Patient leaflet - Tranexamic Acid 100 mg/ml oral solution
1. What Tranexamic acid oral solution is and what it is used for
Tranexamic acid oral solution contains the active substance tranexamic acid and belongs to a group of medicines called antifibrinolytic drugs. These are used to stop or reduce unwanted bleeding. When you bleed your body forms clots to stop the bleeding. In some people these break down causing too much bleeding. Tranexamic acid stops these clots dissolving and so reduces unwanted bleeding. Tranexamic acid is used to prevent or reduce bleeding for a short period of time in many different conditions. You may have been prescribed it for one of the following:
Following prostate surgery
(post-prostatectomy).
- Following bladder surgery.
- Heavy periods (menorrhagia).
- Nose bleeds (epistaxis).
- Cervical surgery (conisation of the cervix).
Bleeding inside the eye (traumatic
hyphaema).
Tooth removal (dental extraction) in
haemophiliacs (people who bleed more easily than normal). You will know if this refers to you.
A hereditary disease called angioedema.
A doctor will have told you if you have this.
2. What you need to know before you take Tranexamic acid oral solution
Do not take Tranexamic acid oral solution if:
You are allergic to tranexamic acid or any of
the other ingredients of this medicine (listed in section 6).
You have serious problems with your kidneys
(kidney failure).
You have or have ever had a blood clot in
your blood vessels (called a ‘thrombosis’).
- You have a history of convulsions.
You are at risk of excessive bleeding as a
result of a bleeding disorder called consumption coagulopathy.
If any of the above applies to you talk to your doctor or pharmacist.
Warnings and precautions
Talk to your doctor or pharmacist before taking tranexamic acid if:
You have blood in your urine. This may
increase the risk of blockage of the urinary tract.
You have ever had any uncontrollable
bleeding.
You take oral contraceptives. These may
increase the risk of blood clots forming.
You have disseminated intravascular
coagulation (DIC), a disease where your blood starts to clot throughout your body.
You have been taking medicine to treat a
hereditary disease called angioedema every day for a long time. If so, you may need to have regular eye tests and blood tests to check your liver is working properly.
- You are a woman with irregular periods.
You or your family have a history of blood
clots in your blood vessels (called a ‘thrombosis’).
Anyone in your family has suffered from
blood clots in their blood vessels.
- You have kidney disease.
Other medicines and Tranexamic acid oral solution
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, in particular the following:
Fibrinolytic drugs (used to help dissolve
blood clots), such as streptokinase. This is because tranexamic acid will stop these drugs working.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Tranexamic acid has no or little effect on the ability to drive and use machines. Visual disturbances may occur after taking tranexamic acid.
Tranexamic acid oral solution contains sodium methyl parahydroxybenzoate and sodium.
Parahydroxybenzoates may cause allergic reactions (possibly delayed).
This medicine contains less than 1 mmol sodium (23 mg) per 15 ml of solution, that is to say essentially ‘sodium-free’.
3. How to take Tranexamic acid oral solution
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Package leaflet: Information for the patient
Tranexamic Acid 100 mg/ml Oral Solution
Tranexamic acid
Important:
Your doctor will choose the dose that is right for you. Your dose will be shown clearly on the label that your pharmacist puts on your medicine. If it does not, or you are not sure, ask your doctor or pharmacist.
Use in adults and the elderly
- The usual dose is 10 ml or 15 ml taken two to three times daily.
- The exact dose you take will depend on why you have been prescribed this medicine.
- Follow your doctor’s instructions about how much of the oral solution to take, when to take it and for how long.
Use in children and adolescents
- Your doctor will tell you exactly how much medicine you should give your child. They will work out the dose according to how much your child weighs.
Use in patients with kidney problems
Your doctor will tell you how much to take.
The dose you take may be lower than the usual adult dose.
Method of administration
For oral use.
A 10 ml graduated oral syringe with intermediate graduations of 0.25 ml and a “Press-In” Bottle Adapter (PIBA) are provided with the product.
- 1.
Open the bottle and at first use insert the
PIBA (see pictures A-B).
- 2. Insert the syringe into the PIBA and draw out the required volume from the inverted bottle (see pictures C-D).
- 3. Remove the filled syringe from the bottle in the upright position (see picture E).
- 4. Discharge the syringe contents into the mouth. Repeat steps 2 to 4 as needed to achieve the required dose.
- 5. Replace the cap on the bottle (PIBA remains in place).
- 6. Rinse the syringe with water and allow to air dry.
If you are giving Tranexamic acid oral solution to a child:
- Make sure that the child is sitting up or standing.
- Put the syringe into the child’s mouth, placing the barrel-opening in the area between the gums and the inside of the cheek (see picture F).
