Venotonic venotonic drugs types of tablets ointments candles

Treatment of varicose veins is not complete without the use of medications, especially with significant progression of the disease. First of all, phlebotonics are prescribed for varicose veins of the legs, since the pathology develops against the background of a decrease in venous tone.

Preparations differ in composition and form of release, and a specialist should deal with their selection. Any of phlebotonics has its own characteristics, which are worth paying attention to.

When the vessels lose their tone, it becomes difficult for them to restrain the pressure of blood. Pressure on the venous walls increases, which leads to stagnation, blood clots and inflammatory processes.

Accordingly, to solve the problem, it is necessary to increase the tone of the veins. Therefore, patients with varicose veins are prescribed phlebotonics (venotonics). The main task of drugs with a venotonic property is to strengthen weak vessels and normalize blood flow.

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Phlebotonics are available in different dosage forms, and their components can be of natural or synthetic origin.

Classification of venotonics by release form:

  • oral agents – tablets, capsules, pills;
  • creams;
  • gels;
  • ointment

According to the method of application:

The composition of the funds that help to cure varicose veins is presented:

  • plant components (extracts of horse chestnut, grape leaves, blueberries);
  • natural organic compounds (rutin, diosmin, hesperidin, coumarin);
  • synthetic substances (naphthosone, calcium dobsylate, benzarone, tribenoside).

The choice of drug depends on the severity of the disease and the individual characteristics of the patient’s body.

Women in position with varicose veins of the lower extremities may be prescribed phlebotonics in tablet form, as well as topical preparations. When it comes to taking pills, preference is given to funds with components of natural origin.

Treatment of varicose veins during pregnancy should be carried out under the supervision of an obstetrician-gynecologist and phlebologist.

Before the appointment, the doctor must take into account the possible danger that the drugs may pose to the fetus. Self-medication is prohibited.

Mechanism of action

Phlebotonics used in varicose veins of the legs have a number of properties:

  • tonic;
  • vasoconstrictor;
  • anti-inflammatory;
  • decongestant;
  • antiaggregant;
  • painkillers.

Drugs contribute to positive changes in the state of blood vessels:

  • blood circulation in the lower extremities improves;
  • venous tone increases;
  • outflow of lymph is normalized;
  • inflammatory processes disappear;
  • increased elasticity of the vascular walls;
  • blood density decreases.

The presence of these properties allows the use of venotonics to stop inflammation in the affected veins and eliminate complications, in preparation for and after surgery, as well as for preventive purposes.

With the formation of varicose veins without phlebotonics, it is difficult to cope with the disease. Pharmaceutical companies produce a huge number of venotonic agents, but the drugs used most often can be called.

Their effectiveness has been proven in practice and is confirmed by patient reviews.

Phlebotonics differ not only in the components and form of release, but also in prices, therefore, to combat varicose veins, you can find the most suitable drug option in terms of cost.


A substance called diosmin is a representative of flavonoids and is found in many anti-varicose drugs. Its benefit lies in the ability to strengthen the walls of blood vessels and increase their elasticity, relieve inflammation and improve lymphatic drainage.

The micronized form of diosmin reduces the risk of irritation of the gastric mucosa and accelerates the absorption of the drug, which makes it possible to take the drug for a long time without the risk of side effects.

As a complex therapy for varicose veins, local phlebotonics are used in the form of gels, creams and ointments.

The list of diosmin-containing agents contains:

Such medicines are contraindicated in pregnant and lactating patients, patients with intolerance to the components and children under 16 years of age.


Among the components of the herbal remedy are horse chestnut extract and vitamin B1. It is made in different dosage forms (in a drop, tablet, in the form of a dragee and gel).

The drug helps fight swelling, low venous tone and varicose nodes. It restores the elasticity of the vascular walls, reduces their permeability, eliminates pain, itching and burning, often disturbing with varicose veins.

Method of use Aescusan:

  • 10-15 drops, diluted in water, three times a day before meals;
  • 1-2 tablets or dragees 3 times a day before meals;
  • gel is applied twice a day.

Aescusan is recommended for use both in the initial stages of the disease, and with complications in the form of trophic ulcers.

It is forbidden to use the medicine for patients suffering from renal failure, pregnant women in the first trimester, breast-feeding and patients with intolerance to the components. Aescusan is not recommended for children under 1 years of age.



Preparations containing venotonic components are highly effective. But, despite this, they are used in the treatment of hemorrhoids only in the early stages of the onset of the disease. If the disease is already in an advanced phase, then venotonics in this situation will not help. In the severe degree of the disease, only the surgical intervention can improve the patient’s condition.

Venotonics are considered an integral part of the postoperative period, which is aimed at restoring the body and preventing relapse. But even in this case, venotonic agents should not be the only way to eliminate hemorrhoids. The treatment of the disease should always be comprehensive and include not only drug therapy, but also following a certain diet, as well as performing certain physical exercises.

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In addition, venotonics for hemorrhoids can be used as a method that provides temporary relief. In most cases, venotonic agents are prescribed as a method for:

  • elimination of pain;
  • reduce swelling and inflammation;
  • prevent bleeding;
  • restoration of the walls of blood vessels after surgery.

The main action of venotonics is to increase the tone of the walls of the venous vessels.

Rectal suppositories are considered convenient as well as easy to use medicine. Venotonics for hemorrhoids are effective in local therapy of the disease, while not having a negative effect on the body as a whole. With varicose veins of hemorrhoidal veins, not accompanied by venous insufficiency, rectal suppositories are best used.

Such drugs well eliminate the initial signs of tissue trophic disturbances (discoloration of the skin, itching or burning in the lower extremities, the appearance of ulcers or vesicles with a clear liquid), which are especially active in people with diabetes, relieve pain and fatigue, and cope with heaviness in the legs. .

Flavonoids are compounds of plant origin with biological activity. They improve quality and have a positive effect on human systems and organs, possess a general strengthening effect, including vasodilating.

Preparations with an active active substance-flavonoid include: Detralex, Venarus, Phlebodia, Vazoket.

Venoprotectors of this type penetrate into the systemic circulation and directly affect the walls of blood vessels and veins, are generally well tolerated.

With hemorrhoids, the following symptoms are distinguished:

  • perineal pain;
  • the appearance of hemorrhoids;
  • bleeding nodes;
  • loss and infringement of nodes;
  • signs of inflammation and swelling of the perineum;
  • wounds and fissures of the anal sphincter;
  • suppuration and other complications.

Forms of release

Regardless of the active substances that make up phlebotonics, they release funds for external and internal use. That is, medicines can be in the form of gels, suppositories, ointments, or tablets. In what form to take the drugs depends on various factors:

  • stage of the disease;
  • sizes and number of hemorrhoidal nodes;
  • the presence of concomitant pathologies;
  • tendency to allergic reactions and other things.

Creams, ointments, gels

  • ease of use;
  • safety of use (overdose exclusion);
  • quick therapeutic effect in comparison with tablets;
  • lack of systemic effects on the body as a whole.

Important! Despite the high efficiency, ointments for the treatment of hemorrhoids are completely safe, as they affect the body locally. This form is often allowed for use by pregnant and lactating women.

. It is advisable to apply the product after the bowel movement, lubricating the walls of the anus from the inside, or use a swab that is saturated with ointment

Venotonics in the form of ointments, creams or gels are used mainly in the complex treatment of the external form of the disease.

It is advisable to apply the product after a bowel movement, lubricating the walls of the anus from the inside, or use a swab that is saturated with ointment. Venotonics in the form of ointments, creams or gels are used mainly in the complex treatment of the external form of the disease.


Venotonics for hemorrhoids are also available in the form of suppositories. Often they are prescribed when the first symptoms of the disease occur for prophylactic purposes in order to avoid the appearance of hemorrhoidal nodes. With internal hemorrhoids, it is advisable to use venotonics in the form of suppositories.

The main advantage of phlebotropic preparations in the form of suppositories is the speed of exposure to the affected areas. The active substance that is included in the drug quickly penetrates the mucous membrane and has a prolonged effect. Candle form preparations are best used before bedtime.


