With severe bleeding associated with damage to soft tissues or internal organs, hemostatic drugs should be taken. One of the drugs that has been used in medical practice for many years is Dicinon. With menstruation lasting more than seven days, this medication is often prescribed to women. Let us consider in more detail the instructions for use and the effect of the drug.
Description of the drug
For bleeding of various origins, a drug such as Dicinon is often used as an ambulance. Thanks to this tool, it is possible not only to eliminate blood loss, but also to strengthen the walls of blood vessels, improve microcirculation, reduce the degree of capillary permeability and accelerate the blood coagulation process.
On the shelves of pharmacies you can find a medicine manufactured by the Slovenian pharmaceutical company Lek and the Swiss brand Sandoz. The average cost of the drug in tablets is 370-400 rubles.
Release form
A drug with a hemostatic effect is released in the form of tablets for oral use and a solution intended for injection. White tablets have a biconvex shape. Packed blisters of 10 pieces. One package contains ten such blisters. Sterile solution for injection is packaged in 2 ml glass ampoules. The liquid is colorless, transparent. The package may contain 10 or 50 ampoules with the drug "Ditsinon." For menstruation, the instructions for use recommend the use of the drug in the form of tablets and in solution.
Structure
As an active substance in the composition of the solution and tablets, the manufacturer uses ethamylate. The component is able to activate the formation of thromboplastin, which begins to form at the initial stage in the process of blood coagulation. The substance delays the biosynthesis of prostaglandins, which increase the permeability of capillaries, enhances the adhesion of platelets to damaged vascular walls. Ethamsylate significantly reduces bleeding time and does not increase blood coagulation.
The active substance of the drug "Dicinon" (for menstruation it is prescribed for stopping bleeding) does not cause thrombosis, slows down the action of histamine and a solvent of hyaluronic acid, which reduces the permeability of the walls of the capillaries.
One tablet may contain 0.05 mg and 0.25 g of ethamsylate. In 1 ml of solution for injection - 125 mg of the active ingredient.
Indications for appointment
A drug with a hemostatic effect can be prescribed both for prophylactic and therapeutic purposes. With abundant periods, "Dicinon" is used as an ambulance. The doctor determines the optimal medication regimen on an individual basis, depending on the severity of the patient's condition.
The medicine is also used in the following cases:
- with bleeding from internal organs;
- with frequent nosebleeds;
- with hemorrhagic diathesis;
- if necessary, the prevention of capillary bleeding;
- with severe blood loss due to thrombocytopenia;
- with bleeding caused by dental intervention;
- with pulmonary and intestinal bleeding;
- with fibromyoma;
- with cerebral infarction;
- with a high risk of postoperative bleeding.
Gynecological practice
For menstruation "Ditsinon", the instruction recommends use in pathological cases. Currently, many women are faced with a problem such as menorrhagia. This is a heavy menstruation in which a woman loses more than 80 ml of blood per day. Typically, this condition is associated with hormonal imbalance, nerve stress, the presence of inflammatory processes, and oral contraceptives.
Is it possible to stop menstruation with the help of Dicinon? Provided that the drug will be taken from the first day of menstruation in a certain dosage, it will be possible to stop bleeding. However, experts still recommend resorting to this method only in the most extreme cases. Also, one should not expect a sharp cessation of discharge.
If there are irregularities in the menstrual cycle, a medical examination should initially be performed to determine the causes of this pathological condition. Only after this, the doctor can prescribe this drug in combination with other medicines.
Is the medicine prescribed for expectant mothers?
In gynecological practice, "Dicinon" is most often prescribed for menstruation. Instructions for use and reviews of experts suggest that this medication is also successfully used to treat pregnant women.
A hemostatic drug is used for placental abruption and for spotting spotting. Such pathological conditions threaten the expectant mother not only with serious problems with bearing the fetus, but also with abortion.
How to take "Ditsinon"?
