Plant-derived anti-swelling and vein medicine

Aescin (escin, horse chestnut) (إيسين)

Aescin is taken from horse chestnut seeds. It reduces swelling and fluid leakage. It is used on the skin for bruises and swelling after injuries, and by mouth for symptoms of weak leg veins.

What it is used for

  • Easing bruises and swelling after sprains and minor injuries
  • Easing heavy, swollen legs and cramps due to weak veins and varicose veins
  • In some skin products for haemorrhoids

How it is used

  • Swallow tablets whole with water after food; follow the leaflet and ask your pharmacist
  • Rub the gel or cream gently onto unbroken skin over the affected area, then wash your hands
  • For varicose veins your doctor may also advise compression stockings

Possible side effects

  • Stomach upset or nausea from tablets
  • Itching or redness of the skin
  • Rarely, allergic reactions

Who should not use it

  • Do not use it if you are allergic to aescin, horse chestnut or any ingredient in the product
  • Do not put the gel on open wounds, inflamed skin or mucous membranes
  • Do not take the tablets if you have severe kidney disease unless your doctor advises it

Before and while using it

  • Get help at once for sudden painful swelling of one leg with redness or warmth, or breathlessness, as this may be a clot
  • See your doctor if symptoms do not improve or get worse
  • With haemorrhoids, see your doctor if bleeding keeps happening
  • Evidence for the tablets is limited but supports some relief of weak-vein symptoms

Medicine interactions

  • Tell your doctor or pharmacist if you take blood thinners before using the tablets

Pregnancy and breastfeeding

  • Tablets are not advised in pregnancy or breastfeeding as there is not enough information; ask your doctor before using the gel

How to store it

  • Store at room temperature away from heat and moisture, out of the sight and reach of children.

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.