"Detralex" for hemorrhoids - treating the problem from the inside

Venotonic tablets "Detralex" for hemorrhoids will improve the functioning of blood flow in the veins, relieve inflammation and antispasmodic pain, and also help in the regeneration of damaged tissues. This is a tablet drug that helps both with exacerbation of hemorrhoids and with the chronic course of the disease. The medicine acts equally well on both internal illness and its external manifestation.

What are the components and properties of the medication?

"Detralex" are tablets that belong to the group of venotonic and angioprotective drugs. The main components in its composition are natural and synthetic flavonoids, which, working in pairs, enhance each other’s effects. Diosmin is used to normalize the functioning of veins, and hesperidin is used to strengthen it. They quickly act on the venous-capillary system and at the same time have anti-inflammatory and regenerating properties.

The use of Detralex as the main drug for the treatment of hemorrhoids is possible at the initial stage of the disease or when prophylaxis is carried out. For acute and chronic hemorrhoids, Detralex tablets are used as one of the drugs for complex treatment.

What is the effect of diosmin?


The drug normalizes vascular tone and eliminates blood stagnation in them.
In Detralex tablets, the main flavonoid is diosmin. It is extracted from the Dubrovnik plant or synthesized artificially. The drug is especially effective for hemorrhoids with bleeding, as it has a gentle and effective effect on the veins and capillaries, and also promotes the resorption of hemorrhoids. Diosmin in the treatment of hemorrhoids allows:

  • increase the tone of the veins;
  • prevent blood stagnation;
  • improve blood and lymph circulation;
  • strengthen capillary walls.

Action of hesperidin

The second flavonoid, hesperidin, is found in citrus fruits. When treating an illness, this component helps relieve discomfort in the inflammatory focus and helps cells renew themselves. Hesperidin in Detralex performs the following functions:

  • pain reliever;
  • anti-inflammatory;
  • regenerating;
  • immunomodulatory;
  • decongestant;
  • antipruritic;
  • antiseptic.

Detralex for chronic hemorrhoids. Detralex tablets for hemorrhoids

Release form: Tablets

ATX code: C05CA53

Detralex for hemorrhoids is prescribed at all stages of the disease, does not cause complications or addiction, and does not lead to intoxication of the body. Unlike suppositories, tablets are more effective for internal hemorrhoids and bleeding. In case of inflammation, the use of suppositories is often impossible due to severe pain and narrowing of the rectum.

Directions for use and doses

Detralex for hemorrhoids is taken with food.

  1. During an exacerbation, 3 tablets in the morning and evening for 4-5 days. Afterwards, 2 tablets 2 times a day. Continue for 3 days. After the 7-day period, stop taking Detralex or take 2 tablets in the morning or according to another regimen chosen by the doctor.
  2. For chronic disease - 1 tablet 2 times a day for 7 days.

Detralex begins to act in 15-30 minutes. Symptoms disappear 12-24 hours after the first dose.

Contraindications

The main contraindication is an allergy to one or more components. Other contraindications:

  • lactation period;
  • age under 18 years;
  • ulcers in the gastrointestinal tract;
  • tendency to diarrhea;
  • oncological diseases.

Duration of treatment

Treatment with Detralex lasts on average 7-10 days for acute or up to 30 days for chronic hemorrhoids. In complex therapy, Detralex is not prescribed for more than 15 days. For prevention purposes, the drug is taken 2 times a year for 7-10 days.

Interaction with other drugs

The effect of adrenaline and norepinephrine is enhanced. The vasoconstrictor effect is enhanced when interacting with serotonin. Interaction with other medications has not been studied. There is no compatibility with alcohol, since alcohol neutralizes the effect of the active substances of the drug. Detralex does not have a negative effect on driving.

Overdose

With an overdose or long-term use of Detralex, abdominal pain and heartburn are observed. No other manifestations were recorded.

Best before date

Shelf life: 4 years. After this period has expired, the use of the drug is not allowed.

Composition and release form

The 500 mg tablet contains the following ingredients. Active substances:

  • diosmin 450 mg – strengthens the walls of blood vessels, reduces their permeability;
  • hesperidin 50 mg – eliminates swelling, relieves inflammation, dissolves microthrombi, increases the tone of the vascular walls.

Excipients: purified water, talc, gelatin, starch, titanium oxide, sodium lauryl sulfate, iron oxides (yellow, red) - dyes; macrogol - prevents the rapid absorption of liquid by the walls of the small intestine. Detralex is available in orange tablets with a yellow rim, 30 or 60 pcs. packaged.

Pregnancy and lactation

No negative effect of Detralex on fetal development has been identified. Instructions for use limit the use of the drug in the third trimester of pregnancy, since this period is characterized by high permeability of the placenta. The possibility of penetration of the active substances of Detralex into the child’s body through breast milk has not been studied. Instructions for use recommend refraining from taking the drug while breastfeeding.

