Troxevasin is an angioprotective drug produced by the Bulgarian pharmaceutical company Balkanpharma. Indications for treatment - venous insufficiency, manifested by varicose veins, hemorrhoids, swelling, heaviness in the legs and other symptoms. These problems are often found in pregnant women due to the increased load on the circulatory system and organs. You can prevent the occurrence and development of symptoms of venous insufficiency using the drug "Troxevasin".
How does it work
"Troxevasin" during pregnancy is a well-known and popular drug. Its therapeutic properties are due to the active ingredient - troxerutin, obtained from plant materials of Japanese Sophora. The active substance increases the resistance of capillaries and reduces the permeability of their walls.
The active component is among the anti-inflammatory, venotonic, decongestant, antioxidant and painkillers. This complex of pharmacological actions determines the effectiveness of Troxevasin in relation to various hematomas, including domestic injuries, dislocations, and bruises. Sometimes bruising appears even at the site of a light mechanical impact. The reason for this phenomenon is the pathological fragility and thinning of the vessels of the capillary row and the high permeability of their walls. In these cases, Troxevasin is the drug of first choice.
Forms of release and types of medicine
The drug is produced in two dosage forms:
- Capsules with yellow powder for oral administration of 50 and 100 pieces per pack (300 mg of troxerutin in one capsule).
- 2% gel in a tube for external use (1 g of the drug contains 20 mg of troxerutin).
Also in the product line of this brand is Troxevasin Neo - a gel that contains troxerutin, heparin and dexpanthenol. These components prevent blockage of blood vessels, relieve inflammation and soften the skin.
Due to the fact that the drug is available in two forms (for internal and external use), the use of "Troxevasin" during pregnancy can be complex. This will achieve the greatest effect in the fight against varicose veins and other vascular problems.
Pharmacokinetics
Taking the medicine in capsules allows you to absorb 15% of the active substance. The highest concentration threshold in blood plasma is observed within two hours after oral administration of Troxevasin. The therapeutic effect persists for eight hours after the drug enters the bloodstream.
Over 20% of the drug is excreted from the body by the kidneys, the rest is metabolized in the liver and excreted in the feces.
Indications for appointment
Venous insufficiency increases blood viscosity, which is the reason for the formation of clots and blockage of blood vessels, because of which the organs are poorly supplied with blood, which means that the baby in the womb does not receive oxygen and nutrients. If you do not take appropriate measures, then problems can lead to severe pathologies in the development of the fetus, so pregnant women need to carefully monitor their health and treat any diseases in a timely manner.
The use of "Troxevasin" during pregnancy is justified only when the intended benefit covers the risks to the fetus. It is used solely on the instructions of a doctor.
During the “interesting” situation, the doctor may prescribe a remedy from the second trimester for:
- soreness and heaviness in the legs;
- hemorrhoidal nodes;
- swelling of the legs;
- the appearance of a venous network on the legs and hips;
- diabetes mellitus;
- overweight;
- cramps in the calf muscles during sleep;
- pain due to trauma (dislocation, sprain).
According to statistics, symptoms of varicose veins are observed in the second half of pregnancy. Women with multiple births or patients over the age of 30 are more often affected by the disease.
Why is the drug prescribed during pregnancy?
The female body undergoes significant physiological changes in the functioning of the vascular system during the period of gestation. These changes are due to several factors:
- Gradual uterine enlargement. Organ growth puts a serious strain on neighboring veins. As a result, the blood ceases to circulate normally and, flowing into the lower extremities, stagnates there. The same can be said about the veins of the rectum. The increased volume of blood in the vessels contributes to their expansion. In relation to varicose veins of the legs and hemorrhoids, Troxevasin is used during pregnancy.
- Physiological increase in the volume of circulating blood and plasma. This phenomenon overloads the bloodstream, which already affected veins can not cope.
- The production of progesterone. The hormone, whose volumes increase during pregnancy, relaxes the muscle layer of blood vessels. At the same time, the tone of the veins decreases, creating additional conditions for stagnation of blood. In addition, progesterone reduces intestinal activity, against the background of which chronic constipation occurs, which provoke the appearance of symptoms of hemorrhoids.
- Inadequate mobility is a common occurrence among women in position. Afraid of having the slightest negative effect on the fetus, pregnant women become inactive. Normally, muscle activity acts as a kind of "pump" that promotes the movement of venous blood from the periphery to the heart. Inadequate physical activity is an additional risk factor for the formation of varicose veins during pregnancy.
