Tranexamic acid is a treatment that can be used for several different purposes, including heavy periods. It’s part of a group of drugs known as antifibrinolytics. It’s available in different forms like pills and injections. When prescribed for heavy periods, it’s usually given in the form of tablets.
Unlike other treatments for heavy periods, like Norethindrone and Medroxyprogesterone, Tranexamic acid doesn’t contain a hormone.
There are a variety of illnesses and conditions that can lead to excessive menstrual bleeding, but sometimes it can happen without any specific underlying cause. Treatments like Tranexamic acid can help with heavy periods, but it might not always address underlying factors if there are any. So if you’re having heavy periods for the first time or your menstrual habits have recently changed, you should see a doctor about them.
How does Tranexamic acid work?
Tranexamic acid works by inhibiting something called fibrinolysis. This is a normal process where blood clots in your body are broken down.
There are two kinds of fibrinolysis that take place in your body. Primary fibrinolysis is part of normal functioning. However, secondary fibrinolysis is the result of a medical condition or as a side effect of a medication.[1] When someone has secondary fibrinolysis, it can cause them to bleed excessively up to the point of a massive hemorrhage.
Antifibrinolytic drugs like Tranexamic acid work to prevent blood clots from breaking down in fibrinolysis.[2] They do this by inhibiting the enzymes that break down the fibrin that is essential in the formation of blood clots. The result is that the blood clots stay in place to allow wounds to heal.
What doses of Tranexamic acid are there?
Tranexamic acid pills are only available in 650 mg doses. If you’re still bleeding heavily despite being on tranexamic acid, you should get in touch with a physician. There may be a better treatment to help you control your bleeding.
Treated trusted source:
DailyMed. Fibrinolysis – primary or secondary: MedlinePlus Medical Encyclopedia. [online] Available at: .
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on March 27, 2025. Next review due on March 27, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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How to take Tranexamic acid
It’s easy to take tranexamic acid pills. A doctor will most likely prescribe two pills for you to take three times each day. Simply swallow your pills whole with a glass of water, and carry on about your day.
If a physician has prescribed it for heavy periods, you will most likely take it for a maximum of five days each time you have a period.[1] But make sure to follow the specific instructions given by your prescriber.
How long does it take Tranexamic acid to work?
It can take up to 24 hours for tranexamic acid to start working.[1] Make sure you take it as directed by your doctor to prevent heavy bleeding.
What should I do if I make a mistake when taking Tranexamic acid?
Taking tranexamic acid as directed by a physician is very important. If you miss a dose, it shouldn’t make much of a difference unless you forget frequently. As soon as you remember your missed dose, you can take it. However, if it’s almost time for your next dose, skip your missed dose and take it as normal.
If you miss your Tranexamic acid doses often, you should consider setting an alarm to help you remember.
Should you take more Tranexamic acid than you’re supposed to, it probably won’t harm you. There are side effects that you may experience, including diarrhea, dizziness, and feeling sick.
Treated trusted source:
Hurskainen, R. and Leminen, H. (2012). Tranexamic acid for the treatment of heavy menstrual bleeding: efficacy and safety. International Journal of Women’s Health, [online] p.413.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on March 27, 2025. Next review due on March 27, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Tranexamic acid isn’t suitable for everyone, and there are some things that you need to be aware of when taking it.
Here’s all the official info on it. If anything is unclear, let a clinician know, and they can talk with you about it.
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Tranexamic acid: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
Is Tranexamic acid similar to any other treatments?
Answer:
Tranexamic acid is a generic treatment that helps control bleeding. Branded medications with the same active ingredient include Lysteda and Cyklokapron. These medications work in the same way to reduce and prevent bleeding, but they’re made by different companies. They may also be more expensive than generic Tranexamic acid.
How is Tranexamic acid different from other treatments for heavy periods?
Answer:
Tranexamic acid is an alternative treatment for heavy periods that doesn’t include any hormones. Other treatments for heavy periods, like Norethindrone or Medroxyprogesterone, have different active ingredients and often include hormones.
Norethindrone is a progestin, which is a synthetic form of the progesterone hormone. Side effects of these kinds of medications include delayed periods, whereas Tranexamic acid won’t alter your menstrual cycle.
A medical professional can help you to decide on which kind of treatment is best for your heavy periods.
How effective is Tranexamic acid?
Answer:
Tranexamic acid is a very effective treatment for heavy periods. It can reduce blood loss during your period by up to 60%.[1]
Do I need a prescription for Tranexamic acid?
Answer:
You can’t get Tanexamic acid over the counter. It’s a prescription only medication, so a clinician will need to make sure it’s safe for you to use based on your health background.
Treated trusted source:
Hurskainen, R. and Leminen (2012). Tranexamic acid for the treatment of heavy menstrual bleeding: efficacy and safety. International Journal of Women’s Health, [online] p.413.
Last updated on Mar 27, 2025.
How we reviewed this page:
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Mar 27, 2025
Published by: The Treated Content Team.Medically reviewed by: Dr Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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