Tranexamic Acid

The label describes tranexamic acid tablets for the treatment of cyclic heavy menstrual bleeding in females of reproductive potential.

The label says other causes in the womb lining should be excluded before it is prescribed.

• Cyclic heavy menstrual bleeding

Tranexamic acid is a synthetic lysine-like compound. It stops plasmin from breaking down fibrin, which keeps the clot structure stable.

This is called an antifibrinolytic effect.

This page covers the US label for tranexamic acid tablets taken by mouth, with the dosing the label gives for adults.

This is label-level information, not personal advice. Indian pack labels may differ, and your prescriber's instruction always comes first.

For adults with normal kidney function, the label describes 1,300 mg three times daily for a maximum of 5 days during monthly menstruation.

With kidney impairment the dose is lower, based on serum creatinine: 1,300 mg twice daily, 1,300 mg once daily, or 650 mg once daily as creatinine rises.

The label says tablets may be taken with or without food and must be swallowed whole, not chewed or broken.

• Maximum 5 days each period
• Swallow tablets whole
• With or without food
• Lower dose with kidney impairment

It is contraindicated with combined hormonal contraceptives, active blood clots, a history of clots including retinal vein or artery blockage, and allergy to the drug.

Visual or eye symptoms mean stopping at once and seeing an eye doctor. Risk of clots may increase in people who smoke or are obese.

The label says it is not indicated for use in pregnancy.

• Not with combined hormonal contraceptives
• Not with active or past blood clots
• Stop for vision symptoms
• Reduce dose with kidney impairment
• Not for use in pregnancy

• Combined hormonal contraceptives
• Tissue plasminogen activators
• Factor IX complex and anti-inhibitor concentrates
• All-trans retinoic acid
• Combined hormonal contraceptives are contraindicated because the clot risk may rise.
• Tissue plasminogen activators may reduce the effect of both medicines.
• Factor IX complex or anti-inhibitor concentrates, and all-trans retinoic acid, are not recommended.

No match in this label text. Ask your pharmacist about any medicine you take.

The label gives a storage range of 15 to 30 degrees C.

Follow the storage line on your own pack, and keep medicines out of the reach of children.

In the Drugs Rules schedules we checked, tranexamic acid is listed under Schedule H (serial and rule: Schedule H, serial 508 (rules 65 and 97)). Schedule H medicines are sold only on a registered doctor's prescription.

Tranexamic Acid is on the National List of Essential Medicines 2022. Listed forms include: Tablet 500 mg (page 86); Injection 100 mg/mL (page 86).

NPPA lists ceiling prices for scheduled tranexamic acid formulations. The table shows the rows we found. Check NPPA directly for the current list.

The Jan Aushadhi (PMBJP) list we checked has 3 product rows that mention tranexamic acid. We did not capture prices for them.

The banned fixed-dose combination list we checked has 2 entries that mention tranexamic acid. This does not mean the single medicine is banned. Use our checker for a specific combination.

NPPA ceiling prices set the most a seller can charge per unit for the listed formulations, before local taxes. They are ceilings, not the price you will always pay.

Jan Aushadhi lists tranexamic acid products including Tranexamic Acid Tablets IP 500 mg 500 mg; Tranexamic Acid Injection IP 500 mg (100mg per ml) 500 mg; Tranexamic Acid 500mg and Mefenamic Acid 250mg Tablets 500mg. We have not shown a price for them. Check the pack and the seller for the actual price.