Heparin ointment is a direct anticoagulant. It is intended for external use. The drug is a white or slightly yellowish homogeneous mass. Heparin ointment is made on the basis of petroleum jelly, which ensures ease of application. The stability of the composition is maintained by glycerin.
The combined drug contains three main components:
- Heparin sodium. This substance is an anticoagulant. It promotes the resorption of hematomas, relieves swelling and reduces inflammatory processes.
- Benzocaine, which provides the drug with analgesic properties.
- Benzyl nicotinate. This substance accelerates the penetration of heparin through the skin.
The long shelf life of the drug and the preservation of medicinal properties are ensured by the presence of a preservative in the composition - nipagin. The anti-inflammatory effect of the ointment is enhanced by another additional component - peach oil.
The ointment is packaged in compact aluminum tubes of 10, 20, 25, 30 or 50 g. This allows you to select the amount of product according to the situation. The tube is packaged in a cardboard box along with instructions for use of the medicinal product.
Heparin ointment: composition, release form and therapeutic effects
Heparin ointment is a drug used in the treatment of thrombophlebitis, injuries and bruises . A combination type medication, used externally .
Available in the form of a transparent ointment. When used, it reduces blood clotting and prevents the formation of clots.
Heparin ointment is widely used in cosmetology , as its active components stop inflammation and resolve seals.
It is worth noting! The main active ingredient is sodium heparin. It improves blood circulation and prevents blood clotting.
Benzyl nicotinate improves the absorption of heparin and enhances the effect. Peach oil moisturizes, nourishes, increases the firmness and elasticity of the dermis.
The ointment has a light texture, so it is able to penetrate into the deepest layers of the dermis and influence from the inside . Its components relieve inflammation and the feeling of skin tightness.
Heparin ointment contains additional components:
- glycerol;
- emulsifier No. 1;
- petrolatum;
- anesthesin;
- benzocaine;
- propylhydroxybenzoate;
- cosmetic stearin “D”;
- methylhydroxybenzoate;
- purified water.
The whole truth about spider veins
Spider veins are not a disease!
So, spider veins or, as they are often called capillaries (telangiectasis), are not exactly a disease, but rather a cosmetic problem! This is the honest truth, which is often passed off as varicose veins.
Yes, on the one hand it is varicose veins, but varicose veins are at the level of skin vessels - capillaries and intradermal veins. Such microvaricose veins do not cause any painful symptoms, pain, cramps, swelling, or blood clots. Nothing. Only aesthetic discomfort.
Patients who often come in with pain in the legs, swelling, and discomfort in the calves notice spider veins on their legs and place all the blame on them. And therefore, instead of “treating” with a newfangled “anti-varicose” gel in the area of blood vessels, we recommend looking for the real cause of your discomfort in the condition of your legs (meaning symptoms) - for example, “heavy leg” syndrome, flat feet, chronic venous insufficiency, spinal osteochondrosis, etc. d.
Spider veins are not a disease, which means there is no need to strengthen the blood vessels!
Strengthening blood vessels with medications and gels is a waste of time. You can train muscles, ligaments, and develop endurance. But the blood vessels cannot be strengthened even with the help of medications.
What do we know about spider veins (webs)?
The problem is cosmetic and widespread, spider veins appear at different ages in approximately 70% of women due to the fact that female sex hormones are synthesized in the female body, starting from adolescence, and this stimulates the translucency of intradermal veins, and with age, the appearance of such unwanted elements like spider veins.
For example, a 9-month pregnancy and the accompanying changes in a woman’s body at the hormonal level, as a rule, aggravate the problem. This is normal and physiological, and most importantly, harmless.
That is, you can be calm about your health.
Is there a way to prevent the appearance of unwanted vascular elements?
You can read for hours on the Internet about preventing the appearance of ill-fated blood vessels. And even watch it on TV in popular talk shows. This is a good business - the problem is very common, and if you come up with some kind of “miracle remedy”, many will definitely try it and buy it. There used to be a drug called Asklezan - both tablets and gel. It was necessary to smear and drink 4-6 courses and they supposedly became smaller or “faded” or decreased. In general, they wrote about it in newspaper advertising, people ran and bought it. They smeared themselves. Well, of course, the effect is zero.
There is no way to prevent the appearance of spider veins!
They will gradually appear at different rates in different periods of life.
And if you don’t like it, you can think about treating existing unaesthetic telangiectasis, but it is impossible to slow down or stop this process, even if you take courses of venotonics and daily smear the area of the spider veins with various venotonic creams with or without leeches. This will not affect the process of their appearance and progression in any way.
