NZ Formulary

Tranexamic acid (tablet)

tran-ex-am-ik ass-id

What does it do?

Tranexamic acid is used to treat or prevent excess bleeding, and sometimes other conditions.

Before you start

  • Tell your doctor if you have kidney or eye problems, or if you have ever had a blood clot.
  • Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

How should you take it?

Take tranexamic acid as directed with a glass of water.

What if you forget a dose?

If it is nearly time for your next dose, skip the missed dose and take your next dose at the usual time. Otherwise, take the missed dose as soon as you remember. Do not take two doses at the same time.

Can you take other medicines?

Some medicines available without a prescription may react with tranexamic acid including:

  • anti-inflammatories, such as diclofenac (e.g. Voltaren®), ibuprofen (e.g. Nurofen®), or aspirin (e.g. Disprin®, in doses used for pain relief). These can also be found in some cold and flu medicines (e.g. Nurofen Cold and Flu®).

Tell your pharmacist or doctor about all medicines or treatments that you may be taking, including vitamins, herbal products or recreational drugs.

What side effects might you notice?

Side EffectsRecommended action

Symptoms of a blood clot including: sudden shortness of breath, swelling or pain in one leg

Changes in vision

Tell your doctor immediately

Stomach upset

Tell your doctor if troublesome

If you notice any other effects, discuss them with your doctor or pharmacist.