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The use of troxerutin gel for hemorrhoids in men

The main cause of hemorrhoids is a decrease in the tone of the veins in the pelvic and rectal organs, because of which the volume of their internal lumen increases, the walls of the vessels become thinner, and at the same time the speed with which the blood moves through the veins slows down. All this in total increases the risk of blood clotting and blood clots. And if this process affects the hemorrhoidal nodes, they become inflamed. In what cases is Troxerutin prescribed for hemorrhoids.

Composition and description

The composition of Troxerutin includes:

  • troxerutin
  • pharmacological basis (cellulose, medical petroleum jelly, lactose monohydrate and other components that do not have a therapeutic effect).

The active substance troxerutin is a classic angioprotector that stimulates intercellular metabolic processes in the walls of blood vessels. Along with this, under its action, the elasticity of blood vessels increases, the permeability of their walls decreases, which prevents their ruptures.

Troxerutin also stimulates the absorption of vitamin P, which just strengthens the walls of blood vessels. However, it also prevents the oxidation of ascorbic acid, which enhances the immune response from the vascular system.

In fact, this drug does not eliminate the painful symptoms of hemorrhoids, but struggles with the main cause of the disease - with the deterioration of the veins, with venous insufficiency.

Release Forms

Troxerutin is available in two forms:

  • gel for external use (20 mg of active ingredient per 1 g of gel),
  • tablets (each capsule contains 300 mg of troxerutin).

The advantages of the gel include the fact that it begins to act literally 1.5–2 hours after application. According to studies, already after this period of time there is a change in the balance of lipids in the treated area of ​​the epithelium, which indicates a change in metabolic configuration. But the tablets act only after 12-24 hours when they reach their maximum concentration in the body.

But in the treatment of hemorrhoids, a combination of tablets (oral administration) with a gel (locally) is allowed. Such therapy gives the best and fastest effect. The main thing is to undergo a full course of treatment to minimize the likelihood of a relapse of the disease. Even if the symptoms of hemorrhoids disappear after 5-10 days of therapy, continue it should be exactly as much as indicated by the attending physician.


According to the official instructions, the indication for the use of Troxerutin is the presence of the following diseases and symptoms:

  • venous insufficiency
  • pre-varicose and varicose syndrome,
  • phlebitis, thrombophlebitis,
  • hemorrhoids,
  • varicose dermatitis,
  • tonic muscle cramps of the lower extremities.

Also, this drug can be prescribed for the complex treatment of heart failure.

Contraindications and side effects

The following diseases are contraindicated for the use of Troxerutin:

  • renal failure
  • intolerance of the components included in the preparation, as well as lactose (the latter applies only to tablets, since lactose is not included in the gel).

Also, the drug is not used in pediatric practice. The manufacturer indicates that the use of Troxerutin is strictly contraindicated for children under 15 years of age.

When used in the treatment of hemorrhoids, there is a risk of the following side effects:

  • violation of the stool
  • hyperemia,
  • headache,
  • rash, dermatitis (indicates an allergic reaction).

In very rare cases, there is an increase in blood pressure - mainly in patients prone to hypertension. Such a side effect is temporary and completely eliminated after discontinuation of therapy.

Instructions for use

If Troxerutin is prescribed in the form of tablets, then they are taken according to the following scheme:

  • 1 capsule 2-3 times a day,
  • the course of treatment is from 2 to 3 weeks,
  • if necessary, the course is continued up to 5-7 weeks, but the dosage is reduced to 1 capsule per day.

In the form of a gel, the drug is used 2-3 times a day until the symptoms of hemorrhoids are completely eliminated. At the same time, it is strictly forbidden to apply it to the mucosa, that is, the gel is intended only for the treatment of external hemorrhoids. It is impossible to handle the lumen of the rectum and the pararectal region. The gel itself should be applied in a thin layer, rubbing it for 2-3 minutes until completely dry.

Rules for use during pregnancy

During pregnancy, Troxerutin can be prescribed exclusively in the form of a gel for external use. Taking pills is not allowed, since clinical studies regarding the possible effect of the drug on the development of the child have not been conducted. The same applies to the period of lactation (breastfeeding). In the event that therapy is not possible without Troxerutin in the form of tablets, the doctor will consider the forced cessation of lactation.


Troxerutin has long been used in medical practice, and not only for the treatment of hemorrhoids. Therefore, on the thematic forums there are many reviews from those who already use it in treatment.

“The doctor prescribed this gel to me after the birth - I had hemorrhoids for the first time in my life. The bump has passed, but the whole treatment took over 1 month. I don’t know, maybe it should be so, but I think there are more effective drugs. ”

“I work as a trucker, hemorrhoids are a familiar problem. I tried almost all pharmacy candles and ointments from this sore - no use. Only when he turned to the proctologist, he said that it was the veins that should be treated, and not the inflammation. In general, I drank pills and gel my hemorrhoids. After 3 days it became easier. All symptoms completely disappeared after 2 weeks. Acts slowly, but confidently. "


Keep in mind that hemorrhoids can occur not only due to a decrease in the tone of the veins. Mechanical damage, weight lifting, infectious diseases - all this can also provoke inflammation of hemorrhoids. Therefore, do not self-medicate and postpone going to the doctor - this is fraught with a complication until the stage when hemorrhoids can be eliminated only with the help of surgery.

Troxerutin for hemorrhoids: use and effectiveness

Troxerutin refers to drugs with severeand venotonic, anti-inflammatory, antioxidant properties. It is used for thrombosis of various nature, varicose veins, limb injuries, trophic ulcers.

With regular use of hemorrhoids ointment, it is capable of:

  • relieve swelling and inflammation,
  • ensure normal blood flow,
  • strengthen the walls of veins and capillaries,
  • reduce the size of hemorrhoids,
  • reduce the risk of blood clots,
  • remove rectal bleeding
  • relieve pain in the rectum and anus.

The active substances that make up the gel, positively affect the state of large and small vessels, increase the outflow of lymph, preventing inflammation and swelling.

The drug is used during periods of exacerbation and remission; it is also useful for restoring vascular function after resection of hemorrhoids.

Among the main advantages of the drug:

  • fast absorbency
  • complex effect
  • no side effects
  • good combination with other therapeutic agents,
  • lack of cumulative effect,
  • quick action
  • the possibility of use at any stage of the disease, from initial to advanced,
  • very affordable price.

Before applying the gel for hemorrhoids it is recommended to consult a doctor. The proctologist should prescribe the correct course and enter the drug into the selected therapeutic regimen.

The composition of the funds

The main component of the gel is troxerutin. it flavonoid derivative of routine. In dry form, the substance is a yellowish powder, soluble in water, glycerin and other liquids. The gel contains purified water.

The drug is well absorbed without leaving an airtight film on the skin surface. Residual substances are excreted in the urine during the day. It does not accumulate in the body, does not affect the functioning of the liver, pancreas and other organs.

Troxerutin available in capsule form for oral administration or as a clear gelpackaged in metal tubes. Each tube is supplied with detailed instructions and is packed in a cardboard box.

Between uses, the drug should be stored in the refrigerator. Do not use the gel after the expiration date indicated on the package.

There are other drugs with similar properties on sale. Among the most famous - Troxevasin and Troxevenol.

Next, we will consider how to use Troxerutin for hemorrhoids.

Application chart

Troxerutin Hemorrhoids Gel Recommended apply 2 times a day, morning and evening.

Before the procedure, the skin is cleaned with warm water, and then carefully dried with a sterile cloth.

You can not smear the gel on damaged surfaces, and it is not recommended to get on the mucous membranes.

A small amount of the drug is rubbed into the anus until completely absorbed. You can apply the gel on a sterile cotton swab and attach to the anus. Introducing a swab inside is not recommended. The gauze pad is fixed with elastic underwear or a soft bandage.

Sometimes proctologists at the same time applying the gel recommend taking Troxerutin in capsules. This course is especially effective for severe swelling and inflammation, it allows you to quickly remove unpleasant sensations and normalize blood circulation.

Strengthen the effect of Troxerutin will help and the additional intake of ascorbic acid in the form of powders, tablets, capsules. The drug accelerates the absorption of the active substance and contributes to its early action.

The gel can be entered into another treatment regimen.by applying it after cool cleansing baths or moisturizing wound healing compresses.

What is troxerutin

It’s not easy to cure hemorrhoids. However, this disease is increasingly found in modern Russians. Troxerutin for hemorrhoids is a broad-spectrum drug. In pharmacies, tablets and gel for external use are sold. The tool has a strong antioxidant effect, while not having a harmful effect on the body. Specialists prescribe this drug for the treatment of diseases associated with venous vessels.

