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Legs crawling with spider or varicose veins? What to know and how to treat them
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Legs crawling with spider or varicose veins? What to know and how to treat them
Friday 1 September 2023, 12:45 AM
[Image: iStock.com – dimid_86]
MARGARET IS A regular customer in her 60s who asks if you have anything to help with her varicose veins. Although she has had them for several years, they have only recently started aching and throbbing, and her ankles have started to swell. She does not take any other medications.
Varicose veins are a sign of a blood flow disorder that is likely to get worse with time. Estimated to affect up to 50 per cent of those over age 50,
References
1. Johns Hopkins Medicine. Varicose Veins. https://www.hopkinsmedicine.org/health/conditions-and-diseases/varicose-veins
2. Lasicure. Stages of Vein Diseases. https://lasicure.com/varicose-vein/
3. Tucker R. How can pharmacists help patients with varicose veins? The Pharmacist, 9 September 2019. https://www.thepharmacist.co.uk/clinical/how-can-pharmacists-help-patients-with-varicose-veins/
4. Cleveland Clinic. Chronic Venous Insufficiency (CVI). https://my.clevelandclinic.org/health/diseases/16872-chronic-venous-insufficiency-cvi
5. Fookes C (Tech Ed). Varicose Veins and Support Stockings. Healthcare Handbook 2023–2024. Auckland, NZ: The Health Media Ltd; 2023. https://www.pharmacytoday.co.nz/healthcare-handbook
6. Palm Clinic. Vein Treatments in Auckland, NZ. https://palmclinic.co.nz/vein-care-treatments/
7. MedPlus Pharmacy. Compression Stockings. https://www.medpluspharmacy.co.nz/compression-stockings/
8. Lichota A, Gwozdzinski L, Gwozdzinski K. Therapeutic potential of natural compounds in inflammation and chronic venous insufficiency. Eur J Med Chem 2019;176:68–91.
9. Gohil KJ, Patel JA, Gajjar AK. Pharmacological review on Centella asiatica: A potential herbal cure-all. Indian J Pharm Sci 2010;72(5):546–56.
10. Petrassi C, Mastromarino A, Spartera C. Pycnogenol in chronic venous insufficiency. Phytomedicine 2000;7(5):383–88.
11. Hariri E, Kassis N, Iskandar JP, et al. Vitamin K2-a neglected player in cardiovascular health: a narrative review. Open Heart 2021;8(2):e001715.
12. Huwait E, Mobashir M. Potential and therapeutic roles of diosmin in human diseases. Biomedicines 2022;10(5):1076.
13. Gerges SH, Wahdan SA, Elsherbiny DA, El-Demerdash E. Pharmacology of diosmin, a citrus flavone glycoside: An updated review. Eur J Drug Metab Pharmacokinet 2022;47(1):1–18.
14. Serra R, Ielapi N, Bitonti A, et al. Efficacy of a low-dose diosmin therapy on improving symptoms and quality of life in patients with chronic venous disease: Randomized, double-blind, placebo-controlled trial. Nutrients 2021;13(3):999.
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