Background pattern
Aescin

Aescin

Ask a doctor about a prescription for Aescin

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Aescin

Package Leaflet: Information for the User

AESCIN, 20 mg + 50 mg + 50 IU, gel
(Escinum + Diethylamini salicylas + Heparinum)

Read the package leaflet carefully before using the medicine, as it contains important information for the patient.

  • This medicine should always be used exactly as described in the package leaflet or as directed by a doctor or pharmacist.
  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If you experience any side effects, including any possible side effects not listed in the leaflet, tell your doctor or pharmacist. See section 4.
  • If there is no improvement or if you feel worse, contact your doctor.

Table of Contents of the Leaflet:

  • 1. What is Aescin and what is it used for
  • 2. Important information before using Aescin
  • 3. How to use Aescin
  • 4. Possible side effects
  • 5. How to store Aescin
  • 6. Contents of the pack and other information

1. What is Aescin and what is it used for

Aescin is used locally, as an adjunct treatment for:

  • injuries such as bruises and sprains
  • local inflammatory conditions with or without swelling
  • phlebitis of the lower limbs
  • hematomas and swelling after surgical procedures and injuries
  • back pain with symptoms of nerve root compression.

Aescin gel is a medicine with anti-edematous, anti-inflammatory, and venoprotective effects.
It normalizes the permeability of capillary membranes, seals the endothelium of capillaries,
and reduces lymphatic effusion.
It is also used as an adjunct to reduce other unfavorable symptoms, such as:
pain and heaviness in the legs, skin itching, swelling of the lower limbs, and calf muscle cramps, occurring
in venous circulation disorders of the lower limbs.
Escin is the main saponin of horse chestnut seeds. Escin has anti-edematous and anti-inflammatory effects
and improves the tone of blood vessels, although its effect after local administration cannot be confirmed with certainty.
It reduces the permeability of blood vessel walls. Escin has anti-edematous and anti-inflammatory effects.
It normalizes the permeability of capillary membranes, seals the endothelium of capillaries, and reduces lymphatic effusion.
Heparin is a natural polyanionic polysaccharide. It has an inhibitory effect on all phases of blood coagulation.
When used locally, it has antithrombotic and anti-inflammatory effects.
Diethylammonium salicylate used locally has analgesic and anti-inflammatory effects.
If there is no improvement or if you feel worse, contact your doctor.

2. Important information before using Aescin

When not to use Aescin

  • if you are allergic to the active substances or any of the other ingredients of this medicine (listed in section 6).
  • if you have chronic kidney disease and renal failure
  • in women during the first three months of pregnancy
  • locally on mucous membranes, on open wounds, and in cases of skin necrosis
  • on areas of skin exposed to radiation.

Warnings and precautions

If you experience any of the following symptoms after using Aescin, contact your doctor immediately:

  • skin inflammation,
  • phlebitis
  • subcutaneous induration (lumps under the skin)
  • skin ulcers
  • severe pain associated with skin symptoms
  • sudden swelling of one or both legs
  • heart or kidney failure.

In case of concomitant use of anticoagulant medications, blood coagulation parameters should be frequently monitored.
It is essential to follow all other non-invasive measures recommended by your doctor, such as bandaging legs, wearing compression stockings, or applying cold water compresses.
During treatment with Aescin, kidney function should be monitored.
Note:using Aescin does not replace other preventive measures such as cold water compresses or wearing compression stockings.

Children and adolescents

The use of Aescin in children and adolescents under 18 years of age is not recommended due to the lack of sufficient data confirming its safety in this age group.

Aescin and other medicines

There are no data on interactions with other medicines.
Tell your doctor about all medicines you have taken recently, including those available without a prescription.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult your doctor or pharmacist before using this medicine.

Pregnancy

There are no clinical data on the use of Aescin in pregnant women. Animal studies do not show a direct or indirect harmful effect of alpha-escin on pregnancy and fetal development.
Aescin should not be used in pregnant women for a long time and on large surfaces (up to 3 weeks after consulting a doctor).
Caution should be exercised when using Aescin in pregnant women.

Breastfeeding

There are no data on the safety of using Aescin in breastfeeding women.
Aescin should not be used in breastfeeding women on the chest area.

Driving and using machines

There are no data on adverse reactions that may affect the ability to drive and use machines.

The medicine contains methyl parahydroxybenzoate (E 218) and propyl parahydroxybenzoate (E

  • 216)Due to the presence of methyl parahydroxybenzoate (E 218) and propyl parahydroxybenzoate (E 216), the medicine may cause allergic reactions (possible late-type reactions).

3. How to use Aescin

This medicine should always be used exactly as directed by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.
Aescin gel is intended for external use, locally on the skin.
The medicine should be applied 3 to 5 times a day, by spreading a thin layer and then rubbing it into the affected area and its surroundings.
Massage before applying the gel accelerates the absorption of the active substance.

Use in children and adolescents

The use of Aescin in children and adolescents under 18 years of age is not recommended.
If you have any doubts about using the medicine, consult your doctor or pharmacist.

