Home Conditions Varicose veins and venous insufficiency

Varicose veins and venous insufficiency — what to take?

Varicose veins are dilated, tortuous veins in the lower limbs. Chronic venous insufficiency includes varicose veins, oedema and trophic changes. Affects 25-30% of adults.

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What you can take for varicose veins and venous insufficiency

Informativ. Nu înlocuiește sfatul medicului. Consultă medicul sau farmacistul înainte de a lua orice medicament.

Medical body content is still in Romanian:

Clinical stages (CEAP)

  • C0 — no signs.
  • C1 — telangiectasia, reticular veins.
  • C2 — varicose veins.
  • C3 — oedema.
  • C4 — skin changes (pigmentation, eczema).
  • C5 — healed ulcer.
  • C6 — active ulcer.

Risk factors

Hereditary, female sex, pregnancy, prolonged standing, obesity, age.

Treatment

Conservative:

  • Compression stockings class 1-3 (according to severity).
  • Leg elevation.
  • Exercise (walking, swimming).
  • Weight loss.
  • Avoid prolonged standing.

Venotonics:

  • Diosmin + hesperidin (Detralex, Daflon).
  • Horse chestnut extract (aescin) — 300 mg/day.
  • Ruscus.
  • Grape vine (vitis) — flavonoids.

Interventional:

  • Sclerotherapy.
  • Endovenous laser ablation (EVLA), radiofrequency ablation (RFA).
  • Classical surgery (saphenectomy).
  • CHIVA.

Complications

  • Superficial thrombophlebitis.
  • Deep vein thrombosis (DVT).
  • Varicose ulcer.
  • Bleeding.
  • Stasis dermatitis.

Medical disclaimer: the information in this guide is for informational purposes only and does not replace advice from a doctor or pharmacist. For diagnosis and treatment, consult a healthcare professional.

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