Use in childhood

The effect of Detralex on the children's body has not been studied. The manufacturer considers being a minor a contraindication. Children 12-18 years old are prescribed half the maximum permissible dosage for adults. For patients weighing less than 45 kg, the total dosage is also reduced by 2 times.

Instructions for use


The drug helps with heaviness in the legs.
The medicine is used both for healing and for the prevention of diseases, including if a node has come out. It is also used in the postoperative period after removal of hemorrhoids, to improve patency and local immunity. Detralex will help in getting rid of the following ailments:

  • venous insufficiency;
  • heaviness and feeling of fatigue in the legs;
  • calf cramps;
  • thrombophlebitis;
  • varicose veins;
  • trophic ulcers;
  • external and internal hemorrhoids;
  • with bleeding after hemorrhoidectomy.

Application

Detralex is prescribed for the treatment of hemorrhoids and venous insufficiency, which is manifested by the following symptoms:

  • Edema;
  • Ulcers;
  • Heaviness in the legs;
  • Pain in the lower extremities;
  • Trophic metabolism disorders;
  • Cramps.

The standard dose is two tablets per day, which should be taken at regular intervals. It is possible to use a daily dose of two tablets at once in one dose, however, double use is preferable to maintain a constant concentration of the drug in the blood.

For the treatment of hemorrhoids in the acute stage, the initial dose can be up to 6 tablets per day . After 4 days, switch to 4 tablets, and then to the standard dose. The tablets are taken with meals.


In the photo: Phlebodia and Detralex

The duration of treatment is determined by the doctor.

For preventive purposes, Detralex is prescribed for a course of about 1 month, twice a year.

Complex treatment of hemorrhoids with Detralex and suppositories shows more effective results.

At the same time, suppositories for hemorrhoids have a local effect, and Detralex potentiates their effect and affects the blood vessels of the whole body. Thus, combination therapy is highly desirable.

The following suppositories can be a good addition to Detralex:

  • Posterisan;
  • Ultraproct;
  • Relief;
  • Proctosan and others.

Photos of candles:


Proctosan


Relief


Ultraproct


Posterisan

Dosage of Detralex for hemorrhoids

The regimen for taking the drug “Detralex” for hemorrhoids is developed by the doctor, according to the patient’s medical history. The general instructions for using Detralex say that the drug should be used for acute hemorrhoids and bleeding hemorrhoids. Take 3 tablets in the morning and evening for 4 days, then reduce the proportion of the drug used to 2 tablets per day and drink for another 3 days. For chronic hemorrhoids, you need to take the medicine 2 times a day. It is necessary to take Detralex tablets for hemorrhoids with meals. The course of treatment with the drug will last a long time, about 3 months. After completing the treatment course, you need to take a break and resume treatment as needed. If you take the drug frequently or for a long time, it may cause harm to your health. The effect of taking the medicine will be noticeable after a month of use. If during this time the drug does not help, it is replaced with another.

How to take Detralex after hemorrhoid surgery

Detralex is a well-known French drug for blood vessels and veins. Does Detralex help with hemorrhoids and what is the best way to use the drug to relieve the symptoms of the disease?

One of the most unpleasant and painful diseases of modern people is hemorrhoids. It comes on unnoticed and manifests itself with painful symptoms. It can be confused with more serious diseases: thrombosis, rectal cancer.

Treatment of the disease must begin with drug therapy. At the initial stages of pathology development, the French drug Detralex helps. This medication copes with the symptoms of both acute and chronic hemorrhoidal disease. In addition, it is used as a venotonic agent for diseases of the veins and blood vessels.

Detralex for hemorrhoids is available without a doctor's prescription! Can be considered as a preventative against the development of complications with varicose veins and proctological problems.

The drug is produced in the form of oval tablets of orange-pink color. The blister contains 15 pills, the package contains 2 or 4 blisters. The active ingredients of the product are diosmin and hesperidin.

Detralex tablets are prescribed for the treatment of manifestations of venous insufficiency:

  • pain and feeling of heaviness in the legs;
  • swelling of the limbs;
  • night cramps;
  • trophic disorders.

This drug also copes well with attacks of hemorrhoids. Proctologists often prescribe it to prevent disease or to speed up the recovery process after surgery to remove nodes.

The mechanism of action of Detralex tablets for hemorrhoids:

  1. They increase the tone of the veins, reduce venous congestion, and reduce the distensibility of the veins.
  2. The permeability of the capillary network is normalized.
  3. Stops inflammatory processes.
  4. Strengthen the protective properties of vascular walls and increase their elasticity. This means that hemorrhoidal cones will not stretch and increase in size.
  5. Reduce swelling of hemorrhoids. The bumps become softer, less tense and less painful.
  6. Improves the outflow of venous blood. As a result, blood clots stop increasing in size.

