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.
Concordia Hospital, Winnipeg, Manitoba, Canada
Orthopedic Department of Ruijin hospital, Shanghai, Shanghai, China
Eastern Maine Medical Center, Bangor, Maine, United States
University Hospital Zurich, Division of Anaesthesiology, Zurich, ZH, Switzerland
USZ, Zurich, Switzerland
Ain Shams University, Cairo, Egypt
Amin Nemati, Isfahan, Iran, Islamic Republic of
CHU Brugmann, Brussels, Belgium
University of California San Francisco Medical Center, San Francisco, California, United States
Madigan Army Medical Center, Tacoma, Washington, United States
Duke University Medical Center, Durham, North Carolina, United States
Orthopedic Department of Ruijin hospital, Shanghai, Shanghai, China
Angers University Hospital, Angers, France
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