Tranexamic acid

Cyklokapron, Tranexamsäure Baxter, Tranexamsäure Eberth, Tranexamsäure Kabi · ATC code B02AA02

Also known as: Tranexamsäure, Traneksamik asit · Brand names: Cyklokapron, Tranexamsäure Baxter, Tranexamsäure Eberth, Tranexamsäure Kabi, Tranexamsäure Sanus, Tranexamsäure Tillomed, Inoky-Tranex, Tranexamic Acid Sunho, Tranexamsäure Carinopharm, Tranexamsäure Dr. Eberth, Tranexamsäure Puren, Asitranex, Candur, Herajit, Tranasitil …

Key facts
Active substance
Tranexamic acid
Drug class
Antifibrinolytic
ATC code
B02AA02
Authorisation
authorised nationally; no central EU authorisation
Information as of
2026-10-27

Key facts

Tranexamic acid is an antifibrinolytic. Per the US label, the tablets are used to treat cyclic heavy menstrual bleeding in females of reproductive potential.

What it is used for

  • Cyclic heavy menstrual bleeding in females of reproductive potential

Dosing

  • Exclude endometrial pathology before prescribing
  • Normal renal function: 1,300 mg three times daily (3,900 mg/day) for a maximum of 5 days during menstruation
  • Serum creatinine above 1.4 to 2.8 mg/dL: 1,300 mg twice a day; above 2.8 to 5.7 mg/dL: 1,300 mg once a day; above 5.7 mg/dL: 650 mg once a day
  • With or without food; swallow tablets whole

Contraindications

  • Concomitant combined hormonal contraception
  • Active thromboembolic disease or a history of thrombosis or thromboembolism, including retinal vein or artery occlusion
  • Intrinsic risk of thrombosis (e.g. thrombogenic valvular or cardiac rhythm disease, hypercoagulopathy)
  • Known hypersensitivity to tranexamic acid

Important warnings

  • Venous and arterial thrombosis and retinal vessel occlusions reported; with visual or ocular symptoms stop immediately and refer to an ophthalmologist
  • Further increased thrombotic risk with combined hormonal contraceptives, particularly in women who are obese or smoke
  • Not recommended with factor IX complex or anti-inhibitor coagulant concentrates, or in acute promyelocytic leukemia on tretinoin

Side effects

  • In trials: headache (50.4%), nasal and sinus symptoms (25.4%), back pain (20.7%), abdominal pain (19.8%)
  • Others: musculoskeletal pain, arthralgia, muscle cramps, migraine, anemia
  • Serious: thromboembolic events, hypersensitivity reactions

Interactions

  • Combined hormonal contraceptives: contraindicated
  • Tissue plasminogen activators: may decrease efficacy of both; discontinue tranexamic acid
  • Factor IX complex or anti-inhibitor coagulant concentrates: increased thrombosis risk

Pregnancy and breastfeeding

  • Not indicated for use in pregnant women; tranexamic acid crosses the placenta
  • Present in breast milk at low concentration

Summary of the official product information, written with AI (Claude, Anthropic) on 2026-10-28. Every number was checked automatically against the original text. Not reviewed by a physician – the full official text is authoritative.

Full official text →

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For patients

Patient information (US)

Patient information (US) →

Authorisation and brand names by country

Medicines with exactly this active-substance composition, as listed in the national registers – alphabetical and without ranking. Whether a product is currently available is not shown here.

Austria

  • CyklokapronPfizer Corporation Austria Ges.M.B.H., Viatris Austria Gmbh · 2 register entries
  • Tranexamsäure BaxterBaxter Holding B.V. · 1 register entry
  • Tranexamsäure EberthDr. Friedrich Eberth Arzneimittel Gmbh · 1 register entry
  • Tranexamsäure KabiFresenius Kabi Austria Gmbh · 1 register entry
  • Tranexamsäure SanusMb "sanus24" · 1 register entry
  • Tranexamsäure TillomedTillomed Pharma Gmbh · 2 register entries

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Germany

  • CyklokapronViatris Healthcare Gmbh, Pfizer Pharma Gmbh · 2 register entries
  • Inoky-TranexMidas Pharma Gmbh · 1 register entry
  • Tranexamic Acid SunhoSunho Pharma Europe Sp. Z O.O. · 1 register entry
  • Tranexamsäure BaxterBaxter Holding B.V. · 1 register entry
  • Tranexamsäure CarinopharmCarinopharm Gmbh · 1 register entry
  • Tranexamsäure Dr. EberthDr. Friedrich Eberth Arzneimittel Gmbh · 1 register entry
  • Tranexamsäure EberthDr. Friedrich Eberth Arzneimittel Gmbh · 1 register entry
  • Tranexamsäure KabiFresenius Kabi Deutschland Gmbh · 1 register entry
  • Tranexamsäure PurenEugia Pharma (Malta) Limited · 1 register entry
  • Tranexamsäure TillomedTillomed Pharma Gmbh · 2 register entries

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Turkey

  • AsitranexALTOBİO İLAÇ LTD. ŞTİ. · 2 register entries
  • CandurHAVER TRAKYA İLAÇ SAN. VE TİC. A.Ş. · 1 register entry
  • HerajitVEM İLAÇ SAN. VE TİC. A.Ş. · 2 register entries
  • TranasitilTURKTIPSAN SAĞLIK TURİZM EĞİTİM VE TİC. A.Ş. · 2 register entries
  • TranecanPOLİFARMA İLAÇ SAN. VE TİC. A.Ş. · 1 register entry
  • TranexelHAVER FARMA İLAÇ A.Ş. · 2 register entries
  • TransamineTEVA İLAÇ SAN. VE TİC. A.Ş. · 3 register entries

