Phlebodia 600 for venous insufficiency: how to take it as directed
- For lymphovenous insufficiency, Phlebodia 600 is taken as 1 tablet a day with a meal.
- A course usually lasts 2 months; if symptoms have not eased within 2 weeks, see a doctor.
- Missed a dose? Simply carry on as usual at the usual dose.
- Contraindications: hypersensitivity to the ingredients, age under 18, the first trimester of pregnancy, breastfeeding.
- Tablets are a help, not a substitute for movement, weight control and compression prescribed by a doctor.
Your doctor has confirmed chronic venous insufficiency, talked to you about walking and compression, and suggested a venotonic medicine. Or perhaps you have seen Phlebodia 600 on a pharmacy shelf and want to understand how to take it properly. Either way, the official instruction is your reliable guide.
Here we have gathered the essentials on how to take Phlebodia 600 for venous insufficiency: the dose, how long a course lasts, what to do if you miss a tablet, who should not take it and what to watch out for. All the information is based on the instructions for medical use and does not replace advice from a specialist.
What is Phlebodia 600?
Phlebodia 600 is a venotonic medicine from the angioprotector pharmacotherapeutic group. The active substance is diosmin 600 mg. The tablets are round, biconvex, pink and film-coated. The medicine is made by the French company Innothera (Laboratoires INNOTHERA) and marketed by Laboratoire Innotech International. Phlebodia 600 is available without a prescription. The 600 in the name refers to the amount of diosmin in each tablet.
According to the instruction, the medicine increases venous tone, meaning it reduces how much the veins stretch, reduces venous stasis, and improves lymphatic drainage and microcirculation by increasing capillary resistance and reducing capillary permeability. You can read more about the active substance in our article on diosmin.
What is the medicine used for?
The instruction lists the following indications:
- relief of symptoms of lymphovenous insufficiency of the legs, such as heaviness or tiredness in the legs, pain and restless legs syndrome;
- supportive treatment of microcirculation disorders;
- symptomatic treatment of acute haemorrhoids.
It is important to remember that heaviness, swelling and pain in the legs are not always caused by the veins. So before starting a course, it is worth seeing a phlebologist or GP to confirm the cause of your symptoms and rule out other conditions.
How should you take Phlebodia 600 for venous insufficiency?
The regimen for lymphovenous insufficiency is simple:
- Take 1 tablet a day.
- Take it with a meal. It helps to link it to the same meal every day, for example breakfast, so you don't forget.
- Treatment usually lasts 2 months; discuss the exact length with your doctor.
- If the symptoms of venous insufficiency have not eased within 2 weeks of starting, see a doctor.
For acute haemorrhoids the regimen is different: according to the instruction, 2–3 tablets a day are taken with meals, and if symptoms persist after several days of treatment, you should see a doctor.
What if you miss a tablet?
It happens to everyone: a trip to the regions, guests, a hectic day. The instruction gives a simple answer: if you have missed one or more doses, carry on with treatment as usual at the usual dose. There is no need to take several tablets at once to catch up. If you often forget, think about which meal would be the easiest one to link your tablet to.
How can you tell if the course is helping?
A simple diary makes it easy to track the effect. Before you start, rate from 0 to 10 how much heaviness, tiredness and pain in your legs bother you, along with any evening restlessness, and repeat the rating once a week. If your symptoms have not eased after 2 weeks, see a doctor, as the instruction advises. Your notes will also be useful at the appointment, helping the doctor understand what is going on.
Who should not take Phlebodia 600?
According to the instruction, the medicine is contraindicated in:
- hypersensitivity to diosmin or any of the other ingredients;
- breastfeeding;
- people under 18;
- the first trimester of pregnancy, as experience of use is limited.
Later in pregnancy the medicine is used only on a doctor's recommendation, and it is not recommended while breastfeeding. If you have a long-term condition or take other medicines, tell your doctor or pharmacist before starting the course.
What side effects are possible?
Like any medicine, Phlebodia 600 can cause side effects, although not everybody gets them. The instruction lists:
- common (up to 1 in 10 people): stomach pain;
- uncommon (up to 1 in 100): allergic reactions (rash, itching, hives, angioedema), bloating, diarrhoea, indigestion, nausea;
- rare (up to 1 in 1,000): vomiting.
Report any side effects to your doctor or pharmacist. This topic is covered in more detail in our article on the side effects of Phlebodia 600.
What else is important in the instruction?
- No effect on the ability to drive or use machinery has been reported.
- Store below 30 °C, out of the reach of children. In summer, don't leave the pack in a car in the sun or on a sunny windowsill.
- Each blister contains 15 or 18 tablets.
- Buy the medicine from pharmacies; our where to buy page will help you find it.
Tablets are part of the plan, not the whole plan
Venotonic medicines help reduce symptoms, but they work hand in hand with simple daily measures. International guidelines on chronic venous disease see such medicines as one of the options for relieving symptoms, alongside lifestyle changes and compression. This is especially noticeable in summer: heat widens the veins, and simple measures such as drinking water, cool showers for your legs and resting with your legs raised become an important addition to the course.
- Walk more and do calf exercises: the calf muscle pump is your veins' main helper.
- If your doctor has recommended compression stockings, wear them regularly.
- Keep an eye on your weight and salt intake, and rest with your legs raised.
- Avoid overheating and long periods of sitting or standing still, whether at the office, behind the wheel or behind a shop counter.
The main points
How do you take Phlebodia 600 for venous insufficiency? One tablet a day with a meal, usually for a 2-month course, with no catch-up doses after a missed one, and a visit to the doctor if symptoms have not eased within 2 weeks. You will find the details in the official instruction. Before use, read the instruction leaflet and consult a specialist. And daily movement and care for your legs will help you feel more confident.
Sources: 1. Instructions for medical use of Phlebodia 600 (Republic of Uzbekistan). 2. De Maeseneer MG, Kakkos SK, Aherne T, et al. ESVS 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs. Eur J Vasc Endovasc Surg. 2022;63(2):184–267.
Should Phlebodia 600 be taken before or after food?
According to the instruction, the tablet is taken with a meal. For lymphovenous insufficiency the dose is 1 tablet a day.
How long does a course of Phlebodia 600 last?
Treatment usually lasts 2 months. If symptoms of venous insufficiency have not eased within 2 weeks, you should see a doctor.
What should I do if I forget to take a tablet?
Carry on as usual at the usual dose, as the instruction says. There is no need to take a double dose.
Do I need a prescription for Phlebodia 600?
No, it is available without a prescription. Even so, it is best to see a doctor before starting, to confirm the cause of your symptoms.
Can I take Phlebodia 600 during pregnancy?
It is contraindicated in the first trimester, and later in pregnancy it is used only on a doctor's recommendation. It is not recommended while breastfeeding.