Table: Treatment of hemorrhoids with Detralex: impact on pathogenetic processes

The drug rarely causes side effects.

In case of overdose and intolerance, the following undesirable reactions in the body are possible:

  • Dizziness.
  • Nausea, stomach cramps; less often – diarrhea and vomiting.
  • Skin rash, urticaria, itching; less often - Quincke's edema.

If side effects occur, the patient must notify the attending physician. Perhaps the specialist will select other means for the patient. Detralex analogues: Fleodia 600, Venarus.

There have been no cases of overdose of tablets in medical practice. If a person accidentally or intentionally drinks a larger amount, then he should rinse his stomach. It is better to drink any sorbent or consult a therapist if the condition does not improve.

Diosmin tablets should not be prescribed in the following cases:

  1. In case of individual intolerance to any components of the drug.
  2. For nursing mothers. No studies have been conducted on the effect of this drug in relation to this category of population. Therefore, women who are breastfeeding are not recommended to take these tablets.

Pregnant women should consult with their doctor before deciding to take the drug for preventive measures.

Regimen for taking Detralex for chronic hemorrhoids in remission:

- From 1 to 7 days - 1 tablet twice a day. - From 8 to 30 days - 2 pills 1 time per day.

The duration of therapy can be from 1 to 1.5 months. As a preventative measure, proctologists recommend taking the medicine annually.

Regimen for the chronic form of the disease in the acute stage:

— From 1 to 4 days – 2 pieces 3 times a day. — From 5 to 30 a.m. – 2 pieces 2 times a day.

Regimen for taking Detralex for acute hemorrhoids: - From 1 to 4 days - 3 tablets 2 times a day. - From 5 to 7 days - 2 pills 2 times a day. - From the 8th day - 1 tablet 2 times a day.

This scheme must be followed until all symptoms of the pathology disappear. And then take the drug for another 2 or 3 days to consolidate the results of therapy.

>>> Download full instructions for use of the drug Detralex

To achieve a good result with the drug "Detralex" you need to additionally use topical products. They can quickly relieve pain, itching and burning, and relieve inflammation. Local remedies: ointments, creams have an analgesic, anti-inflammatory and antiseptic effect.

Also, we must not forget about the diet, which should definitely include fresh vegetables, fruits, fermented milk products and a variety of water-based cereals. They will prevent constipation and will not provoke exacerbations of the disease.

Detralex price: 750 rubles - 30 pieces; 1450 rubles - 60 pieces.

Reviews about the use of the drug for hemorrhoids are positive.
Many indicate rapid relief of inflammation in the anus, reduction of swelling, and reduction of pain. Negative reviews relate more to the price of the drug, since the French product is not cheap. Sergeev I.A., phlebologist-proctologist: “The drug Detralex (“Servier”, France) is a micronized drug for the treatment of various forms of venous insufficiency.
Detralex for hemorrhoids has a positive effect on improving blood circulation, improves the tone of the venous wall, and reduces blood stagnation.

The flavonoids, diosmin and hesperidin included in its composition have a complex effect on the most important links in the causes of vascular diseases. Numerous placebo-controlled studies that meet the most stringent GCP requirements convincingly prove the phleboprotective, lymphotonic, anti-inflammatory and antiplatelet mechanisms of action of Detralex. The high efficiency and safety of the drug has led to its widespread use in outpatient practice.

The drug affects three components of venous disease - significantly improves venous tone, lymphatic drainage and, most importantly, normalizes microcirculation. The product significantly increases the strength of the capillary wall and reduces its permeability.

Moreover, Detralex significantly reduces vascular inflammation and stagnation in the microcirculation system. This versatility of the mechanism of action of the tablets explains the effectiveness of their impact even on the most severe complications of chronic venous insufficiency, such as hemorrhoids and ulcers of the lower extremities.”

THERE ARE CONTRAINDICATIONS CONSULTATION WITH YOUR DOCTOR IS REQUIRED

Author of the article Alexey Alexandrovich Egorov, proctologist

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In the treatment of hemorrhoids after hemorrhoidectomy, i.e. removal of cavernous formations, various complications may appear: urinary retention, infection, bleeding, narrowing of the anus. To prevent this from happening, you must adhere to certain rehabilitation rules. Typically, the recovery period can last from three days to several months.

A disease that appears as a result of circulatory disorders in the vessels of the hemorrhoidal plexuses of the rectum is called hemorrhoids. Often this disease occurs with complications: bleeding, thrombosis and varicose veins. Men and women are equally susceptible to hemorrhoids. At risk are those people who suffer from obesity, constipation, lead a sedentary lifestyle, engage in anal sex, and eat a lot of salty, smoked, and spicy foods. In addition, inflammation of hemorrhoids can occur in athletes and people with heavy work.

