints, assigning additional inspection techniques. For a detailed survey administered angioscanning duplex, angiography with contrast agent, radionuclide techniques rheovasography lower extremities.
Pelvic varices requires gynecological examination of women, ultrasound examination of small pelvis. Apply pelvic venography, computed tomography of the pelvis. Displaying UZDG pelvic vessels and extremities, chrezmatochnaya venography. When diagnostic measures do not give full information about the disease, the diagnostic laparoscopy is performed. Observation of the patient with varicose veins and are jointly phlebologist gynecologist.
treatment of varicose veins
Treatment of varicose veins of legs includes conservative, compression therapy, surgical correction of the veins. Conservative treatment consists of physical therapy, the application of elastic bandages, special stocking use venotonicheskih means. These measures are ineffective in advanced cases.
With the ineffectiveness of conservative therapy using compression sclerotherapy of varicose veins. The method consists in the introduction of the syringe into a vein special elastic foam. This substance provokes a narrowing of the lumen of the venous vessel. The patient was put on compression stockings. After 3 days the vessel wall are recorded in a spastic state. Wearing stockings it is recommended for 4-6 weeks. During this period, adhesions are formed, not giving vein to expand again. Sclerotherapy try not to be used if there is blood in the cast communicative vein from deep veins of the legs. Sclerotherapy has no effect in this complication of varicose veins.
The most effective therapy is the advanced forms of surgery. Today is a very popular micro-surgical, radio frequency, laser correction methods. If Vienna greatly changed, it is removed by surgery. Thrombosis vessel surgeon removes the thrombus, corrects the vessel wall, or removes the modified portion of the vein. In milder forms of the disease is shown photocoagulation.
Upon detection of pelvic varicose veins during pregnancy should be taken venotoniki and wearing compression stockings. Delivery is carried out by Caesarean section to prevent massive bleeding during childbirth.
In the presence of varicose veins in the pelvis is made of surgical removal: miniflebektomiya, phlebectomy. Krosektomiya performed while finding veins of the perineum and legs. When hemorrhoids conducted conservative treatment and surgical treatment.
Preventive measures varicose leg disease
Phlebology is advised when the first symptoms of varicose veins immediately contact a doctor. For the prevention of severe varicose veins need to wear compression bandages or stockings already during the formation of spider veins. To lie anymore. In the supine position the legs should be placed on a pillow or cushion. This will stimulate blood flow. If the patient works in a long standing or sitting, the compression force by means of bandages must be increased. Pregnant patients are advised to wear compression stockings or bandages with moderate compression effect.
Where there is evidence of varicose pelvic need to give up bad habits, wear a compression garment. Patients are encouraged to actively engage in sports, physical therapy, move more. This will eliminate the stagnation of blood in the pelvis.
Terms of use detraleks as conservative therapy
Assign Detraleks from varicose veins in the legs, and varicose venous pelvic. Use of the drug shown pregnant at the first signs of varicosity. Take medicine in the form of tablet forms. Drink Detraleks at varices can be in a dosage of 500 mg or 1000 mg. Selection means tableted dosage depends on the severity of the disease. Take Detraleks need during the meal.
At the initial stage of the disease drink enough Detraleks 2 tablets of varices in a dose of 500 mg. Detraleks daily dosage of 1000 mg. This is enough to stop the progression of the disease process. Most such Detraleks scheme used at the initial stage of therapy of varicose veins of the lower extremities, as well as concomitant treatment during compression therapy or following surgery.
Treatment of varicose veins in pregnant women
How to take detraleks with varicose veins during gestation? If varicose disease was detected in a pregnant woman, the patient is prescribed Detraleks 500 mg twice per day. This prevents the further development of varicose veins.
varicose veins treatment is continued throughout pregnancy periodic courses. The duration of treatment for varicose Detraleks pregnant depends on the severity of the disease. Treatment is always accompanied by the use of compression hosiery (pantyhose, stockings) or compression bandages.
Dosage detraleks from varicose pelvic similar therapeutic. Pregnant administered up to 1000 mg per day. Receiving daily dosage divided into 2 doses. When poor tolerability detraleks doctor adjusts the dose or cancel treatment.
Hemorrhoids during pregnancy Detraleks drink 6 tablets (500 mg) per day for the first 4 days. In the next 3 days to 4 tablets (500 mg). The course of treatment is determined by the doctor. If necessary, the dose can be reduced. Women with hemorrhoids should be observed throughout pregnancy, since education may bleed. Large sites do not allow to have a baby naturally, therefore, deals with the operative obstetrics.
Use of the drug in expanding the pelvic veins
Of pelvic varices Detraleks administered 1000 mg per day. Coursework therapy an average of 2 months. You can prolong the treatment if necessary. Most often used Detraleks courses. Duration of treatment is determined by the doctor. How to take Detraleks from varicose veins? Drinking medication needed mealtime.
Detraleks therapy necessarily carried out under the supervision of a pelvic exam, as well as other survey techniques. With the ineffectiveness of the treatment carried out surgical correction of pelvic veins.
Treating hemorrhoids detraleks
How many milligrams detraleks need to drink with hemorrhoids? Patients with hemorrhoids Detraleks prescribed by a special scheme. Dosage amounts in the first 4 days 3000 mg. Drink medicament should mealtime. The daily dosage divided into 2 doses. The patient drinks 3 tablets of 500 mg in the morning and 3 tablets - in the evening. On day 5,6,7 reduce the dosage of therapy. Man takes 1,000 mg in the morning, 1000 mg - in the evening. When varicose reception detraleks in patients with hemorrhoids discussed with your doctor. the drug should not be used on their own.
Control of therapy is carried out at the time of physical examination. If treatment Detraleks performed correctly, the patient is reduced itching, swelling, reduced incidence of bleeding. Hemorrhoids Treatment is carried out comprehensively. If the patient has very large hemorrhoids, then they are removed promptly.
conclusion
Detraleks - a drug intended for the conservative treatment of varicose veins of various localization. The effectiveness of treatment is quite high with timely appointment of the drug. The preparation is allowed to apply for hemorrhoids during pregnancy. Detraleks is often used for the treatment of varicose veins of the lower extremities. The drug can reduce the severity of clinical manifestations of varicose veins, to stop the progression of the disease.
sources:
Vidal: https://www.vidal.ru/drugs/detralex__38634
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 6300b4a3-735a-4b52-8fd5-8af11d1d2f78 & t =
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