The active components of Troxerutin provide the following effect:

  • stop the inflammation of hemorrhoids,
  • relieve swelling
  • start the process of tissue regeneration,
  • reduce vascular permeability,
  • improve blood flow
  • tone up the vascular system.

What helps

Troxerutin ointment and tablets are used for hemorrhoids and other ailments. As an adjuvant, the drug is recommended to be used after surgical removal of hemorrhoidal nodes. In addition, the active substance Troxerutin helps with seizures of the extremities, hematomas, vascular effects after radiation sickness. For preventive purposes, the drug is taken to reduce the risk of hemorrhoids.

For treatment, troxerutin gel and tablets are prescribed in the following cases:

  • with chronic hemorrhoids,
  • to eliminate the complications of hemorrhoids,
  • against thrombophlebitis,
  • with varicose veins,
  • with chronic venous insufficiency,
  • against hematomas and post-traumatic edema.

The composition and form of the drug

You can buy this tool in the form of capsules or ointments for external use. The auxiliary components of the drug and the concentration of the active substance depend on the chosen option. A two percent gel is a homogeneous ointment of light yellow color in a metal or plastic tube. Capsules have a yellow tint and hard jelly shell. In the package 2 blisters for 5 tablets.

Troxerutin gel for hemorrhoids

The drug for external use is available in the form of a yellow tint gel of 25 g per tube. 100 g of the product contain the following substances:

  • troxerutin 20 mg
  • benzalkonium chloride,
  • sodium hydroxide solution 30%,
  • purified water,
  • carbomer 940,
  • edetate disodium.

Mechanism of action

The tool is a venotonic, angioprotective, bioflavonoid. Troxerutin tablets and ointment are taken to reduce vascular permeability, fragility of capillaries. The drug strengthens the walls of blood vessels, improves blood microcirculation. The active components of the drug take part in redox processes, block the release of hyaluronic acid by cell membranes. The use of the drug reduces the risk of platelet adhesion to the walls of blood vessels, reduces the exudation of the liquid part of the plasma, strengthens the capillaries.

This tool has a pronounced P-vitamin activity. After the gel is applied, its active component is found in the dermis in half an hour, in fatty tissue - in 2-5 hours. Capsules are absorbed from the digestive tract after a few hours. The effect is maintained 8 hours after administration. The drug is metabolized in the liver. It is partially excreted with bile and urine unchanged.

The effect of the drug is as follows:

  • pronounced angioprotective,
  • venotonic
  • antioxidant
  • anti-inflammatory
  • firming
  • restorative.

Drug action

"Troxerutin" from hemorrhoids is one of the fastest means. It is able to reduce vascular permeability and improve their tone. In the vascular walls, blood flow is normalized. The body begins to pump blood with habitual strength. Hemorrhoids and its symptoms gradually disappear.

The components that make up the Troxerutin medication for hemorrhoids have a general strengthening effect on the human body. They improve its resistance to the effects of pathogenic microorganisms and bacterial infections.

Due to the angioprotective property, the vessels are able to withstand a large load, while not being damaged and fully fulfilling their transport function. The gel reduces platelet adhesion, thereby preventing blood clots.

It takes part in oxidation and reduction processes.

The ointment has a fairly extensive use, and all because it includes vitamin P, which contributes to the rapid restoration of damaged skin areas, as well as providing local anesthesia. After applying the cream, the patient immediately feels relief. The soft consistency is quickly absorbed into the skin and begins to act purposefully, stopping itching and burning in the anus.

The use of the drug can be quite effective, but the dosage and course of treatment should be observed.

How to use troxerutin for hemorrhoids

The method of using this remedy for hemorrhoids depends on the form of release of the drug. Therapy is prescribed by a doctor taking into account the individual characteristics of a particular patient. The ointment is used strictly after thorough hygiene of the perineum and a cleansing enema. The drug is applied in a thin layer near the anus. With internal hemorrhoids, a small amount of gel is injected into the anus.

Side effects

"Troxerutin" with hemorrhoids, the use of which has a long-term basis, can adversely affect a person's condition. The medicine has a number of side effects:

  • headache,
  • peeling skin
  • small rash
  • bowel disorder - bloating, diarrhea,
  • dermatitis,
  • cyanosis of the skin.

Side effects with the use of troxerutin preparations are rare. In some cases, the following manifestations are possible: headaches

If the drug enters the oral cavity, abdominal pain, vomiting, and nausea are possible. In people suffering from kidney failure, the drug can provoke severe pain and exacerbation of the disease.

If the dosage was incorrectly observed, there may be flushing, increased excitement, fever, nausea and dizziness. "Troxerutin" does not affect the activity of the nervous system even with an overdose, therefore it is approved for use when performing work that requires extreme care, and if necessary, drive a vehicle.

Pregnancy and lactation

During pregnancy, the body experiences many changes. The load on the pelvic organs due to the growing uterus increases. As a result of this process, the blood circulation process is often disturbed and congestion forms, which become the causes of hemorrhoidal vein expansion.

The gel and capsules of Troxerutin are not prescribed in the first trimester of pregnancy, but in the second and third trimester the use of the drug is fully justified

The development of hemorrhoids during pregnancy is also affected by:

  • passive lifestyle,
  • lack of physical activity,
  • excessive eating.

According to statistics, every third woman is faced with this unpleasant disease. Hemorrhoids during pregnancy can only be treated with medicines on a natural basis, which do not harm either the health of the mother or the development of the child.

The drug relieves painful symptoms and eliminates hemorrhoids. Reviews say that relief comes almost immediately. Do not prescribe the use of the drug only in the first 3 months of pregnancy. Self-medication in such a scrupulous period is strictly prohibited.

The dosage and form of the drug for therapy is individually prescribed by the doctor.

During lactation, a woman can safely use the ointment. It is not absorbed into the bloodstream and does not affect the quality of milk. As for the capsules, they require an additional doctor's recommendation. There are a number of cases when the capsules provoked a violation of the digestive tract.

Special instructions

Do not use the medicine after the expiration date, which is 2 years for ointment and gel and 3 years for capsules. It is better to store the medicine in a dry and dark place away from children. It is better to store the gel and ointment in the refrigerator, there are created optimal conditions for maintaining the healing properties of the medicine.

The complex of preventive measures to prevent hemorrhoids should include a special diet that involves the rejection of products that cause a rush of blood to the pelvic organs

In order to achieve better assimilation of Troxerutin capsules by the body, it is recommended to adjust the diet. Salted, spicy dishes and seasonings should be excluded from the diet for the duration of therapy.

They increase irritation of the gastric mucosa, and provoke an exacerbation of the disease. Proper nutrition involves eating vegetables, fresh fruits, salads, fish, as well as juices and cereals.

They help the active components of the drug to be absorbed by the body, and contribute to a speedy recovery.

"Troxerutin" is freely available in pharmacies, you can buy it at an affordable cost without a doctor's prescription. Troxerutin has a number of analogues:

  • "Antistax" capsules,
  • Ascorutin and Ascorutin D tablets,
  • "Vazoket" pills,
  • Venabos gel
  • Venus
  • Ginkor gel
  • Lyoton gel.

Before using analogues, you should consult a doctor. Be sure to read the instructions to avoid the unpleasant consequences of the disease and side effects.

Do not use prescriptions that were written by a doctor with a friend with a similar diagnosis. Medicines that have helped them can do much harm to you. At the slightest symptoms of the disease, go to a proctologist.

Based on your analysis and visual examination, he will prescribe medications that stop the symptoms and return you to your usual life.

Hemorrhoids are the result of an improper lifestyle, and like any pathology, it can be prevented by increasing the amount of vitamin-containing foods in the diet, increasing motor activity, reducing physical activity on the legs and timely eliminating diseases of the circulatory system.

Troxerutin in the treatment of hemorrhoids

Hemorrhoids is a disease in which inflammation of the venous vessels in the rectum occurs. This disease is a peculiar form of varicose veins.

As a result of the progression of the pathology, blood in the vessels stagnates, and hemorrhoids begin to form, which, in turn, lead to the development of complications.

Treatment of the disease is carried out by a set of measures aimed at relieving inflammation, restoring blood supply and eliminating symptoms. Experts recommend using Troxerutin for hemorrhoids to speed up the healing process and have a positive effect on the affected area.

The benefits of hemorrhoids

Troxerutin from hemorrhoids is effective due to its anti-inflammatory and antioxidant properties. When used against hemorrhoids, people's reviews indicate that this drug helps to cope with the signs of the disease in a few days, and the final results of treatment are observed after 2 weeks.

Troxerutin ointment and gel for hemorrhoids is an excellent and effective tool to help cope with such a delicate problem.

