10 best remedies for varicose veins

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

Varicose veins of the lower extremities, colloquially called varicose veins, is a manifestation of chronic venous insufficiency of the vessels of the legs. This violation is associated with the development of insufficiency of the valve system of the veins, which helps to raise blood from the bottom up against gravity and return it to the rights of the heart, which is accompanied by various circulatory disorders, followed by trophic disorders in the skin and subcutaneous tissue.

Varicose veins are characterized by the gradual appearance of varicose veins, their tortuosity occurs. This pathology is diagnosed in a quarter of the entire adult population. Varicose veins can be considered a female disease, since the number of men is three times less, and this is due to regular fluctuations in hormonal levels and the subsequent onset of menopause. The older a woman is, the higher her risk of illness is.

The most common symptoms of varicose veins are swelling in the lower legs, a feeling of heaviness, fatigue and fullness in the legs, especially in the evening. Then a spider veins, or asterisks on the skin, appear, which are called telangiectasias, and neurological disorders such as paresthesias occur: a feeling of crawling (creeping), numbness and tingling.

Varicose veins are characterized by cramps in the legs, mainly in the calves at night. Subsequently, severe trophic disorders and chronic, long-term non-healing ulcers develop, which lead to disability. The sad result of long-term and untreated varicose veins is acute venous thrombosis, thrombophlebitis, and possibly pulmonary embolism, which may even be the immediate cause of death.

Treatment of varicose veins should begin with preventive measures and lifestyle modifications, reducing the load on the legs, with the correct mode of work and rest. Currently, there are several groups of drugs that are used to treat chronic venous insufficiency, and are most beneficial in the initial stages of the development of the disease. These are phlebotonics that prevent excessive varicose veins and disorders of the valve system, these are drugs from the NSAID group that reduce the symptoms of secondary inflammation, these are agents that affect the vessels and reduce the permeability of their walls and other drugs for varicose veins.

This rating includes representatives of groups of drugs for the treatment of varicose veins, which have long been successfully used at various stages of the disease, and, in combination with non-drug methods of treatment and prevention, can lead to stabilization of the condition, and even to the patient's recovery without the need for surgery. The rating is opened by drugs from the venotonic group.

Rating of the best remedies for varicose veins (creams, ointments, tablets)

Nomination	a place	Name of product	price
The best phlebotonics, or venotonic drugs	1	Detralex (Venarus, Phlebaven, Phlebodios)	RUB 633
	2	Venoplant (Aescin, Eskuzan)	425 RUB
	3	Venoruton (rutoside)	RUB 128
	4	Glivenol (tribenoside)	439 r
The best non-steroidal anti-inflammatory drugs (NSAIDs) for varicose veins	1	Diclofenac (Voltaren)	202 RUB
	2	Movalis, Amelotex, Mirlox, Movasin, Revmart, Flexibon, Artrozan (meloxicam)	687 r
	3	Ketonal (ketoprofen)	118 RUB
The best anticoagulants and antiplatelet agents for varicose veins	1	Cardiomagnet (ASK)	142 RUB
	2	Curantil (dipyridamole)	RUB 608
	3	Trental 400 (pentoxifylline)	658 r

The best phlebotonics, or venotonic drugs

Venotonics, or phlebotonics, allow at the initial stage of the disease to prevent violations of the valve apparatus of the veins, or to compensate for its insufficient work. Physiologically, blood normally moves up the veins, against the gradient of gravity, because the muscles in the lower leg contract, which push the blood upward. The valves on the inner surface of the vessels do not allow the blood to return back. Under the influence of various provoking factors, the valve system becomes unusable, and reverse, or retrograde, blood flow occurs. Excess blood goes into the superficial venous vessels, their walls are overstretched, sweating of the liquid part of the blood occurs in the tissue with the appearance of edema.

The task of venotonics is to keep the vessels in an active state, and to protect them from overstretching. As a result, the valve walls are close to each other and continue to function fully. Most of the drugs for the treatment of varicose veins from this group contain natural compounds isolated from medicinal plants.

Detralex (Venarus, Phlebaven, Phlebodios)

Rating: 4.9

This medicine for varicose veins belongs to venotonics, with a protective effect on blood vessels, or a venoprotective effect. The alkaloids diosmin and hesperidin are considered to be active substances. In nature, hesperidin is found in the peel of fruits of the citrus family, the highest concentration is in oranges. And diosmin is nothing more than a semi-synthetic, or human-modified hesperidin. Its effect on blood vessels is much stronger than the original natural product.

