Bleeding disorders

Question 1

Tranexamic acid dose for menorrhagia

Answer 1

heavy periods

1 g 3 times a day for up to 4 days, to be initiated when menstruation has started, dose can be increased if necessary up to maximum 4 g per day.

Question 2

Pt has menorrhagia but irregular menstrual bleeding. Can you give tranexenamic acid

Answer 2

caution in irregular menstrual bleeding (establish cause before initiating therapy)

Question 3

why is tranexanmic acid cautioned in people taking COC

Answer 3

patients receiving oral contraceptives (increased risk of thrombosis)

Question 4

before initiating treatment for menorrhagia, what do you need to do

Answer 4

Menorrhagia
Before initiating treatment for menorrhagia, exclude structural or histological causes or fibroids causing distortion of uterine cavity.

Question 5

common SE

Answer 5

Diarrhoea (reduce dose); nausea; vomiting

Question 6

what to do if pt develops diarrhoea

Answer 6

common SE
reduce dose

Question 7

rare side effects that warrant discontinuation

Answer 7

vision change or colour vision change