title: Randomized, double blind, placebo-controlled clinical trial to evaluate the lymphagogue effect and clinical efficacy of calcium dobesilate in chronic venous disease.
abstract: The aims of the present study were to investigate the effect of calcium dobesilate on lymph flow and lymphovenous edema in patients with chronic venous disease. It was a randomized, placebo-controlled, double-blind clinical trial. Patients received 1 capsule of 500 mg calcium dobesilate every 8 hours (1.5 g/day) or placebo by 49 days. By the end of the treatment period, only the patients treated with calcium dobesilate had normalization of lymphogammagraphy (capture index and speed of lymph flow; 80 and 78%, respectively). Only patients treated with calcium dobesilate had statistically significant reduction in the perimeter of leg, calf, and ankle. Twenty-two out of 25 (88%) calcium dobesilate-treated patients presented clinical improvement versus 5 out of 24 (20.8%) in the placebo group. One patient on calcium dobesilate developed rash and one patient on placebo complained of vomiting. In the present study, calcium dobesilate normalized lymph physiology and improved symptoms in patients with chronic venous disease.
authors.affiliation: Centro de Diagnostico de Enfermedades Cardiovasculares, Merida, Yucatan, Mexico.
authors.forename: Fernando
authors.initials: F
authors.lastname: Flota-Cervera
authors.forename: Cintia
authors.initials: C
authors.lastname: Flota-Ruiz
authors.forename: Carlos
authors.initials: C
authors.lastname: Treviño
authors.forename: Arturo
authors.initials: A
authors.lastname: Berber
mesh_terms: D000284:Administration, Oral; D002123:Calcium Dobesilate / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D002214:Capsules; D002317:Cardiovascular Agents / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D002908:Chronic Disease; D004311:Double-Blind Method; D004334:Drug Administration Schedule; D004487:Edema / Q000188:drug therapy* / Q000209:etiology / Q000378:metabolism; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008196:Lymph / Q000378:metabolism; D008208:Lymphatic System / Q000187:drug effects* / Q000503:physiopathology; D008220:Lymphography; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014689:Venous Insufficiency / Q000150:complications / Q000188:drug therapy* / Q000378:metabolism
chemical_list: D002214:Capsules; D002317:Cardiovascular Agents; D002123:Calcium Dobesilate