Each Detralex tablet contains 500 mg of flavonoids, and this drug for the treatment of varicose veins has proven efficacy, confirmed in the results of numerous clinical studies. This medicine for varicose veins reduces the time for blood to pass through the venous vessels, increases the resistance of the capillaries of the lower extremities to increased pressure, which prevents the release of blood plasma, and alleviates the initial symptoms of varicose veins.

Shown Detralex and its analogs for all of the above symptoms in the introduction, and in the complex therapy of acute hemorrhoids, which is also a vascular pathology. Detralex is used for varicose veins twice a day, one tablet in the morning and one in the evening, during meals. Detralex and its analogs are indicated for course, long-term use, which can last up to several months, and even up to a year. The French company Servier produces Detralex, and one package for a monthly intake can be purchased for 680 rubles. Detralex is also available as an ointment and cream.

Advantages and disadvantages

The disadvantages of Detralex and its analogues, however, like all venotonics, include the slow action of the drug. The patient will not have symptom relief after a few hours, or even the day after starting the dose. At least a few days should pass. The drug can have quite often pronounced side effects in the form of diarrhea, nausea and vomiting, especially when taken in dosages exceeding the indicated value. Of course, the positive effects include the absence of drug interactions, the ability to take the drug to pregnant women, a large number of studies, and the high quality of raw materials.

In pharmacies, you can find many products that contain only diosmin. So, you can buy the actual diosmin tablets, Vasoket or Phlebodia 600 preparations, which contain only diosmin. But, according to doctors' reviews, and according to research, it is the combination of diosmin and hesperidin that will be more effective than the use of monocomponent bioflavonoids.

Venoplant (Aescin, Eskuzan)

Rating: 4.8

In addition to bioflavonoids, venotonic drugs include preparations containing saponins or glycoside compounds, the main action of which is to prevent excessive capillary permeability and reduce edema. The Venoplant drug belongs to such remedies for varicose veins.

The active ingredient of Venoplant is a dry extract of horse chestnut seeds, which contains various glycosides, mainly escin, the strongest active ingredient. One 50 mg tablet is taken 2 times a day, morning and evening. The maximum course of admission should not exceed 3-4 months, as prescribed by a doctor. Venoplant is indicated for various stages of venous insufficiency, with edema in the legs and with cramps of the calf muscles. The total effect of Venoplant is angioprotective, anti-inflammatory and decongestant. This drug for the treatment of varicose veins is produced by the German company Doctor Wilmar Schwabe, and you can buy Venoplant in a pharmacy for 400 rubles, one package is enough for 10 days of admission (20 tablets per package).

Advantages and disadvantages

Venoplant has a significant drawback, which can, however, be decisive: it is its relative high cost. A monthly course of the drug for the treatment of varicose veins will cost 1200 rubles, and even then, if you can find it in the pharmacy at the lowest price. In addition, the remedy, however, like all other venotonics, will no longer help if the venous insufficiency has exceeded the third degree of severity, and trophic ulcers have developed.

Side effects such as allergic reactions, nausea and dizziness may occur. Venoplant is not indicated for admission until the age of 18, simply due to the lack of necessary research. As for the advantages, this medicine may well be used both independently, in the initial stages of varicose veins, together with lifestyle modification, and in complex therapy, and brings significant relief to the patient.

Venoruton (rutoside)

Rating: 4.7

The main active ingredient of the drug is rutoside, which also belongs to angioprotectors. Rutoside is a derivative of rutin, a relative of vitamin P, and its precursor rutin is found in many plants, citrus fruits, grapes and cherries, apples and apricots.

One capsule contains 300 mg of rutoside, and the effect of rutoside is reduced to a change in a special loose substance, or matrix, which binds together the cells lining the capillaries from the inside – the endothelium. As a result, the pores between the cells are reduced and the capillary permeability decreases, which leads to a decrease in edema. Rutozid contributes to the provision of a mild anti-inflammatory effect, and reduces symptoms in varicose veins and in advanced stages of chronic venous insufficiency. It is indicated for the treatment of acute hemorrhoids, diabetic vascular disorders, indicated for use in phlebitis, and in pathology of the lymphatic system.

The medicine is applied, one capsule three times a day, with meals. The first signs of relief should be expected after about 10 days. After this, the dose is reduced to 2 capsules per day.