With proper use of the drug:

  • the permeability of the walls of blood vessels is reduced,
  • the tone of the venous walls increases,
  • blood circulation improves
  • tissue metabolism is accelerated,
  • hemorrhoidal nodes resolve
  • bleeding stops
  • tissue swelling is eliminated,
  • pain disappears.

The maximum result from the use of the drug can be achieved if, in addition to the described drug, the patient takes other medications prescribed by the doctor, and also follows all the recommendations.

Contraindications and side effects

Like any medication, Troxerutin has contraindications. Before starting treatment, they must be familiarized with in order to prevent exacerbation or the occurrence of side effects.

The medicine is not recommended for:

  • gastrointestinal ulcer,
  • hypersensitivity to the medicinal composition,
  • exacerbation of the chronic form of gastritis,
  • gestation in the first trimester of pregnancy,
  • kidney disease
  • in children under 16 years old.

It is forbidden to use Troxerutin in the form of capsules in persons suffering from gastritis, and in women in the first trimester of pregnancy

In most cases, Troxerutin is well tolerated for hemorrhoids, use can cause an adverse reaction only if the patient has the above pathologies. A side effect can also occur in the form of an allergic reaction on the skin.

Treatment of hemorrhoids with the help of the drug is carried out according to the instructions and instructions of the doctor observing the patient. The use of self-medication is undesirable.

The treatment regimen should be determined by a specialist.

With severe hemorrhoids, the doctor can prescribe an increased dose of the active component of the medication in the form of the combined use of two forms of the drug (capsules + gel or solution + gel).

Instructions for use contain only general recommendations that do not take into account the individual characteristics of the development of the disease and the condition of the body.

How to use the drug:

As an adjuvant, Troxerutin is used in the postoperative period after removal of hemorrhoids

  1. Capsules are intended for internal administration through the oral cavity. They have an enteric coating, so it is advisable to drink them before eating. Two to three capsules are recommended per day. The duration of course therapy is from two weeks to a month. When fixing positive results of treatment, the course can be extended in the form of prevention for another week. During this period, drink one capsule per day. Take one capsule also with a combined treatment regimen.
  2. Troxerutin gel for hemorrhoids is used twice a day (in the morning and immediately before bedtime). How to use the gel is described in detail in the annotation: the genitals and hands are thoroughly washed and wiped dry, gel (ointment) is applied to the index finger and the skin surface around the halo of the anus is lubricated. You can also apply Troxerutin ointment to the finger and insert it into the rectum, carefully treating the accessible area.

Use only capsules or ointment for hemorrhoids or use the combined method, the proctologist decides. During the treatment, you should also visit a specialist to monitor the effect of the medication on the body and the process of the effectiveness of therapy.

Interaction with other drugs

There is no evidence that the drug should not be taken with other drugs. Only one fact should be taken into account that the composition of the capsules enhances the effect of ascorbic acid on the resistance and permeability of the vascular walls.

Often, the doctor may prescribe the simultaneous use of this drug both internally and externally


If the patient has contraindications to the composition of the drug, manifestations of an adverse reaction or lack of response to therapy, a specialist may recommend the use of an analogue. It is important to choose the right replacement product. It is undesirable to choose an analogue on your own, it is better to follow the doctor's recommendations.

Full analogs of the original are considered - "Troxevasin" and "Phleboton" gel. Their composition and pharmacological properties have close similarities.

According to the indications for use, the following analogues can be distinguished:

Reviews about the treatment of hemorrhoids "Troxerutin" are more positive. However, it is not necessary to use the medicine for self-medication, relying on the reviews of other patients, since the disease requires an integrated approach, and also has individual developmental characteristics. It should also be borne in mind and contraindications, the existence of which the patient himself may not know.

Is it possible to use troxerutin from hemorrhoids

Hemorrhoids develop due to circulatory disorders in the veins of the colon. They expand, nodes begin to form on their walls. The patient complains of the appearance of blood clots or drops of fresh blood in the feces. Hemorrhoidal nodes often become inflamed and fall into the intestinal lumen or anus. Troxerutin is used in the diagnosis of any form of hemorrhoids:

Chronic pathology lends itself especially well to treatment with Troxerutin, which is dangerous for its painful relapses. If acute hemorrhoids are detected in a patient, preparations with a more powerful anti-inflammatory and hemostatic effect are necessary. Troxerutin gel and capsules are suitable for prolonged use in order to restore venous blood supply. The drug is also used to prevent the disease. If you use the drug twice a year, then the probability of relapse of the pathology is significantly reduced.

Description of the drug

On the shelves of pharmacies, the therapeutic line of Troxerutin is presented by gel for external use and gelatin capsules. The greatest clinical effect is given by the combination of systemic and local drugs. Proctologists recommend the simultaneous administration of the drug inside and the application of the gel on hemorrhoids. The use of capsules and ointments Troxerutin from hemorrhoids has a multifaceted effect on the patient's body:

  • hemorrhoidal nodes soften, and their sizes gradually decrease,
  • the intensity of pain decreases during movement and at rest,
  • peristalsis normalizes
  • pain disappears during bowel movements.

The drug can be used at any stage of the pathological process. He quickly copes with inflammatory edema and the most severe, cutting pains. Proctologists recommend starting treatment with Troxerutin when the first symptoms of hemorrhoids appear. This will avoid the loss of hemorrhoidal nodes, often eliminated by surgery.

Clinical and pharmacological group

Troxerutin is part of the clinical and pharmacological group of angioprotective agents, microcirculation correctors. The chemical structure refers to flavonoids, synthetic derivatives of rutin. The drug is also characterized by antioxidant activity. It prevents premature aging of tissues and their destruction by free radicals. Almost all pharmacological properties of Troxerutin gel have been used in the treatment of hemorrhoids.

Pharmachologic effect

Troxerutin ointment for hemorrhoids is used due to its angioprotective effect on blood vessels.

After entering the human body, a high concentration of the active ingredient is found in the subendothelial layer. It accumulates in the walls of veins and capillaries, penetrating into their deepest layers. Troxerutin prevents damage to cell membranes as a result of oxidative chemical reactions. In the treatment of hemorrhoids, a course of administration of the drug leads to the following clinical effects:

  • the tone of large and small blood vessels rises,
  • the optimal permeability of the walls of the veins and capillaries located in the anorectal region is restored,
  • blood flow improves
  • the intensity of inflammation and swelling decreases
  • bleeding stops.

The active substance of Troxerutin prevents the adhesion of red blood cells and their aggregation on the walls of blood vessels. This eliminates the possibility of thrombosis and blockage of veins. Blood circulation improves, nutrient and bioactive compounds, oxygen enter the cells affected by inflammation. The regeneration processes are started, accelerating the healing of damaged tissues.

Release form and composition

Patients leave positive feedback on the combined treatment of hemorrhoids with tablets and troxerutin gel.

Their combined use allows to reduce the dose of the systemic drug and minimize the number of adverse reactions.

Troxerutin is available in two dosage forms - in the form of capsules with a gelatin shell and a transparent gel. In pharmacies, you can buy a drug of both domestic and foreign production. The primary packaging of the gel is an aluminum tube, capsules - blisters of metallized foil. Additional ingredients are necessary not only to create a dosage form, but also to ensure maximum absorption. What is part of the preparations:

  • gel - disodium edetate, methyl paraben, carbopol, triethanolamine, water,
  • capsules - milk sugar, silicon dioxide, macrogol, magnesium stearate, titanium dioxide and dyes.

The secondary packaging of the external and systemic products is a cardboard box with the attached annotation. Drugs should be stored in dark places. Their expiration dates vary from different manufacturers. But with a change in color or smell, the use of medications must be discarded.Judging by the reviews of consumers using Troxerutin capsules, they do not deteriorate when stored properly. They can be used in the treatment of hemorrhoids for 2 years.

Instructions for use with hemorrhoids

Patients are often interested in proctologists, whether it is possible to smear Troxerutin inflamed nodes with hemorrhoids. Doctors themselves prescribe this drug to reduce the severity of symptoms. But when using it, certain rules should be observed:

  • it is advisable to apply the drug after bowel movement,
  • the anorectal region should be washed with warm water and soap and dried with a napkin,
  • apply the gel only after stopping the bleeding.

The duration of the therapeutic course is determined by the proctologist. It depends on the degree of tissue damage, the stage of the pathological process, the presence of chronic diseases in the patient.

