Tranexamic Acid
Introduction When I was a provisional registered pharmacist, I used to confuse tranexamic acid as a NSAID (cause it sounds similar to mefenamic acid). On the other hand, it is a medication used to treat or prevent excessive blood loss from major trauma, postpartum bleeding, surgery, tooth removal, nosebleeds and heavy menstruation . Menorrhagia Menorrhagia is excessive (heavy) menstrual blood loss (i.e. blood loss of 60-80 ml or more period, compared with average loss of 30-40 ml), which occurs over several consecutive cycles. Oral tranexamic acid reduces the volume of menstrual blood loss by about half through its antifibrinolytic effect, which increases blood clotting. Dosage varies, according to the heaviness and duration of bleeding: 1 to 1.5 g 3 or 4 times daily for the first 3-5 days of each cycle. Although tranexamic acid is available as an OTC medication in oversea, it is a prescription medication at Malaysia ( Group B poison ). 5% Mouthwash Tranexamic acid can be extemporan...