The main advantage of tablet formulations is ease of use. Compared with venotonics from other types of hemorrhoids, a pill is much more convenient to drink, regardless of time and place. In this case, the treatment is carried out in courses with short breaks. Such phlebotonics help significantly alleviate the patient’s condition, reduce pain, eliminate itching, as well as burning, accompanying inflammation of the nodes.

Tableted forms of venotonics are produced mainly using plant extracts (horse chestnut, ginkgo biloba, red grapes, etc.). To increase the therapeutic effect, synthetic components are included.

Important! When choosing a drug for the treatment of hemorrhoids during pregnancy, you need to be careful and not apply anything without first consulting a specialist.

Phlebotonics with lymphotropic action: a list of drugs

This pathology most often affects the lower limbs, due to the high load exerted on the legs of a person.

In women, during pregnancy and after childbirth, veins in the pelvic organs often expand.

However, catching an ailment at the very beginning, you can completely recover by conservative methods. And here are widely used venotonic drugs that can be used as agents for the treatment and prevention of the disease. What venotonics with varicose veins are considered the most effective, and in what forms are they produced?

Venotonic drugs are drugs that belong to the group of angioprotectors.

Angioprotectors are drugs that normalize metabolic processes in the walls of blood vessels, strengthen and increase their elasticity.

These drugs have a complex effect on the body, and therefore they are used not only for the treatment of varicose veins, but also as the main therapy for diseases of the cardiovascular system.

In some cases, venotonics are prescribed to people for prevention, which helps prevent the development of varicose veins and other diseases of the heart and blood vessels.

The therapeutic effect of venotonics is achieved due to the following properties:

  • venotonic tones and increases the elasticity of the veins, thereby increasing their resistance to intravascular blood pressure;
  • they reduce the permeability of the vascular walls, strengthening them;
  • venotonic drugs have an anti-inflammatory effect, preventing the development of inflammatory processes, and reducing pain;
  • these funds have a general strengthening effect, having a beneficial effect on the work of the cardiovascular system, and eliminating the factors that provoke the development of varicose veins.
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To eliminate the manifestations of varicose veins, it is necessary to restore the tone of the veins. First of all, it is necessary to restore the contractility of the muscle elements located in the walls of the vessels so that they can push the blood up. It is also necessary to strengthen the walls of blood vessels, that is, to reduce their permeability so that they do not pass plasma into the tissue.

All venotonic drugs, depending on the main substance included in them, are divided into two groups:

  • drugs that enhance the contractility of the muscles of the venous wall;
  • drugs that reduce capillary permeability and improve blood flow.

However, in most modern drugs used to treat varicose veins, different substances are combined, which allows them to have a combined effect on the vessels.

There are several pharmaceutical groups of venotonic drugs, classified according to their active ingredient. These include:

    medicines containing plant extracts, in particular flavono >

Flavonoids are substances related to plant polyphenols and possess biological activity. They are found in large quantities in vegetables, fruits, green tea and many other food products.

Among the drugs in this group, the following drugs are most popular:

  • Venarus and Detralex are available in tablet form;
  • Vazoket, Venolek and Flebodia 600 are also available in tablet form;
  • Venozol is available in the form of tablets, capsules and gel for external use;
  • Antistax is available in the form of capsules, gel and cooling spray.

Rutoside or rutin is a plant substance, which is one of the varieties of flavonoids. For the first time, a routine was isolated in the middle of the century before last from a fragrant rue. This substance is allocated in a separate group due to the significant content of vitamin P.

Rutoside is found in dandelions, buckwheat, blackcurrant, citrus fruits, cherries, grapes, apricots, apples and many other fruits and berries. The greatest amount of this substance contains aronia berries.

The following preparations are related to venotonics containing rutin:

  • Anavenol is available in the form of tablets and pills;
  • Venoruton and Troxevasin are available in capsule and gel form.

A feature of combined preparations is that they contain substances of plant origin that belong to different pharmaceutical groups. However, they can be combined with synthetic and semi-synthetic substances.

