1 What is Lysteda?

Brand: Lysteda

Generic: Tranexamic Acid

Lysteda is used in the treatment of menorrhagia (heavy menstrual bleeding) in women. It is an anti-fibrinolytic agent. It prevents breakdown of blood clot which prevents heavy bleeding.

It is available in the tablet and syrup form only with your doctor’s prescription.

Have a question aboutSexual Problems in Women?Ask a doctor now

2 What to Know Before Using

If you are about to start Lysteda, speak with your doctor about what you need to know.

Before starting the treatment your doctor should be informed about condition such as


Inform your doctor if you are allergic to any food, preservatives, dyes, or had an allergic reaction when you used this drug before.


There are no studies done which prove its harmful effects on children. However, safety and efficacy have not been established for girls below 12 years of age.


This medicine does not cause any different side effects or problem than it does in younger adults. However, it should not be used by postmenopausal women.


It is a category B drug. Consult your doctor and discuss the benefits and risks of using Tranexamic acid while you are pregnant.

Breast feeding

Tranexamic acid passes in to breast milk. If you are using Tranexamic acid while nursing, discuss it with your doctor for possible risk factors.

Drug Interactions

Tranexamic acid interacts with many drugs. It should not be used with several drugs. Your doctor should be informed of any other medicine which you are taking as he/she may change the dosage or drug.

Some of them are listed below,

  • Hormonal birth control (birth control pills)
  • Medicines to help your blood clot (anti-inhibitor coagulant concentrates, factor IX complex concentrates), tretinoin (all-trans retinoic acid) because the risk of blood clots may be increased.
  • Anticoagulants (warfarin) may decrease tranexamic acid's effectiveness.
  • Ethinyl Estradiol
  • Dienogest
  • Chlorpromazine

Other Medical Conditions

Several other conditions may reduce its effectiveness. Make sure you inform your doctor of conditions such as,

  • History of kidney problems,
  • Bleeding or blood clotting problems.
  • History of disseminated intravascular coagulation (DIC)
  • Eye or vision problems,
  • History of bleeding in the brain (strokes)
  • Pulmonary embolism

3 Proper Usage

To use Lysteda properly, you must follow all instructions given by your doctor.

Use it exactly as your doctor directed. Read the medication guide carefully. Ask your pharmacist if you have any queries.

Swallow the medicine whole with water or any liquid. Do not crush, chew or break it.

Take this medicine only when your period has started. Do not take it more than 5days in any menstrual cycle.


It is different for different patients. Dosage mentioned below is an average dose. You must follow your doctor’s instructions.

For tablet form


2 tablets of 650 milligram each should be taken 3 times a day, one in the morning, afternoon and evening. Do not take more than three doses (6 tablets) in 24 hours.


Dose is determined by your doctor.

Missed dose 

If you miss a dose, take it as soon as you remember it. If it almost a time for your next dose skips the miss dose and continue your daily schedule. Doubling the dose is harmful.


Store it at room temperature.

Keep it away from children.

4 Precautions to Take

Before using Lysteda, there are some precautions you must take.

Your doctor should check your daily progress at regular visits.

Tranexamic acid should not be used by those women who are also using combination hormonal contraception as together they may increase risk of heart attack and stokes. These risks double if you are obese, smoker and if you are older than 35 years of age. You should inform your doctor of any other birth control methods which you are using.

Tranexamic acid can cause anaphylactic reactions.

Inform your doctor immediately if you start

  • having rash,
  • itching,
  • fainting,
  • palpitation,
  • trouble breathing
  • swelling of hand face and mouth.

Tranexamic acid may cause

  • drowsiness,
  • dizziness,
  • blurred vision,
  • light-headedness.

These effects may be worse if you take it with alcohol or certain medicines. Use Tranexamic acid with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

Inform your doctor if Tranexamic acid has not reduced your bleeding after 2 menstrual cycles, or your symptoms become worse or if Tranexamic acid seems to stop working.

Tell your doctor or dentist that you take Tranexamic acid before you receive any medical or dental care, emergency care, or surgery.

It may cause eye problem in some patients. Inform your doctor if you have difficulty in reading or you have blurred vision. He/she may refer you to an eye specialist.

5 Potential Side Effects

Make sure you meet with your doctor in using Lysteda to avoid unwanted potential side effects.

All medicines have some side effects. Some people may experience none or minor side effects. Consult with your doctor if they become problematic or frequent.

More common are,

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

You may report side effects to FDA at 1-800-FDA-1088.