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Pharmacology · Angioprotectors

Diosmin

*Diosminum*

Diosmin is a pharmacological agent used in medical practice to treat vascular disorders. The drug actively affects the microvasculature and venous tone.

Drug classAngioprotective and venotonic agent
Vascular effectNormalization of vascular wall permeability
Main indicationManagement of vascular pathologies and microcirculation
2 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Pharmacological action

The pharmacological profile of diosmin is determined by its ability to protect the vascular bed. The substance exhibits pronounced angioprotective effects, helping to restore damaged endothelium and improve blood rheology.

Key effects include:

  • decrease in blood viscosity and reduction of platelet aggregation;
  • normalization of vascular wall permeability;
  • reduction of fluid extravasation and diapedesis of formed blood elements;
  • general activation of microcirculation.

Indications for use

The scope of diosmin application covers various vascular disorders and microcirculatory pathologies. The drug is prescribed for:

  • chronic venous insufficiency;
  • diabetic angiopathy (including retinopathy and nephropathy);
  • post-thrombotic syndrome and obliterating lower extremity arterial disease;
  • trophic ulcers;
  • prevention and treatment of thrombosis of various localizations;
  • ischemic stroke and dyscirculatory encephalopathy.
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Contraindications and limitations

The use of diosmin requires consideration of several medical contraindications for patient safety. The drug is contraindicated in:

  • hypersensitivity to the active substance;
  • hemorrhagic diathesis and conditions associated with increased bleeding tendencies;
  • acute hemorrhagic states;
  • first trimester of pregnancy;
  • breastfeeding period.

Side effects

As a rule, diosmin is well tolerated by patients. Nevertheless, adverse reactions affecting various organ systems may occur during pharmacotherapy.

Possible adverse effects:

  • gastrointestinal system: nausea, vomiting, diarrhea, epigastric pain;
  • nervous system (rarely): headache, dizziness;
  • allergic manifestations: skin rash and pruritus.

Briefly: answers to topical questions

Is diosmin used to treat acute and chronic hemorrhoids?

Detralex, containing diosmin and hesperidin, is indicated for acute and chronic hemorrhoids.

How to memorize

DiosMin: MINimizes vascular permeability and protects microcirculation.

Class and exam questions

What are the main pharmacological effects of diosmin?

The drug has a vasoprotective effect, improves microcirculation, normalizes vascular wall permeability, and improves blood rheological properties.

For which pathologies is diosmin prescribed?

It is used for chronic venous insufficiency, diabetic angiopathy, trophic ulcers, post-thrombotic syndrome, as well as for the prevention and treatment of thrombosis.

What are the limitations for taking the drug?

Contraindications include hypersensitivity, hemorrhagic diathesis, bleeding tendency, acute hemorrhagic states, the first trimester of pregnancy, and the lactation period.

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What else to study on this topic

  • Comparative analysis of diosmin and heparinoid glycosaminoglycans
  • Pharmacokinetic and metabolic features of venotonics
  • The role of angioprotectors in diabetic retinopathy and nephropathy
  • Management tactics for patients with lower extremity trophic ulcers
  • Pharmacological correction of microcirculatory disorders in ischemic stroke

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