If the inflammation of the hemorrhoidal sinuses of the anus is often recurrent and chronic, then the coloproctologist can advise the patient on a surgical treatment method, having previously carried out anti-inflammatory complex therapy. If the rectum or anus is inflamed, surgical treatment becomes impossible. First, the swelling is removed, only then the specialist decides whether the patient can be operated on. As a rule, surgery becomes the best option when:

  • loss of nodes;
  • severe pain syndrome;
  • purulent discharge;
  • heavy bleeding, causing the risk of anemia;
  • Stages 3 and 4 of hemorrhoids;
  • severe inflammation of hemorrhoids;
  • thrombosis of venous cones;
  • pinched.

At the early stage of hemorrhoid development, when the nodes are not very enlarged, minimally invasive techniques can be used in the hospital, i.e. without using a scalpel. The most common are: sclerotherapy, disarterization, cryodestruction and laser coagulation. The postoperative period after removing hemorrhoids using minimally invasive methods will take only three days. Advanced hemorrhoids will require serious surgical intervention. The most popular surgical techniques for removing hemorrhoids are:

  • Longo hemorrhoidopexy. External hemorrhoids are removed using a circular endostapler. This device excises the affected tissue of the anus and at the same time stitches the mucous layer with titanium staples. Hemorrhoids after Longo surgery will require a short recovery period of only 3 days.
  • Hemorrhoidectomy according to Milligan-Morgan (open and closed type). Open surgery is considered the most difficult for the body. It is performed under general anesthesia. The doctor inserts an anoscope, grabs the nodes and pulls them out. Next, the node is excised. Rehabilitation after hemorrhoidectomy is more than 5 weeks.

The duration of rehabilitation after surgery depends on the correct implementation of the doctor’s recommendations. Additionally, recovery from hemorrhoid removal often depends on the type of surgery and the nature of the condition. After open hemorrhoidectomy, the duration of the rehabilitation period is 1.5 months, closed - 2 weeks. After Longo intervention, in the absence of complications, recovery will take 10 days. Hemorrhoids after surgery using minimally invasive techniques will require 2 to 5 days of rehabilitation.

Discomfort and pain often occur during the postoperative period after hemorrhoid removal, but most patients begin to feel better on the third day after excision. Typically, a person can return to their normal activities within a week. At the same time, during the recovery period it is necessary to observe bed rest, which is especially important in the first two weeks. In addition, you can’t play sports, you need to reconsider your diet. You should follow all the doctor’s instructions, then you can avoid negative consequences.

The method of recovery after surgery is selected for each patient individually. The postoperative period after removal of hemorrhoidal cones usually includes several stages. These include:

  • Taking medications. To speed up the healing of sutures and prevent wounds from festering, ointments with an analgesic and anti-inflammatory effect can be applied topically.
  • Maintaining hygiene rules. After each bowel movement, it is necessary to wash the anus with water and baby soap.
  • Diet food. During the recovery period, in order to avoid recurrence of hemorrhoids, food should be light and not linger in the intestines.
  • Moderate physical activity. To prevent complications after hemorrhoids, it is necessary to minimize physical stress on the pelvic area.

After removing hemorrhoids by hemorrhoidectomy or using the Longo method, in order to avoid exacerbations, certain rules should be followed:

  • It is imperative to maintain personal hygiene;
  • for several days after surgery, it is recommended to maintain proper bed rest;
  • Do not strain your abs or make sudden movements;
  • You can have sex only 3 weeks after removing the cones;
  • patients whose work activity involves spending a long time in front of a computer should use a special pillow;
  • You can play sports only with the doctor’s permission 15 days after surgery.

After removal of hemorrhoids, patients are prohibited from sitting on their butt for some time. The duration of the ban depends on the type of surgery, the quality of the recovery process and compliance with the proctologist’s recommendations. As a rule, patients are allowed to sit down after 48 hours, but with the obligatory use of a ring-shaped hemorrhoid pillow. When performing a squat, a person should not have any sharp pain, but an unpleasant stretching may well be present.

After hemorrhoidectomy and other types of surgery, a properly organized diet plays a large role in recovery. You should adhere to the following principles of proper nutrition:

  • the patient's menu should contain dishes with a large number of mineral components and vitamins;
  • you need to protect yourself from constipation, so it is important to drink about 2 liters of clean water per day;
  • you need to eat in fractions (meals 5 times a day), and the portions should be small;
  • You should not eat spicy foods or foods that cause increased gas formation.