General information about the drug

"Troxerutin" is a multifunctional and universal remedy for a complex of complications of hemorrhoids associated with blood vessels:

  • The medication is an angioprotector and corrector of blood microcirculation. This is a special group of pharmacological agents that positively affect the state of the vascular network, help maintain its functionality and normalize microcirculation and tone in the capillaries.
  • This is a non-steroidal anti-inflammatory drug, which is also an antioxidant - a substance that inhibits (blocks) the oxidation of beneficial components.
  • This is one of the first phleboprotective drugs, which contributes to the rapid restoration of the elasticity of the venous network.
"Troxerutin" is an angioprotector

According to the results of numerous clinical studies, it was established that “Troxerutin” after 10 days of use reduces pain symptoms, reduces the size of the thrombosed hemorrhoid, stops anal bleeding. Doctors often prescribe this drug in their practice, due to the optimal ratio of price / quality parameters and given the positive feedback when treating their patients for hemorrhoids.

The drug helps to achieve a quick anti-inflammatory effect, but systematic prolonged use should be avoided, because of the risk of various allergic consequences and related symptoms from the gastrointestinal tract and undesirable skin reactions.

When is the drug prescribed

Since Troxerutin reduces the tendency of capillary membranes to permeability, improves the state of blood vessels, relieves inflammation in the walls of blood vessels, normalizes tissue nutrition and has a membrane-stabilizing effect, it is used during the treatment of various venous diseases. The main indications for use:

  • chronic expansion of the veins of the lower extremities,
  • inflammatory diseases of the skin,
  • phlebothrombosis,
  • increased tendency to form blood clots,
  • impaired capillary circulation,
  • capillarotoxicosis, which occurs with some infections,
  • diseases that increase the pathological permeability of blood vessels,
  • post-traumatic care
  • chronic hemorrhoids and the complications associated with this (the appearance of hemorrhoids, anal pain and bleeding, muscle spasm).

Briefly about hemorrhoids

Hemorrhoids are a pathological condition of the veins of the rectum that occurs against the background of loss of vascular elasticity and congestion in the pelvis. The disease is manifested by an increase and outward hemorrhoid cones. It is accompanied by severe pain, bleeding, itching. Hemorrhoids cause physical and moral suffering, sharply worsens the quality of human life.

Women of childbearing age, workers of "sedentary" professions and people whose genetically determined development of venous insufficiency is predisposed to the disease.

Once arising, hemorrhoids are prone to relapse at the slightest unfavorable situation. The manifestation of the disease provokes stool disorders (constipation, diarrhea), straining during childbirth, lack of exercise, obesity, vascular pathologies.

What release

Troxerutin, manufactured at the Bulgarian VetProm plant, is presented in the form of capsules and gel (ointment). The use of both therapeutic forms together significantly increases the effectiveness of treatment, since they mutually reinforce each other. The main active ingredient of Troxerutin is a derivative of rutin, vitamin P, which the human body cannot produce on its own, and must be obtained from the outside.

Capsules, in addition to the basic semi-synthetic derivative of rutin, contain auxiliary elements, coated with a shell comprising gelatin and safe dyes. The cardboard package contains 5 blisters containing 10 capsules in each.

The composition that fills Troxerutin ointment from hemorrhoids determines the consistency of the gel. The main percentage in the ointment is the active substance. Available in aluminum tubes in different volumes.

The ointment is available in aluminum tubes in different volumes.

The appropriate form of Troxerutin in each case, the necessary duration and dosage will be prescribed by the doctor, depending on individual characteristics. It is worth noting that troxerutin gel has several advantages. For example, it has a quick decongestant and restorative effect, in the shortest possible time reduces discomfort and itching in the anus. The gel is quickly absorbed, has an antibacterial effect and leaves a pleasant moisturizing soft sensation after application. The ointment from hemorrhoids is also not addictive, therefore, the risks of “withdrawal syndrome” and unwanted regression subsequently are excluded.

"Troxerutin" is available in the form of tablets and ointments

The composition and form of the drug

The pharmaceutical industry produces Troxerutin under its own name and under the trade name Troxevasin. The active substance in both trade forms is troxerutin. The medicine is released in the form of:

  • capsules for oral administration of white-yellow color. Capsules contain 300 mg of active ingredient. Available in blisters of 10 pcs. Trading packaging contains 5 blisters (50 capsules). The average price is from 320 to 350 rubles. for packing. Producer "Ozone", Russia or "Sopharma", Bulgaria
  • gel for local use. Troxerutin ointment is available in 40 g cans and contains 2% of the active substance. Transparent gel has a pronounced yellow tint, is quickly absorbed, after drying leaves no residue on clothing. Gel (depending on the manufacturer) can be bought at a price of 45 to 65 rubles per tube.

Troxerutin can be used for chronic hemorrhoids at any stage of the disease. After removing the acute manifestations of hemorrhoids, the patient is prescribed long-term maintenance therapy.

We also recommend that you read an article by our expert, which is devoted to a description of the features of the use of Troxevasin for hemorrhoids.

Method of using gel and capsules

It is worthwhile to figure out how to use the above forms of Troxerutin.

The gel in the treatment of hemorrhoids is applied to a clean, dry area. The required amount of funds is distributed evenly over the affected areas with delicate massaging movements until the skin completely dries out twice a day. The daily dose of the substance is up to 3-4 g.

It is unacceptable to apply the gel to the skin in the presence of open wounds on it, and it is also worth avoiding getting the drug on the mucous membranes. Otherwise, rinse the area with plenty of warm water. Avoid exposure to sunlight on gel-treated areas of the skin.

If hemorrhoids therapy was prescribed with troxerutin in the form of capsules, then they should be taken three times a day, preferably systematizing the time intervals between doses.Capsules are taken whole at the beginning or during meals, with plenty of water. In some cases, the dosage of the drug “Troxerutin” can be changed and adjusted, for example, with maintenance therapy, patients are prescribed only one capsule per day. On average, the course of treatment lasts 3-4 weeks, but if necessary, can be extended for another month.

When is troxerutin used?

Troxerutin is indicated for diseases associated with venous blood flow insufficiency. It is prescribed for:

  • varicose veins, when circulatory failure provokes the occurrence of leg edema, pain,
  • inflammatory diseases of the vascular wall,
  • ulcerations of the skin against a background of weak peripheral circulation,
  • diabetic complications in the vessels of the legs, eyes,
  • hemorrhoids
  • hematomas of various etiologies.

The use of troxerutin for hemorrhoids

Troxerutin can be used for aggravated hemorrhoids orally in an independent course or in complex therapy. Effective joint treatment with capsules and topical application as an ointment.

Troxerutin gel for hemorrhoids is used directly in the area of ​​hemorrhoidal nodes, lubricating the anus and perineum. Troxerutin ointment is forbidden to apply to bleeding external nodes and to internal hemorrhoidal formations. Lubricate only undamaged areas of the skin around the inflammation.

With local use, the hemorrhoid ointment is not absorbed into the bloodstream, but is limited to local exposure. For systemic treatment, Troxevasin (Troxerutin) capsules for hemorrhoids are prescribed.

The standard dosage for the treatment of hemorrhoids

The classic treatment regimen for troxerutin capsules for hemorrhoids is as follows.

  • Treatment of the acute phase of the disease 2-3 capsules per day. It should be taken during or immediately after a meal. The minimum interval between doses is 8 hours. With a double appointment, the drug is taken at intervals of 12 hours. Treatment lasts from 14 days to 1 month.
  • Then the patient is transferred to a supporting therapeutic course. The dosage is reduced to 1-2 capsules per day. The duration of treatment depends on the condition of the patient's blood vessels and concomitant diseases.
  • In chronic hemorrhoids, capsules are taken as a preventive course once every 6 months, regardless of the current symptoms. The standard course is 25 days, 2 capsules per day (1 pack).

It should be understood that the independent use of troxerutin capsules can do more harm than good. Taking the drug is justified only as prescribed by the doctor.

Hemorrhoids in pregnant women occur in more than half of cases. Often a woman "gets acquainted" with this ailment for the first time during pregnancy. The occurrence of hemorrhoids in pregnant women is due to several factors:

  • changes in the rhythm of life and nutrition provoke "laziness" of the intestine, which ends with regular constipation,
  • a change in the hormonal background provokes disorders in the vessels, due to a hereditary factor. It is during pregnancy that a woman often learns about the first manifestations of varicose veins,
  • mechanical pressure of the uterus provokes disorders of the pelvic circulation in the second half of pregnancy.

The situation is aggravated by the fact that a pregnant woman cannot be prescribed the classic means to improve peristalsis - laxatives, diet, special exercises.

Troxerutin in any form is prohibited for pregnant women in the first three months. From the fourth month they allow the use of the drug for the treatment of hemorrhoids, if the disease is severe, with severe symptoms.

Troxerutin for oral administration during pregnancy is prescribed by a doctor after weighing the “harm / benefit” parameters with short-term courses in the formation of hemorrhoid cones with an increase in local temperature, pain, and itching.

Lactating women are shown an ointment from hemorrhoids, since when used externally, the active substance does not enter the bloodstream, which means it does not affect the composition of breast milk. Oral medicine is prescribed according to individual indications.

