Troxevasin ointment and gel for hemorrhoids: reviews, instructions for use, how to use during pregnancy, indications and contraindications

Forms of release of the drug

Troxevasin is available in two dosage forms - capsules and gel.

Troxevasin gel is a yellowish mass with a specific aroma, intended for external use, which is quickly absorbed into the skin without leaving a greasy residue.

People often call this dosage form an ointment, although in its structure it is not such.

Troxevasin gel is available in aluminum tubes of 20, 40 and 100 grams.

Troxevasin capsules are yellow oval gelatin capsules containing the components of the drug in powder form. The drug is packaged in cardboard packages of 50 and 100 capsules.

In everyday life, patients often call capsules tablets, although such a dosage form of Troxevasin does not exist.

Experts recommend using Troxevasin gel and capsules simultaneously, since such therapy will increase the effectiveness of the drug and speed up recovery.

Analogues and comparison: which is better

On sale you can find analogs of Troxevasin that have a similar spectrum of action. Most of them have a more affordable price. The list of ointments and gels suitable for treating the external form of the disease is especially wide.

  • Troxerutin. A complete analogue that can replace Troxevasin gel. Available in the form of a gel or capsules, it contains the active ingredient of the same name. The price is about 40 rubles per tube of 40 g.
  • Troxevenol. Gel containing troxerutin and indomethacin. Helps with swelling, relieves pain, strengthens the walls of blood vessels. Price from 60 rub. per pack (40g).
  • Lyoton. A more expensive analogue, contains sodium heparin. Increases the elasticity of venous walls, regulates blood flow, helps reduce hemorrhoids. Price from 345 rub. per pack of 30 g.
  • Troxegel. Ointment based on troxerutin. Reduces hemorrhoids, strengthens tissue, relieves burning and itching. Price 60 rub. (40 g).

Sergey, 60 years old: “Troxevasin ointment helps me with hemorrhoids. I started using it on the advice of a friend, it perfectly relieves irritation and itching. Absorbs quickly and does not stain clothes. I have a chronic disease, so the main task is to relieve unpleasant symptoms. After this drug, I even stopped taking painkillers; I don’t need them.”

Maria, 28 years old: “In the middle of pregnancy, I encountered hemorrhoids for the first time in my life. The doctor prescribed a bunch of things, but in the end I settled on Troxevasin. It turned out that it really works, the nodes became smaller, the wounds healed. Troxevasin ointment helps against hemorrhoids in combination with suppositories (I buy Olestezin with sea buckthorn oil). Well, I took capsules with troxerutin for 2 weeks. By the way, I spent a long time choosing between Detralex or Troxevasin, and settled on the latter. Now everything seems to be in order, I gave birth without problems, the hemorrhoids are not coming back.”

Tatyana, 45 years old: “The first time the bumps came out was during pregnancy. I didn’t undergo any special treatment, I did baths and applied baby cream. Everything seemed to go away, but after giving birth there was an exacerbation. Since then (for 10 years now) I have been suffering from bumps and constant constipation. I know that many people treat hemorrhoids with Troxevasin, but the gel does not help me, and I was allergic to the tablets. For a short time, suppositories help against hemorrhoids. I’m thinking about surgery, most likely conventional treatment will not help me.”

Composition and description of components

The composition of capsules and ointments for hemorrhoids Troxevasin differs in auxiliary components, so we will consider these two dosage forms separately.

Troxevasin capsules

The main active component of Troxevasin is troxerutin. This substance belongs to a synthetic analogue of the natural flavonoid rutin, which has pronounced venotonic and angioprotective effects.

The auxiliary composition of Troxevasin capsules is represented by magnesium stearate, lactose, gelatin, titanium compound, sunset yellow and quinoline.

Gel Troxevasin

Troxevasin ointment consists of troxerutin and auxiliary ingredients such as carbomer, disodium EDTA, triethanolamine, benzalkonium chloride and distilled water.

Auxiliary components maintain the light structure of the gel, maintain the activity of the active substance and facilitate its penetration into tissues.

Treatment with Troxevasin during pregnancy

Carrying a child is a very difficult physiological process, which is accompanied not only by the joy of anticipation of motherhood, but also by health problems: stress, pressure on organs located in the pelvis, poor circulation, etc. The closer the birth is, the greater the load on all body systems. Due to constant pressure on the intestines, back and legs, a third of pregnant women know what hemorrhoids are: pain, burning, and problems with bowel movements.

Many expectant mothers patiently wait for childbirth, delaying treatment. Meanwhile, there are many medications that can relieve the symptoms of hemorrhoids, alleviate the general condition of a woman, and at the same time not harm the baby in any way. Hemorrhoids need to be treated so that there are no more serious complications during childbirth.

Among these drugs is Troxevasin, which can be used from the 2nd semester of pregnancy. It improves the condition of the venous walls (increases their elasticity), relieves inflammation and swelling of the rectal area.

Pharmacological properties of the drug

Troxerutin, which is the active ingredient of the drug Troxevasin, has the following pharmacological effects:

  • venotonic;
  • angioprotective;
  • anti-inflammatory;
  • antiexudative;
  • antioxidant.

The mechanism of action of troxerutin is that it narrows the endothelial pores of blood vessels, due to which their tone increases. This property also helps strengthen capillaries and veins, making them more resistant to adverse factors. In addition, strong vessels are less likely to rupture and become damaged, resulting in a reduced risk of bleeding, which is important for hemorrhoids.

Local and systemic use of Troxevasin also makes it possible to reduce the severity of inflammation and eliminate tissue swelling, since due to the narrowing of endothelial pores, the release of fluid from the vessels into the affected tissues stops. Thanks to this, swelling and other manifestations of the inflammatory process are stopped.

In addition, Troxevasin destroys harmful substances formed during lipid oxidation, which make tissues and blood vessels more prone to damage.