Venoruton is produced by Novartis – it can be its various divisions, both Swiss and Spanish or Indian. For 50 capsules with a dosage of 300 mg, you will have to pay from 815 rubles. The cost of the Venoplant ointment (cream) is 425 rubles.

Advantages and disadvantages

The advantages of Venoruton include its ability to help patients even with advanced stages of vascular insufficiency, in the presence of trophic ulcers, and with inflammation of the venous wall, with pathology of the lymphatic system. In total, there are about 20 different indications associated with the use of this drug. The disadvantages of Venoruton include side effects such as heartburn and nausea, skin rashes and possible hot flashes, a feeling of heat. The drug is contraindicated in the first trimester of pregnancy, but in general, the drug for varicose veins is well tolerated and significantly improves the prognosis, especially when used in combination therapy with other drugs. This allowed him to be included in the rating of popular and effective remedies.

Glivenol (tribenoside)

Rating: 4.7

Another popular drug that entered the rating of drugs for the treatment of varicose veins is Venotonic Glivenol. It contains tribenoside, each capsule contains 400 mg of this substance. Tribenoside acts on the tissue surrounding the capillaries, which begins to prevent the flow of blood fluid into the intervascular space, and suppresses the inflammation that sooner or later develops in patients with varicose veins. Glivenol increases the capacity for microvasculature reserves, and this helps to reduce venous congestion. The effectiveness of tribenoside is associated with its antagonism with respect to biogenic amines, primarily with bradykinin.

Glivenol is indicated primarily in patients with swelling and pain as the main symptoms. This tool can be successfully used in the complex therapy of inflammatory complications, such as phlebitis and periphlebitis, that is, inflammation of the veins and peri-venous tissue, as well as for prophylaxis and after endovascular laser correction, or sclerotherapy. A popular form is also available in the form of rectal suppositories, or suppositories with anesthesin, for the treatment of hemorrhoids.

You need to use the product one capsule twice a day, the course should last at least two weeks. The cost of Glivenol is approximately 140 rubles. for a package of 20 capsules, and this drug is produced by the German company R.P. Scherer. The cost of the ointment (cream) Glivenol is 490 rubles.

Advantages and disadvantages

The advantages of this remedy for varicose veins include the low cost, sufficient effectiveness, especially with edema and pain, and the disadvantages are certain interruptions in the receipt of this remedy in the retail pharmacy sale, such side effects as an allergic rash and gastrointestinal disorders, as well as a ban use the drug in the first trimester of pregnancy.

The best non-steroidal anti-inflammatory drugs (NSAIDs) for varicose veins

All non-steroidal anti-inflammatory drugs, the simplest representative of which is the usual acetylsalicylic acid, or aspirin, help to reduce the symptoms of inflammation, relieve pain, and stop the signs of fever – help to reduce high fever. But not all representatives of this group have these abilities expressed in the same way. For the treatment of chronic venous insufficiency, mainly those representatives of NSAIDs are used that are most able to reduce inflammation, that is, relieve swelling, pain, redness and a feeling of local heat with the progression of varicose veins.

A general condition for taking these drugs will be the need for short courses. Even during an exacerbation, it is not recommended to use these drugs for more than a week. In the first 2-3 days, with especially pronounced symptoms, you can use the agent in the form of intramuscular injections, and then switch to tablet forms. All NSAIDs, to varying degrees, are capable of aggravating gastric ulcer and duodenal ulcer, promote ulceration in the gastrointestinal tract, or have an ulcerogenic effect. Of course, modern drugs are safer, but all the same, in patients with a history of ulcers or an unfavorable background in relation to the gastrointestinal tract, it is necessary to use drugs such as omeprazole for prophylaxis during the appointment of NSAIDs. That is why their use must be approved by the attending physician. Consider the most effective remedies that are included in the rating of drugs for the treatment of varicose veins.

Diclofenac (Voltaren)

Rating: 4.9

Voltaren contains the active ingredient diclofenac sodium. Diclofenac, despite its rather long-term use in medicine and the smallest safety spectrum, has a very strong anti-inflammatory effect. All NSAIDs are pathogenetic agents of therapy, that is, they affect not only the reduction of the symptoms of varicose veins, but also suppress the mechanism of secondary inflammation. Therefore, Voltaren is used in complicated and advanced stages of the disease. In the initial stages, as a rule, it is not applied. One tablet of Voltaren contains 50 mg of diclofenac sodium, and is used in short courses, starting with a dosage of one tablet twice a day. In some cases, the dose may be increased, but only on the recommendation of the attending physician. Voltaren is produced by the well-known pharmaceutical company Novartis, and one pack of 20 tablets, designed for 10 days of admission, costs 230 rubles. The cost of Voltaren ointment (cream) – 589 rubles.