Dosage and administration

It is usually recommended to take one capsule 3 times a day with meals. The drug should be washed down with clean water with a volume of 100-150 ml. Capsules should not be chewed, dissolved in liquids or crushed in any other way. With a disease of moderate severity, treatment lasts from 2 weeks to a month. How to apply the external form of troxerutin for hemorrhoids:

  • squeeze a strip of gel 1-2 cm long from the tube,
  • apply the drug to hemorrhoidal nodes and gently rub,
  • You can attach a sterile cloth on top.

Therapy is carried out for 3-5 weeks until the clinical manifestations of the pathology completely disappear. As a prophylactic, only gelatin capsules are used. Doctors recommend taking them in 10-day courses twice a year.

Side effects and special instructions

Patients of proctologists leave mostly positive reviews on the use of Troxerutin ointment (cream) for hemorrhoids. Only in rare cases, the development of a local allergic reaction is noted. After taking the capsules, dyspeptic disorders sometimes occur - nausea and excessive gas formation.

An external agent is rapidly absorbed, but it is better to lie down to accelerate absorption after its application. In the treatment of hemorrhoids, it is also advisable to use medical dressings. To do this, the gel is distributed in a thin layer on a sterile napkin and applied for 1-2 hours to inflamed nodes.

Use during pregnancy

During pregnancy, troxerutin gel and capsules for hemorrhoids are prohibited in the first trimester. At a later date, medicines can only be used as directed by a doctor. Troxerutin tablets for hemorrhoids do not have a teratogenic effect when the recommendations of the proctologist are followed in therapy.


Positive reviews on the use of the drug indicate that, despite the large number of new generation drugs, Troxerutin for hemorrhoids remains an effective treatment for the disease. Of no small importance in its popularity is the affordable price.

Treatment of hemorrhoids with Troxerutin is effective when used according to the prescribed schedule. Proper nutrition and adequate physical activity will help to avoid relapse of the disease. Quitting smoking, alcohol, junk food, coupled with prophylactic courses of Troxevasin, will relieve the manifestations of the disease forever.

The composition and advantages of the drug Troxerutin

The main active ingredient is troxerutin. If we talk about the benefits of the drug, then it has a wide range of activities. The action of the active substance is aimed at,

  • reduction of inflammatory processes,
  • acceleration of regeneration of damaged tissues,
  • vascular strengthening
  • improved blood circulation,
  • removal of edema,
  • toning of the venous and vascular system.

Main advantage Troxerutin for hemorrhoids It is that in application it is absolutely safe and is not limited to local withdrawal of the symptoms of the disease. The drug heals the body as a whole. It has a minimum of side effects and contraindications.

The drug has an antioxidant and anti-inflammatory effect. Its regular use contributes to:

  • capillary permeability reduction,
  • increase the elasticity of the walls of blood vessels,
  • improve metabolic processes occurring in the vascular wall.

As a result of these changes, the vascular walls strengthen, and the patient's condition improves. Troxerutin for hemorrhoids reviews mostly positive precisely because of the above capabilities of the drug.

Edema decreases in the affected area by reducing the exudation of blood cells and plasma through the walls of blood vessels.

The anti-inflammatory effect is due to the limitation of platelet adhesion to the walls of blood vessels. Troxerutin helps strengthen the walls of blood vessels and increase their tone. Such actions prevent the development of inflammatory processes in the rectal region. Signs of the disease disappear.

For external use

When treating hemorrhoids with gel, you should adhere to the following instructions:

  1. The tool is applied in a thin layer to the skin area under the problem area.
  2. Rub the composition in massaging movements until completely absorbed.
  3. Repeat the procedure in the morning and evening.
  4. In one session, it is allowed to use no more than 2 g of the product.

Dosage while using capsules and gel

In special cases, doctors prescribe the combined use of two forms of this drug. This use of troxerutin gives a faster effect. It is recommended to smear the problem area with gel according to the instructions 2 times a day, with massage movements. The dosage of the capsules is calculated by the doctor individually from 1 to 3 tablets daily. The course of therapy can last longer than the recommended 4 weeks, taking into account medical indications and treatment dynamics.

Features of the use of Troxerutin ointment during pregnancy

A common problem in pregnant women is hemorrhoids. The disease develops due to the growth of the uterus and its pressure on the pelvic organs. Troxerutin gel and capsules are not prescribed in the first trimester due to the risk to the health of the child. From 4 months, treatment is permissible as prescribed by a doctor under the strict supervision of specialists. The drug in the form of an ointment is not absorbed into the blood, does not affect the quality and composition of mother's milk, therefore it is safe for breastfeeding. To start taking the capsules, consult a specialist.

Side effects and contraindications

Before using this drug for the treatment of hemorrhoids, it is worth familiarizing yourself with its contraindications. Troxerutin is not prescribed in the following cases:

  • If there is damage on the skin of the patient (in the problem area), open wounds.
  • With increased sensitivity to the components of the product.
  • With renal failure.
  • At the age of less than 15 years.
  • With gastric ulcer, gastritis.
  • During pregnancy (1 trimester).

Troxerutin rarely causes side effects. However, with improper use of the drug in some cases, you can find:

  • allergies
  • headache,
  • flushing of the skin,
  • irritation of the mucous membrane of the housing and communal services,
  • diarrhea
  • constipation.

Exceeding the dose of the drug in the form of capsules can provoke the appearance of the following symptoms:

  • excitation,
  • nausea,
  • skin redness
  • dermatitis,
  • headache.

Troxerutin Price

The cost of the drug depends on the pharmaceutical company of the manufacturer, form of release and other factors. Below is a table with the prices of tablets and gels in Moscow pharmacies:

Gel with a concentration of 2% (Russia), 40 g

Gel with a concentration of 2% (Bulgaria Vetprom), 40 g

Gel with a concentration of 2% (Bulgaria Vramed), 40 g

Capsules 30/50 pcs. (Russia)

Capsules 30/60/90 pcs. (Czech Republic, Zentiva)

Capsules 200 mg 50 pcs. (Belarus, Mick)

Troxerutin and its effects in hemorrhoids

The product has an active component in the composition, namely modified vitamin P. The main actions that occur with the frequent use of "Troxerutin":

  • protection of the vascular wall, removal of puffiness, as well as maintaining the venous wall in tone, which slows down the development of hemorrhoids,
  • light anti-inflammatory effect,
  • antioxidant effect, preventing oxygen oxidation and destruction of cells,
  • improvement of blood microcirculation,
  • reduced penetration of capillaries,
  • enhanced excretion of metabolic products from tissues,
  • lack of systemic influence when using a local form - gel.

"Troxerutin" has a wide spectrum of action in relation to diseases of the body. The tool is used for varicose veins of the lower extremities, edema, hematomas. There are two forms of drug release: in the form of a gel and capsules. The effectiveness of the drug after oral administration begins two hours later with the maximum concentration of the substance in the body. “Troxerutin” is advisable to use with vitamin C to potentiate the action of the components and enhance the effect.

Troxerutin is used not only for the prevention and treatment of hemorrhoids, but is also prescribed for the treatment of varicose veins, dermatitis, trophic ulcers and edema, hematomas

Diagnosis of hemorrhoids

Hemorrhoids - a disease associated with thrombosis, inflammation, pathological expansion and tortuosity of hemorrhoidal veins that form nodes around the rectum.

Find out your risk level for hemorrhoid complications. Take a free online test from experienced proctologists. Testing time no more than 2 minutes. 7 simple questions. 94% test accuracy. 10 thousand successful tests.

We focus on the word - veins. The vessels (arteries and veins) of the whole organism suffer because of the force of gravity of the bipedal creatures, that is, you and I, especially the lower part - the pelvis and legs. Conclusion: people with varicose veins are the first on the list to have hemorrhoids.

According to WHO statistics, 67% of women and 37% of men suffer from vascular diseases, 31% of all deaths occur from CVD.

This is a group of diseases of the heart and blood vessels that supply blood to the hands and feet, deep vein thrombosis and pulmonary embolism - the formation of blood clots in the leg veins that can move and move to the heart and lungs.

And who would have thought that one of the manifestations of varicose veins is hemorrhoids.

And that women suffer from it 2 times more often than men? And we have never before connected the joy of motherhood with such troubles.

Pregnancy tests the body for strength. So, he needs help with effective, proven natural remedies.

Gel Troxerutin instructions for use

The use of troxerutin gel for hemorrhoids is quite simple. The drug is applied topically by applying a small amount (1-2 grams) to that part of the body where the need arises. It is not recommended to apply the drug to an area larger than a section with a diameter of 4 centimeters. The gel is applied with light movements. The process of applying the drug takes 2 to 3 minutes.