  • What are the best venotonics offered in this group? These include the following medicines:
  • These drugs are available in various dosage forms, including in the form of a cream, ointment and tablets, thus helping to comprehensively affect the dilated veins.
  • According to reviews of venotonics, with varicose veins of the legs, they help not only to strengthen the vessels, reduce the permeability of their walls and relieve swelling, but also eliminate inflammatory processes in the veins.

The composition of synthetic venotonic drugs includes tribenoside and calcium dobesilate. These substances belong to the group of angioprotectors, and are successfully used in the treatment of vascular diseases, including varicose veins. They effectively eliminate inflammatory processes and relieve pain.

Among pharmaceutical preparations containing these substances, the following drugs are most effective:

There are three stages of the development of varicose veins:

  • stage of compensation;
  • subcompensation;
  • decompensation.

The first stage is characterized by external manifestations of the disease in the form of vein strips that are slightly visible through the skin.

At the next stage, the cosmetic defect is enhanced, combined with unpleasant sensations of heaviness and pain in the legs, as well as night cramps and swelling.

The last stage of the disease is characterized by skin problems, expressed in the development of dermatitis and weeping eczema, which, if untreated, lead to trophic ulcers.

It is recommended to begin treatment of the disease with the help of venotonic drugs at the first stage of varicose veins. At the very beginning of development, this disease lends itself to conservative treatment.

Also, these drugs are prescribed in the advanced stages of varicose veins. Although in this case, the disease can only be cured by surgery, the use of venotonics avoids the development of trophic ulcers and improves the condition of the skin.

About 10% of women giving birth suffer from varicose veins of the small pelvis. This disease most often occurs during pregnancy, when the growing uterus begins to compress blood vessels, disrupting blood flow. And although in most representatives of the beautiful half of humanity this pathology disappears after childbirth, the disease can progress under the influence of provoking factors.

These factors include the following:

  • congenital structural features of veins;
  • weight lifting;
  • sedentary work;
  • diseases of the female genital area;
  • difficult birth.

Venotonics for varicose veins of the pelvis are used only during exacerbations of the disease. They are not used for preventive purposes. However, conservative treatment is also ineffective.

Good results can only be achieved in the very early stages of the disease.

However, the disease is diagnosed, as a rule, already in advanced stages, since its symptoms are characteristic of many other gynecological ailments.

To avoid the development of varicose veins, women with a hereditary predisposition should be attentive to their health and treat gynecological diseases on time. This is especially true of the postpartum period, since childbirth is one of the factors provoking its development.

This pathology is quite serious, and can be asymptomatic for a long time, which makes it difficult to identify.

Development factors

The disease manifests itself due to increased stress on the legs. During pregnancy, women have varicose veins quite often. The main thing is to diagnose and eliminate it in a timely manner, until varicose veins become chronic.

Due to the load, venous insufficiency appears, the elasticity of the vessels decreases, they are deformed. As a result, a nutritional disorder of tissues is possible. But this is not the most frightening thing.

The formation of blood clots is much more dangerous, which sometimes leads to death.

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Today, medicine uses 2 methods in the fight against varicose veins:

  1. Surgical intervention.
  2. Conservative therapy.

It is better if both methods are combined with each other. Of course, it all depends on the complexity of the disease and the reasons why it developed. Main reasons:

  • overweight;
  • passive lifestyle;
  • low mobility;
  • constant stress;
  • diabetes;
  • pregnancy.

If these factors are avoided and not abused by bad habits, then the disease will never make itself felt.

The treatment of varicose veins is important to carry out in a timely manner – this will help prevent possible complications. Venotonics play the main role in the treatment process. These drugs can be used in any form. They effectively fight varicose veins, and help as a preventative measure. Today, there are a large number of drugs of this type, and they differ in many ways.

Regardless of the form of the disease, the use of venotonics is always recommended. Even if an operation is performed, venotonic drugs for varicose veins will help accelerate the healing effect.

They are also used for preventive purposes, since they perfectly block the process of development of pathology. These funds can be divided into 2 groups. The first is responsible for the contractility of the vascular muscles.

