tranexamic acid (Lysteda)

What is the most important information I should know about Lysteda?

Before using this medicine, tell your doctor if you have kidney disease, leukemia, a history of endometriosis, or if your menstrual cycles are less than 21 days apart or longer than 35 days apart.

Do not take more than 6 tablets in one 24-hour period.

Use a barrier form of birth control (such as a condom or diaphragm with spermicide). Hormonal contraception (such as birth control pills, injections, implants, skin patches, and vaginal rings) may increase your risk of stroke, blood clot, or heart attack if they are used at the same time as Lysteda.

What is tranexamic acid (Lysteda)?

Tranexamic acid is a man-made form of an amino acid (protein) called lysine. Tranexamic acid prevents enzymes in the body from breaking down blood clots.

Lysteda is used to treat heavy menstrual bleeding. This medication will not treat premenstrual syndrome (PMS).

Tranexamic acid may also be used for purposes not listed in this medication guide.

What should I discuss with my health care provider before taking Lysteda?

• problems with the blood vessels in your eyes;
• color blindness;
• a history of stroke;
• if you have a history of bleeding in your brain; or
• if you have recently had a blood clot.

To make sure you can safely take Lysteda, tell your doctor if you have any of these other conditions:

• leukemia;
• kidney disease;
• a history of endometriosis; or
• if your menstrual cycles are less than 21 days apart or longer than 35 days apart.

How should I use Lysteda?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Lysteda is usually taken three times per day for up to 5 days during your menstrual period. Do not take more than 6 tablets in one 24-hour period.

You may take Lysteda with or without food.

Talk with your doctor if your symptoms do not improve after 2 cycles of treatment.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Then take your next dose at least 6 hours later. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Overdose symptoms may include severe forms of some of the side effects listed in this medication guide.

What should I avoid while taking Lysteda?

Avoid using a hormonal form of birth control such as birth control pills, injections, implants, skin patches, and vaginal rings. Hormonal contraception may increase your risk of stroke, blood clot, or heart attack while you are taking Lysteda. If you need to use birth control during treatment with Lysteda, use a barrier form (such as a condom or diaphragm with spermicide).

What are the possible side effects of Lysteda?

• problems with your vision (including color vision);
• sudden numbness or weakness, especially on one side of the body;
• sudden headache, confusion, problems with vision, speech, or balance;
• sudden chest pain or trouble breathing;
• pain or swelling in one or both legs;
• migraine headache;
• pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or
• feeling like you might pass out.

Less serious side effects include:

• mild headache;
• runny or stuffy nose;
• stomach pain;
• tired feeling;
• eye redness; or
• back pain, joint or muscle pain.

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.

What other drugs will affect Lysteda?

Tell your doctor about all other medicines you use, especially:

• hormonal birth control (such as birth control pills, injections, implants, skin patches, and vaginal rings);
• tretinoin (Vesanoid);
• chemotherapy medication to treat leukemia;
• any type of medication to treat a bleeding episode or a blood clot; or
• factor IX (Bebulin VH, Konyne 80, Profilnine SD, Proplex T, and others).

This list is not complete and other drugs may interact with Lysteda. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your doctor or pharmacist can provide more information about tranexamic acid (Lysteda).

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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