Tranexamic acid

Anti-bleeding medicine
PRESCRIPTION ONLY IN INDIA

Tranexamic acid is a anti-bleeding medicine found in 2 medicines sold in India, such as Pause 500, Pause-MF. Below: what it is for, how it works, how to take it, side effects, interactions and pregnancy advice.

Also called: tranexamic

What it is used for

Reduces heavy periods and other bleeding by helping blood clot.

How it works

Stops blood clots from breaking down too early, reducing heavy periods, nosebleeds and bleeding after surgery or injury.

How to take it

For heavy periods: 1 g three times a day for up to 4 days, starting when bleeding begins.

Common side effects

  • Stomach upset
  • Diarrhoea
  • Headache

Get medical help straight away if

  • Leg pain or swelling, chest pain or breathlessness (clot)
  • Changes in vision

Be careful

Not for people with a history of blood clots.

Other medicines and interactions

Avoid with the combined pill if you have clot risk factors. Not with other medicines that promote clotting.

Pregnancy and breastfeeding

Used around delivery to reduce bleeding; ask your doctor otherwise. Acceptable while breastfeeding.

Brands of Tranexamic acid (1)

Combination medicines that contain Tranexamic acid (1)

Common questions

What is Tranexamic acid used for?

Reduces heavy periods and other bleeding by helping blood clot.

How does Tranexamic acid work?

Stops blood clots from breaking down too early, reducing heavy periods, nosebleeds and bleeding after surgery or injury.

How should I take Tranexamic acid?

For heavy periods: 1 g three times a day for up to 4 days, starting when bleeding begins.

What are the side effects of Tranexamic acid?

Common: Stomach upset, diarrhoea, headache. Get help straight away for: Leg pain or swelling, chest pain or breathlessness (clot), changes in vision.

Does Tranexamic acid interact with other medicines?

Avoid with the combined pill if you have clot risk factors. Not with other medicines that promote clotting.

Is Tranexamic acid safe in pregnancy and breastfeeding?

Used around delivery to reduce bleeding; ask your doctor otherwise. Acceptable while breastfeeding.

Does Tranexamic acid need a prescription in India?

Yes. In India it is a prescription (Schedule H) medicine, so a pharmacist should sell it only with a doctor's prescription.

Which brands contain Tranexamic acid?

Pause 500, Pause-MF.

Sources and further reading

NHS (UK National Health Service) and MedlinePlus (US National Library of Medicine) are free, reviewed medicine guides. Brand names and doses there may differ from India.

Last reviewed 31 October 2026. Written by Satya Babu from standard prescribing information.

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For information only, not medical advice. This page is a plain-language summary written from standard prescribing information and the public guides linked below. Brands sometimes change their formula, so always check the composition printed on the pack. Doses here are typical adult doses; yours may differ. Do not start, stop or change a medicine without your doctor or pharmacist, and keep all medicines away from children. In an emergency, call 112 (India) or your local emergency number.