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.
University of Missouri, Columbia, Missouri, United States
William Beaumont Hospital, Royal Oak, Michigan, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
Cardiovascular Institute and Fuwai Hospital, CAMS&PUMC, Beijing, Beijing, China
Spectrum Health Hospitals, Grand Rapids, Michigan, United States
St Olavs University Hospital, Trondheim, Norway
New York Presbyterian Hospital, New York, New York, United States
Department of gynecology and obstetrics, Nordsjællands Hospital, Hillerød, Denmark
Nationwide Children's Hospital, Columbus, Ohio, United States
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