Patient info

Tranexamic Acid 500 mg film-coated tablets – patient leaflet, side effects, dosage

Updated:
Key facts
Status:
With or without prescription
Medicine strength:
500 mg
Contains active substance:
Similar medicines:

Patient leaflet - Tranexamic Acid 500 mg film-coated tablets

1. What Tranexamic Acid Tablets is and what it is used for

Tranexamic Acid Tablets 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 Tablets stops these clots dissolving and so reduces unwanted bleeding.

Tranexamic Acid Tablets 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 Tablets

Do not take Tranexamic Acid Tablets 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, pharmacist or nurse before taking Tranexamic Acid Tablets if:

  • You have blood in your urine. This may increase the risk of blockage of the urinary tract

    Package leaflet: Information for the user

    Tranexamic Acid

    Tranexamic Acid 500 mg Film-coated Tablets

    • 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 Tablets

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 Tablets 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 Tablets has no or little effect on the ability to drive and use machines. Visual disturbances may occur after taking tranexamic acid.

3. How to take Tranexamic Acid Tablets

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

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.

Remember: Your medicine should always be taken with a glass of water. The tablets should be swallowed whole. Do not crush or chew them.

The score line is only to facilitate breaking for ease of swallowing and not to divide into equal doses.

Use in adults and elderly:

  • The usual dose is 2 or 3 tablets taken two to three times daily
  • The exact dose you take will depend on why you have been prescribed these tablets
  • Follow your doctor’s instructions about how many tablets to take, when to take them 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.

If you take more Tranexamic Acid Tablets 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 Tablets may cause diarrhoea or may make you feel sick, be sick or be dizzy or light-headed upon standing.

If you forget to take Tranexamic Acid Tablets

Do not take a double dose to make up for a missed 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, Tranexamic Acid Tablets can cause side effects, although not everybody gets them. Stop taking Tranexamic Acid Tablets 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

Frequency not known (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 Tablets 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.

Frequency not known (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, pharmacist or nurse. 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

5. How to store Tranexamic Acid Tablets

Keep this medicine out of the sight and reach of children.

Do not use Tranexamic Acid Tablets after the expiry date on the carton. The expiry date refers to the last day of that month.

This medicinal product does not require any special storage conditions.

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 Tablets contains

  • The active substance is Tranexamic Acid. Each Tablet contains 500 mg Tranexamic Acid.
  • The other ingredients are Core: Cellulose, microcrystalline,

    Hydroxypropyl cellulose, low-substituted, Povidone, colloidal anhydrous silica, Talc, Magnesium stearate; Coating: Instacoat White T2F A17E00196 Containing

    Hypromellose/ HPMC 2910, Sodium Lauryl sulfate, Polyethylene glycol, Propylene Glycol, Calcium

    Carbonate.

What Tranexamic Acid Tablets looks like and contents of the pack

Off-white to light pale yellow color capsule shape, film-coated tablets with one side break line and other side plain with approximately 8.0 mm x 18.0 mm dimension.

Tranexamic Acid Tablets are available in cartons containing 20, 30, 50, 60 and 100 Tablets in blisters. They are also available in bottle containing 100 tablets. Each carton contains one bottle.

Not all pack sizes may be marketed.

Marketing Authorisation Holder

Orbit Pharma Limited

128 City Road, London,

United Kingdom, EC1V 2NX

Manufacturer

SCIOM LIMITED

Unit 4, Martinfield Business Centre, Martinfield, Welwyn Garden City, AL7 1HG, United Kingdom

This leaflet was last revised in June 2026.

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 56854/0019

Last revision stated in the text: June 2026 · MHRA data as of 13 October 2026

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Tranexamic Acid 500 mg film-coated tablets

Prescription needed? Depends on the pack size: pharmacy medicine (P) – sold only in pharmacies, prescription-only medicine (POM)
Active substance Tranexamic acid
Strength 500 mg
Pharmaceutical form Oral tablet
White to off white (approximately 18.1 mm x 8.1 mm) capsule shaped biconvex film coated tablet, plain on one side and central break-line on the other side.
How is it taken Oral
Excipients Microcrystalline cellulose, Povidone, Croscarmellose sodium, Colloidal anhydrous silica, Talc, Magnesium stearate, Methacrylate polymers, Polyethylene glycol 8000, Isopropyl alcohol
Is it available? Listed as available (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Shelf life 36 months.
Storage Store in the original package.
Drug group (ATC) Antihemorrhagics, Antifibrinolytics
  1. B Blood and blood forming organ drugs
    1. B02 Antihemorrhagics
      1. B02A Antifibrinolytics
        1. B02AA Antifibrinolytic amino acids
          1. B02AA02 tranexamic acid
Marketing authorisation PL 30684/0414 (first authorised 13 November 2025), PL 56854/0019 (first authorised 15 December 2025)
Marketing authorisation holder Dawa Limited, Orbit Pharma Limited
Codes BNF 02110000

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 10.3.0 of 26 October 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.