
Important Notice
The medication images on this site are sourced from NHG Health’s internal formulary and are provided solely for identification and educational purposes. They may not represent all available brands, formulations, or packaging of medications registered in Singapore. While reasonable efforts have been made to ensure the images accurately reflect the actual medications, colour, shape, and appearance may vary due to manufacturing differences, batch variations, and display settings.
Tranexamic acid is used to prevent or reduce excessive bleeding for a short period of time in many different conditions such as heavy menstrual bleeding (menorrhagia) or in those with blood clotting disorders like haemophilia (a rare bleeding disorder in which the blood does not clot properly).
This medication is known as an anti-fibrinolytic, which prevents blood clots from breaking down and hence, reduces the amount of blood lost.
- You may take this medication with or without food.
- If you are taking tranexamic acid for heavy menstrual bleeding, do not start taking the medicine until your menses have started.
If you forget to take a dose, take it as soon as you remember. Then take your next dose at the usual time. Do not take two doses to make up for the missed dose.
Inform your healthcare professional if:
- You are allergic to this medication or any of the other ingredients of this medication.
- You are pregnant, planning to become pregnant, or breastfeeding.
- You are taking any other medications, including supplements, traditional medications and herbal remedies.
- You have a history of or current medical conditions such as blood clots in your legs, lungs or anywhere else in your body, stroke, seizures (fits), or kidney problems.
Common side effects include:
- Stomach discomfort
- Take it after food to reduce these side effects.
- Headache and muscle aches
- You may take painkillers such as Paracetamol.
Inform your doctor if the side effects above become severe and bothersome.
The symptoms of a drug allergy include one or more of the following:
- Swollen face/eyes/lips/tongue
- Difficulty in breathing
- Itchy skin rashes over your whole body
Very rarely, this medication may cause:
- Changes in eyesight e.g. blurred vision, changes in colour vision.
- Blood clot in the blood vessel (thrombosis), which may cause severe pain or swelling in either one of your legs, sudden breathlessness or weakness or numbness in any part of your body.
If you experience any of these symptoms, you should stop your medication and see your healthcare professional immediately.
- Some medications might interact with this medication. Check with your doctor or pharmacist if you want to take/give any other medicines, supplements or herbal products.
- If you see another doctor, inform him that you are taking this medication before he prescribes any other medications.
Store in a cool and dry place, away from direct heat and sunlight. Keep this medication away from children.
Pack this medication into a black trash bag and seal it tightly before throwing into the rubbish chute or bin.
Disclaimer
The content of this article does not replace the information from your healthcare professional. Please consult your healthcare professional for more information.
This article is jointly developed by members of the National Medication Information workgroup. The workgroup consists of cluster partners (NHG Health, National University Health System and SingHealth), community pharmacies (Guardian, Unity and Watsons) and Pharmaceutical Society of Singapore (PSS).
The images and video in this article has been developed by the Singapore National Asthma Programme (SNAP) and have been reviewed by the PSS-National Medication Information workgroup.