Troxevasin acts on the main cause of hemorrhoids – vascular dysfunction in the anorectal region. Thus, with the help of this medicine it is possible to speed up the patient’s recovery, prolong remission, prevent exacerbation and slow down the progression of the disease.

Heparin ointment and Troxevasin - which is more effective?

Heparin ointment has long been a well-known medicine that has been tested by time and folk experience. This ointment began to be used from the middle of the last century, and since that time it has not lost its effectiveness in the treatment of various forms of hemorrhoids.

Regular use of this remedy not only reduces the time of exacerbation of the disease, but also relieves all unpleasant symptoms of the disease in a short time. It is freely sold in any pharmacy, is quite cheap (up to 150 rubles) and does not lose its effectiveness.

Heparin ointment is a drug for external use, a direct-acting anticoagulant. Its active substance, heparin, has an anti-inflammatory effect on the damaged area, preventing the formation of blood clots. This medicinal drug eliminates congestion in the veins, helps destroy blood clots, relieves pain and dilates blood vessels in the pelvic area. Such unpleasant symptoms as burning, pain and inflammation cease to bother the patient after just one day of use.

Thanks to its composition, heparin ointment eliminates severe signs of hemorrhoids in a short time without harm to the body. It can be used for any form, be it acute hemorrhoids or a chronic form of the disease.

The main medicinal qualities of the ointment:

  • reduction of the inflammation process (and all the unpleasant symptoms associated with it: burning, feeling of fullness, constant itching);
  • relief of pain;
  • blocking the formation of new nodes (blood thinning and normalization of blood circulation).

The use of ointment is more effective in the treatment of external hemorrhoids. If hemorrhoids are accompanied by bleeding, the use of ointment is not recommended.

In addition, treatment with heparin ointment is prohibited if the patient has:

  1. problems with blood clotting;
  2. damage to the skin surface in the rectal area;
  3. there are purulent-inflammatory areas;
  4. high blood pressure;
  5. ulcer or acute gastritis;
  6. liver diseases.

Women during menstruation are also not recommended to use this ointment. For the treatment of hemorrhoids during pregnancy, this drug can be used on the recommendation of a doctor.

A comparison between Troxevasin gel and Heparin ointment has not been specifically carried out, so there is no clear answer to the question “what is the best way to treat hemorrhoids.”

However, as a result of numerous individual studies of drugs, several conclusions can be drawn:

  • Heparin ointment quickly relieves the unpleasant symptoms of hemorrhoids, removes painful bumps and burning sensation;
  • This ointment has a wider spectrum of action;
  • For weeping hemorrhoids and bleeding during illness, it is better to use Troxevasin;
  • When treating problems with veins in the rectal area, Troxevasin gel is more effective;
  • Heparin ointment is 2-3 times cheaper.

Indications for the use of Troxevasin for hemorrhoids

The official instructions recommend the use of Troxevasin capsules for the following diseases:

  • hemorrhoidal disease of any stage;
  • inflammation of the venous vessels;
  • retinopathy in diabetes mellitus;
  • varicose veins of the lower extremities;
  • trophic ulcers of the lower extremities caused by varicose veins;
  • swelling due to injuries;
  • comprehensive treatment of sprains, dislocations and bruises;

Indications for treatment with Troxevasin gel are:

  • varicose veins of the lower extremities;
  • internal and external hemorrhoids;
  • inflammation of the venous vessels;
  • thrombophlebitis;
  • edema syndrome with bruises and fractures;
  • muscle spasm.

Capsules and ointment Troxevasin for hemorrhoids are used as part of complex antihemorrhoidal therapy to normalize blood circulation in the tissues of the anus, reduce the risk of bleeding, relieve inflammation and swelling.

Description of the drug

Troxevasin is a pharmaceutical product based on troxerutin. It is produced by the company Balkanfarma. The main purpose of the drug is the treatment of diseases of the vascular system. We are talking about a venotonic and angioprotector. Some patients use the drug as a treatment, despite the lack of relevant clinical studies.

In case of inflammation of hemorrhoids, it quickly relieves the patient of unpleasant symptoms (pain, itching, bleeding) that occur against the background of venous insufficiency. The components of the drug have anti-inflammatory, antioxidant and decongestant properties.

Clinical and pharmacological group

Troxerusin (regardless of its form) is one of the representatives of the pharmacological group of angioprotectors. The presence of rutin in the semi-synthetic substitute allows the medication in question to be classified as a microcirculation corrector or phlebotonic. Bioflavonoids compounds have the following properties:

  • eliminate hemorrhages;
  • tone blood vessels;
  • increase the elasticity of internal smooth muscles;
  • saturate tissues with oxygen and beneficial microelements;
  • activate the intensity of venous blood flow.

To increase the effectiveness of the drug, ascorbic acid is used, which is a catalyst for a number of biochemical processes.

pharmachologic effect

The therapeutic and medicinal properties of troxevasin are due to the activity and properties of the key active ingredient - troxerutin. It is characterized by the following pharmacological action:

  1. Suppresses platelet activity in damaged vessels, which prevents their subsequent “gluing” and the formation of blood clots.
  2. Increases the intensity of microcirculation at the capillary level. Restores natural blood flow in problem veins.
  3. Increases the susceptibility of red blood cells due to which foci of inflammation are stopped and then suppressed.
  4. Protects the membrane structures of blood vessels from oxidative processes, thereby preventing their destruction (due to inhibition of lipid peroxidation, hydroxyl radicals).
  5. Relieves painful symptoms characteristic of venous insufficiency.

Regular use of Troxevasin gel for hemorrhoids helps reduce blood viscosity, which automatically eliminates the danger of thrombosis in inflamed areas. The drug normalizes blood flow in the pelvis and prevents the development of stagnant processes. The size of hemorrhoidal cones decreases, and after a short time they resolve.