From the second day after surgery, you should follow a strict diet, which will include the following permitted foods:

  • scrambled eggs;
  • porridge with water (millet, buckwheat);
  • fermented milk products (yogurt, kefir);
  • soup cooked in vegetable broth;
  • herbal decoctions;
  • weak tea;
  • boiled meat or fish;
  • fruits and vegetables containing fiber.

To quickly restore the body, it is important to remove additional stress from the digestive system, and the following foods should be excluded from the diet:

  • whole milk;
  • rice, semolina porridge;
  • baked goods, chocolate, hot pastries;
  • fatty types of meat, fish;
  • carbonated, alcoholic drinks;
  • rich meat broths;
  • kiwi, raspberries, figs, strawberries;
  • mushrooms;
  • sauces, ketchup, hot seasonings, marinade;
  • vegetables that contain coarse fiber (radish, garlic, fresh onions, sorrel, cucumbers, spinach);
  • strong coffee, tea.

During recovery after hemorrhoid removal, you should use minimal physical activity. A week after the intervention, the patient needs to get up, sit, and walk. This will help resume metabolic processes, which is important for the rapid healing of postoperative sutures and general restoration of the body. Strength sports, intense physical activity, and heavy lifting are completely excluded. You are not allowed to exercise or cycle. Daily walks help speed recovery. Here are some simple exercises:

  • with your legs crossed at the knees, you need to tense the muscles of the buttocks and anus, this should be repeated ten times;
  • for blood circulation to return to normal, you need to walk in place, raising your knees high;
  • lying on your back, you need to raise your legs up and make circular movements, as if riding a bicycle, repeat ten times.

After excision of hemorrhoids, great importance is given to hygienic care of the anus. To prevent unwanted consequences, the following recommendations should be followed:

  • after bowel movements, you should rinse the anus with cool water; according to many patients, this helps increase vascular tone;
  • you cannot use toilet paper;
  • You should wash with warm water twice a day;
  • underwear should always be soft, synthetic materials and rough seams are unacceptable;
  • after washing the anus, you should not rub the anus with a towel, you must make blotting movements with a soft cloth;
  • the use of laxatives is permissible only after consultation with a specialist;
  • during the washing process, you can use herbal decoctions of chamomile, string, and nettle;
  • When visiting, you can use wet wipes after defecation.

If the rehabilitation period is uncomplicated, discomfort after surgery to remove hemorrhoids persists for 10 days. At the same time, a person probably won’t really want to have sex. Experts recommend having sexual intercourse no earlier than 25 days after hemorrhoid removal. A person moves actively during sex, and any physical activity can cause a relapse of the disease. It will take a long time for the anus to heal, so you should forget about anal sex for at least six months.

After surgery, the patient requires postoperative treatment, which is especially necessary when the person has been experiencing severe pain for several days. In this case, you should definitely consult a doctor. After examination, the proctologist may recommend the use of special ice compresses, herbal baths and medications (suppositories, ointments, tablets). They perfectly relieve discomfort during bowel movements. You cannot prescribe such funds yourself, because... Allergy may develop.

Wound healing suppositories are effective means of conservative therapy that are used after surgery to remove hemorrhoids. The advantage of suppositories over ointments and tablets is the speed of delivery of medicinal substances directly into the inflamed node. The most popular wound-healing suppositories for hemorrhoids are:

  • Natalsid. The drug has a good therapeutic effect and has a powerful regenerating effect on the damaged rectal mucosa. The medicine is based on natural ingredients, so it has almost no side effects. Good reviews about candles can be found on websites for pregnant women. Rarely, the drug can cause allergies, itching, and peeling of the skin.
  • Relief. Suppositories have a hemostatic effect and accelerate tissue regeneration. The active base ingredient of the drug is shark liver oil. This component promotes tissue restoration and accelerated healing of cracks. For patients over 12 years of age, suppositories are prescribed no more than 4 times a day. Side effects: itching, redness of the perianal area, swelling, increased body temperature, rash.

Most patients prefer to use painkillers in tablet form. They can include natural and chemical components and give a quick effect. If you start taking painkillers on time after hemorrhoid surgery, they will help avoid unpleasant complications. The most popular tablets, according to many patients, are:

  • Detralex. The drug has an angioprotective effect, i.e. reduces capillary permeability, eliminates swelling and pain. The product improves microcirculation and blood flow from enlarged hemorrhoidal nodes. Three tablets must be taken 2 times a day. While taking Detralex, nausea, loose stools, vomiting, and dizziness may rarely occur.
  • Ibuklin. A popular pain reliever based on ibuprofen. They have anti-inflammatory and analgesic properties, and have an excellent antipyretic effect. The drug can quickly neutralize pain syndrome, actively affecting the source of inflammation. According to the instructions, Ibuklin can rarely cause side effects such as diarrhea, stomach pain, blurred vision, and dizziness.