Reasons for appointment
If the patient suffered from hemorrhoids or varicose veins before conception (even in the absence of exacerbations for several years), this exacerbates the situation. The presence in the history of these pathologies testifies in favor of a high risk of their exacerbation. Often, problems with veins appear in the 2-3 trimester due to an increase in the weight and size of the fetus.
Symptoms that cause a pregnant woman anxiety range from the formation of small nets on the lower extremities to the appearance of a pronounced cluster-like plexus. Disturbed blood circulation in the legs often causes a feeling of heaviness, cramps and soreness in the muscles of the leg.
The presence of these symptoms is the basis for the appointment of Troxevasin ointment during pregnancy. Preference is given to this particular dosage form, since it acts locally and does not adversely affect the fetus.
The likelihood of developing hemorrhoids in women directly depends on the number of births. According to statistics, the risk of stagnation in the veins of the rectum in primiparous is 20%. With repeated pregnancy, symptoms of hemorrhoids are observed in every second case.
"Troxevasin" during pregnancy is prescribed as adjunctive therapy for detecting bloody drops during bowel movements, bleeding from hemorrhoids and the appearance of uncomfortable sensations in the rectum.
If these pathologies are ignored, thrombophlebitis may develop. Inflammation affecting the internal venous wall is the cause of the formation of blood clots, which can tear off at any minute and become involved in the general bloodstream. A clogged vessel in any organ can become a threat to the life of a pregnant woman.
Can "Troxevasin" during pregnancy?
Numerous studies have confirmed that Troxevasin does not adversely affect embryonic development. However, in the first trimester, at the stage of laying the tissues and organs, it is not recommended to use the drug in the form of capsules.
Instructions for use of "Troxevasin" during pregnancy allows the use of the drug at any gestational age. However, this fact does not indicate the admissibility of self-medication. From the beginning of the second trimester and in the presence of indications of the pregnant woman, you can take "Troxevasin" in capsules. Dosage, frequency of administration and duration of the course are discussed with the attending physician individually.
Some women open the capsule before taking the medicine and pour the powder into their mouth with water. You can’t do this: the drug should be taken with food in its entirety, without opening and chewing.
It is possible to use Troxevasin gel during pregnancy and against hemorrhoids. Due to the fact that this form of the drug does not exert a systemic effect on the body, it is approved for use at any time in the “interesting” position.
Instructions for use "Troxevasin" ointment during pregnancy
The method of using the drug is extremely simple: the product is applied to problem areas once or twice a day. After application, the medicine is rubbed into the skin in a circular motion until completely absorbed. It is more convenient to carry out treatment in the morning and / or at bedtime. To achieve the maximum therapeutic effect, doctors recommend treatment with a course of at least one month.
Hemorrhoids. Treatment
"Troxevasin" during pregnancy from hemorrhoids is applied after emptying the rectum and hygiene on the hemorrhoids. It is allowed to apply gauze swabs impregnated with ointment to the anus. Reviews about "Troxevasin" during pregnancy indicate that the drug is especially effective for weeping hemorrhoids. The gel reduces the amount of discharge from the rectum and quickly heals wounds. The medicine is immediately absorbed into the skin, making the therapeutic effect faster.
To consolidate the therapeutic effect, it is recommended to prevent hemorrhoids: treat constipation, do gymnastics, eat fiber-rich foods, and take walks in the fresh air.
With varicose veins
If the patient is diagnosed with varicose veins, then Troxevasin ointment during pregnancy is applied by massage movements to the problem limb. This contributes to a rush of blood to tissues and muscles. The drug is recommended to be used when the first symptoms of varicose veins appear: a feeling of heaviness and pain in the legs, cramps, itching, weak vascular walls, bruises on the skin. Apply the ointment with advanced or severe forms of the disease is impractical. The situation can be improved by the combined use of both dosage forms (gel + capsules) in combination with vitamin C. The ointment is effective only for preventive purposes and at the beginning of the disease, when the development of varicose veins can still be stopped.
From bruises under the eyes
Sometimes women use Troxevasin gel during pregnancy from edema, bags and bruises under the eyes. Due to its light texture, the drug is quickly absorbed into the skin, toning the capillaries and strengthening their walls. This procedure stops the release of moisture from the vessels that accumulate under the eyes. To achieve a visible effect, the medicine is applied in a thin layer on a clean surface. In this case, the skin of the face should not have abrasions, wounds and cuts.