Instructions for use of the drug

Now let's look at how to use Troxevasin gel and tablets in the treatment of hemorrhoidal disease.

Troxevasin ointment for hemorrhoids

Troxevasin gel for hemorrhoids, like any other local medicine, must be used after bowel movements and washing the anus with warm water without detergents. After hygiene procedures, dry the skin with a soft towel and wash your hands thoroughly with soap.

The medicine is applied in a thin layer to the problem area 2 times a day. Moreover, experts recommend applying Troxevasin gel for hemorrhoids not only to external hemorrhoids, but also to the skin around the anal ring.

It is strictly forbidden to introduce the gel into the rectal canal. For internal hemorrhoids, it is better to use ointment and suppositories for hemorrhoids, which contain venotonics, for example, Procto-Glivenol.

Treatment of hemorrhoids with Troxevasin capsules

Troxevasin capsules for hemorrhoids are taken orally during meals. In case of exacerbation of the disease, it is recommended to take two capsules per day. After relief of acute symptoms of hemorrhoids, the dose of Troxevasin is reduced to one capsule per day.

The duration of treatment for hemorrhoids with this drug is on average 1-1.5 months.

The frequency and duration of use of the drug can be adjusted by the attending proctologist.

Therapeutic effect of Troxevasin

The active ingredient of the drug is troxerutin, which is a semi-synthetic analogue of the natural bioflavonide rutin, which has the following properties:

  • improves blood flow through the veins;
  • reduces swelling;
  • stimulates metabolic processes in soft tissues;
  • suppresses the activity of the inflammatory process;
  • strengthens the walls of blood vessels;
  • eliminates hemorrhages.

The effectiveness of Troxevasin is significantly enhanced if it is used simultaneously with ascorbic acid (vitamin C).


In the treatment of hemorrhoids, Troxevasin capsules and gel can be used simultaneously

The mechanism of therapeutic action of the drug includes the following effects:

  • suppression of platelet activity;
  • inhibition of inflammation;
  • preventing thrombosis;
  • improvement of microcirculation;
  • decreased permeability of vascular walls;
  • increasing the elasticity of blood vessels.

The use of Trksevasin for hemorrhoids, reviews from specialists and patients confirm this, improving the outflow of blood from hemorrhoids and promoting their gradual resorption. The drug helps to quickly eliminate swelling, discomfort and pain in the anus.

Side effects of the drug

Reviews about Troxevasin say that unwanted side effects rarely occur during treatment with these drugs.

When using Troxevasin gel, some patients experienced individual intolerance in the form of itching, redness and swelling of the skin of the anal area, as well as urticaria and dermatitis. After stopping the medication, the listed manifestations of allergies disappeared without consequences.

Treatment with Troxevasin capsules is also well tolerated. In rare cases, the following side effects may occur:

  • allergy to the components of the drug (itching, Quincke's edema, urticarial rash, dermatitis and very rarely - anaphylactic shock);
  • general weakness, headaches, dizziness, insomnia;
  • abdominal pain, nausea, bloating, diarrhea.

Despite the fact that side effects during treatment with Troxevasin are rare, hemorrhoidal disease can be treated with this drug only on the recommendation of a specialist. Only a proctologist can determine the advisability of using this medicine for hemorrhoids, select the most effective treatment regimen and reduce the risk of developing undesirable effects.

Causes of hemorrhoids

The main reasons that provoke the appearance of hemorrhoids, characteristic of both men and women, are the following:

  1. long periods of standing or sitting (this is the work of drivers, office workers, etc.);
  2. improper diet, leading to intestinal problems (according to statistics, this is every third inhabitant of the planet);
  3. sedentary lifestyle;
  4. obesity;
  5. pregnancy and childbirth (in women).

The genetic cause of the development of hemorrhoids is a person’s predisposition to weakness of the venous walls. Hemorrhoids often appear in those who suffer from varicose veins, so medical specialists in this area, when treating the disease, prescribe not only medications for hemorrhoids, but also drugs to strengthen the walls of the veins and restore normal blood circulation.

Contraindications to drug treatment

Troxevasin is contraindicated if there is a history of allergies to its components. Also, the drug is not used to treat children and adolescents.

Systemic therapy with Troxevasin is not used in cases of exacerbation of gastritis, gastric and duodenal ulcers,

It is also not recommended to apply the gel form of the drug to skin that has various damage to its integrity - wounds, ulcers, erosions. In addition, you should avoid getting Troxevasin gel on the mucous membrane of the eyes and digestive tract.

Analogues of the drug

Modern pharmaceuticals are constantly advancing. The market is being updated with ever new medicinal compounds.

Among analogues of Troxevasin the following are noted:

Analogue of the drug

  • Troxerutin - complete similar composition, release form - gel, capsules.
  • Troxegel - an ointment form with troxerutin, reduces symptoms and inflammation of nodes.
  • Troxevenol is a gel with indomethocin and troxerutin that helps eliminate pain and inflammation.
  • Lyoton 1000 is an expensive heparin-based drug that helps strengthen the venous structure and improves circulation.

Troxevasin is an inexpensive medication that can be used to combat hemorrhoids and eliminate unpleasant, painful sensations. For the purpose of preventive support during treatment, a balanced diet and physical activity are recommended.

Is it possible to use Troxevasin for hemorrhoids during pregnancy?

Unfortunately, the “pregnant” period in women is often denigrated by hemorrhoids. This is due to limited physical activity, frequent constipation, hyperprogesteronemia, as well as pressure from the uterus on the vessels of the rectum.

These factors contribute to stagnation of blood in the vessels of the anus, which leads to the formation of hemorrhoids.

During pregnancy, symptoms of hemorrhoids may appear for the first time or be a manifestation of an exacerbation of the disease. But in any case, it is impossible to do without complex antihemorrhoidal therapy.

