systematic_review
    2020
    High Quality

    Phlebotonics for venous insufficiency

    Martinez-Zapata MJ, Vernooij RW, Simancas-Racines D, Uriona Tuma SM, Stein AT, Moreno Carriles RM, Vargas E, Bonfill Cosp X

    Published in Cochrane Database of Systematic Reviews

    Key Findings

    Phlebotonics including rutosides and flavonoids produced small reductions in oedema and capillary fragility symptoms, with moderate-certainty evidence for oedema.

    Conclusions

    Flavonoid phlebotonics may modestly help capillary fragility and oedema but the clinical relevance is small.

    Limitations

    Heterogeneous agents pooled, many industry-funded trials.

    Supplements Studied

    Vitamin C
    Vitamin

    Flavonoid phlebotonics reduced symptoms of capillary fragility in chronic venous insufficiency.

    Rutin
    Compound

    Phlebotonics are a class of drugs often used to treat CVI.

    Moderate-certainty evidence suggests that phlebotonics probably reduce oedema slightly in the lower legs, compared with placebo (RR 0.70, 95% CI 0.63 to 0.78; 13 studies; 1245 participants); and probably reduce ankle circumference (MD -4.27 mm, 95% CI -5.61 to -2.93 mm).

    Findings for specific groups of phlebotonics are limited due to small study numbers and heterogeneous results.

    Related Health Concerns

    Study Details

    Year:2020
    Sample Size:10,866
    Quality Score:8/10

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