Of course, you can purchase exactly the same package of diclofenac at a price of 31 rubles. produced by the domestic company Hemofarm, but it is up to the patient himself to judge the comparison of the quality and effectiveness of these two drugs included in the rating of varicose veins.

Advantages and disadvantages

The advantages of Voltaren include its rapid relief of the symptoms of inflammation, the effect begins in just a few hours. But at the same time, Voltaren is contraindicated in a number of diseases, such as stomach ulcers, bronchial asthma and aspirin intolerance. There is a prohibition to take the drug during pregnancy and lactation, there are restrictions on the intake for violations of liver and kidney function, a number of other subtleties, which can only be assessed and concluded about the need to prescribe this drug by a doctor.

Movalis, Amelotex, Mirlox, Movasin, Revmart, Flexibon, Artrozan (meloxicam)

Rating: 4.8

Meloxicam is considered a very popular anti-inflammatory agent, which is used in various branches of medicine: in rheumatology, in diseases of the musculoskeletal system, and, in particular, in severe stages of chronic venous insufficiency of the lower extremities. In a retail pharmacy, you can buy meloxicam, which is produced by many companies, but Movalis is an original drug that first appeared on the market, there is a maximum number of studies and an extensive evidence base for it.

Each tablet contains 15 or 7.5 mg of meloxicam, and this agent has a strong anti-inflammatory effect at all stages of inflammation. Its mechanism is an obstacle to the synthesis of prostaglandins, which, accumulating in the inflammatory focus, lead to the appearance of redness, pain, swelling and dysfunction. Taking Movalis tablets must be carried out in a dosage that does not exceed 15 mg per day for adults. Therefore, it is advisable to divide this dose into 2 equal doses and a 7.5 mg dosage is recommended. This tool is used in a short course, the German company Boehringer Ingelheim produces Movalis, and the cost of one package with a dosage of 7.5 mg number 20, calculated for 10 days of use, costs from 550 rubles. The cost of Movalis ointment (cream) is 687 rubles.

Advantages and disadvantages

The advantages of Movalis include a more reliable spectrum of safety than Voltaren, since it is the next generation drug for the treatment of varicose veins. Movalis acts quickly, and in the complex therapy of progressive venous insufficiency associated with the development of concomitant inflammation, it significantly stops the progression of the process and improves the quality of life. But at the same time, like all NSAIDs, Movalis should be used with extreme caution in patients with diseases of the gastrointestinal tract, is contraindicated during pregnancy and breastfeeding, with intolerance, with aspirin asthma and with intestinal damage in the form of ulcerative colitis, with cardiac failure, and in many other conditions. Therefore, before the first use, it is imperative to consult a doctor. Movalis is considered a tool of a rather high price category, which can make it difficult to use it by wide groups of the population.

Ketonal (ketoprofen)

Rating: 4.7

Ketonal, or ketoprofen, belongs to a different family of NSAIDs, propionic acid derivatives, and is considered a close relative of ibuprofen, but of a newer generation. It is available in capsules of 50 mg of the active ingredient, or in tablets, with twice the dosage. There are also extended-release pills that affect the body over a longer period of time. They contain 150 mg of ketoprofen.

In addition to the symptoms of active inflammation, which occur with the progression of chronic venous insufficiency, and are manifested by varicose dermatitis and more serious symptoms, Ketonal is indicated for many rheumatic lesions, for gout, for diseases of the musculoskeletal system, as well as for the elimination of pain syndrome of various etiologies, for example, headache and toothache.

The maximum dose of ketoprofen should not exceed 200 mg per day, and capsules are usually prescribed, which are used one or two at once up to 3 times a day. Ketonal is produced in tablets and capsules by the LEK company from Slovenia, and one pack of 25 capsules can be purchased for only 84 rubles, which is obviously considered a low price for most Russians. The cost of Ketonal ointment (cream) – 346 rubles.