Attention! With all acute forms of varicose veins and thrombophlebitis, a serious massage effect on damaged vessels is strictly contraindicated! Be careful and careful!


Troxerutin can also be applied under a compressive dressing prescribed for the treatment of varicose veins. A compressive (occlusive) dressing is applied starting from the edge of the limb, and is conducted in the direction of the body.

The combination of the drug and the dressing enhances the therapeutic effect - the liquid released from the vessels affected by varicose veins is driven as a result of squeezing back into the vessels, and their reduced diameter helps to increase blood flow, which leads to a decrease in swelling and resorption of blood clots due to their stuck in narrowed vessels and the effects of troxerutin.

Blood clots in this case lose the ability to break away and enter the lungs through the bloodstream, which would be fraught with serious problems for the health and even life of a patient with varicose veins and thrombophlebitis.

Thus, the complex treatment of various forms of vascular damage using Troxerutin can lead to recovery much faster than with monotherapy (treatment with one drug or method). The simultaneous use of a compressive dressing and gel leads to an almost instantaneous improvement in the patient's condition.At the same time, do not forget that the quick effect does not mean equally fast healing.

Note! The process of full recovery can drag on for a sufficiently long time. Do not forget about it and punctually follow the doctor’s instructions !. Store Troxerutin Gel in a cool, dark place, no more than 3 years from the date of manufacture

Store Troxerutin Gel in a cool, dark place, no more than 3 years from the date of manufacture.

The use of Troxerutin does not affect a person's ability to drive a car.

Contraindications for the use of the drug

  • gastritis, especially its acute stage,
  • individual intolerance to the components of the drug,
  • stomach ulcer
  • duodenal ulcer,
  • age up to 15 years
  • renal failure (use is possible under the supervision of a doctor).
Children under 15 years of age should not use the drug

How to use troxevasin for hemorrhoids

Troxevasin is a well-known drug for veins and blood vessels. It has anti-inflammatory, tonic and analgesic effects. Can troxevasin be used for hemorrhoids and is it effective for treatment?

  • The composition of the drug
  • Action on hemorrhoids
  • Standard and effective treatment regimen
  • The main indications and contraindications for use

When treating hemorrhoids, Troxevasin can be used, but you need to understand that the drug does not treat, but relieves symptoms.

To eliminate the phenomena of hemorrhoidal disease, venotonic drugs are widely used. One of these topical preparations is Troxevasin.

For the treatment of this pathology, it is recommended to use combination therapy, taking both tablets and ointment at the same time. The drug Troxevasin with hemorrhoids has an anti-inflammatory and analgesic effect.

Treatment of hemorrhoids with troxevasin

a mixture of hydroxyethyl derivatives of rutin, in which tri-hydroxyethyl rutoside predominates, having P-vitamin activity.

improves blood flow in hemorrhoids, reduces severe symptoms of hemorrhoids, improves the tone of the corpora cavernosa, reduces the permeability of the vascular wall, eliminates the inflammatory process, helps relieve itching.

Application chart
gel lubricate the affected area 2 times a day. Capsules are washed down with water during meals 3 times a day. The course of therapy is 1 month.

Pregnancy and lactation

During pregnancy, the drug is approved for use up to 13 weeks. Instructions for use indicate that during breastfeeding, “Troxerutin” can be used if the expected effect of the use will be higher than the risks. But according to information in international medical guides, such as E-lactancia and Lactmed, the substance Troxerutin is labeled “low risk”, therefore, is fully compatible with the period of breastfeeding.

During pregnancy, the drug is approved for use up to 13 weeks

The composition of the drug

The main active ingredient of the drug is one of the derivatives of bioflavonoids troxerutin. A positive effect is noted after regular use of the ointment for 5-7 days with local application of the drug to the formed hemorrhoidal nodes.

The composition of troxevasin capsules includes troxerutin in powder form at a dose of 300 mg.

Troxevasin gel is thick and yellow, odorless. The composition of 1 g of ointment includes 20 mg of the active substance (rutin). One tube contains 40 g of ointment. The gel for hemorrhoids is often used as a local drug for the rapid relief of symptoms of inflammation.

Adverse reactions

Applying Troxerutin for hemorrhoids, the following negative reactions may follow:

  • headaches and migraines
  • gastrointestinal tract irritation,
  • allergic reactions, which are expressed as irritations and rashes on the skin, itching and peeling.

If you notice such symptoms, you should consult your doctor about replacing Troxerutin with another drug.

One of the adverse reactions is headaches.

Action on hemorrhoids

The mechanism of action of Troxevasinum (ointment and tablets) for hemorrhoidal disease is:

  • Troxerutin has a stabilizing effect on hyaluronic acid, thereby strengthens the vascular wall,
  • Reduces the degree of permeability of the walls of blood vessels, prevents the impregnation of blood cells and the formation of small hemorrhages,
  • It has strong anti-inflammatory properties,
  • Tones up the wall of blood vessels, including hemorrhoidal veins. Reduces the degree of deformation of the cavernous bodies of the rectum,
  • Prevents the development of thrombosis of hemorrhoids (reduces the ability of blood platelets to stick together),


To date, no cases of overdose with Troxerutin have been investigated. If there was an accidental ingestion of the gel inside or capsules were taken in a dosage exceeding the permissible level, it is necessary to take an adsorbent, and when it comes to a child, immediately contact a medical institution.

Successful treatment of hemorrhoids with a gel or capsules is possible with a comprehensive thorough and systematic approach:

  • pay more attention to moderate exercise, without stress on the pelvic area,
  • balance your diet so that the meal includes all the necessary vitamins and minerals, as well as dairy products that normalize the work of the gastrointestinal tract,
  • stress should be avoided
  • Do not neglect traditional medicine in the form of compresses, baths and lotions. With complex treatment with medications, they have a calming and anti-inflammatory effect.

Before giving preference to a medicinal product, specialist advice is required. After the diagnosis, the proctologist will explain how to use "Troxerutin" for hemorrhoids and which analogues are acceptable in a particular case.

Standard and effective treatment regimen

How to use troxevasin for hemorrhoids? According to instructions:

  1. Tablets (capsules) are taken 1-2 per day for 3 weeks (average daily dose is 600 mg) with meals,
  2. The gel (ointment) is applied locally to the affected areas twice a day, long-term use is recommended (several months).

Download full instructions for the use of the drug

If hemorrhoids are located on the walls of the rectum (without prolapse), gauze swabs are made, ointment is abundantly applied to one of them and introduced into the rectum for 2 hours.

The main indications and contraindications for use

Treatment is indicated for:

  1. Chronic venous insufficiency
  2. Hemorrhoids during pregnancy,
  3. Treatment of varicose veins,
  4. The presence of varicose hemorrhoidal veins with the formation of characteristic nodes,
  5. Swelling, soreness and itching with hemorrhoids,
  6. Thrombophlebitis and thrombosis (in particular hemorrhoidal nodes),

There are a number of contraindications to therapy:

  • Capsules and tablets of Troxevasin should not be taken in the presence of peptic ulcer of the duodenum or stomach, with gastritis, liver and kidney diseases,
  • The drug is not safe in tablet form for the fetus in the first trimester of pregnancy,
  • Hypersensitivity to troxerutin,
  • The child is less than 15 years old.

Can I use troxevasin from hemorrhoids during pregnancy?

Unfortunately, the “pregnant” period in women is often blackened out by hemorrhoids. This is due to the restriction of motor activity, frequent constipation, hyperprogesteroneemia, as well as uterine pressure 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, the symptoms of hemorrhoids can appear for the first time, or be a manifestation of an exacerbation of the disease. But in any case, a comprehensive antihemorrhoidal therapy is indispensable.

The official instructions do not recommend the use of Troxevasin for hemorrhoids during pregnancy in the first trimester, but since 13 weeks this drug has been used successfully for both prevention and treatment of this unpleasant disease.

Of course, the appropriateness of Troxevasin therapy is determined solely by the proctologist together with the gynecologist, when the expected effect of the 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.


Active substances - alpha-escin, diethylamine salicylate and sodium heparin. The drug relieves swelling, inflammation and pain, reduces vascular fragility, increases muscle cell tone, and prevents the formation of blood clots. It is used in the treatment of venous insufficiency, hemorrhoids, phlebitis, post-traumatic and postoperative edema and hematomas, back pain (osteochondrosis, lumbago, sciatica), sprains, closed injuries.

Release form: gel, tablets. Apply 1-5 times a day, applying a thin layer and rubbing lightly into the corresponding area of ​​the skin.

Side effects: itching, hives, burning sensation, rash.

Contraindications: hypersensitivity to the drug, necrosis or open wounds at the treatment site, renal failure, pregnancy and lactation, age up to 18 years, use simultaneously with anticoagulants and after irradiation.