Thus, the tone of the veins increases, the permeability of blood through them increases. The second strengthens the walls of blood vessels.

Venotonic preparations are used for venous deficiency. It is she who causes an increase in the lumen of the veins, which becomes a consequence of circulatory disorders, stagnation of venous blood. In this case, vascular fluid seeps out. Blood clots form that can cause thromboembolism. In this case, surgery is indispensable.

What’s this

  • 1 Phlebotonic preparations for hemorrhoids
  • 2 Phlebotonics for hemorrhoids: Detralex, Phlebodia 600, Troxevasin gel, Hepazolone and others
  • 3 Phlebotonics: drugs, ointments, suppositories
  • 4 Phlebotonic preparations for hemorrhoids: suppositories, tablets, ointments and gels, reviews and analogues

TOP 5 hemorrhoid medicines

Venotonics for hemorrhoids are divided into systemic drugs for oral administration and local remedies. Systemic medicines are tablets and capsules, local ones are ointments, suppositories and creams. Self-treatment is excluded, the medicine, as well as the regimen for their administration should be prescribed by a doctor – proctologist.


This is a systemic drug for the treatment of hemorrhoids. Act:

  • severe pain medication;
  • eliminates itching;
  • reduces hemorrho >

The medicine brings relief even in the later stages of the disease. This is a complex preparation containing two active ingredients – diosmin and hesperidin. Due to this, Detralex has an expanded spectrum of action. It helps a lot when pinching knots, reducing their size. To enhance the therapeutic effect, Detralex is combined with vitamin C, ointments and suppositories. During pregnancy, it is allowed only in the 3rd trimester, while breastfeeding its use is not recommended.


Venarus is a complete domestic analogue of Detralex. In his favor says a much lower cost compared to the French original. It should be noted that the formal correspondence of the composition is not always manifested by the same effectiveness of drugs. Reception of Venarus is prohibited in the 1st trimester of pregnancy. In the second trimester, it should be used only in case of emergency and under strict medical supervision. Allowed for use in the later stages under the supervision of a physician. Not applicable for breastfeeding.

Phlebodia 600

The French drug Flebodia 600 is intended for treatment during exacerbations and in periods of remission to prevent subsequent attacks. This is a drug of prolonged action, it persists in the body for up to 4 days. Act:

  • relieves swelling;
  • prevents and reduces inflammation;
  • improves tone of veins;
  • protects capillaries;
  • relieves pain.

Reception of Flebodia 600 is allowed during pregnancy, studies have proven the safety of the drug for the development of the fetus. But it is better to refrain from taking the medicine during lactation, since there is no data on whether the active substance passes into breast milk.


Like Phlebodia 600, Troxevasin is used in a therapeutic and maintenance dose. Act:

  • relieves pain;
  • relieves swelling;
  • relieves itching;
  • relieves inflammation;
  • reduces bleeding nodes.

The greatest effect is achieved with a combination of capsules and gel. Internal administration of the drug allows the inside to act on the vessels, increasing their tone, reduces the fragility of capillaries, prevents venous congestion. The gel is applied immediately after defecation to clean skin. Local procedures provide quick relief – relieve pain, reduce swelling, eliminate itching.

The new version of the drug Troxevasin NEO has an improved formula. The composition includes two more active substances – heparin and dexpanthenol. Heparin dilutes blood and prevents thrombosis, and dexpanthenol helps restore damaged blood vessels. Troxevasin is approved for use during pregnancy in the 2nd and 3rd trimester. It is not recommended to take during breastfeeding.

These drugs have a similar composition and effect. In addition to escin and thiamine, they also contain vitamin B1, quercetin and sterol compounds. The active substances not only tone the veins, but also stabilize the capillaries, increase the elasticity of blood vessels, reduce blood plasma effusion and improve microcirculation. Medicines with escin are well established as a prophylactic and therapeutic in the initial stages of hemorrhoids.

Treatment with venotonics containing diosmin can be considered etiological. They act primarily on the cause of hemorrhoids – eliminate the weakness of the venous wall. The main thing is not to miss the first symptoms and start the treatment prescribed by the proctologist in time.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.