Advantages and disadvantages

The advantages of ketoprofen include wide availability and low cost, rather high efficiency, especially in relation to mild and moderate severity of pain. The negative point is a slight effect on puffiness, and a wide range of side effects. Most often they are manifested by nausea, vomiting, and pain in the abdomen. This drug, like other NSAIDs, is contraindicated in exacerbation of gastric ulcer and duodenal ulcer, in aspirin bronchial asthma, in severe liver and kidney pathology, and in many other conditions, including in children under 15 years of age, when breastfeeding and in the third trimester of pregnancy. As with other NSAIDs, the first dose of Ketonal should be prescribed by a doctor.

The best anticoagulants and antiplatelet agents for varicose veins

Agents from this group, strictly speaking, are not specific agents for the treatment of chronic venous insufficiency. But they reduce the viscosity of the blood, and prevent the adhesion of formed elements, for example, acetylsalicylic acid, prevent the formation of clots from platelets, and prevent the mechanism of triggering thrombus formation inside the venous vessels.

Of course, antiplatelet agents need to be used by everyone who has no contraindications and who have reached the age of 40 – 45, primarily for the prevention of coronary heart disease, intravascular thrombosis of cerebral vessels, for the prevention of stroke. In case of varicose veins, these funds help prevent various complications, which are associated, first of all, with intravascular thrombosis, and lead to the development of phlebitis, and subsequently to the formation of trophic ulcers.

In the event that the patient is diagnosed with the initial stage of varicose veins, and there are no far-reaching symptoms, but only fatigue in the legs by the end of the working day, periodic swelling, and pain associated with physical activity, then these drugs will not be a priority in treatment varicose veins. Their task is to prevent complications with an already advanced stage of the disease.

Cardiomagnet (ASK)

Rating: 4.9

Cardiomagnyl is a common acetylsalicylic acid (ASA), just magnesium hydroxide is added to the tablet. Cardiomagnet has the same antiaggregatory pharmacological effect on platelets as other doses of ASA. Taking ASA in small doses – 75 or 150 mg – has been proven to reduce the risk of cardiovascular accidents and vascular thrombosis. At the same time, the manufacturers claim that Cardiomagnet is a 'cardiac aspirin' in an enteric form, and since it bypasses the stomach and does not dissolve in gastric juice, it does not affect the ulcer formation processes.

Cardiomagnet is used once a day, one tablet at a time. In the primary prevention of thrombosis, a maximum dosage of 150 mg per day is first prescribed, and then a maintenance dosage in a reduced dose. Naturally, the action of acetylsalicylic acid is systemic, and it will protect and protect all organs from possible thrombosis. Cardiomagnyl is produced by the German company Takeda, and it is possible to purchase a bottle designed for monthly use with a dosage of 75 mg for 100 rubles, and with a double dosage – for 170 rubles.

Advantages and disadvantages

The advantage of Cardiomagnyl, and like any other quality preparation containing low doses of acetylsalicylic acid, is a proven effect on reducing thrombosis and the development of heart attack, stroke, vascular thrombosis of the lower extremities. The disadvantage will be the dubious effectiveness of the enteric form. The fact is that ASA, like all other non-steroidal anti-inflammatory substances that can induce the formation of ulcers, or have an ulcerogenic effect, do this, already absorbed into the blood. Therefore, it is not of great fundamental importance whether Cardiomagnet is absorbed in the stomach or duodenum, or in the small intestine.

Therefore, we can safely consider the enteric form as a delicate commercial move to improve sales. There are scientific studies in which it has been proven that the direct administration of acetylsalicylic acid directly into the bloodstream also led to an exacerbation of peptic ulcer disease, bypassing the gastrointestinal tract altogether. Therefore, in fact, the patient overpays for the enteric form, but this cost is not so great, and the preventive effect of taking this drug is significant.

Curantil (dipyridamole)

Rating: 4.8

Kurantil has a slightly different mechanism of action. The result of this drug is the same as that of acetylsalicylic acid, namely, the prevention of platelet aggregation, and the prevention of sludge formation (sticking them together), but the mechanism of action of this drug is slightly different. In addition to antiaggregatory action, Curantil produces an angioprotective and immunomodulatory effect. It is a non-specific activator of the interferon system and increases the antiviral activity of the immune system. This is considered an important factor, since in patients with advanced stages of chronic venous insufficiency, with the presence of varicose dermatitis and trophic ulcers, as a rule, the immune background is reduced, and any bacterial and viral infections can easily enter the body.

As in the case of Cardiomagnyl, Curantil is indicated not only for the prevention of arterial and venous thrombosis and thromboembolism, but also for the treatment and prevention of strokes, heart attacks, as part of complex therapy – for any microcirculation disorders, for example, Raynaud's disease. This drug is used for varicose veins to improve the rheological properties of blood in a dosage of 1 to 3 tablets per day, and according to the doctor's prescription and in severe cases, the dose can be increased to 600 mg.

