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Molecule

Tranexamic acid

Antifibrinolytic Agent
Available on requestOrphanHaematology
Presentations
6
Brands
1
Manufacturers
1
Available from stock
0

Tranexamic acid is an antifibrinolytic agent indicated in patients with hemophilia for short-term use (2 to 8 days) to reduce or prevent hemorrhage and reduce the need for replacement therapy during and following tooth extraction. MedsAcross supplies Tranexamic acid for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Antifibrinolytic Agent, Decreased Fibrinolysis
ATC classification
B02AA02 Tranexamic acid · Antifibrinolytic, subgroup B02AA
US FDA first approval
30 December 1986
EU status
Not recorded
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous, Oral
Dosage forms
Injection, Tablet
Identifiers
UNII 6T84R30KC1RxCUI 10691CAS 1197-18-8DrugBank DB00302Q418666

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

CYKLOKAPRON ® is indicated in patients with hemophilia for short-term use (2 to 8 days) to reduce or prevent hemorrhage and reduce the need for replacement therapy during and following tooth extraction. CYKLOKAPRON is an antifibrinolytic indicated in patients with hemophilia for short-term use (2 to 8 days) to reduce or prevent hemorrhage and reduce the need for replacement therapy during and following tooth extraction.

Source: US FDA prescribing information

How it works

Tranexamic acid is a synthetic lysine amino acid derivative, which diminishes the dissolution of hemostatic fibrin by plasmin. In the presence of tranexamic acid, the lysine receptor binding sites of plasmin for fibrin are occupied, preventing binding to fibrin monomers, thus preserving and stabilizing fibrin's matrix structure. The antifibrinolytic effects of tranexamic acid are mediated by reversible interactions at multiple binding sites within plasminogen. Native human plasminogen contains 4 to 5 lysine binding sites with low affinity for tranexamic acid (Kd = 750 μmol/L) and 1 with high affinity (Kd = 1.1 μmol/L). The high affinity lysine site of plasminogen is involved in its binding to fibrin. Saturation of the high affinity binding site with tranexamic acid displaces plasminogen from the surface of fibrin.

Source: US FDA prescribing information

Dosing overview

• Before Extraction: Administer 10 mg/kg actual body weight of CYKLOKAPRON intravenously with replacement therapy as a single‑dose. • After Extraction: Administer 10 mg/kg actual body weight of CYKLOKAPRON intravenously 3 to 4 times daily for 2 to 8 days. • Infuse undiluted solution no more than 1 mL/minute to avoid hypotension. • Reduce the dosage for patients with renal impairment.

Source: US FDA prescribing information

Contraindications

CYKLOKAPRON Injection is contraindicated: • As a neuraxial (i.e., intrathecal, epidural) injection. • In patients with subarachnoid hemorrhage. Anecdotal experience indicates that cerebral edema and cerebral infarction may be caused by CYKLOKAPRON in such patients. • In patients with active intravascular clotting. • In patients with hypersensitivity to tranexamic acid or any of the ingredients. • As a neuraxial (i.e., intrathecal, epidural) injection. • In patients with subarachnoid hemorrhage, due to risk of cerebral edema and cerebral infarction. • In patients with active intravascular clotting.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (risk of medication errors due to incorrect route of administration cyklokapron): is for intravenous use only. Serious, including fatal, adverse reactions including seizures and cardiac arrythmias have occurred when CYKLOKAPRON was inadvertently administered via the neuraxial route. WARNING: RISK OF MEDICATION ERRORS DUE TO INCORRECT ROUTE OF ADMINISTRATION CYKLOKAPRON is for intravenous use only. • Risk of Thrombosis with Concomitant Use of Factor IX: Avoid concomitant use. • Seizures: Inadvertent injection into neuraxial system may result in seizures. • Hypersensitivity Reactions: In case of severe reaction, discontinue use and seek immediate medical attention. • Visual Disturbances: Visual or ocular adverse effects may occur. Discontinue use if visual or ocular symptoms occur. • Dizziness: Advise patients not to drive if dizziness occurs.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: • Risk of Medication Errors Due to Incorrect Route of Administration • Thromboembolic Risk • Seizures • Hypersensitivity Reactions • Visual Disturbances • Dizziness Most common adverse reactions are nausea, vomiting, diarrhea, allergic dermatitis, giddiness, hypotension, and thromboembolic events.

Source: US FDA prescribing information

Interactions

Prothrombotic Medical Products: Avoid concomitant use, can further increase the risk of thromboembolic adverse reactions associated with tranexamic acid.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

6 presentations of Tranexamic acid, sorted by availability.

MedicineManufacturerRegisterAvailability
Tranexamic acid 1000 mg/10 mL injectionIntravenousGeneric name—US FDAAvailable on request
Tranexamic acid 650 mg tabletOralGeneric name—US FDAAvailable on request
Tranexamic acid 1000 mg/100 mL injectionIntravenousGeneric name—US FDAAvailable on request
Cyklokapron 1000 mg/10 mL injectionIntravenousPfizer LaboratoriesUS FDAAvailable on request
Tranexamic acid 10 mg/mL injectionIntravenousGeneric name—US FDAAvailable on request
Tranexamic acid 100 mg/mL injectionIntravenousGeneric name—US FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 30 December 1986Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Tranexamic acid in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Tranexamic acid available for export from India?

Yes, on request. MedsAcross lists 6 presentations of Tranexamic acid and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Tranexamic acid have?

The catalogue lists 1 brand names for Tranexamic acid, including Cyklokapron.

Is Tranexamic acid approved by the US FDA?

Yes. The US FDA first approved Tranexamic acid on 30 December 1986, according to Drugs@FDA.

Does Tranexamic acid need cold chain shipping?

No listed presentation of Tranexamic acid is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Tranexamic acid in?

Tranexamic acid is classified under ATC code B02AA02 (Tranexamic acid).

References

  1. Cyklokapron prescribing information (Pfizer Laboratories). U.S. National Library of Medicine, DailyMed. Retrieved 3 September 2025

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