Official instructions do not recommend using Troxevasin for hemorrhoids during pregnancy in the first trimester, but from the 13th week this drug has been successfully used both for the prevention and treatment of this unpleasant disease.

Of course, the advisability of Troxevasin therapy is determined exclusively by a proctologist together with a gynecologist, when the expected effect of treatment exceeds all the risks for the fetus and the expectant mother.

Troxevasin during pregnancy is prescribed in a standard dosage, that is, two capsules per day during the acute period of hemorrhoids, and one capsule after the symptoms of the disease subside.

pharmachologic effect

Disruption of blood flow through the vessels and enlargement of the venous plexuses in the rectum bring a lot of inconvenience to the patient. The veins stretch and become overfilled with blood due to increased pressure on the pelvic organs, causing hemorrhoidal cones to appear. The causes of this condition are: unbalanced diet, obesity, bad habits, lack of physical activity, sedentary work, pregnancy and childbirth. Genetic predisposition should also not be ruled out.

Troxevasin for hemorrhoids prevents capillary fragility, normalizes venous blood flow, so the tissues of the human body receive all the necessary nutrients. Treatment with Troxevasin has a positive effect and leads to the following changes:

  • reduces tissue swelling;
  • increases smooth muscle tone;
  • eliminates pain, itching, burning, bleeding;
  • relieves inflammation;
  • inhibits the activity of platelets so that they do not concentrate in damaged vessels and blood clots do not form;
  • increases the elasticity of the skin and vascular walls;
  • heals minor injuries;
  • promotes the resorption of hemorrhoids.

Rules for dispensing from pharmacies and the cost of the drug

Troxevasin is not a prescription drug, so it is dispensed from a pharmacy without a prescription from the treating doctor. But this does not mean at all that you can self-medicate.

For your attention, the average cost of Troxevasin in Russia:

  • Troxevasin, 300 mg, 50 capsules – 350 rubles;
  • Troxevasin, 300 mg, 100 capsules – 650 rubles;
  • Troxevasin, gel 2%, 40 mg – 210 rubles.

Considering the above, we can say that Troxevasin is today on the list of the most effective drugs for the treatment of hemorrhoids, since it not only eliminates the unpleasant symptoms of the disease, but also affects its cause. But you need to understand that self-medication, even with such an effective and safe drug, is unacceptable.

Therefore, if you have to deal with hemorrhoids, immediately contact a specialist who will select effective and, most importantly, safe medications for you.

Methods for treating hemorrhoids

If the disease has not yet caused complications that will require the use of a surgical method, treatment of hemorrhoids involves:

  • elimination of edema;
  • relief of pain;
  • normalization of the bowel movement process;
  • reducing pressure in the veins in the rectal area;
  • stopping and stopping bleeding from the anus.

To effectively treat this disease, a large number of drugs, both general and local, are used today. Most often, they only remove unpleasant symptoms without affecting the cause of the disease.

However, such treatment cannot be called complete, so it is best to treat hemorrhoids under the supervision of a specialist. One of these drugs that helps strengthen the venous walls and eliminate factors that provoke hemorrhoids is Troxevasin. It comes in a variety of forms, from tablets and capsules to gel and rectal suppositories.

Troxevasin neo ointment for hemorrhoids reviews

The most important information in the article: “troxevasin for hemorrhoids reviews” and the correct interpretation.

Hemorrhoids are a serious disease in which a person experiences discomfort and pain in the anus. Its treatment is carried out using pharmaceutical drugs, folk remedies, and in extreme cases, surgery is prescribed. If the disease is in the initial stages, then you can use ointment to eliminate the symptoms. Troxevasin gel is very effective for hemorrhoids. It will relieve pain, relieve swelling and inflammation. However, you need to know how to use it correctly.

“I have been treating hemorrhoids for many years. According to statistics from the Ministry of Health, hemorrhoids can degenerate into a cancerous tumor within 2-4 years after the onset of the disease.

The main mistake is delaying! The sooner you start treating hemorrhoids, the better. There is a remedy that the Ministry of Health officially recommends for self-treatment of hemorrhoids at home, since many patients do not seek help due to lack of time or shame. This is Zdorov cream-wax based on Propolis. It is extremely effective - it removes hemorrhoids in literally a week, including even advanced cases (except for very critical ones).”

Hemorrhoids go away within a week, and the “bumps” dry up in the morning! Before going to bed, add 50 grams to a bowl of cold water. Explore the method »

In pharmacies you can buy Troxevasin ointment and capsules that are used for internal use. They contain the active component troxerutin, and the auxiliary components include trolamine, water, benzalkonium chloride and others. The ointment is sold in aluminum and plastic tubes of 40 g.

Treatment is carried out due to the positive effect of the drug on specific symptoms.

The ointment relieves swelling, helps strengthen the circulatory system, eliminates inflammation and pain, and reduces capillary fragility.

All this prevents the formation of blood clots, which often appear with hemorrhoids. The gel will also relieve itching and burning. If you use the ointment regularly, the disease will gradually recede. Troxevasin removes hemorrhoids especially quickly if used in complex treatment. Which includes enemas with herbal decoctions and special tablets. Drug treatment will benefit any person if you follow the rules of nutrition and lead an active lifestyle.

Troxevasin is quite often prescribed for hemorrhoids, but the drug is also used for other health problems.

  • swelling and injuries;
  • venous insufficiency;
  • bruises and sores;
  • feeling of heaviness in the legs;
  • muscle spasms;
  • thrombophlebitis;
  • varicose veins.

Troxevasin copes well with these unpleasant symptoms and diseases if you follow the instructions for use.

There are not many contraindications, since treatment with this drug is not considered dangerous. However, you should remember them so as not to get into an unpleasant situation.

It is not recommended to use the ointment if you have hypersensitivity to one of its components.