Curantil is produced by the German company Berlin-Chemie, and a package of 40 tablets with a dosage of 75 mg can be purchased, starting at a cost of 620 rubles.

Advantages and disadvantages

The advantages of Curantil include a complex action, which is accompanied by an immunomodulatory effect. This is a rather pleasant surprise for patients, this remedy even has indications for taking during an epidemic of influenza and ARVI as a means of prevention. Side effects include nausea and vomiting with diarrhea, but they occur extremely rarely. Curantil can be used during pregnancy and breastfeeding, but only as directed by a doctor. Contraindications include hypersensitivity and severe heart disease such as acute heart attack, progressive angina pectoris, chronic progressive liver and kidney damage.

We can say that Curantil is a drug that does not have the disadvantages of non-steroidal anti-inflammatory drugs, and is not capable of leading to an exacerbation of stomach and duodenal ulcers to such an extent. This is another big plus of this wonderful medicine for the prevention of venous thrombosis with varicose veins.

Trental 400 (pentoxifylline)

Rating: 4.7

We present to your attention a third drug that improves the rheological properties of blood, and is successfully used in various stages of varicose veins of the lower extremities. The active ingredient in Trental 400 is pentoxifylline, which is a vasodilating agent.

Each tablet contains 400 mg of pentoxifylline, and the effect it exerts is a complex effect on the blood corpuscles. It stabilizes the membranes of red blood cells, reduces the clumping of erythrocyte platelets, it reduces the concentration of fibrinogen in the blood, which precipitates in the form of fibrin filaments, forming blood clots. No other drug in the rating has such an effect. Trental 400 reduces the activity of leukocytes and their migration to the site of inflammation.

Along the way, pentoxifylline improves microcirculation, where it is disturbed, that is, in the area of ​​the capillary network of the superficial veins of the lower extremities. This remedy is used in patients with impaired patency of the arteries of the lower extremities. In this case, lameness disappears in these patients, the severity of seizures at night decreases, and the distance of comfortable walking increases.

Shown Trental 400 with severe circulatory disorders in the lower extremities, in the presence of trophic ulcers, and even with the onset of gangrene. Trental 400 is used, one tablet two or three times a day, but no more than 3 tablets. Trental 400 is produced by the Indian company Aventis Pharma, and one package of 60 tablets can be purchased for 1340 rubles. A package of 20 tablets will cost 540 rubles.

Advantages and disadvantages

The advantages of Trental 400 include its ability to fight stubbornly against thrombosis in the entire bloodstream, but only in its arterial and venous sections, but also in the capillary. This remedy is able to fight circulatory disorders even in the most severe and advanced cases. It is important that blood pressure should be monitored during drug treatment. Special monitoring is necessary for patients with diabetes mellitus, since taking Trental 400 can cause them a strong drop in blood glucose levels. But Trental 400 has side effects such as headache, tachycardia, dry mouth, itchy skin. But the frequency of their occurrence is low and associated with a high dose. Trental 400 should only be used as directed by a physician, as it has many interactions with other medications. These are hypoglycemic agents, antibacterial drugs, and blood pressure lowering agents. The subtleties of interaction and dosage should be understood by a specialist.

Conclusion

There are many more different drugs, especially forms for topical use, which are indicated in the treatment of varicose veins and the initial stages of chronic insufficiency of the veins of the lower extremities. These are ointments, creams and gels. Among them are heparin ointment, Troxerutin, Liotongel, Troxevasin and Hepatrombin. Many medicines from the phlebotonics group have topical forms. In the treatment of varicose veins, agents with antioxidant activity are widely used, which improve energy and cellular metabolism.

But according to statistics, in 70% of cases it is possible to achieve a stable remission, and even the reverse development of the symptoms of varicose veins at the initial stages of the development of the disease, without the use of drugs at all, but only with the help of lifestyle modification, elimination of bad habits, and normalization of the work and rest regime. In addition, from non-drug methods, wearing a zero-grade compression hosiery is shown for preventive purposes. Of great importance in the timely diagnosis of violations of the valve apparatus of the veins of the lower extremities is a planned ultrasound of the vessels of the lower extremities, followed by a consultation with a phlebologist. It is desirable to undergo such a study annually, both for men and women who have reached the age of forty.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.