Tranexamic acid is a synthetic derivative of lysine used as an antifibrinolytic in the treatment and prevention of major bleeding. It possesses a similar mechanism of action to aminocaproic acid but is approximately 10-fold more potent.
It was first patented in 1957 and received its initial US approval in 1986.
Taken orally, tranexamic acid is indicated for the treatment of hereditary angioedema, cyclic heavy menstrual bleeding in premenopausal females, and other instances of significant bleeding in the context of hyperfibrinolysis. Given intravenously, tranexamic acid is indicated for short-term use (2-8 days) in patients with hemophilia to prevent or reduce bleeding following tooth extraction.
Samodzielny Publiczny Szpital Kliniczny im. prof. W. Orłowskiego w Warszawie, Warsaw, Mazowieckie, Poland
Thammasat University, Klong Luang, Pathum Thani, Thailand
Kwong Wah Hospital, Hong Kong, Hong Kong
Henry Ford Health System, Detroit, Michigan, United States
Jean Verdier Hospital, Bondy, France
Marc Jacquet Hospital, Melun, France
Henri Mondor Hospital, Creteil, France
Sault Area Hospital, Sault Ste. Marie, Ontario, Canada
Chu Grenoble - Departement D'Anesthesie Reanimation, Grenoble, France
CHD Vendée, La Roche-sur-Yon, France
Hospices Civils Lyon, Lyon, France
University of Sao Paulo Medical School, Sao Paulo, Brazil
Carilion Roanoke Memorial Hospital, Roanoke, Virginia, United States
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