Rarely, complications may occur after hemorrhoid removal. If minimally invasive methods are non-traumatic and safe, then hemorrhoidectomy can provoke the following negative consequences:

  • Infection. Occurs when the patient or proctologist fails to comply with the principles of hygiene.
  • Stricture (narrowing of the anus). A decrease in the diameter of the anus occurs due to incorrectly applied sutures.
  • Soreness. Pain after surgery is common because... The intestinal mucosa contains a huge number of nerve processes. In this case, doctors may prescribe analgesics.
  • Ishuria (urinary retention). This condition is more typical for men; it develops a day after the removal of the cones.
  • Bleeding. Can be strong or weak. Bleeding often occurs a few days after the intervention, when feces begin to injure the sutures or scars.
  • Fistulas. This condition can be caused by improper gripping of the muscles when suturing wounds.
  • Rectal lunge. Appears when an operation is performed incorrectly.

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The spread of statistical indicators about hemorrhoids is great, but all proctologists are unanimous in the opinion that more than half of the world’s population faces certain symptoms of this disease, so for many people the issue of drug therapy becomes relevant. Patients with proctological problems, guided by reviews on the Internet and doctor’s advice, opt for Detralex for hemorrhoids - the regimen for taking this drug has proven effective, tablets and their analogues are widely used.

The main active ingredient of Detralex, the flavonoid diosmin, has an effective effect at all stages of venous disease associated with insufficiency of their function. Detralex has found wide use in the treatment of hemorrhoids, both chronic and acute. In the production of Detralex, a unique technology is used - micronization, which gives the drug the unique property of high digestibility by the body and therapeutic productivity of use.

The medicine is available in the form of tablets, which are covered with a pink-orange film, oval in shape, with marks on both sides; the color on the fracture has a yellowish tint, the structure is heterogeneous. The tablet has the following composition:

  • diosmin – 900 mg;
  • flavonoid component – ​​100 mg;
  • other flavonoids equivalent to hesperidin – 100 mg;
  • gelatin – 62 mg;
  • magnesium stearate – 8 mg;
  • microcrystalline cellulose – 124 mg;
  • sodium carboxymethyl starch – 54 mg;
  • talc – 12 mg;
  • water – 40 mg

The film shell contains a number of elements, the presence of which is important to take into account, because in some rare cases, individual intolerance may occur with the standard treatment regimen:

  • sodium lauryl sulfate – 0.13 mg;
  • glycerol – 1.63 mg;
  • hypromellose – 27.04 mg;
  • macrogol 6000 – 0.65 mg;
  • magnesium stearate – 1.63 mg;
  • red iron oxide – 0.21 mg;
  • yellow iron oxide – 0.63 mg;
  • titanium dioxide – 5.21 mg.

The drug contains angioprotective and venotonic therapeutic effects. Detralex reduces the ability of veins to stretch and reduces stagnation of venous blood. The drug has an effect on capillaries, reducing their permeability and increasing resistance. Clinical trials of the drug have revealed the ability to correct hemodynamic parameters, which has an important role in relation to the venous vessels of the lower extremities and hemorrhoids. The optimal effect is achieved with a dosage regimen of 1000 mg of the drug per day.

The medicine has a proven antioxidant effect: Detralex stops the production of free radicals, which are one of the main causes of destruction of vascular walls. In addition to eliminating venous stagnation, the drug enhances lymph outflow. The medication is used to reduce inflammatory processes through the ability to inhibit the production of prostaglandins (inflammatory mediators).

Detralex promotes both temporary relief of unpleasant symptoms of venous insufficiency and complete relief from the disease. The drug is prescribed if the following deviations from the norm are recorded:

  • chronic or acute internal hemorrhoids (inflammation of hemorrhoidal veins, bleeding);
  • a feeling of fatigue, heaviness and fullness in the legs caused by venous insufficiency;
  • venous nodes, trophic ulcers;
  • therapy for lymphatic insufficiency.

Detralex for hemorrhoids - its dosage regimen, despite all its advantages, has a number of contraindications and side effects that must be kept in mind in order to stop taking the drug if necessary. Contraindications are:

  1. Hypersensitivity to the components of the drug.
  2. During breastfeeding due to the lack of authoritative studies on the effect of Detralex on the composition and quality of milk.
  3. Use is not recommended for persons under 18 years of age due to the lack of clinical studies of the drug.
  4. During pregnancy, use is possible only after consultation with a doctor, who must assess the balance of benefit and harm.

The risk of side effects when patients use the product according to the instructions is extremely low. Treatment of hemorrhoids with Detralex may be accompanied by the following undesirable manifestations:

  • dyspepsia;
  • nausea;
  • diarrhea;
  • colitis;
  • headaches, dizziness;
  • urticaria, itching, swelling on the face;
  • angioedema (there have been isolated cases in medical practice).

