Antifibrinolytic Agent; Antihemophilic Agent; Hemostatic Agent: Indicated for short-term use to reduce or prevent hemorrhage and reduce the need for replacement therapy during and after tooth extraction in patients with hemophilia and for the treatment of cyclic heavy menstrual bleeding in women of reproductive potential.
藥理
Forms a reversible complex that displaces plasminogen from fibrin resulting in inhibition of fibrinolysis; it also inhibits the proteolytic activity of plasmin.
藥動學
Absorption
1. Bioavailability: ~45%
2. Time to peak:Single dose: Mean: 2.5 hours Excretion:Urine (>95% as unchanged drug). Pharmakodynamics
1. Duration:Antifibrinolytic concentrations remain in tissues for about 17 hours and in the serum for 7 to 8 hours.
2. Half-life Elimination:The biological half-life of tranexamic acid in synovial fluid is approximately 3 hours.
3. Clearance:The elimination half-life of tranexamic acid is approximately 2 hours.
禁忌症
1.Hypersensitivity to tranexamic acid or any component of the formulation.
2.History of thrombosis or thromboembolism, including retinal vein or retinal artery occlusion; intrinsic risk of thrombosis or thromboembolism
懷孕分類
B
哺乳分類
1. Tranexamic acid is present in the mother's milk at a concentration about one-hundredth of the corresponding serum concentration.
2.Tranexamic acid should be used during lactation only if clearly needed.
副作用
Common(>10%):Abdominal pain (20%)、Headache (50%)、Back pain (21%), musculoskeletal pain (11%) 警語(Caution):Retinal venous and arterial occlusions have been reported in patients receiving tranexamic acid.
劑量和給藥方法
適應症:
1.Abnormal uterine bleeding:1 to 1.5 g 3 times daily for up to 5 days
2.Tooth extraction in patients with hemostatic defects: 25 mg/kg (usual dose range: 1 to 1.5 g) 3 to 4 times daily
小兒調整劑量
腎功能調整劑量
Patients with impaired renal function may require dose adjustment.