Source: TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, as of 2026-10-16

USA

  • CyklokapronPfizer Laboratories Div Pfizer Inc · 1 register entry

Source: U.S. FDA – Drug labels (openFDA/DailyMed), as of 2026-10-28

Brand names in 27 more European countries
Belgium
Acide Tranexamique Kabi, Cyklokapron, Exacyl, Nimra, Tranexamic Acid A.Forall, Tranexamic Acid Accord, Tranexamic Acid Baxter, Tranexaminezuur Kabi, Tranexamsäure Kabi
Bulgaria
Медокапрон, Т-Капрон, Транексамова Киселина Каби, Транексамова Киселина Тиломед
Croatia
Medsamic, Trenolk
Cyprus
Azeptil, Medsamic, Tranexamic Acid Kabi, Tranexamic Acid Remedica, Unixam
Czechia
Exacyl, Tranexamic Acid Accord, Tranexamic Acid Kabi
Denmark
Cyklokapron, Cyklonova, Pilexam, Tracafour, Tranexamic Acid Baxter, Tranexamic Acid Stragen, Tranexamic Acid Tillomed, Tranexamsyre Accord, Tranexamsyre Life, Tranexamsyre Pfizer, Tranexkabi, Traxidot
Estonia
Cyklokapron, Medsamic, Nexag, Tranexamic Acid Accord, Tranexamic Acid Baxter, Tranexamic Acid Kabi, Tranexamic Acid Unifarma
Finland
Caprilon, Cyklokapron, Tranexamic Acid Accord, Tranexamic Acid Alternova, Tranexamic Acid Baxter, Tranexamic Acid Stragen, Tranexamic Acid Tillomed, Tranexkabi
France
Acide Tranexamique Accord, Acide Tranexamique Aguettant, Acide Tranexamique Arrow, Acide Tranexamique La Colina, Acide Tranexamique Tillomed, Acide Tranexamique Viatris, Exacyl, Haima, Spotof
Greece
Tranexamic Acid /Kabi, Tranexamic Acid Baxter, Transamin
Hungary
Exacyl, Nimra, Tranexámsav Baxter, Tranexámsav Kabi, Tranexámsav Onkogen, Tranexámsav Pharmacenter
Iceland
Cyklokapron, Tranexamsyre Pfizer
Ireland
Cyklokapron, Tranexamic Acid Accord Healthcare Ireland, Tranexamic Acid Baxter, Tranexamic Acid Ibigen
Italy
Acido Tranexamico Adamed, Acido Tranexamico Aurobindo, Acido Tranexamico Bioindustria L.I.M., Nexag, Tranex, Ugurol
Latvia
Cyklokapron, Haixa, Tranexamic Acid Baxter, Tranexamic Acid Kabi, Tranexamic Acid Unifarma
Lithuania
Haixa, Tranexamic Acid Baxter, Tranexamic Acid Kabi, Tranexamic Acid Unifarma, Zemarex
Luxembourg
Exacyl, Tranexamsäure Dr. Eberth
Malta
Azeptil, Medsamic, Retranex, Tafixyl, Tranexamic Acid Ibigen, Tranexamic Acid Unifarma
Netherlands
Cyklokapron, Nexag, Tranexaminezuur Accord, Tranexaminezuur Baxter, Tranexaminezuur Kabi, Tranexaminezuur Midas, Tranexaminezuur Mylan, Tranexaminezuur Tillomed, Traxidot
Norway
Cyklokapron, Pilexam, Traneksamsyre Accord, Tranexamic Acid Baxter, Tranexamic Acid Stragen, Tranexamic Acid Tillomed, Tranexkabi
Poland
Deporium, Exacyl, Haixa, Kwas Traneksamowy Tillomed, Tranexamic Acid Accord, Tranexamic Acid Eugia, Tranexamic Acid Sunho Pharma Europe Sp. Z O.O., Tranexamic Acid Tillomed
Portugal
Ataxanic, Medsamic, Nexag, Protraxen, Tafixyl, Ácido Tranexâmico A.Forall, Ácido Tranexâmico Accord, Ácido Tranexâmico Generis, Ácido Tranexâmico Hyloris, Ácido Tranexâmico Kabi, Ácido Tranexâmico Maxmind
Romania
Acid Tranexamic Kabi, Medsamic, Nimra
Slovakia
Medsamic, Tranexamic Acid Kabi, Trenolk
Slovenia
Medsamic, Trenolk
Spain
Amchafibrin, Medsamic, Nexag, Tantiramix, Ácido Tranexámico Baxter, Ácido Tranexámico Viatris, Ácido Tranexámico Zentiva
Sweden
Cyklo-F, Cyklokapron, Cyklonova, Medsamic, Nexag, Pilexam, Statraxen, Tranexa, Tranexamic Acid Accord, Tranexamic Acid Baxter, Tranexamic Acid Stragen, Tranexamic Acid Tillomed, Tranexamsyra Orifarm, Tranexkabi

EMA – Article 57 product data (EU/EEA), 2026-10-28

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Sources

  1. U.S. Food and Drug Administration. TRANEXAMIC ACID (NorthStar Rx LLC) – Prescribing Information, 2026-05-13. DailyMed (NLM), 2026-10-27. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=4877eacd-fda7-4708-93a5-81052c1d2e14
  2. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  3. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  4. TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, 2026-10-16. https://www.titck.gov.tr/dinamikmodul/85
  5. U.S. FDA – Drug labels (openFDA/DailyMed), 2026-10-28. https://dailymed.nlm.nih.gov/dailymed/
  6. Wikidata (CC0): ATC B02AA.

Editorial: Medelix editorial team · last updated 2026-10-27 · How these pages are made · Report an error

Source: U.S. Food and Drug Administration (FDA), prescribing information, via DailyMed (NLM); public domain. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.