4. Possible side effects

Like all medicines, Aescin can cause side effects, although not everybody gets them.
The frequency of side effects is defined as follows:

  • very common - more than 1 in 10 patients
  • common - between 1 in 10 and 1 in 100 patients
  • uncommon - between 1 in 100 and 1 in 1000 patients
  • rare - between 1 in 1000 and 1 in 10,000 patients
  • very rare - less than 1 in 10,000 patients
  • not known - frequency cannot be estimated from the available data

Rare: allergic skin inflammation (itching, rash, redness, eruption, urticaria)
Very rare: severe allergic reactions (in some cases with bleeding); tachycardia, hypertension; hypersensitivity reactions
Uncommon: dizziness, headache
If you experience any of the above reactions, especially bleeding and first hypersensitivity reactions (skin rash), discontinue the medicine and consult your doctor.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in the leaflet, tell your doctor or pharmacist.
Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products, Urząd Rejestracji Produktów Leczniczych, Wyrobów Medycznych i Produktów Biobójczych, Al. Jerozolimskie 181 C, 02-222 Warszawa
Tel.: + 48 22 49 21 301
Fax: + 48 22 49 21 309
website: https://smz.ezdrowie.gov.pl
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Aescin

Store below 25°C.
Keep out of sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Aescin contains

  • The active substances of Aescin are: alpha-escin, diethylammonium salicylate, and heparin.
  • The other ingredients are: carbomers, tromethamine, isopropyl alcohol, methyl parahydroxybenzoate (E 218), propyl parahydroxybenzoate (E 216), disodium edetate, purified water.

What Aescin looks like and contents of the pack

Gel.
Aluminum tube containing 40 g of gel, in a cardboard box.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Teva Pharmaceuticals Polska Sp. z o.o.
ul. Emilii Plater 53
00-113 Warszawa
Tel.(22) 345 93 00

Manufacturer

Nobilus Ent
ul. Zegrzyńska 22A
05-110 Jabłonna
Polska

Date of last revision of the leaflet: April 2022

Alternatives to Aescin in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Aescin in Ukraine

Dosage form: gel, 40 g in a tube
Active substance: heparin, combinations
Manufacturer: AT "Lubnifarm
Prescription not required
Dosage form: ointment, 25 g or 40 g in a tube
Active substance: heparin, combinations
Prescription not required
Dosage form: gel, 40 g in a tube
Active substance: heparin, combinations
Dosage form: gel, 40 g in a tube
Active substance: heparin, combinations

Alternative to Aescin in Spain

Dosage form: OINTMENT, 100 g sodium pentosan polysulfate
Active substance: pentosan polysulfate sodium
Manufacturer: Lacer S.A.
Prescription not required
Dosage form: OINTMENT, 500 mg sodium pentosan polysulfate
Active substance: pentosan polysulfate sodium
Manufacturer: Lacer S.A.
Prescription not required
Dosage form: GEL, 1000 IU
Active substance: heparin
Prescription not required
Dosage form: Ointment, 1 kilo UI
Active substance: heparin
Prescription not required
Dosage form: OINTMENT, 3 mg/g
Active substance: organo-heparinoid
Manufacturer: Laboratorio Stada S.L.
Prescription not required
Dosage form: GEL, 3 mg/g
Active substance: organo-heparinoid
Manufacturer: Laboratorio Stada S.L.
Prescription not required

Online doctors for Aescin

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Aescin – subject to medical assessment and local rules.

5.0(4)
Doctor

Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
CameraBook a video appointment
€55
November 311:00
November 411:00
November 511:00
November 611:00
November 711:00
More times
0.0(3)
Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

CameraBook a video appointment
€55
November 311:00
November 311:25
November 311:50
November 312:15
November 312:40
More times
5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
CameraBook a video appointment
€60
November 313:50
November 314:40
November 315:30
November 316:20
November 317:10
More times
0.0(1)
Doctor

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
CameraBook a video appointment
€50
November 314:00
November 314:50
November 315:40
November 316:30
November 317:20
More times
5.0(16)
Doctor

Taisiya Minorskaya

Family medicine12 years of experience

Dr Taisiya Minorskaya is a family medicine doctor with an official licence to practise in Spain and over 12 years of clinical experience. She provides online consultations for adults and children, combining evidence-based medicine with a personalised, modern European approach.

She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

CameraBook a video appointment
€65
November 315:00
November 315:30
November 316:00
November 316:30
November 317:00
More times
5.0(14)
Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

CameraBook a video appointment
€55
November 315:00
November 315:45
November 316:30
November 317:15
November 318:00
More times
5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

CameraBook a video appointment
€54
November 315:00
November 315:40
November 316:20
November 317:00
November 317:40
More times
0.0(0)
Doctor

Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

CameraBook a video appointment
€60
November 315:00
November 315:30
November 316:00
November 316:30
November 317:00
More times
5.0(131)
Doctor

Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

CameraBook a video appointment
€59
November 316:00
November 316:30
November 317:00
November 317:30
November 318:00
More times
5.0(8)
Doctor

Nataliia Bessolitsyna

Rheumatology25 years of experience

Dr. Nataliia Bessolitsyna is a rheumatologist with extensive clinical experience. She provides online consultations focused on the diagnosis, treatment, and long-term management of joint diseases and systemic autoimmune disorders, following international clinical guidelines and evidence-based medicine.

You can consult Dr. Bessolitsyna about:

  • Joint pain — acute, chronic, or recurring pain.
  • Inflammatory arthritis: rheumatoid arthritis, psoriatic arthritis, polyarthritis, gouty arthritis.
  • Degenerative joint conditions: osteoarthritis, knee and hip arthritis (gonarthrosis, coxarthrosis), nodal polyosteoarthritis.
  • Periarthritis and spondyloarthritis.
  • Spinal inflammation: ankylosing spondylitis (Bechterew’s disease).
  • Systemic autoimmune diseases: lupus, scleroderma, systemic vasculitis.
  • Osteoporosis and bone fragility.

Dr. Bessolitsyna offers a personalised and structured approach — helping patients identify causes of joint pain, interpret test results, and follow tailored treatment plans. Her consultations focus on early diagnosis, symptom control, complication prevention, and improving long-term quality of life.

With remote access to specialist care, patients can receive expert rheumatology support wherever they are.

CameraBook a video appointment
€45
November 320:30
November 416:30
November 520:00
November 1020:30
November 1116:30
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe