Phlebologie 2015; 44(02): 66-70
DOI: 10.12687/phleb2260-2-2015
Original Article
Schattauer GmbH

Active Nutrient acute and active for the prevention of calf muscle cramps

Article in several languages: English | deutsch
H. Kiesewetter
1   MVZ Hämostaseologicum, Berlin, Germany
› Author Affiliations
Further Information

Publication History

Received: 13 February 2015

Accepted: 30 March 2015

Publication Date:
04 January 2018 (online)

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Summary

Background: Spontaneous, mainly nocturnal cramps in the feet and calf muscles occur occasionally to frequently in approx. 40 % of the population in Germany. They are usually caused by local perfusion disturbances resulting from a primary disorder, insufficient fluid intake or nutritional disturbances, such as inadequate electrolyte or vitamin intake. Evening physiotherapy, such as stretching exercises or using a massage roller to smooth out oedema, has proved to be efficacious.

Method: Drug-based prevention, e.g. quinine sulphate, should only be used if all other measures have been exhausted. A critical risk-benefit appraisal should also be conducted beforehand, as hazardous adverse reactions can occur in rare cases. A new approach is to influence the acid-base balance in order to prevent muscular hyperacidity. Seventy subjects were included in the post-marketing surveillance study.

Results: Initial results give cause for an optimistic assessment of cramp prevention by means of citrate and carbonate salts and vitamin B.

Discussion: These positive results still have to be confirmed in a controlled study.