For the treatment of complaints found in pathological conditions of the veins in the legs (chronic venous insufficiency) varicose veins , pain and
sensation of heaviness in the legs , cramps in the calves , pruritis , and swelling of the
legs and hemorrhoids .
Apply locally 3 times a day on the affected area . don't tie up the area with bandage .
Side Effects : Pruritis, skin irritation may be seen in sensitive patients to Horse –
Contraindications , warnings :
1-Do not use on the damaged skin .2-After
the expiry date , avoid using it .3-Store out of reach of children .4-Don't use in children less than 12 years of age .5-Tie up the tube tightly after usage .6 - After the application, wash out your hands .
In each gram of Venogol Cream there is 38 mg of dry extract of Horse chestnut seeds which is equivalent to
6.8 - 8.4mg of Aescin .
Cream , 30 g Tube
Horse chestnut seeds contain 3-6% of a complex mixture of triterpene saponins collectively referred to as aescin (1) , and acylated polyhydroxy oleanene, triterpene oligoglycosides aescins(2) flavonoids eg. Flavonol
glycosides), quinines, sterols, including
stigmasterol , - spinasterol, - sitosterol, fatty acids such as linolenic , palmitic and stearic acids .
As found in different animal experiments,
the principal ingredient in Horse chestnut seeds (HCSE) is the triterpene glycoside mixture, aescin (escin), which has an exclusive vascular –tightening effect. There are indications that HCSE reduces the activity of lysosomal enzymes that is increased in chronic pathological conditions of veins, so that the breakdown of glycolacalyx (mucopolysaccharides ) in the region of the capillary walls is inhibited
.The filtration of low- molecular proteins, electrolytes and water into the interstitium is inhibited through a reduction of vascular permeability . In pharmacological studies involving human subjects and using placebo as reference, a significant reduction of trans- capillary filtration has been demonstrated , and also a remarkable improvement was shown in the symptoms of chronic venous insufficiency(sensation of
tiredness, heaviness and tension , pruritis , pain and swelling in the legs ) in randomized double – blind and cross – over studies .
A randomized placebo – controlled cross over double – blind trial of 22 patients with chronic venous insufficiency concluded that 1200 mg Horse–chestnut extract (standardized to 100 mg Aescin) had an anti edematous effect via a decrease in transcapillary filtration (6) .
Morgan M and K. Bone .: 1998 Professional
Review Horse Chestnut . Medi Herb (65):1-4. 2.Yoshikawa et al.:1998 Bioactive saponins
and glycosides. III Horse Chestnut . Chem pharm Bull (70kyo) 44(8):1454-1464.
3. The Complete German Commission E Monographs . 148-149.
4. udofsky G et at .: Odemprotektive Wirkung und klinische Wirksamkeit von Rosskastaniensamenextrak in Doppelblindversuch. Phlebol proktol 1986:15
:47-53 . M Blumenthal 1998 .
5. PDR for Herbal Midicines 1998 , 613-615 .
6. Bisler H. et .al: Dtsch Med Wochenschr 1986; 111: 1321-9 .