Référentiel des médicaments
Tranexamic acid
Tranexamic acid is a medicine in the class cardiovascular. It is used for hemorrhage.
- Classe médicamenteuse: Cardiovascular
- Indications: hemorrhage
Dernière mise à jour
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L'essentiel
- Classe médicamenteuse
- Cardiovascular
- Formes courantes
- injection, comprimé
- Dosages courants
- 500 mg, 500 mg/5 ml, 100 mg/ml
- Interactions connues
- 16 (Contre-indiquée: 6 · Majeure: 7 · Modérée: 3)
- Noms commerciaux
- 37
- Pays et marchés
- 4
Indications
Mécanisme d'action
Antifibrinolytic; synthetic lysine amino acid derivative, which diminishes the dissolution of hemostatic fibrin by plasmin In the presence of tranexamic acid, the lysine receptor binding sites of plasmin for fibrin are occupied, preventing binding to fibrin monomers, thus preserving and stabilizing fibrin’s matrix structure
Posologie adulte habituelle (résumé de la notice)
Menorrhagia: 1300 mg PO TID for up to 5 days during menstruation
Grossesse et allaitement
- Grossesse
- Safe Crosses the placenta. Use in the 2nd and 3rd trimesters and at delivery has not shown clear harm, and it is widely used for bleeding after birth (WHO). Rare fatal fetal abnormalities after 1st-trimester use, with confounders. No harm in animals. Use when needed for bleeding, not for heavy periods.
- Allaitement
- Safe Passes into milk in low amounts. US/UK labels: no final assessment; weigh benefits. LactMed: expert opinion considers that breastfeeding should be permitted when the mother needs tranexamic acid.
Effets indésirables signalés
- Headache
- Nausea
- Back pain
- Nasal and sinus symptoms
- Visual abnormalities
Précautions particulières
- May cause cerebral edema and cerebral infarction in women with subarachnoid hemorrhage
- Severe allergic reaction reported; anaphylactic shock reported with IV product
- Concurrent use with tretinoin may exacerbate procoagulant effects
Informez votre pharmacien ou votre médecin en cas de grossesse ou d'allaitement, de maladie rénale ou hépatique, d'allergies, ainsi que de tout autre médicament ou complément que vous prenez.
Principales interactions (16)
- Dienogest / estradiol valerate + Tranexamic acid Contraindicated
- Ethinyl estradiol-drospirenone + Tranexamic acid Contraindicated
- Ethinyl estradiol-levonorgestrel + Tranexamic acid Contraindicated
- Ethinyl estradiol-norgestimate + Tranexamic acid Contraindicated
- Ethinylestradiol + Tranexamic acid Contraindicated
- Mestranol + Tranexamic acid Contraindicated
- Alteplase + Tranexamic acid Major
- Anti-inhibitor coagulant complex + Tranexamic acid Major
- Factor ix + Tranexamic acid Major
- Factor ix complex + Tranexamic acid Major
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Questions fréquentes
What is Tranexamic acid used for?
Tranexamic acid is a medicine in the class cardiovascular. It is used for Hemorrhage, Melasma, Menorrhagia, Uterine fibroids.
What side effects have been reported with Tranexamic acid?
Headache, Nausea, Back pain, Nasal and sinus symptoms, Visual abnormalities.
Can Tranexamic acid be taken in pregnancy or while breastfeeding?
Pregnancy: Safe. Crosses the placenta. Use in the 2nd and 3rd trimesters and at delivery has not shown clear harm, and it is widely used for bleeding after birth (WHO). Rare fatal fetal abnormalities after 1st-trimester use, with confounders. No harm in animals. Use when needed for bleeding, not for heavy periods. Breastfeeding: Safe. Passes into milk in low amounts. US/UK labels: no final assessment; weigh benefits. LactMed: expert opinion considers that breastfeeding should be permitted when the mother needs tranexamic acid.
What does Tranexamic acid interact with?
MediHelp lists 16 known interactions for Tranexamic acid. Contraindicated: 6 · Major: 7 · Moderate: 3. The most serious include Dienogest / estradiol valerate, Ethinyl estradiol-drospirenone, Ethinyl estradiol-levonorgestrel.
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