Detralex hemorrhoid tablets are taken with meals to reduce the negative effects of the medicine on the stomach. From the moment of the first dose of the drug, the symptoms of the disease disappear within 12-24 hours. The frequency, mode of use and dosage of Detralex are prescribed by a doctor, who takes into account the individual characteristics of the patient and the severity of hemorrhoids.

Detralex for hemorrhoids - the standard dosage regimen involves taking the drug orally within the recommended dose: 1-2 tablets/day. It is advisable to take them in the morning with food. The duration of therapy is several months (sometimes therapy can be year-round). If symptoms recur again, the course of Detralex can be re-prescribed. How much Detralex to drink is determined by your attending physician.

Detralex for hemorrhoids - its dosage regimen in the acute and chronic stages is different. In the first dose of the drug should be a shock dose - six tablets / day (three in the morning and in the evening). This treatment regimen lasts four days, in the next three patients take four tablets/day (two in the morning and in the evening). Further treatment with Detralex is limited to two tablets/day. This helps relieve exacerbation of chronic venous disease. Complex therapy can be supplemented with the use of suppositories for hemorrhoids (one in the evening).

Doctors often prescribe Detralex for chronic external hemorrhoids. The prescribed dosage regimen must be strictly adhered to. To begin with, Detralex is prescribed one tablet twice a day (morning and evening). After a week, the regimen changes to taking two tablets once a day with breakfast. The duration of the course is 30-45 days, the specific period is prescribed by the doctor. It must be repeated every year.

How to take Detralex for hemorrhoids as a prevention of exacerbations is written in its instructions. The dosage regimen does not differ from the treatment of anal cones in the chronic stage of the disease - twice a day, one tablet, with breakfast and dinner, or once a day, two tablets during breakfast. The duration of treatment is determined by the doctor, it is approximately a month. The exact date will be determined by the attending doctor.

How to take Detralex for hemorrhoids during pregnancy is determined by the patient’s gynecologist or attending physician. This disease often accompanies a woman when carrying a child, during childbirth and after it. There is no evidence that Detralex tablets prescribed to pregnant women caused negative consequences for the fetus. During lactation, you should refrain from taking the drug until reliable information about the interaction of drug formulas and breast milk becomes available.

The drug Detralex for hemorrhoids is a popular medicine, but due to its side effects and relative high cost, patients are looking for an alternative replacement. Existing analogues are similar in the composition of the active components of the drug or in functional features:

The drug has a component composition that is effective, but at the same time has an appropriate cost. The price of the tablet format of the drug depends on the number of tablets in the package. Price monitoring in Moscow and St. Petersburg revealed the following picture:

  • for a package of 30 tablets of 500 mg - 750 rubles;
  • per pack of tablets with a concentration of 500 mg 60 pcs. – 1500 rubles;
  • 30 tablets with a concentration of 1000 mg – 1700 rubles;
  • 60 pcs. 1000 mg – 2800 rub.

Anton, 39 years old I constantly sit at work, in the subway, so the weather ago I began to suffer from signs of hemorrhoids. I know that this is a dangerous disease, I didn’t hesitate and started taking pills to prevent the development of exacerbations. The choice fell on Detralex - the drug was recommended to me by my attending physician. Every year I will have to take a month-long course of treatment, but I will not get sick.

Natalya, 26 years old During childbirth, due to the large size of the baby and strong pushing, I developed hemorrhoids. Right in the hospital, the doctors gave me suppositories, and after discharge from the maternity hospital, they advised me to take Detralex tablets. I had heard about them before from my mommy friends, but I didn’t think I would experience them myself. I took the medicine for a month and forgot about the disease.

Vasily, 47 years old I work as a truck driver, so I’m no stranger to sedentary work. It was from this that my hemorrhoids came out. It was very painful, the doctor I went to diagnosed the second stage of the disease. He prescribed me analgesics and venotonics. I bought Detralex, took it for a month and a half, but it didn’t help me much, I’ll ask for a new remedy.

Tamara, 52 years old My husband developed hemorrhoids, it became painful to sit, walk and do something in an inclined position. I read one folk remedy in the newspaper - inserting ice candles into the anus. They helped little, my husband complained of worsening hemorrhoids. We had to go to the doctor, who at first scolded us for self-medicating, but then prescribed Detralex. My husband took the course and is healthy!

source

Early hemorrhoidsReducing the symptoms of hemorrhoidal disease, increasing venous tone, reducing excessive capillary permeability, improving lymphatic drainage and suppressing the local inflammatory process.
Acute courseReducing the severity of thrombosis, bleeding, swelling, stopping itching and pain, improving hemodynamics in the cavernous bodies of the anal canal, normalizing lymphatic drainage.
Chronic courseIncreasing the tone of veins and blood vessels, reducing capillary fragility, reducing the size of the hemorrhoid, relieving inflammation, reducing swelling, improving microcirculation, relieving pain.
Reception before and after surgeryRapid recovery after surgery, reduction of epithelization time of postoperative wounds, absence of severe pain symptoms, prevention of bleeding, decreased distensibility of veins, increased vascular tone.

