Vascular pathologies are represented by a wide group of disorders of varying severity.

Many of them pose a huge danger to human health and life, at least threatening disability. At most, death from complications, thrombosis.

Lesions of veins are somewhat more common than involvement of arteries in the pathological process, but this does not make them any less dangerous.

Although when the functioning of these vessels is disrupted, the symptoms are not so active and aggressive, and the course is relatively sluggish, doctors have more time for correction. There are many chronic diseases in this category.

In almost all cases when this group of vessels is involved, there is a violation of the outflow of blood and lymph, which becomes the cause of the clinical picture, complications and is the essence of the disease. A system of medications is used for recovery.

Venotonics are one of the key drugs for the treatment of disorders of normal venous blood flow. Used to restore the functional activity of blood vessels.

They are represented by a large group of pharmaceuticals of varying degrees of effectiveness.

Another name for this type of medication is phlebotonics. These are completely interchangeable concepts; in the literature of doctors' terminology, both names are used.

Drugs of this type relatively rarely provoke dangerous consequences, even if taken not entirely correctly, but this is only in the first stages of therapy.

With prolonged misuse, threatening side effects develop, almost overnight.

Therefore, unauthorized use of venotonic drugs is unacceptable. You need to contact a specialist: a phlebologist or a vascular surgeon.

TOP 10 best venotonics for varicose veins

We have collected the 10 best venotonics that will help you eliminate pain, increase the tone of the veins and prevent complications. It is these medications that are most often mentioned in patient reviews as the most effective and safest for health. We consider it necessary to warn you that although all participants in the rating are available without a prescription, before starting treatment you should visit your doctor, who will select an individual plan for you depending on the severity of the condition and the presence of concomitant diseases.

Mechanism of influence and expected effect

The basis of the pharmaceutical action of drugs in this group is several useful points:

• The key is the ability to normalize the functioning of special muscle structures called venous valves.

The blood moves strictly in one direction; there should be no reverse flow, otherwise stagnation will begin.

With varicose veins and some other pathological processes, the valves stop functioning and relax, which ends in a violation of the outflow of blood and lymph.

Phlebotonics affect this negative mechanism, naturally eliminating congestion and normalizing the state of the circulatory system. The effect is on the veins of the entire body, be it the lower limbs, rectum, etc.

• Restoring the tone of small vessels, capillaries and veins. This action is directly adjacent to the first, because thanks to this result, the outflow of blood and lymph is normalized, which has a beneficial effect on the condition of blood vessels and prevents the development of varicose veins, thrombophlebitis and other problems.

• Normalization of the rheological properties of liquid tissue, in particular its fluidity. Violations develop, including due to changes in viscosity; as the viscosity increases, more resistance must be overcome.

Venous pressure increases, which is not always obvious at first glance. Some of the blood remains, does not pass further, and active stagnation begins. This could end badly.

Venotonics partially normalize blood fluidity, although this is not considered the main and core effect.

If necessary, antiplatelet agents (Aspirin as an option) are prescribed in addition to achieve a greater clinical effect. This is especially important in preventing blood clots.

• Partial relief of the inflammatory process. Strictly speaking, venotonics do not have a pronounced effect of this kind, but the effect is sufficient to prevent dangerous consequences.

The result is the normalization of the tone of the veins, the removal of edema, and the prevention of destructive processes in the walls of blood vessels, which is especially important when it comes to the prevention of phlebitis (inflammation of the veins) and thrombosis (blocking the lumen with a blood clot).

• Activation of regenerative processes. Restoration of already destroyed areas of the venous wall is achieved.

Thus, the patient can count on the complex effect of venotonic agents in diseases such as varicose veins of the legs, hemorrhoids, in the prevention of thrombophlebitis and other dangerous conditions.

However, they are rarely used in isolation, being considered drugs of narrow action.

The question of selecting the right therapeutic course falls on the shoulders of the doctor: phlebologist or vascular surgeon.

Combined venotonic suppositories for hemorrhoids

Suppositories have a complex effect - they work as painkillers and as venotonics. Suppositories contain anesthetics. Suppositories perfectly relieve inflammatory manifestations: pain, swelling, bleeding. In addition, suppositories can reduce the exit of the liquid plasma part beyond the boundaries of the vascular wall. They also counteract venous stagnation.

If the symptoms of exacerbation of hemorrhoids are severe, such suppositories can be used twice a day, when the process subsides - one suppository per day is enough. Before using suppositories, be sure to empty your intestines and toilet the anal area.

The most popular suppositories with a venotonic effect are Procto-glivenol, Ginkor Procto. For an appointment, contact your doctor. Remember that suppositories are only part of the therapy and cannot replace a comprehensive treatment regimen.

Indications

The reasons for using medications are standard:

Varicose veins

Pathological dilation of blood vessels as a result of stagnant or inflammatory (often in the system) processes with gradual destruction of the walls, violation of their integrity, decreased elasticity, and hardening.

Which sooner or later leads to thrombosis or atherosclerotic changes, narrowing, then tissue trophism is disrupted, and there is a high probability of necrosis (gangrene).

Venotonics for varicose veins are considered the main drugs in treatment. Additionally, others can be used, depending on the case.

Lymphostasis (stagnation)

Develops as a complication of thrombosis, infectious-inflammatory process, autoimmune tissue damage.

Requires a complex effect, venotonics are used along with other drugs. The condition cannot be left without therapy; the risk of necrosis is high.

Thrombophlebitis

Superficial or deep. The essence of the pathological process is the blockage of the lumen of the vessel with a clot of formed blood cells and fibrin fibers.

An additional factor is inflammation. Thus, the violation is dual and dangerous.

The risks are extremely high; gangrene can begin at any moment. Phlebotonics alone will not be enough.