Venen (Aescusan)

The active substance is escin. Eliminates venous congestion and fragility of capillaries, enhances blood flow, relieves swelling, inflammation and promotes tissue repair. It is used for venous insufficiency, post-thrombotic syndrome (tumors and hematomas), leg ulcers, superficial vein inflammation, swelling, cramps, pain and heaviness in the legs, muscle tension.

Release form: dragee, ointment. Apply a thin layer to the affected area 1 or more times a day, lightly rub. With ointment, you can make compresses, cover it with occlusive dressings.

Side effects: short-term skin allergic reactions at the site of application.

Contraindications: hypersensitivity to escin, open wounds, skin lesions with the effect of soaking, pregnancy and lactation, taking anticoagulants, age under 18 years.

Heparoid (Hirudoid, Emeran)

The active substance is heparinoid. Anti-inflammatory, antithrombotic and antiexudative agent. Prevents the formation of blood clots, accelerates the resorption of hematomas, reduces swelling and pain. It is used in the treatment of phlebitis, varicose veins, thrombophlebitis, trophic ulcers, all types of hemorrhoids (in the absence of bleeding), bruises of edema, hematomas, tendovaginitis and sprains, softening of scar tissue.

Release form: ointment. A little means is applied to the affected areas and around them 2-3 times a day at intervals of 4-5 hours, rubbed until completely absorbed or covered with compress paper. Treatment is carried out for no more than 2 weeks.

Side effects: local allergic reactions on the skin.

Contraindicated in hemorrhagic diathesis, hemophilia, thrombocytopenia, various forms of purpura, hemorrhoids with bleeding, pregnancy, breastfeeding. Treatment of children is possible with the permission of a doctor.

Troxevenol (Indovazin, Indovenol)

The active substances are troxerutin and indomethacin. The drug relieves inflammation and swelling, anesthetizes, dilates blood vessels and reduces their fragility, has P-vitamin activity.It is used to treat venous insufficiency, varicose veins, superficial thrombophlebitis and phlebitis, bruises, sprains and sprains, hemorrhoids, soft tissue rheumatism (tendovaginitis, bursitis) and surgical edema.

Release form: gel. A column of gel 3-5 cm long is applied with a thin layer on the inflamed areas of the skin, gently rubbing. The frequency of use is 3-4 times a day, but not more than 20 centimeters of the substance per day. The course of treatment should not exceed 10 days.

Side effects: local allergic reactions - hyperemia, dermatitis, itching, burning, redness of the skin.

Contraindications: individual intolerance to the components of the gel or other non-steroidal anti-inflammatory drugs, bronchial asthma, children under 14 years of age, pregnancy, lactation.

Beneficial features

The drug has certain pharmacological properties:

  1. Strengthens the wall of blood vessels throughout the body (angioprotective effect). It affects the degree of permeability of the walls of small vessels and capillaries. Prevents platelet adhesion between itself and to the vessel wall. Significantly reduces the level of exudative process associated with the release of plasma from the bloodstream.
  2. It has an antioxidant effect, protecting cell membranes from oxidation products.
  3. The properties are similar to the action of vitamin P. They reduce the permeability of the walls of the capillaries and tone the venous system.
  4. Relieves inflammation and swelling. Reduces leg swelling by reducing exudation.
  5. Stimulates the excretion of the resulting products in the process of metabolism.
  6. It activates the vascular reflex (venous arterial), which contributes to the slow filling of the veins with blood. Based on this, the drug as a local medicine can be used for hemorrhoidal disease.

Therapeutic and healing properties

Reviews of experts also allow us to characterize the drug as highly effective in the treatment of hemorrhoids. This has been proven by numerous clinical studies. So, scientists from the State Scientific Center for Coloproctology concluded that the most effective tool can be used to treat thrombosis of external nodes. However, it will be very useful for those who suffer from chronic hemorrhoids, both internal and external.

According to studies, after a ten-day course of treatment, the pain of hemorrhoids is significantly reduced, the size of the perianal hematoma is reduced, and the bleeding from the anus is no longer disturbing. At the same time, there is evidence that with acute hemorrhoids, Troxerutin is practically useless: it does not help cope with itching and burning in the anus.

The average cost of a gel in Russia is 58 rubles. A package of capsules (50 pieces) can be bought for 280-290 rubles.

Treatment of hemorrhoids with troxerutin

The bioflavonoid Troxerutin (Troxerutin) belongs to the group of angioprotective (vascular protective) agents and has microcirculatory correcting properties. It participates in the processes of cellular respiration and metabolism, mutually enhances the effect of vitamin C on the state of capillaries. This means that with hemorrhoids and varicose veins, the strengthening effect on the wall of the venous vessel and improves local blood circulation. Thanks to it, there is a rapid decrease in edema and weakening of pain pulsation in the area of ​​pathologically altered veins.

In combination with a diet against constipation and sufficient physical activity, treatment of hemorrhoids with Troxerutin can stop the progression of varicose vein insufficiency in the anal area, relieve painful manifestations

The sooner you pay attention to the problem and take action, the better the result.

The situations indicated for the use of Troxerutin are manifestations of venous vascular insufficiency to varying degrees:

  • heaviness felt in the lower limbs
  • varicose veins, incl. and during pregnancy,
  • thrombophlebitis, trophic processes on the skin with its damage,
  • a syndrome that develops after vein thrombosis,
  • hemorrhoids.

It is widely used for a variety of vascular pathologies, injuries of various parts of the body, local edema, for postoperative rehabilitation, and for the prevention of cicatricial changes at the site of sutures.

The increased permeability of capillaries during hemorrhagic diathesis, infectious capillary toxicosis (with measles, flu, scarlet fever), radiation therapy, vascular lesions with retinopathy, and diabetic angiopathy also respond to treatment with this drug.

Form of release of troxerutin from hemorrhoids

In the pharmacy you can buy troxerutin capsules and gel. The name of the active substance and the commercial name of the drug are the same. In addition, there are ointments for hemorrhoids, which also include troxerutin. All of these are over-the-counter products. Before use, be sure to read the instructions, learn about side effects and contraindications.

Capsules are available in 50 pieces per pack, each containing 300 mg of troxerutin and excipients in a gelatin shell.

The gel for external use is packaged in tubes of 40 grams, the concentration of troxerutin 2%. It is homogeneous, transparent, has a brown tint, almost odorless.

Ointments can have a complex composition with the addition of various biologically active substances of plant and animal origin.

Restrictions on use and side effects

Like any drug, this medication has its contraindications. Therefore, before you start using it, you must familiarize yourself with instructions for use Troxerutin.

The use of the drug is prohibited:

  • if the patient has an allergic reaction to the active substance,
  • with exacerbation of gastritis or other ulcerative lesions of the gastrointestinal tract,
  • in the first trimester of pregnancy,
  • children under 14 years old
  • in identifying kidney pathology.

When breastfeeding, under the supervision of a doctor is allowed to apply Troxerutin gel for hemorrhoids. In the form of capsules, the proctologist can prescribe the drug in late pregnancy.

Usually, the medication is well tolerated by patients and does not cause any side effects. Allergic dermatitis or urticaria are sometimes observed in patients. In rare cases, patients complain of:

  • headache,
  • nausea and vomiting
  • digestive tract disorders.

If intolerance occurs, the drug should be replaced with a similar drug.

Methods of using troxerutin for hemorrhoids

It is useful to always have Troxerutin gel in a home medicine cabinet, it is good if it is at hand with bruises, bruises, dislocations, sprains, swelling, exacerbation of hemorrhoids. It is easily absorbed when applied to the skin, creating a thin breathable film, does not require a bandage.

Using the gel is simple, you need to lightly smear the painful area, you can do this several times a day. Preliminary skin should be thoroughly cleaned. After defecation, washing with cool water is necessary. This is a great way to prevent hemorrhoids and alleviate its manifestations.

Unless the doctor recommends otherwise, capsules should be taken according to the instructions 3 times a day, 1 piece each. For preventive purposes, it is enough to drink 1 piece 2 times a day. The course lasts 3-4 weeks. Its extension is possible only as directed by a doctor.

The use of Troxerutin for hemorrhoids does not exclude the simultaneous use of other venotonic, sclerosing and anti-inflammatory drugs.