With bruises
In case of damage to the soft tissues, internal hemorrhages, swelling and hematomas are formed, causing pain to a person. The drug is rapidly absorbed into the skin, due to which it immediately reaches deep tissues, is absorbed, and then begins to act at the site of damage. As a result, abrasions heal, swelling and bruising resolve, and the pain subsides. According to the instructions "Troxevasin" ointment during pregnancy is applied in strips of 3-4 cm to the site of injury twice a day. The course of treatment is five days.
special instructions
"Troxevasin" can be used in children, adolescents and pregnant women. The drug is also allowed during lactation, it does not penetrate into milk and is absolutely safe for infants. During breastfeeding, doctors advise using an ointment, rubbing it into the emerging nodes or making therapeutic compresses at night.
From hemorrhoids, "Troxevasin" during pregnancy is allowed to be used in both acute and chronic stages. The medicine is prescribed after surgery. Applications help relieve discomfort in the postoperative period.
If during treatment the severity of the symptoms of the disease does not decrease, you should consult a doctor for advice.
Potential harm
Do not apply ointment to damaged areas of the skin and mucous membranes. Do not experiment with taking the drug in the presence of individual intolerance to its components.
Instructions for "Troxevasin" during pregnancy allows you to use the gel at any gestational age. However, this is not a reason to self-medicate. The use of any drugs should be supported by the consent of the attending physician.
There are slightly more contraindications to taking capsules for hemorrhoids:
- first trimester of pregnancy;
- exacerbated chronic gastritis;
- peptic ulcer;
- allergy to the active ingredient.
Side effects when using Troxevasin ointment from hemorrhoids during pregnancy are rare, more often they appear as a local allergic reaction: urticaria, dermatitis, eczema, etc.
Taking the oral form of the drug can lead to the development of the following negative effects:
- dyspepsia syndrome (heaviness in the stomach, overflow, early satiation);
- exacerbation of chronic diseases of the gastrointestinal tract;
- redness of the face.
After discontinuation of the drug, the side symptoms associated with its administration completely disappear. In any case, you should not self-medicate, based on the advice of your relatives and friends who claim that they know exactly how and how to treat problem nodes. What helped one person can harm another.
Reviews
Venous insufficiency is a common phenomenon, therefore, angioprotective agents are used quite often. Judging by the reviews of people about Troxevasin, during pregnancy, the drug helps with varicose veins and hemorrhoids. Women bearing a child note a good value for money.
But there are other reviews of "Troxevasin" during pregnancy, which indicate possible side effects after taking the medicine. From the gastrointestinal tract - this is nausea, vomiting, heartburn, an external symptom may be an allergic rash. Some women also have headaches.
Analogs
If Troxevasin is not suitable for a pregnant woman, then any other drug with a similar therapeutic effect may be prescribed. Such analogues have a number of features that you should learn about before you start taking it.
- Troxerutin is a complete analogue of Troxevasin, available in capsule form and 2% gel for external use. Effectively protects blood vessels, reduces capillary permeability, and quickly penetrates the skin and tissues. It is much cheaper, since it is a domestic drug. It is forbidden to use in the first trimester of pregnancy and during breastfeeding. At a later stage of gestation, its intake should be monitored by the attending physician.
- "Lyoton" - contains heparin sodium. Effective in various thrombophlebitis, injuries and diseases of the musculoskeletal system. It is used strictly under medical supervision, as it has many contraindications (recent birth, threatened abortion, tendency to bleeding, pathology of the liver, kidneys and blood vessels, gastrointestinal diseases, hypersensitivity, skin lesions).
- "Troxevenol" gel - in addition to troxerutin contains another active substance - indomethacin. The drug is used for injuries, sprains and for the treatment of joints. It is not used in relation to people suffering from bronchial asthma.
- "Troxegel" - in addition to troxerutin, contains trometamol, benzalkonium chloride and other auxiliary components. Effective against spasms of the calf muscles. Due to the presence of benzalkonium chloride, hypersensitivity reactions are possible. Since there are no research data on the use of the drug by pregnant women, you can use the medicine only after consulting a doctor who will assess the likely risks for the future mother and her child.
- "Hepatrombin" gel - its main component is heparin. Effective for varicose veins of the lower extremities. Contraindicated in the first trimester of pregnancy.
Storage conditions
"Troxevasin" is best stored at room temperature, in a dark, dry place out of the reach of children. It is not necessary to remove the ointment in the refrigerator - it is enough to protect the medicine from direct sunlight. With proper storage, the shelf life of the drug is five years.
Conclusion
Pregnancy is a period when self-medication and various therapeutic experiments are contraindicated. Do not forget that the condition of the future mother leaves an imprint not only on her health, but also on the growth and development of the baby. Any, even the smallest side symptoms when taking "Troxevasin" should be reported to the doctor. It is he who will recommend the most suitable drug, which will save the patient from the risk of serious consequences in the future.