Thrombolytics are used to dissolve the clot, anti-inflammatory drugs, including hormonal drugs (Prednisolone) and others.

Venous insufficiency

The condition is closely related to varicose veins and is considered as its continuation, the basis of the clinic.

The use of venotonics over a long period of time or in courses is required, depending on the complexity of the pathological process and the dynamics of its development.

If the results are positive, the drug is not discontinued; it is continued to be taken for some time.

Condition after thrombophlebitis

Also surgical intervention. As part of the prevention of complications and correction of residual effects.

Indications are carefully described in the instructions for use. But this is not enough. Despite what the manufacturers say, some products are more widely used in one case, others in another.

The question of which veinotonic is better does not make any sense. Depends on the specific disease and purpose of use. There are no clear leaders in the pharmaceutical market.

Escin and its derivatives

Aescusan

Release form: tablets and oral solution.

It is considered an old drug, developed a long time ago, because there is a lot of experience in using medications of this type.

Aescusan has a moderate effect, therefore it cannot be recommended for the treatment of all types of pathological processes (varicose veins, hemorrhoids).

However, the clinically significant effect is minimal. The drug is slowly absorbed, does not work well, and requires frequent use.

The effect is selective, the effect is only on veins, capillaries are not affected. However, the shortcomings are compensated by the low price, which, however, cannot be considered a positive thing.

There is a form for topical use in the form of a gel - Escuven.

Rutazoids

The main name of this group is Troxerutin. Tablets and gel.

Like the previous name, it has existed on the pharmaceutical market for a long time, therefore clinical practice is rich and wide.

Allows us to draw some general conclusions about the effectiveness and indications for use.

Characteristic features of this group of medications:

• Slow absorption. Therefore, the effect is achieved after an hour or even more.
• Weak action. Regarding the main indications. This does not allow the use of the medication in complex clinical cases.
• The need for repeated use throughout the day. 3 times a day.
• The cost is low, which allows Troxerutin and its analogues to be used as widely as possible.

But the effect is insufficient in many situations, even when using the maximum possible dosage. At a certain point, the cost of treatment can be almost comparable to the price of leading venotonics.

It makes sense to consult with a specialist to correct the course or prescribe primary therapy.

Rutazoids also have a local form - Troxevasin gel. It is quite possible to use several types of medications in parallel, but in different forms: ointment-gel, plus tablets.

The list of drugs is incomplete. Only the most popular ones are named. Others have a similar composition, so there will be no fundamental difference.

Herbal remedies and combination medications

Strictly speaking, they cannot be called phytotherapeutic drugs either. Because the components included in the composition are of mixed origin.

The drugs are again quite expensive, which does not allow them to be prescribed freely. It is necessary to proceed from the financial capabilities of the patient. The most popular are two names.

Ginkor fort

The main active ingredient is troxerutin. The drug is also available in the form of an ointment for topical use.

Venotonic has been used in clinical practice relatively recently, the reviews are mixed, so doctors prescribe the name with caution and carefully monitor the patient’s condition.

Cyclo-3 fort

Most actively used. Contains diosmin and additional beneficial components: butcher's broom and vitamin C.

As logic follows, due to the systemic structure of the drug, the action is also multiple.

The inflammatory process is eliminated, blood circulation is normalized, the walls of the veins are strengthened and restored faster.

Cyclo-3 fort is weaker than Detralex and flavonoids in general, which has been clinically proven. There are also more side effects due to the multiple and complex composition. Basically, allergic reactions of varying severity develop.

An additional positive effect from the use of this medication is the presence of vitamin C in the composition.

The intensity of oxidation of the vascular wall is reduced, which prevents inflammatory processes and other destructive phenomena, which is important in the treatment of varicose veins and destructive disorders (thrombophlebitis and other conditions).

The form for topical use is a cream with the same name.

Flavanoid preparations based on hesperidin, diosmin

The drugs in this group have a significant advantage over others: although they begin to act somewhat later than their analogues, the pharmacological effect lasts much longer.

In prolonged forms, a single dose per day is sufficient.

The key disadvantage of this type of drugs is their high cost, which makes treatment difficult financially.

Detralex

It has existed on the pharmaceutical market for a long time, and has proven itself well in the clinical practice of phlebologists and doctors of related specialties.

It is prescribed in most cases because it contains a complex of diosmin and hesperidin, which allows you to achieve a positive effect in less than a week of use.

Used in tablet form. It costs quite a lot, but there is a way out of the situation.

There is a domestic analogue of Detralex, which is called Venarus. There are no fundamental differences between these two names, the only difference is the price.

Phlebodia

A relatively new medication of this group. It is widely used relatively recently and is of imported origin. It's not cheap. It has a prolonged effect, once a day is enough.

Unlike Detralex, Phlebodia contains only Diosmin, but the concentration of the active ingredient is several times higher when compared with other medications of the flavonoid group, which makes it somewhat different compared to Detralex in terms of effect.

Therefore, mutual replacement is quite possible if one of the drugs does not work.

Since products based on diosmin and hesperidin are of plant origin (but are not considered herbal remedies), the likelihood of side effects is relatively low. Therefore, it is possible to prescribe drugs to a wide range of patients.

On a note:

Flavonoids are not available in the form of ointments or suppositories (which are used for hemorrhoids), but only exist in tablet form.

What it is?

Phlebotropic drugs include various medications that improve venous blood flow by lowering pressure in the vessels. Phlebotonics belong to this group and, in addition to normalizing blood flow, are able to relieve inflammation during exacerbation of hemorrhoids and relieve pain. They are prescribed for preventive and therapeutic purposes. Such medications improve the drainage of lymph from damaged areas.

After using phlebotonics, blood vessels are strengthened, their elasticity increases, and microcirculation of blood fluid improves.