HIRUDOID Forte 4.45 Mg/G Gel

Action and mechanism

- Antithrombotic. Heparinoids such as chondroitin sulfate increase the activity of antithrombin III, giving rise to an anticoagulant effect. This anticoagulant effect is not evident after topical administration, but they promote the resorption of local hematomas.

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Indications

- [VARICES]. Treatment of symptoms of varicose veins in adults, such as heaviness or tightness in the legs.
- [HEMATOMA]. Removal of superficial bruises caused by blows in adults and children from 1 year of age.

Posology

- Adults, topical: apply a thin layer, 2-3 times a day.
- Children and adolescents under 18 years of age, topical: no dosage adjustment required. Safety and efficacy have not been evaluated for the treatment of varicose veins in < 18 years of age and hematomas in < 1 year.
- Elderly, topical: does not require dosage readjustment. Duration of treatment: the treatment of varicose veins will continue for 1-2 weeks, but if after 5 days of treatment there is no improvement in symptoms, or if they worsen, it should be evaluated. the clinical status of the patient. Treatment of hematomas is usually less than 10 days. Forgotten doses: skip the dose and continue the usual treatment. Do not double the next dose.

Dosage in renal failure

No specific dosage recommendations have been made.

Dosage in liver failure

No specific dosage recommendations have been made.

Rules for correct administration

Apply to the skin with a light massage to promote its penetration. In case of varicose veins associated with thrombotic processes, apply without massaging. Avoid contact with eyes and mucous membranes, as well as on wounded, inflamed, irritated or infected skin. After each application, wash your hands with water.

Contraindications

- Hypersensitivity to heparinoids or any other component of the medication.
- Active [HEMORRHAGE] or severe coagulation disorders.

Precautions

- [THROMBOEMBOLISM]. Apply the product directly, without massaging.

Warnings on excipients:

- This medicine contains propylene glycol, so it may cause skin irritation.

Advice to the patient

- Apply with a light massage. If you have a thrombosis process, apply without massage.
- Avoid contact with eyes and mucous membranes. Do not apply to areas of skin with wounds, irritations, or with symptoms of inflammation or infection.
- The duration of treatment is usually 1-2 weeks in varicose veins and < 10 days in hematomas. If after 5 days of treatment for varicose veins, the symptoms do not improve or worsen, consult your doctor and/or pharmacist.
- In case you forget to apply a dose, continue with your treatment. Do not double the next dose.

Interactions

They have not been described.

Pregnancy

Safety in animals: no teratogenic or embryotoxic effects have been observed in animals. Safety in humans: no adequate and well-controlled studies in humans are available. Its administration is only accepted if there are no safer therapeutic alternatives, and the benefits outweigh the possible risks. Effects on fertility: no specific studies have been carried out on its effects on fertility.

Lactation

It is unknown whether it is excreted with milk, and the consequences it could have for the infant. Is recomended to suspend the lactancy or evy the administration.

Children

Safety and efficacy have not been evaluated for the treatment of varicose veins in children and adolescents under 18 years of age or for the treatment of hematomas in children under 1 year of age, so it is recommended to avoid its use.

Seniors

No specific problems have been described in the elderly that require dosage readjustment.

Effects on driving

They have not been described.

Adverse reactions

It is usually well tolerated and only occasionally local adverse reactions may appear in the application area. Adverse reactions are described according to each frequency range, being considered very common (>10%), common (1-10%), uncommon ( 0.1-1%), rare (0.01-0.1%), very rare (<0.01%) or of unknown frequency (cannot be estimated from the available data).
- Allergic: very rare local [HYPERSENSITIVITY REACTIONS], with [PRURITUS] or [SKIN IRRITATION], which usually disappear when treatment is stopped.

Overdose

Symptoms: there is no experience in poisoning. Treatment: symptomatic.