OpenClaim

Tranexamic Side Effects

The most commonly reported side effects of tranexamic include off label use, nausea, and pyrexia, based on 9,099 FDA adverse event reports from 2004 to 2025. 6.7% of reports found the drug to be ineffective.

Tranexamic side effects

Percentages show how often each reaction appears relative to total reports for tranexamic.

1
Off Label Use6.9%626
2
Drug Ineffective6.7%609
3
Nausea3.7%336
4
Pyrexia3.4%312
5
Vomiting3.2%294
6
Hypotension3.2%291
7
Diarrhoea3.2%289
8
Haemorrhage3.0%270
9
Dyspnoea2.9%268
10
Pneumonia2.7%247
11
Febrile Neutropenia2.7%247
12
Headache2.6%241
13
Fatigue2.5%228
14
Anaphylactic Reaction2.5%223
15
Seizure2.3%213

These are voluntary reports and do not establish that tranexamic caused these reactions.

Report severity

92.4%Serious8,406 reports
44.6%Hospitalizations4,062 reports
14.9%Fatal1,357 reports

Seriousness is determined by the reporter, not by OpenClaim.

Tranexamic drug interactions

Other drugs that appear in adverse event reports alongside tranexamic. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Dexamethasone4.0%360
2
Propofol3.4%313
3
Rituximab3.2%293
4
Azacitidine2.4%216
5
Acetaminophen2.2%199
6
Venetoclax1.9%175
7
Cefazolin-sodium1.8%168
8
Fentanyl1.8%163
9
Epinephrine1.8%162
10
Carboplatin1.8%162
11
Cytarabine1.7%159
12
Ondansetron1.7%156
13
Icatibant-acetate1.7%156
14
Cyclophosphamide1.7%155
15
Ketamine-hydrochloride1.6%144

Taken alongside

1
Acetaminophen16.0%1,452
2
Ondansetron9.6%872
3
Omeprazole9.5%863
4
Furosemide8.4%764
5
Pantoprazole-sodium7.1%644
6
Amlodipine7.0%638
7
Dexamethasone6.8%616
8
Epinephrine6.0%550
9
Albuterol6.0%544
10
Fentanyl5.9%540
11
Acyclovir5.7%518
12
Metoclopramide-hydrochloride5.6%514
13
Propofol5.4%492
14
Sodium-chloride5.3%479
15
Vancomycin5.0%459

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports tranexamic side effects

52.0% of tranexamic adverse event reports involve female patients and 37.2% involve male patients. The largest age group is adult at 57%. These figures reflect who reports side effects, not underlying risk.

Sex

Female52.0%
Male37.2%
Unknown10.8%

Age group

< 21.9%
2–113.6%
12–176.0%
18–6457.5%
65+31.0%

What is tranexamic used for

Conditions and purposes for which patients were taking tranexamic when the adverse event was reported.

Abdominal DistensionAbdominal PainAbdominal SymptomAbortion SpontaneousAccidentAccidental Exposure To ProductAcneAcquired C1 Inhibitor DeficiencyAcquired Factor Xi DeficiencyAcquired HaemophiliaAcquired Von Willebrand^s DiseaseAcute Myeloid LeukaemiaAcute Promyelocytic LeukaemiaAdenomyosisAdverse Event

Showing 15 of 697 indications

Tranexamic brand names and reporting trend

Tranexamic is sold under the brand name Tranexamic Acid.

Brand names

Tranexamic Acid9,822

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking tranexamic with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.