Treatment of spider veins with medications is useless!
The basic concept of treatment for telangiectasis is not treatment of the whole body or strengthening of blood vessels or drug support by introducing any drugs into the area of spider veins using gels - this is a waste of time. Not a single star will fade, not a single one will disappear. It is a fact. All we can do is inject a sclerosant into the vascular element so that it damages the inner layer of the asterisk and it closes (sclerotherapy, or rather microsclerotherapy) or electrocoagulate the vessels every millimeter or percutaneously treat with a laser again every mm.
That is, the main concept of treatment is to destroy the vascular element in one way or another without damaging anything around it.
Percutaneous laser coagulation
Special lasers are used to treat telangiectasis. The basic principle of treatment is this: a laser beam passes through the skin and is absorbed by the red blood in the vessel, after which the blood heats up and explodes. The vessel is “brewed”. This is a very good method, but only for small and very superficially located meshes, for example, on the face and torso. On his feet he works very unsteadily and it is difficult to get results. Used in Russia mainly by cosmetologists.
In my opinion, a significant disadvantage of percutaneous laser coagulation for leg telangiectasis is the limitation in the diameter of the vessels, the high pain of the procedure and the high probability of difficult to predict side effects (burns of the skin surface, depigmentation in the affected area).
Electrocoagulation of capillaries
Using a very thin needle-electrode, many injections are made into the capillaries with simultaneous exposure to electric current. The procedure is painful and requires anesthesia with a skin anesthetic cream (EMLA on the legs takes effect after 2 hours of exposure under cling film). Therefore, you either smear yourself with Emla cream at home and wrap your legs in film and come to the doctor, or you receive hundreds of rather painful injections. The frequency of injections into the capillary is every 1-1.5 mm. That is, 1 cm of capillary will require 6-10 injections.
Sclerotherapy is the method of choice
Sclerotherapy is an injection technique for the treatment of spider veins and reticular veins. It is most effective against small veins and capillaries. Its meaning is to introduce a sclerosant into the lumen of the vessel, which causes chemical damage to the inner layer of the vessel, followed by its “closure”. After the vessel has closed, it begins to gradually dissolve (several weeks - several months).
Today, sclerotherapy of reticular (intradermal veins) and capillaries is called microsclerotherapy and has many modifications; moreover, everyone performs it differently, so the results can also be very different.
Types of microsclerotherapy
There is a technique of liquid sclerotherapy, when the sclerosant is administered in the form of a solution and this works well on small capillaries with low-intensity blood flow, and a technique of introducing foamed sclerosant (foam-form sclerotherapy), when air or other gas (CO2, for example) is added to the sclerosant, whipped by distillation through an adapter from one syringe to another and after 10-20 strokes a stable foam is obtained.
The sclerosant foam introduced into the lumen of the vessel expels blood well and is well retained there. Foam-form sclerotherapy works better on vessels with more intense blood flow.
Liquid sclerosant works more intelligently and gently, with a minimum of side effects, foam is more aggressive. In the same treatment area, liquid sclerotherapy can be used for some veins and capillaries, and foam for others. A phlebologist can use various scleropreparations, of different concentrations, in liquid or foam form during one session on one treatment area. It all depends on his experience, working style, etc. This is about the active advertising of the miracle method of foam-form sclerotherapy, which is separately positioned as a newfangled and very effective method. We've been using foam for about 10 years and it works great in certain situations, but not much else, especially with mesh.
Microsclerotherapy - a special approach
When it comes to sclerotherapy for spider veins, it is necessary to immediately clarify the situation.
This is an intelligent problem and requires a certain doctor’s experience and a certain technological approach.
It is necessary to take into account the volumes of the administered drug and its concentration. On the other hand, today microsclerotherapy is a methodologically verified procedure, and if everything is done according to technology, then the results will be as expected.
What patients don't understand
First of all, after sclerotherapy sessions, aesthetic results will not be immediate, but after some time. The fact is that closed vessels are visible through the skin and are noticeable. That is, if after the injections the spider vein does not close, then it does not change its color and remains the same as it was; if it closes, it darkens (the remaining small amount of coagulated blood shines through the skin).
The entire time that sclerotic telangiectasis is resolving, it will be noticeable. As soon as it dissolves, the marks will disappear.
This applies not only to sclerotherapy, but to any other effective treatment method. And it is important to understand this before you decide to undergo sclerotherapy. It is necessary to choose the right time for treatment so that you have a reserve of time for aesthetic rehabilitation.
How to get rid of spider veins?