With menstruation, accompanied by heavy bleeding, it is recommended to start taking the medication from the fifth day of the cycle. The duration of such therapy should be at least 10 days. The dosage of the active substance is 250 mg. Multiplicity of use - 4 times a day. The manufacturer advises taking pills with food or immediately after a meal. Injections are administered to patients regardless of food intake.
Thanks etamzilat will strengthen the vascular walls and endometrium, which will lead to a decrease in their damage. This will significantly reduce the intensity of menstrual flow and minimize the risk of blood clots. If prolongation of therapy is necessary, the doctor should reduce the daily dosage.
To use "Ditsinon" for menstruation, the instruction recommends also to eliminate heavy menstruation in girls in adolescence. A similar phenomenon is usually associated with the restructuring of the hormonal background and is often considered quite normal. The installation of the cycle takes two years. The dosage of the hemostatic medication based on etamsylate in this case is selected strictly by a specialist.
"Ditsinon" for prevention
In those cases when Dicinon is prescribed for menstruation to prevent prolonged menstrual bleeding during menstruation, it is necessary to take the drug on the third day from the start of a new cycle. It is necessary to take 250 mg of ethamzilate 3-4 times a day. After a few days of therapy, the woman will feel an improvement.
In order to delay the onset of the menstrual cycle for several days, it is necessary to start taking the drug with a hemostatic effect at least five days before the expected start date for menstruation. The dosage of etamzilate should be 500 mg at a time. That is, a woman needs to take two tablets of "Dicinon" three times a day. Keep in mind that the next menstrual cycle may begin earlier.
Contraindications
A hemostatic drug is contraindicated for people who have serious diseases of the hematopoietic system. The use of "Dicinon" for menstruation in women suffering from hypersensitivity to etamsylate or auxiliary components, can only lead to a worsening of the condition.
It is forbidden to prescribe the drug in the following cases:
- with bleeding caused by an overdose of anticoagulants;
- with thrombosis and thromboembolism;
- with lactose intolerance;
- with acute porphyria;
- with severe pathologies of the kidneys or liver;
- with increased blood coagulability.
Side effects
Against the background of long-term treatment with this drug, various side effects may occur. The use of "Dicinon" for menstruation in some women causes a decrease in blood pressure, and the appearance of severe headaches. Allergic reactions in the form of urticaria, itching of the skin can appear with the injection of a hemostatic medication. Side effects include heartburn, hypersensitivity to odors, numbness of the limbs.
Interaction with other drugs
When injected, “Dicinon” should not be combined with any other drugs. The instruction allows you to add medication to solutions for drip administration. The agent in question is combined with hemostatic agents such as aminocaproic acid and Vikasol. To exclude the risk of thrombosis, experts highly do not recommend taking Dicinon and Tranexam at the same time.
Reviews
“Dicinon” for menstruation is taken by women of various age categories. The drug effectively eliminates heavy bleeding and unpleasant symptoms that occur with severe blood loss during menstruation. In order for the drug to really help, it should be taken five days before the start of a new monthly cycle and continue therapy for another 5 days. This course will need to be repeated three times.
It is necessary to take into account contraindications for use, which the manufacturer warns about. Otherwise, the condition can only worsen.
How to replace?
Special hemostatic drugs are considered first aid for large blood loss. Such funds are often used in gynecological practice, surgery, dentistry.
The following agents belong to hemostatic preparations:
- "Vikasol." As an active ingredient in the composition of this medication, a synthetic analogue of vitamin K is used. The active component is intended to stimulate the production of prothrombin. A medication is available in the form of tablets and an injection solution.
- Tranexam. The composition of the tablets and the injection contains tranexamic acid, which prevents the dissolution of the proteins involved in the formation of blood clots (blood clots). The drug also has anti-tumor, anti-inflammatory and antihistamine effects.
- Aminocaproic acid. Hemostatic with antihemorrhagic action and contributing to a significant reduction in capillary permeability. Available in the form of a powder for oral administration and a solution for external and intravenous use.
- Etamzilat. The main analogue of the drug "Ditsinon." With menstruation and the threat of miscarriage, this medication is used quite often. May be prescribed to children in the form of a solution. It has an angioprotective and hemostatic effect.