What is the recommended dose of Daflon (diosmin) for adults?

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Daflon 1000mg Dosing

The standard recommended dose of Daflon for adults is 1000 mg daily, administered as two 500 mg tablets per day. 1

Standard Dosing Regimen

  • For chronic venous insufficiency and hemorrhoids, the established dose is 1000 mg daily (two 500 mg tablets), taken as a single daily dose or divided into two doses. 1, 2, 3

  • Each tablet contains 500 mg of micronized purified flavonoid fraction (MPFF), consisting of 90% diosmin and 10% hesperidin. 1, 2

  • The micronization process enhances absorption of diosmin by reducing particle size to <2 micrometers. 2

Condition-Specific Dosing

Acute Hemorrhoids

  • For acute internal hemorrhoids (grade 1 or 2), use an intensive regimen: 3 tablets (1500 mg) twice daily for 4 days, then 2 tablets (1000 mg) twice daily for 3 days. 2

  • This higher-dose regimen significantly improves the duration and intensity of acute hemorrhoidal symptoms compared to placebo. 2

Chronic Hemorrhoids and Chronic Venous Insufficiency

  • For chronic (recurrent) hemorrhoids and chronic venous insufficiency, the standard maintenance dose is 2 tablets (1000 mg) daily for 60-83 days or longer. 2, 4, 5

  • This dosing reduces frequency, duration, and severity of symptoms while improving overall disease signs. 2, 6

Venous Leg Ulcers

  • For venous leg ulcers ≤10 cm in diameter, use 1000 mg daily (two 500 mg tablets) in combination with standard compression therapy and local wound management. 2

  • Treatment duration typically ranges from 2-6 months, with MPFF significantly accelerating ulcer healing compared to standard management alone. 2, 4

Safety Profile

  • Daflon demonstrates excellent tolerability with adverse events similar to placebo. 7, 2

  • The most commonly reported adverse events are mild gastrointestinal disturbances (dyspepsia in up to 7% of patients) and headaches, which rarely lead to treatment discontinuation. 7, 2

  • No serious adverse events have been reported in clinical trials using doses ranging from 400 to 5000 mg/day for up to one year. 7

  • Rare adverse events (<2%) include rash, lower limb cramping, phlebitis, and venous thrombosis, occurring at frequencies not significantly different from placebo. 7

  • No dose adjustments are required for elderly patients (≥70 years) or those with concomitant conditions such as hypertension, diabetes, or atherosclerosis. 7

Administration Considerations

  • The medication can be taken once daily or divided into two doses, with or without food. 3, 5

  • Taking doses with meals or at bedtime may minimize gastrointestinal side effects if they occur. 3

  • The exact dosing regimen of 2 tablets daily (1000 mg total) shows high patient acceptance due to simplicity and excellent tolerability. 3

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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