[Phlebotonics for venous insufficiency]

Tapia López E, Ciapponi A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A.
Record ID 32018001431
Original Title: Flebotónicos en insuficiencia venosa
Authors' recommendations: CONCLUSIONS In lower extremity venous insufficiency, moderate quality evidence suggests that when compared with placebo, phlebotonics might have a beneficial effect in reducing edema and improving signs and symptoms such as trophic disorders, cramps, swelling and paresthesias; although they were associated with a higher rate of non-serious adverse effects. However, no differences were observed in the rate of cured ulcers. When compared with compressive stockings, low-quality evidence might suggest a benefit in reducing paresthesias, but not the volume of lower extremities. In hemorrhoidal venous insufficiency, moderate quality evidence suggests that the use of phlebotonics might decrease pain, bleeding and anal itching, and it might also promote edema reduction. The clinical practice guidelines assessed do not mention phlebotonics in their recommendations for managing lower-extremity venous insufficiency or hemorrhoidal venous disease.
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Venous Insufficiency
  • Hematologic Agents
  • Phytotherapy
  • Plant Extracts
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.