- Push the plunger slowly, giving the child time to swallow the medicine as it squirts out. Do not push the plunger too quickly as the medicine may come out too quickly and the child may choke.
- Give the child some water to drink in order to ensure that all the medicine is washed down.
Alternative method of administration (with feeding tubes)
If necessary, this medicine can be given through a feeding tube (called nasogastric (NG) or percutaneous endoscopic gastrostomy (PEG) tube). If this is the case, the following procedure should be followed by your doctor or nurse:
Administering this medicine via NG or PEG tubes
Tranexamic acid oral solution is suitable for use with polyurethane (PUR) or polyvinyl chloride (PVC) NG and PEG tubes with diameters ranging from 6 to 14 Fr.
- 1. Ensure the tube is clear before administering the medicine.
- 2. Administer the medicine into the tube with a suitable measuring device.
- 3. Immediately flush the tube with 5 ml of boiled cooled water.
If you take more Tranexamic acid oral solution than you should
If you accidentally take too much of your medicine, immediately tell your doctor or go to the nearest hospital casualty department. Taking too much tranexamic acid may cause diarrhoea or make you feel sick, be sick or be dizzy or light-headed upon standing.
If you forget to take Tranexamic acid oral solution
Do not take a double dose to make up for a forgotten dose. Simply take the next dose as planned. If you have any further questions about the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. Stop taking Tranexamic acid oral solution and go immediately to hospital if you experience any of the following symptoms: Rare: may affect up to 1 in 1 000 people
a blood clot in your leg or lungs, the symptoms of which may include:
- pain, swelling or redness in your leg.
difficulty breathing or shortness of
breath.
chest pain, which may get worse while
breathing.
Very rare: may affect up to 1 in 10 000 people
an allergic reaction, the symptoms of which
may include:
- swelling of your throat and tongue.
difficulty breathing or shortness of
breath.
difficulty swallowing, tightness in your
throat or a hoarse voice.
- wheezing, coughing or noisy breathing.
- a rash that is swollen, raised or itchy.
Not known (frequency cannot be estimated from the available data)
sudden onset kidney problems due to death
of the tissue in the outer part of the kidney (acute renal cortical necrosis).
Stop taking Tranexamic acid oral solution and tell your doctor immediately if you experience any of the following symptoms: Rare: may affect up to 1 in 1 000 people
- itchy, red or swollen skin.
problems with your eyesight, especially your
colour vision.
a blood clot in your eye. This may cause
bleeding in the eye, or a loss of vision. Very rare: may affects up to 1 in 10 000 people
a blood clot in your blood vessels (called a
‘thrombosis’)
feeling sick, being sick, diarrhoea. These are
usually mild and pass very quickly, but if they continue, tell your doctor or pharmacist. Not known (frequency cannot be estimated from the available data)
- seizures, particularly in cases of misuse.
an allergic reaction that usually recurs at
the same site(s) on re-exposure to the medication and may include round or oval patches of redness and swelling of the skin, blistering, and itching (fixed drug eruption). Darkening of the skin in affected areas, which might persist after healing, may also occur.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for ‘MHRA Yellow Card’ in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Tranexamic acid oral solution
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and label after EXP. The expiry date refers to the last day of that month.
Store below 25 °C.
Store in the original package in order to protect from light.
After first opening use within 4 months. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. Contents of the pack and other information
What Tranexamic acid oral solution contains
- The active substance is tranexamic acid.
- Each 1 ml of Tranexamic acid oral solution contains 100 mg of tranexamic acid.
- The other ingredients are: sodium methyl parahydroxybenzoate (E219), sucralose (E955), sodium dihydrogen phosphate dihydrate (E339(i)), strawberry flavour (including propylene glycol (E1520)), phosphoric acid, concentrated (E338), purified water.
What Tranexamic acid oral solution looks like and contents of the pack
Tranexamic acid oral solution is a clear, colourless to yellowish solution with strawberry odour. It is supplied in an amber, type III glass bottle, safely closed with a child-resistant screw cap with tamper evident closure. Each bottle contains 100 ml or 200 ml of this medicine.
Not all pack sizes may be marketed. A 10 ml oral syringe of 0.25 ml graduations along with a press-in bottle adapter (PIBA) are also provided.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder
Colonis Pharma Limited
25 Bedford Square
Bloomsbury
London
WC1B 3HH
United Kingdom
Manufacturer
Medicair Bioscience Laboratories S.A. Athinon – Lamias National Road 61st Km Schimatari, 320 09
Greece
This leaflet was last revised in July 2026.
For information in large print, Braille or on CD, telephone +44 1932 824 026.
Reason for request:
Version no: 0.6
Date of revision: 21 July 2026
Colours: As swatch(es)
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