This will lead to an allergic reaction that will cause redness and itching of the skin, in extreme cases anaphylactic shock is possible. In addition, the gel is not recommended for use on open wounds.

The instructions and reviews indicate that Troxevasin ointment can only be used externally, that is, distributed over the skin. You need to apply a thin layer to the anus and rub in with light movements until the product is absorbed. If the ointment provokes a burning sensation or any other unpleasant sensations, then it should be washed off and refused to be used. If everything is in order, the drug will need to be used at least once a day until the disease subsides. In about a few weeks, Troxevasin will cure hemorrhoids or reduce symptoms.

If you wish, you can buy capsules of the same name. They have a similar effect, but are used internally. Treatment with them can only be carried out with the permission of a doctor.

Treatment with Troxevasin is safe, as it causes virtually no side effects. At most, redness of the skin, urticaria and dermatitis may occur if a person suddenly has an allergic reaction to one of the components. In other cases, only positive action can be seen. But capsules can negatively affect the gastrointestinal tract, as in rare cases they cause stomach pain and bloating. Therefore, it is better to use gel.

As for an overdose, it is only possible if a person takes the ointment internally. In this situation, you will need to rinse your stomach and consult a doctor.

“I have been suffering from hemorrhoids for a long time. No matter what I tried to treat him, the most that could be achieved was a temporary disappearance of symptoms. After reading reviews on the Internet about effective drugs against this disease, I decided to purchase Troxevasin. I started using it a month ago, and then within a few days the hemorrhoids decreased in size, and now they have practically disappeared. I continue treatment to this day. I hope that I will soon cure the disease completely. Larisa, 46 years old"

“My doctor advised me to buy Troxevasin, which should help defeat hemorrhoids. At the pharmacy I thought it was better to buy capsules or gel. I chose the second one because it is completely safe and, as the pharmacist suggested, more effective. I’ve been using it for a week, and for the second day now I don’t feel itching or pain in the anus. I can’t believe that the drug turned out to be so effective! Zhenya, 34 years old"

Review of the use of Troxevasin in the video:

“I have known Troxevasin for a long time, since about ten years ago I suffered from varicose veins in my legs. Then this ointment helped me a lot, so I decided to use it for hemorrhoids. As expected, the gel eliminated the symptoms in a few days, and after two weeks the hemorrhoids completely disappeared. I recommend! Oleg, 56 years old"

Troxevasin and hemorrhoids are incompatible, so this drug is often prescribed for this disease. It has a gentle effect on the skin, quickly relieves inflammation and helps to completely cure the disease. Positive reviews from people confirm the effectiveness of the gel. The main thing is to use it regularly and alternate with other medications. This way you can achieve the best effect without making much effort.

“Troxevasin” has been used for hemorrhoids for quite a long time and is very successful. The composition of the drug allows you to effectively eliminate the manifestations of the disease, and the presence of several dosage forms makes it possible to select the optimal treatment algorithm.

"Troxevasin" for hemorrhoids is produced and released in the form of capsules/tablets, gels and ointments.

Ointment for hemorrhoids "Troxevasin" is used externally, applied to nodular formations. For internal use, capsules are used, taking the drug according to the approved regimen.

The basis of the drug is troxerutin. This substance is an analogue of rutin from the group of bioflavonoids.

The list of excipients in the composition of the drug depends on the form of release of the drug.

For the treatment of proctological nodes, such a popular drug as “Troxevasin” is often prescribed.

The active substance included in the medication is given the code name troxerutin. When using the drug:

  1. Troxerutin penetrates the hemorrhoidal veins, providing improved venous blood flow.
  2. Under the influence of troxerutin, the tone of vascular smooth muscles increases, swelling decreases (due to strengthening of capillary walls), and nutrition of adjacent tissues improves.
  3. The hemorrhagic effect is reduced, which helps relieve inflammation.

Note! Ascorbic acid activates the action of rutin and troxerutin, which is why Troxevasin and vitamin C are often prescribed together.

  1. Platelet activity decreases under the influence of the drug. This prevents the development of thrombosis and the adhesion of blood vessels.

Properly organized treatment of hemorrhoids with Troxevasin provides the following positive effects:

  • reduction of pain, itching, burning and improvement of overall well-being;
  • softening and gradual resorption of formed nodes;
  • reduction of swelling.

This drug is available in various forms: gel, tablet, ointment or capsule; each of them is recommended for use at certain stages of the development of the disease

Before using Troxevasin for hemorrhoids, you should familiarize yourself with the list of diseases for which it is prescribed for external use. The list includes:

  • hemorrhoids (external, acute and chronic);
  • venous insufficiency.
  • varicose veins;
  • thrombophlebitis (superficial);
  • swelling in injuries, accompanied by pain;
  • muscle spasms.

"Troxevasin" capsules for hemorrhoids are also prescribed for internal use. They are also prescribed for treatment:

  • varicose veins, varicose ulcers and other manifestations of venous insufficiency;
  • dermatitis caused by varicose veins;
  • thrombophlebitis;
  • retinal diseases in diabetics.

If you use the drug regularly, the outflow of blood from hemorrhoidal formations improves, and the resulting lumps are reabsorbed

Along with this, capsules of this medicine can be used as an additional drug in the treatment of hemorrhoids with Troxevasin (gel/ointment), complex treatment of edema caused by sprains, bruises, etc.

It is not difficult to figure out how to use Troxevasin for hemorrhoids. The drug has a typical antihemorrhoidal action, so it is important to study the features of internal and external use.