It is clear that you are reading this to understand how you can improve the aesthetics of your legs. Considering the fact that in most cases the method of choice for primary treatment is sclerotherapy, it makes sense to see a phlebologist. An ultrasound of the venous system will be performed and treatment will be recommended. Naturally, in cases of small red capillaries, percutaneous laser coagulation (PLC) may be recommended to you, but this is unlikely, since PLC is usually used for follow-up treatment (only small red capillaries) and usually by cosmetologists.
In most cases of reticular varicose veins, the treatment area includes reticular (feeding) veins (blue), large and medium capillaries (purple) and small ones (red).
In order for the treatment to be effective, the phlebologist begins with the reticular (feeding) veins (marked with blue arrows in the photo), then moves on to large capillaries, then to medium and small ones. Of course, only red vessels can be treated, but practice shows that this is ineffective if the feeding reticular vein remains.
Stage one - sclerosing the “feeding” reticular veins
Often reticular veins communicating with telangiectasis are clearly visible without any equipment (magnifying glasses, polarized light). However, at the same time, poor results of sclerotherapy are associated with poor visualization of these very feeding veins, which can be obscured by the spider veins located above them. A solution to this problem has been proposed by companies that produce Veinviewers - devices based on the thermal imaging effect, which allow brilliant visualization of intradermal veins.
The phlebologist begins the session under the control of Veinviewer, punctures the feeding vein and closes it by injecting a sclerosant.
This is a simple and effective technology that we have been using for over a year to more successfully treat spider veins. Moreover, Venovisor makes it possible to clearly see the vein from which the unwanted vascular element is filled. Veinviewer technology is the key to understanding the problem of spider veins.
Stage two - sclerosing spider veins (telangiectasis)
This is a very simple manipulation at first glance - injecting the drug into the spider veins. The vascular network is punctured with a very thin needle and a small amount of sclerotherapy is injected into it. The introduction is slow and very small in volume.
This allows you to avoid long-term side reactions (matting (see below), pigmentation). Sclerotherapy can be most successful with multiple injections and small amounts of sclerotherapy.
After the introduction of sclerosant, we observe the redness of the element and its reaction. There may be a slight tingling sensation in the injection area. Thus, in the first session, as a rule, the feeding reticular veins are treated, in the second and subsequent sessions - telangiectasis (spider veins).
A few words about haste in treatment
You come 2-3 months before your vacation with the desire to get rid of capillaries, but you did not know that you cannot rush in the treatment of spider veins.
A number of side effects, which can then subside for months and years, are associated not only with the sclerotherapy technique, but also with short breaks between sessions.
Ideally, a session on one leg in the same zone should be carried out at intervals of 3-4 weeks. This is the optimal schedule. That is why we recommend treating spider veins as planned, taking into account your vacations and beach holidays and “much in advance.”
How to make injections painless and improve the results of sclerotherapy?
In microsclerotherapy, injections are performed with cosmetic needles with a diameter of 0.3 mm. These are very thin needles and the injection is insensitive. However, some patients are afraid of injections and for them this type of treatment creates psychological stress. We have solved this problem because we perform cryosclerotherapy. The technique was born in the USA and, with the light hand of the well-known Luis Navarro, was called painless sclerotherapy.
This new method involves cooling the skin for a few seconds with a blast of cold air before injection, creating cold anesthesia of the skin. This is enough so that the patient does not feel the injection.
The miracle of cryosclerotherapy
As it turned out later, this is not the only positive thing from cryosclerotherapy - bruises, hematomas, pigmentation and other side effects after the session are much less than after conventional sclerotherapy. This is due to local vasospasm in the treatment area. And, as a result, in spasmodic vessels the sclerosant works more effectively with a lower concentration and a smaller injected volume.
Compression and sclerotherapy
It has always been believed that round-the-clock compression is necessary for the entire period of sclerotherapy - during the day with stockings, at night with an elastic bandage, plus another 2 months after the end of treatment. That is, only six months. For many patients this was unbearable. But if this is true, then only for sclerosis of large veins. When performing microsclerotherapy of spider veins and reticular veins, compression is usually needed until the evening - either a bandage or stocking. The main purpose of compression in such cases is to reduce the formation of bruises after the session. In rare cases, the daily compression regimen can be extended to 3-5 days.
Modern technology for microsclerotherapy allows this type of treatment to be carried out with virtually no compression and at any time of the year, even in summer.
Innovations in sclerotherapy
Globally, the microsclerotherapy technique has not changed. Same drugs, same injections. Foam-form sclerotherapy, when used on spider veins, usually does not live up to expectations, so sclerotherapy with a liquid solution is preferable. However, since 2013 we have introduced a couple of innovations in technology: cooling the skin during the procedure and the use of a Veinviewer.
