Considering the study duration of three months it is concluded, that ruscus extract, in the recommended daily dosage according to the German monograph, is a safe and effective treatment for patients suffering from chronic venous insufficiency. However, chronic inflammation is dangerous since the body is in a prolonged state of emergency and this. Inflammation, a defence mechanism against infection and injury, is one of the body’s natural responses to promote healing. This is thought to reduce pooling of blood in extremities, and the limited evidence appears to be promising. Of all 48 adverse events occurring in both treatment groups, 22 were reported in the ruscus group, one of them was considered to be related to the study medication (unlikely). Aside from its use as a coffee substitute, Butchers Broom has the following health benefits: It is anti-inflammatory. An herb more commonly known as Butchers Broom, ruscus aculeatus is traditionally used for circulation and appears to constrict veins. Overall tolerability for both treatments was assessed as good and very good. Overall assessment of efficacy was significantly better for ruscus extract compared to placebo. For the changes in the symptoms heavy lower legs, sensation of tension, and tingling sensation a significant positive correlation with the changes in leg volume was shown. There were significant differences between the treatment groups ruscus and placebo for the AUB0-12 (-827 ml x day), for the change of leg volume after 8 and 12 weeks of treatment (-16.5 ml and -20.5 ml), for changes in ankle and leg circumferences after 8 and 12 weeks of treatment, and for the changes in subjective symptoms, heavy tired legs and sensation of tension (week 12). The study was carried out according to the guidelines for testing drugs for chronic venous insufficiency. Secondary parameters were the changes in circumference of the lower leg and the ankle, changes in subjective symptoms and quality of life, the overall efficacy and tolerability and safety parameters. The primary parameter was the area under baseline of the leg volume changes over 12 weeks (AUB0-12). The data of 148 patients (30-89 years, 150-182 cm height, 49-97 kg body weight) with a mean disease duration of 14.6 years in the ruscus extract group and 15.1 years in the placebo group were eligible for the intent-to-treat-analysis. 166 women suffering from chronic venous insufficiency (Widmer grade I and II, CEAP (Clinical signs, Etiological classification, Anatomic distribution, Pathophysiology) 3-4) were included. These compounds may be why butcher’s broom is linked to health benefits such as improved blood circulation and hemorrhoid treatment. The aim of the present multi-center, double-blind, randomized, placebo-controlled trial was to confirm the efficacy and safety of a ruscus extract (Fagorutin Ruscus Kapseln) according to the latest scientific standards. Extracts from Butcher's broom rhizome (Ruscus aculeatus) have been widely used in the oral treatment of lower leg edema in patients with chronic venous insufficiency.
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