If you have been prescribed Troxevasin gel or ointment, the instructions for use for hemorrhoids recommend using the product in this way:

  1. Before treating the affected area, it is advisable to empty your bowels naturally.
  2. Immediately before using the medicine, the perianal area is washed with warm water and dried with a napkin.
  3. “Troxevasin” gel for hemorrhoids is applied in a thin layer to the painful area (node) and adjacent areas of the skin. After this, the drug is rubbed in with even movements until it is absorbed into the skin. The light structure of the gel helps accelerate absorption and quickly reduce all unpleasant sensations.
  4. "Troxevasin" ointment for hemorrhoids is used differently. To achieve maximum effect, a small amount of ointment is applied to a sterile gauze swab, which is then applied to the hemorrhoidal area. This algorithm demonstrates the best effect in the treatment of “wetting” hemorrhoids.
  5. Both ointment and gel are usually used twice a day - once in the morning and once before going to bed.

Two percent gel for hemorrhoids is applied only to intact areas of the skin

Note! The drug in the form of an ointment or gel can only be applied to the skin without damage. Avoid contact with ulcers and open wounds. Its effect on the mucous membrane is also undesirable.

"Troxevasin" tablets for hemorrhoids and the drug in capsules are used differently:

  1. The standard dosage is 600 mg (up to two tablets per day). If necessary for the treatment of acute hemorrhoids, the dosage may be increased on the advice of a doctor.
  2. The medicine is taken orally twice a day - at breakfast and at dinner. For more effective absorption, the drug should be washed down with a small amount of boiled water.
  3. To prevent the disease and during recovery from the acute stage, tablets/capsules can be taken one at a time for a long period of time (a month or more).

Note! Tablet forms of the drug may not have a therapeutic effect if swelling and other manifestations are associated with kidney disease.

Troxevasin can be used for hemorrhoids at any stage and in almost any condition of the patient. The list of contraindications is small and includes:

  • individual intolerance to troxerutin or auxiliary components.
  • allergic reactions to angioprotectors and similar drugs;
  • skin damage and ulcers in the anal area (for external use);
  • peptic ulcer or gastritis (if taken orally).

First of all, it is worth considering that “Troxevasin” is a medication, so there is a risk of side effects

Side effects are rare. But if you drink Troxevasin uncontrollably for hemorrhoids, use can cause:

  • allergies (redness and rash of the skin);
  • skin itching;
  • Gastrointestinal disorders (nausea, flatulence, dyspepsia).

Overdose may cause nausea, vomiting, headache and changes in blood pressure. If the dose is exceeded, the stomach must be rinsed and activated carbon preparations are prescribed.

If you use Troxevasin gel, the instructions for use for hemorrhoids warn of the following negative effects:

There have been no cases of overdose with external use of this medicine in the form of a gel or ointment.

In most cases, when the drug is discontinued, side effects stop very quickly. That is why, when they appear, it is advisable to stop taking tablets / using ointment or gel and consult with your doctor.

A specialist can prescribe this medicine to the expectant mother (both for the treatment of hemorrhoids and as a prophylactic agent) if there is a risk of inflammation

A fairly common question is whether pregnant women and nursing mothers can treat hemorrhoids with Troxevasin. Here experts recommend:

  1. Capsules and gel ointment "Troxevasin" are not used during pregnancy with hemorrhoids in the first 12 weeks (first trimester).
  2. During the rest of pregnancy (from the beginning of the second trimester until childbirth), the medicine is prescribed under the strict supervision of a doctor with some caution. Most often, the drug is used to combat congestion: in this case, the effectiveness outweighs the risk of complications for the child.
  3. The same applies to the lactation period: whether it is possible to smear Troxevasin on hemorrhoids depends on the patient’s condition and how critical it is to quickly eliminate the unpleasant manifestations of the disease.

The drug is available without a prescription. Prices for it in the pharmacy chain are quite affordable:

  • “Troxevasin” gel 2% (tube 40 g) – 220–250 rubles;
  • “Troxevasin” capsules 300 mg (50 pcs.) – 410–150 rub.

List of drug analogues:

  • "Venorutinol" (gel/capsules);
  • "Troxegel";
  • "Troxerutin" (gel/capsules);
  • "Phleboton" (gel/capsules).

The use of "Troxevasin" for hemorrhoidal disease (external and internal) according to the correct scheme helps to quickly alleviate the patient's condition. At the same time, you need to be careful and avoid overdoses, especially when taking the drug orally.

After a two-week hike, external hemorrhoids appeared. I went to see a doctor at the first symptoms and was prescribed Troxevasin gel. The product helped quickly: pain and itching relieved almost immediately, hemorrhoids completely disappeared on the 4th day. After that, there were no hints of relapse for six months.

Troxevasin ointment and capsules were prescribed for the treatment of hemorrhoids. I used the ointment for a week, after which everything went away. On the advice of the doctor, I took the capsules for another 21 days, one capsule per day. There were no more symptoms of hemorrhoids, the swelling and itching were completely gone.

Many of us are familiar with the feeling of discomfort and pain associated with hemorrhoids. The hemorrhoids themselves are nothing more than a plexus of dilated veins of the rectum. The veins are stretched and filled with blood due to high pressure on the pelvic organs. Increased blood pressure can be caused by prolonged sitting at the workplace, insufficient physical activity, or an unbalanced diet.

The development of hemorrhoids is promoted by obesity, bad habits (smoking, alcohol), pregnancy and childbirth, as well as frequent constipation. All these phenomena cause disruption of venous outflow, weakness of the venous wall, and disturbances in the functioning of the musculo-ligamentous apparatus of the rectum. Therefore, one of the important directions in the complex of measures for the treatment of hemorrhoids is toning and strengthening the venous wall.

The drug Troxevasin is widely used for these purposes. The pharmaceutical industry produces the drug in various dosage forms (ointments, gels, tablets, capsules), which makes its use most effective and convenient.

Troxevasin in the form of ointments and gels is used to treat external forms of hemorrhoids. The gel and ointment base allows the drug to quickly penetrate the affected tissues and reach the maximum concentration necessary for the therapeutic effect. Ointments and gels are applied to prolapsed hemorrhoids in the anus at least twice a day, after hygiene procedures. The course of treatment is prescribed by a proctologist after the necessary examination.

Troxevasin capsules and tablets are prescribed for internal use and taken according to the regimen prescribed by the doctor. The maximum therapeutic effect is achieved with the combined use of various dosage forms of the drug (capsules + gel), while simultaneously following a diet, increasing physical activity and giving up bad habits.

Troxevasin is a drug based on a semi-synthetic substance, an analogue of the natural bioflavonoid - rutin. It improves blood circulation in the veins, tones smooth muscles, reduces the permeability of vascular walls and has a pronounced anti-inflammatory effect. The effect of go is enhanced when taken simultaneously with ascorbic acid.

Troxevasin reduces the ability of platelets to collect in damaged vessel walls, prevents them from sticking together and thereby prevents the formation of blood clots. The drug has a beneficial effect on the smallest capillary vessels, improving blood microcirculation and restoring blood circulation in damaged veins.

The walls of the venous vessels become stronger and more elastic, the outflow of blood from the hemorrhoids improves, they become smaller and gradually dissolve. Troxevasin drugs reduce blood viscosity, reducing the risk of thrombosis of hemorrhoids; in addition, they relieve swelling and discomfort such as burning and itching in the anal area.

Practice in the field of proctology shows that treatment is most effective when using two dosage forms of the drug: gel for external use and capsules for oral administration. Troxevasin is usually prescribed to take 1 capsule twice a day with the simultaneous use of 2% gel, which is soaked in a gauze swab and applied to the external nodes. Thus, the maximum concentration of the active substance in the venous vascular network is achieved. The course of such combination treatment should be continued for two weeks.

Troxevasin has the following positive effects:

  • Tones the walls of blood vessels, strengthens the mucous membrane
  • Reduces capillary permeability and fragility
  • Prevents the formation of blood clots
  • Improves venous outflow, fights congestion
  • Reduces inflammation, swelling and itching in the anal area
  • Reduces the risk of developing trophic ulcers

Troxevasin's drugs act as angioprotectors and venotonics; they are widely used for the complex treatment of hemorrhoids, varicose veins, and thrombophlebitis. In case of chronic venous insufficiency, the use of Troxevasin reduces swelling and pain, relieves cramps, and reduces the risk of trophic ulcers. For hemorrhoids, it relieves pain, itching, and stops bleeding. The drug thins the blood and prevents the formation of blood clots.

There were no negative effects of Troxevasin drugs on the nervous system. They do not cause confusion or drowsiness, so they can be confidently prescribed to those patients whose work involves quick reactions or control of machinery and vehicles.

Troxevasin capsules are yellow in color, cylindrical in shape, enclosed in a gelatin shell. Contains troxerutin powder, yellow-brown in color. 1 capsule contains 300 mg of powder. Excipients: gelatin, titanium oxide, magnesium stearate, dye, lactose monohydrate. Release form: 10 capsules in blisters, 5 pcs. blisters in cardboard packaging. The average price for the drug is from 500 rubles.

In Russian pharmacy chains you can more often find Troxevasin in capsules; it is produced in tablet form in the European Union. There is no particular difference between these dosage forms; the instructions for using capsules and tablets are the same. The duration of taking the drug is long and requires regular repetition of courses. Usually tablets or capsules are taken for a month; after a four-month break, the course of treatment with the drug should be continued.

This treatment regimen helps to cope with the progression of venous insufficiency and, over time, partially restore damaged vessels. Gel (ointment) Troxevasin 2% for external use. Homogeneous substance of yellowish-brown or golden color, odorless. 1 g of gel contains 20 mg of troxerutin. Excipients: triethanolamine, carbomer, benzalkonium chloride, disodium EDTA, distilled water. Available in aluminum tubes of 40 g, 1 tube in a cardboard box. Average price for drugs: troxevasin ointment - from 48 rubles, troxevasin gel - from 160 rubles.

Troxevasin gel and ointment are used to treat the following diseases:

  • Venous insufficiency
  • Haemorrhoids
  • Phlebeurysm
  • Phlebitis, superficial thrombophlebitis
  • Swelling and pain from injuries
  • Muscle spasms

Troxevasin capsules are prescribed for:

  • Hemorrhoids
  • Phlebitis and thrombophlebitis
  • Retinopathy (retinal disease) in patients with diabetes
  • Chronic venous insufficiency, varicose veins and varicose ulcers
  • Swelling and pain due to injuries
  • Varicose dermatitis
  • Combined treatment of dislocations, sprains, to eliminate muscle spasms

Troxevasin capsules are taken orally during meals with a sufficient amount of liquid. The therapeutic dose of the drug is 2 capsules per day (600 mg), if necessary, increase the dose. For maintenance therapy, it is enough to take 1 capsule of the drug daily for a month or more. It should be noted that Troxevasin capsules have no effect on edema caused by diseases of the kidneys, liver or cardiovascular system. The drug is not used in patients with lactose deficiency; it is prescribed with caution for diseases of the gallbladder and liver.

The gel or ointment is used twice a day, morning and evening, and is intended for topical use. The drugs are applied after defecation and the necessary hygienic procedures. The gel is applied in a thin layer to the affected areas and distributed on the skin with light massaging movements until complete penetration. The ointment can be soaked into gauze swabs and applied to hemorrhoids. Gels and ointments should be applied only to an intact surface, and should not be allowed to come into contact with mucous membranes, open wounds or ulcers.

Troxevasin ointment has an enveloping effect and in a short time penetrates deeply into the tissue, does not spread and quickly alleviates the patient’s condition. The ointment has proven itself in the treatment of “wetting” hemorrhoids, reducing discharge from the rectum and tightening the wounds. The gel has a lighter structure, is perfectly absorbed and has the most effective effect.

When taking Troxevasin capsules, adverse events are quite rare. These may be disorders of the digestive tract: dyspepsia, nausea, diarrhea, flatulence. Sleep disturbances and headaches are sometimes observed. Allergic reactions are possible - hives and skin itching.

In rare cases, skin reactions to the gel or ointment are observed: rash, redness, itching, manifestations of dermatitis. After discontinuation of the drug, all symptoms quickly disappear. If undesirable manifestations occur while using the drugs, you must immediately inform your doctor, who will adjust the treatment methods and select another drug.

Troxevasin preparations have a number of contraindications: Capsules are not prescribed for stomach and duodenal ulcers, chronic gastritis during an exacerbation of the disease, or hypersensitivity to troxerutin. Taking capsules is contraindicated in the first trimester of pregnancy. Use with caution in renal failure and liver diseases. Gels and ointments are contraindicated in case of allergic reactions and hypersensitivity to the components of the drugs. Drugs are prescribed with caution to patients under 15 years of age. For diseases accompanied by increased permeability of blood vessels, troxevasin drugs are prescribed simultaneously with ascorbic acid.

During pregnancy and breastfeeding, the use of Troxevasin is limited. It is not prescribed in the first months of pregnancy. In the second and third trimester of pregnancy and during breastfeeding, Troxevasin is used in cases where the therapeutic effect of taking the drug significantly exceeds the risk of complications in the mother and child.

The prescription of Troxevasin during pregnancy is justified in cases where there are pronounced manifestations of congestion in the pelvic area. This may include itching, pain, disturbances in bowel movements (constipation), inflammation and the growth of hemorrhoids. Taking the drugs significantly alleviates the condition of pregnant women, improves blood circulation in the pelvic organs, strengthens the venous wall and helps to quickly and painlessly reduce hemorrhoids.

In case of an overdose of troxevasin drugs, the following symptoms are observed: headache, nausea, vomiting, nervous agitation, flushing of the face. In this case, the patient is given symptomatic therapy, gastric lavage is performed and activated charcoal is prescribed. There are no registered cases of overdose with topical drugs (ointments, gels).

With regard to the gel and ointment, no cases of interaction with other medicinal products have been identified. The effect of Troxevasin capsules is enhanced by ascorbic acid. Their simultaneous use helps to quickly strengthen the vascular wall and reduce its permeability, and therefore increases the effectiveness of treatment as a whole.

Numerous reviews from patients who used Troxevasin drugs for treatment indicate that they have won the trust of people of different ages and are in great demand among the population. These drugs have found their place in the home medicine cabinets of almost every family due to their high therapeutic effectiveness, absence of serious side effects and affordable price.

The use of Troxevasin drugs for hemorrhoids allows you to overcome the disease in a short time, relieve pain and discomfort and again feel full of strength and health. At the same time, it is worth remembering that these medications should be prescribed by a doctor after examination and clarification of the diagnosis; you cannot self-medicate!

Hemorrhoids have been haunting me since 2009. In spring and autumn there are constant exacerbations, the bumps become inflamed, hurt, bloody discharge appears, and there is constant itching. In general, there is little good. She was first treated with suppositories with sea buckthorn, Relief, and Gepatrombin ointment. The relief was temporary, but then the disease returned. On the doctor’s advice, I began taking Troxevasin capsules in courses and at the same time lubricating the inflamed nodes with 2% Troxevasin gel.

After just a week of use I felt a significant improvement. I used the gel for about 2 weeks, took 1 capsule twice a day with meals. Then for another two weeks I took 1 capsule of Troxevasin per day. The nodes have significantly decreased in size, unpleasant symptoms and itching have disappeared. Now I undergo maintenance treatment with Troxevasin twice a year: in spring and autumn. I feel fine, the previous exacerbations no longer occur.

The doctor diagnosed me with stage 2 hemorrhoids. I constantly felt discomfort, bumps appeared in the anus, and I was tormented by constipation. The treatment began with normalization of stool, on the advice of the doctor, he began to eat properly, and increased physical mobility. I took a course of therapeutic exercises and tried to move more. I gave up smoking, although it was not easy. He was treated with Anuzol suppositories and troxevasin ointment. The ointment was applied to the inflamed nodes at night, after the evening toilet. To do this, I applied the ointment to a gauze pad and kept it on the affected area for about 40 minutes. The treatment helped, I feel better, the nodes began to bother me less, the pain and discomfort went away.

Mikhail, 56 years old, St. Petersburg

She treated hemorrhoids with Troxevasin capsules. There are improvements, although they need to be taken for quite a long time, about a month. Yes, and they are not cheap, but they really help, the doctor explained that the drug strengthens blood vessels and reduces nodes. In addition, now the swelling and redness in the anus have disappeared and the pain has stopped. Capsules need to be taken in courses; you can simultaneously smear the nodes with troxevasin ointment or gel. I like the gel better.

It is light, odorless, absorbs instantly, leaves no residue, and immediately relieves itching. I applied it twice a day, and also took capsules twice, during breakfast and dinner, with plenty of liquid. I think that treatment with Troxevasin really helps.

Svetlana, 48 years old - Novosibirsk

Troxevasin capsules did not work for me; after I started taking them, I developed headaches, nausea, and stomach pain. I have chronic gastritis, the doctor stopped this drug for me. I am treated only with suppositories and ointments for hemorrhoids. I tried troxevasin ointment, there were no side effects. Tablets are of course more convenient, you can take them at work or on the road, and before using the ointment you need to empty your intestines and carry out hygiene procedures.

That is, you can use ointment, like candles, only at home. I was treated in the evening and applied ointment before going to bed. I think that there is a result, there are fewer unpleasant sensations, bleeding during bowel movements has stopped, the itching has disappeared, I don’t feel any nodes. I will continue treatment.

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