Instructions for use of troxerutin for hemorrhoids

Very often, proctologists prescribe Troxerutin for hemorrhoids apply inside and apply externally. In such a simultaneous administration, the effectiveness of the medication increases. Consider the use of the drug in any dosage form individually:

  1. According to the official instructions for use of troxerutin capsules 1 tablet should be taken 2-3 times daily before meals. The duration of therapy is determined by the doctor, usually it lasts 2-4 weeks. Sometimes a proctologist may prescribe a drug for maintenance therapy, which consists in taking one capsule per day.
  2. Troxerutin Hemorrhoids Gel used for external application to the anus. Recommended frequency of use 2 times a day in the morning and at night. Before use, hygiene procedures should be carried out. The ointment must be rubbed until completely absorbed into the tissue. You can make lotions. To do this, apply a little gel on a gauze cloth and apply on the anus.

It is important not to apply Troxerutin ointment with hemorrhoids to bleeding wounds and microcracks. Do not allow the drug to get into the eyes.

The drug is often prescribed in complex treatment along with other medications. Reviews about troxerutin tablets for hemorrhoids are mostly positive. Their proctologists often prescribe them for the prevention of the disease. Preventive treatment courses are recommended twice a year. Duration of admission is at least three weeks.

During treatment, doctors recommend a diet. Do not eat fatty, spicy, fried foods, alcoholic beverages, flour products. Exercise, hiking are welcome. The diet should be enriched with fruits and vegetables, drink more oxen, healthy herbal drinks, dairy products.

Contraindications to troxerutin with hemorrhoids

Contraindication for external exposure to Troxerutin is an individual intolerance to the active or auxiliary substances.

Internal use of the drug may be accompanied by vascular reactions, for example, facial redness. Troxerutin is not prescribed orally for renal failure and gastritis. It is contraindicated in gastric ulcer.

Also, it is not prescribed in the first trimester of pregnancy and when breastfeeding. There are no instructions for internal use in children under 15 years of age.

Hemorrhoids lead to a weakening of the venous wall, valve failure and stagnation of blood in the pelvic organs, which in most cases is a consequence of a sedentary lifestyle and malnutrition. Therefore, the main role in the prevention of hemorrhoids and its reverse development belongs to healthy habits.

Troxerutin for hemorrhoids during pregnancy

During pregnancy, because of the ever-growing uterus, pelvic organs are oppressed. This negatively affects blood circulation, blood stasis is formed. This condition can cause hemorrhoids.

Every second pregnant woman suffers from this ailment. The doctor has to choose the drugs so that they remove the signs of the disease, which cause discomfort to the woman and do not harm the pregnancy.

Troxerutin for hemorrhoids during pregnancy in any dosage form is contraindicated in the first trimester. In later terms, the use of the drug is allowed, but strictly under the supervision of a doctor. Self-medication in this case is unacceptable.

With lactation You can use the drug in the form of a gel without fear. With external use, the medicine is not absorbed into the breast and is not excreted together with breast milk.

Troxerutin during pregnancy in the later stages can be prescribed for preventive purposes. Doctors also recommend increasing motor activity, walking more in the fresh air, going to classes in therapeutic exercises for pregnant women.

The cost of the drug and where to buy

To get Troxerutin for hemorrhoids You can at any pharmacy without presenting a prescription from a doctor. The drug is on sale. The cost of the drug depends on the region of residence and the type of dosage form.The price of the drug in capsules is an average of 250 rubles, and in the form of a gel can be purchased for 65 rubles.

The opinion of doctors

Troxerutin for hemorrhoids Judging by reviews Specialists are quite an effective tool. The medication reduces the manifestation of inflammatory processes, relieves edema, increases the elasticity of blood vessels.

But many patients ask as right use troxerutin for hemorrhoids? According to doctors, for therapeutic purposes, it is necessary to use the drug inside and apply externally. When taking the capsules inside, the risk of developing blood clots in the hemorrhoidal nodes is reduced.

It is important to adhere to the doctor’s recommendations and take the dose prescribed by the specialist.

Special reviews doctors about troxerutin capsules with inflammation hemorrhoids very encouraging. After their use, the nodes and cones are significantly reduced in size, swelling and inflammation are relieved.

"Troxerutin" for hemorrhoids: 6 indications for use and 2 forms of release

The main cause of hemorrhoids is a decrease in the tone of the veins in the pelvic and rectal organs, because of which the volume of their internal lumen increases, the walls of the vessels become thinner, and at the same time the speed with which the blood moves through the veins slows down. All this in total increases the risk of blood clotting and blood clots. And if this process affects the hemorrhoidal nodes, they become inflamed. In what cases is Troxerutin prescribed for hemorrhoids.

The composition of Troxerutin includes:

  • troxerutin
  • pharmacological basis (cellulose, medical petroleum jelly, lactose monohydrate and other components that do not have a therapeutic effect).

The active substance troxerutin is a classic angioprotector that stimulates intercellular metabolic processes in the walls of blood vessels. Along with this, under its action, the elasticity of blood vessels increases, the permeability of their walls decreases, which prevents their ruptures.

Troxerutin also stimulates the absorption of vitamin P, which just strengthens the walls of blood vessels. However, it also prevents the oxidation of ascorbic acid, which enhances the immune response from the vascular system.

That is why Troxerutin is recommended to be taken in combination with vitamin complexes, which necessarily include vitamins P and C (for example, Ascorutin).

In fact, this drug does not eliminate the painful symptoms of hemorrhoids, but struggles with the main cause of the disease - with the deterioration of the veins, with venous insufficiency.

Troxerutin is available in two forms:

  • gel for external use (20 mg of active ingredient per 1 g of gel),
  • tablets (each capsule contains 300 mg of troxerutin).

The advantages of the gel include the fact that it begins to act literally 1.5–2 hours after application.

According to studies, already after this period of time there is a change in the balance of lipids in the treated area of ​​the epithelium, which indicates a change in metabolic configuration.

But the tablets act only after 12-24 hours when they reach their maximum concentration in the body.

But in the treatment of hemorrhoids, a combination of tablets (oral administration) with a gel (locally) is allowed. Such therapy gives the best and fastest effect. The main thing is to undergo a full course of treatment to minimize the likelihood of a relapse of the disease. Even if the symptoms of hemorrhoids disappear after 5-10 days of therapy, continue it should be exactly as much as indicated by the attending physician.

Troxerutin for hemorrhoids: the use of ointments and capsules

Recently, many suffer from hemorrhoids. The disease develops against the background of a sedentary lifestyle of modern people. Doctors often prescribe Troxerutin ointment or capsules for hemorrhoids to patients.

It is important to take the drug according to the instructions, taking into account contraindications and side effects.

The medicine has its advantages and disadvantages, which are also worth paying attention to when choosing an effective and safe remedy.

The action of "Troxerutin" with hemorrhoids

"Troxerutin" is most effective for the treatment of the initial stages of internal and external hemorrhoids. As a result of its use in hemorrhoids, it is observed:

  • inflammation reduction
  • increased tonus of capillary walls and tissue repair due to improved metabolic processes,
  • reducing the size of the formed hemorrhoidal nodes, preventing thrombosis in them,
  • cessation of bloody discharge.

Patients using this remedy note a decrease in the symptoms of hemorrhoids.

It relieves inflammation well

How to use?

Let's consider in more detail how to use Troxerutin for hemorrhoids. For best results, the simultaneous use of 2 forms of the drug (capsules and gel) is recommended.

Oral administration of the drug should be carried out before meals. The course of treatment and dosage are discussed with the doctor (on average 2-3 capsules, for 14-30 days). If necessary, the dosage can be reduced over time.

Before applying the gel, it is necessary to carry out hygiene procedures of the hands and the perianal opening.

Apply a thin layer of the drug (no more than 2 g per one procedure) with light circular movements on dry, intact anus skin.

You can carry out manipulations with your finger or a swab of gauze, twice a day. If there are hemorrhoidal nodes inside, it is possible to maintain a small amount of the drug in the anus.

Feasible side effects

The use of Troxerutin is well tolerated by the body. But in rare cases, unwanted effects may occur:

  • headache as a result of vasodilation in the brain,
  • gastrointestinal mucosa irritation,
  • diarrhea,
  • depression,
  • burning and redness of the skin,
  • allergic reaction.

If adverse effects occur, discontinue use of the drug

With self-medication or exceeding the dose prescribed by a doctor, overdose symptoms may appear:

  • overexcitation
  • cardiopalmus,
  • dizziness,
  • headache,
  • decrease in blood pressure,
  • nausea.

Troxerutin is an effective, popular remedy for hemorrhoids. Using a gel will help minimize the risk of side effects. The additional use of capsules will enhance the effect and a faster result.

However, it is worth remembering that the treatment of hemorrhoids cannot be carried out with the help of one remedy. This requires a set of procedures and drugs. When treating hemorrhoids according to the scheme prescribed by a doctor, the result will not be long in coming.

And proper nutrition, an active lifestyle and the periodic use of medications for prevention will help avoid the return of the disease.

Watch the video: How to Apply PREPARATION H Ointment with an Applicator (April 2020).

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