Use during pregnancy


Pregnant women can only be treated with this drug in the third trimester.
More often, hemorrhoids occur or become worse in the fairer sex during pregnancy. You can use Detralex during pregnancy, but only after the third trimester. The duration of taking the medicine is determined by the doctor. If there is a need to treat hemorrhoids earlier than the due date, Detralex during pregnancy for hemorrhoids is used only under the supervision of a physician.

Side effects

According to the manufacturer, if the drug is used correctly with strict adherence to the recommendations, it is quite easily tolerated and generally does not cause side effects. If a negative reaction to the drug appears after taking it, it will go away after it is discontinued. If the dosage is not observed or the medication is taken for a long time, the patient may experience the following side effects:

  • colitis;
  • nausea;
  • diarrhea;
  • stomach ache;
  • dizziness;
  • rashes;
  • swelling.

How and how much to take Detralex for hemorrhoids?

It is better to talk with your doctor about the nuances and frequency of taking the medication and the duration of the course. Generally speaking, it all depends on the form and severity of the disease.

  • Treatment of acute hemorrhoids requires the use of loading doses. For four days you need to take 6 capsules - 3 in the morning and 3 in the evening. In subsequent days, the dosage is reduced to 2 pcs. in the morning and before bed.
  • The chronic form allows the use of the drug 1 capsule 2 times a day. After a week, the dosage changes; you need to take 2 capsules at a time. It is best to do this in the morning.

The duration of treatment is always determined individually; for an acute form it can be several days, and for a sluggish form a couple of months. If you are faced with this unpleasant disease, be prepared that one drug may not be enough. Therapy requires an integrated approach and a lot of time.

Attention! To make the effect of treatment more lasting and visible, it is recommended to follow a regime of optimal physical activity as a supplement. A balanced diet and drink also has a positive effect on the result.

special instructions


Taking the drug does not affect the speed of reaction when driving.
The use of Detralex for acute internal hemorrhoids or external bleeding should also be accompanied by local treatment. The patient needs to use ointment and suppositories for hemorrhoids. For pharmaceuticals to help, you need to change your lifestyle: start playing sports, give up spicy, fried, peppered foods, alcohol and tobacco. These factors provoke the development and exacerbation of the disease. "Detralex" can be used while working with complex mechanisms, as well as while driving a car. If after use the patient has one of the above-mentioned adverse reactions, the medication is discontinued.

Detralex for chronic hemorrhoids stage 2. Treatment instructions

Regimen for taking Detralex for chronic hemorrhoids in remission:

- From 1 to 7 days - 1 tablet twice a day. - From 8 to 30 days - 2 pills once a day.

The duration of therapy can be from 1 to 1.5 months. As a preventative measure, proctologists recommend taking the medicine annually.

Regimen for the chronic form of the disease in the acute stage:

— From 1 to 4 days – 2 pieces 3 times a day. — From 5 to 30 a.m. – 2 pieces 2 times a day.

Regimen for taking Detralex for acute hemorrhoids: - From 1 to 4 days - 3 tablets 2 times a day. - From 5 to 7 days - 2 pills 2 times a day. - From day 8 - 1 tablet 2 times a day.

This scheme must be followed until all symptoms of the pathology disappear. And then take the drug for another 2 or 3 days to consolidate the results of therapy.

>>> Download full instructions for use of the drug Detralex

Additional conditions for successful therapy

To achieve a good result with the drug "Detralex" you need to additionally use topical products. They can quickly relieve pain, itching and burning, and relieve inflammation. Local remedies: ointments, creams have an analgesic, anti-inflammatory and antiseptic effect.

Also, we must not forget about the diet, which should definitely include fresh vegetables, fruits, fermented milk products and a variety of water-based cereals. They will prevent constipation and will not provoke exacerbations of the disease.

Detralex price: 750 rubles - 30 pieces; 1450 rubles - 60 pieces.

Analogues of the drug

To treat the disease, you can take an analogue of Detralex - Troxevasin. This is the same veinotonic, which comes in the form of tablets, gel or ointment, but it does not relieve pain, but only improves the functioning of the veins. To treat an external or internal ailment, the patient can also replace the venotonic with such agents as “Relief”, “Proctosan”, “Procto-glivenol”, “Anuzol”, “Venarus”, “Vazoket”, “Phlebodia 600”. For hemorrhoids, there is no need to self-medicate; medication can only be prescribed by a doctor.

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