These improvements make the procedure more comfortable, reduce the number of side effects, and improve control over the administration of the drug.
Possible side effects of microsclerotherapy
Pigmentation
The most common side effect of microsclerotherapy is pigmentation at the site of sclerotic veins and spider veins. After administration of the sclerosant, the inner layer of the vessel is damaged; at first the vessel disappears, but after a few minutes it fills with blood again. If the vessel subsequently thromboses (closes), then a black tar-like mass (coagulum) is formed in it, which is darker than blood and the vessel shines through the skin brighter than the original one. Over time, the closed vessel with coagulum dissolves. Usually this is several months. If this process is long and the coagula is quite pronounced, then iron is deposited in the skin and it becomes light brown. Actually this is called pigmentation. In most cases, pigmentation goes away within six months, but in 5% of cases it can take a year and in 1% of cases up to 2 years. But it always passes, which makes me happy.
The severity and duration of pigmentation after sclerotherapy is individual and depends on the characteristics of pigment metabolism in the patient’s body.
Matting (neovascularization)
Matting is a reaction in the form of the appearance of small capillaries in the treatment area. This is a complex and sometimes difficult to explain and predictable phenomenon. It is largely determined by hormonal levels (manifested in women), as well as by the individual reaction to the administration of sclerosant. Most often associated with the use of high concentrations of scleropreparation or a large volume of administration.
That is why you should not try to inject all the vessels at once in the first session - the dose may be large and this will cause an undesirable reaction.
Most often, matting occurs if sessions on one leg occur very often (once a week, for example). A more gradual style of treatment with longer breaks produces better results. You should also not conduct more than 3 sessions in a row on one leg without a long break (3-6 months).
How to minimize the risk of side effects during sclerotherapy?
Introduce a small amount of sclerosant through multiple injections, take long breaks, and take a long rest after 2-4 sessions. Sclerotherapy should be like the leisurely work of an artist who gradually draws the details of a picture.
That is why it is necessary to approach your treatment without haste and without any limiting circumstances. Choose a time and go to the procedures calmly.
#FORM_PSK1#
Reviews
“The ointment appeared in my medicine cabinet not so long ago. I started using it to improve the condition of my legs, but then I was told that it does a good job with puffiness under the eyes.
The ointment has many advantages: low cost, high effectiveness in eliminating bruises, inflammation and swelling . But I haven’t found any downsides yet.
She helped me , when after snow and rain a tree fell near me, and a branch touched my face and injured a blood vessel under my eye. A hematoma formed in this place.
Is it true that hemorrhoid ointment helps with dark circles under the eyes? | Page 3
181 answers
Last - December 12, 2022, 21:57 Go
Russia
Luna, did the hyparin solution only help with bruises? What about bags?
Fox Alice
It is better to use ointments not for hemorrhoids but for varicose veins. I recommend Lyoton, it relieves puffiness under the eyes, reduces dark circles, and the skin becomes fresh.
Irisha
Fox Alice, I do gymnastics, but my nasolabial bastards cannot be corrected. It seems that by relying on gymnastics, I am only wasting time, and my nasolabial lips are getting deeper.
cosmetologist
46 is impossible. regular use of tonics, peelings, and occasional cleansing. When they say on TV - apply it and there will be no blackheads - it’s funny. Blackhead cream can lighten the top of the comedone. and the contents themselves must be squeezed out in any case.
After the top has lightened, time passes and the fat in the comedone oxidizes and turns black. The longer the fat is contained in the pore, the more the latter stretches. and when those who believe in advertising begin to feel lumps under their fingers, they run to a cosmetologist. The eel is squeezed out with the consistency of plastic.
I hate such cleanings - after them my fingers cramp and the next morning my biceps hurt (like after a workout)
Fly
Helps. But with one condition. You must first spread it thickly as intended, and then, after 30 minutes, carefully collect the residue onto your fingertips and apply to the skin under the eyes.
Squirrel Bo
I heard that heparin ointment helps, has anyone tried it?
Marita
The girls wrote so much and forgot to give the name Celestoderm-B with garamycin. And goodbye to bruises around the eyes. Don’t apply it constantly during the day, it won’t cause redness as the drug is very strong
Natasha
Girls, look what I've seen)) I'm 44 years old, and thanks to this I look like I'm 30!!)) And I've also lost a lot of weight)
Here: https://vk.cc/23VOIo
Moon
I hyporin mazola. And another relief.
Natalia
I just applied heparin ointment to the bruises under my eyes... it stings... it’s better to be patient than to sit with bruises... I’ve already tried everything... nothing helps... and yesterday I heard about heparin ointment)) and immediately decided to try it... the reviews are wonderful) )
Guest
Tell me, is heparin ointment suitable for me for bruises after a blow (black eye)((((((.
Guest
Gel 'Troxevasin' helps a lot!
Vicki
I’m 24. The first dark circles under my eyes appeared when I was 15. I tried applying heparin ointment - it bakes and the skin turns very red, the redness goes away after a couple of hours, there was no effect, although I tried applying it several evenings in a row. I also applied Lyoton 1000 - with everything is fine with my skin, only the fumes make my eyes water a little, so I applied it at night - there is an effect, but it’s insignificant
Lilu
cosmetologist, a fat black dot constantly appears in my ear in the same place... I squeeze it out and a centimeter-long “worm” comes out from there, or even more... after a while I squeeze out the same thing again... What should I do? get rid of this bullshit forever??? Each time this point becomes wider and wider...
conclusions
Keep in mind! According to the above reviews about the use of Heparin ointment, it became clear that it has proven its effectiveness in relieving puffiness under the eyes.
This is explained by the following effect of active ingredients on facial skin:
- relief of dark circles formed due to dilation of subcutaneous vessels;
- reduction of edema;
- elimination of fine wrinkles.
To avoid unpleasant consequences, consult a specialist before using the drug, as there are the following contraindications :
- allergy;
- decreased blood clotting;
- thrombocytopenia.
Myth No. 2: varicose veins can be cured with ointments and gels. This is wrong.
I still can’t understand how exactly varicose veins can be defeated with the help of ointments and gels. In one famous television advertisement, a girl applies ointment to her varicose veins and, lo and behold, they disappear before our eyes. Any patient would give anything in the world for such a miraculous ointment.
How can these ointments heal a damaged valve?
Rubbing the gels into the skin of the lower extremities is just a light massage of the legs, and has a calming effect on a person, and the menthol content also cools them. This is the psycho-emotional factor.
Another important point is the allergic component, which appears in some patients during the use of ointments and gels. Skin irritation - allergic dermatitis, is not so rare. This can even worsen the condition of the lower extremities. And using ointments in the presence of trophic changes is possible only after consulting a dermatologist.
Allergic dermatitis after using venotonic gel
The pharmacy may recommend you natural ointments based on horse chestnut, heparin-containing gels, or the very extravagant Sophia cream with leech extract, which has nothing to do with leeches or varicose veins. But patients, using these creams, ointments, gels, tell me during the consultation: “but it really helps me.” If it helps you, use these remedies. But I consider this self-hypnosis and a waste of money.
special instructions
For topical use of heparin:
- is not absorbed into the blood and does not affect its coagulation parameters;
- safe for the fetus and does not pass into breast milk;
- does not affect the ability to drive a car or perform work that requires increased concentration.
Pregnancy and breastfeeding are not a contraindication for the use of the ointment.
But it is still necessary to consult a gynecologist or pediatrician.
Bruises that appear for no apparent reason should not be treated with ointment; they can be a symptom of serious diseases.
If long-term treatment is required or large areas of the body are treated, blood clotting must be monitored regularly. Especially if drugs that affect the hematopoietic and coagulation systems are taken orally at the same time.
Side effects
Topical
(local application) forms of heparin do not change systemic blood parameters. However, long-term use of the drug may cause skin reactions:
- redness on the skin;
- itching;
- rash.
Even with a slight manifestation of an allergy, treatment with the drug should be stopped immediately.
Indications for use
Heparin ointment is used to treat:
- bruises;
- lumps formed as a result of intramuscular injections or bruises after intravenous infusions when the integrity of the vein is violated;
- phlebitis and thrombophlebitis;
- varicose veins;
- external hemorrhoids;
- secondary inflammation of the lymph nodes.
In addition, it is successfully used by women to eliminate facial skin imperfections, and by men to increase potency.
Price and analogues
The cost of Heparin ointment ranges from 24 to 86 rubles, depending on the manufacturer and the capacity of the tube. Heparin is included in some treatments for varicose veins. They have similar indications for use:
Analogue | Active substance | Price |
Gel Lyoton 1000 | Heparin sodium | 270-1000 rubles depending on volume (30, 50, 100 g) |
Gel Troxevasin Neo |
| From 200 to 270 rubles |
Wessel due F | Sulodexide | 2700 |
The drug is stored for 3 years at a temperature not exceeding 20°C. You can buy it at a pharmacy without a prescription.