What Not to Mix with Tranexamic Acid?
If you have a bleeding disorder or are at risk of excessive blood loss during surgery or other medical procedures, your doctor may prescribe tranexamic acid to help control bleeding. This medication works by reducing the breakdown of blood clots in the body. However, it's important to be aware of what not to mix with tranexamic acid, to avoid potential harmful interactions.
1. Anticoagulants
Tranexamic acid should not be taken simultaneously with anticoagulant medications, such as warfarin, heparin, or dabigatran. These drugs thin the blood and may increase the risk of bleeding when combined with tranexamic acid.
2. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
NSAIDs, including aspirin, ibuprofen, and naproxen, can also increase the risk of bleeding when taken with tranexamic acid. Avoid these medications or speak with your doctor if you need to take them for pain relief.
3. Hormonal Contraceptives
Some studies suggest that hormonal contraceptives, such as birth control pills, patches, or rings, may increase the risk of blood clots when taken with tranexamic acid. If you're taking hormonal contraceptives, talk to your doctor about the potential risks and benefits of combining them with tranexamic acid.
4. Fibrinolytic Agents
Fibrinolytic agents, such as alteplase and streptokinase, are drugs that help break down blood clots. Taking tranexamic acid with these medications may increase the risk of bleeding or blood clots. Speak with your doctor if you're taking any fibrinolytic agents.
5. Aminocaproic Acid
Aminocaproic acid is another medication used to control bleeding. Combining tranexamic acid with aminocaproic acid may increase the risk of harmful side effects or reduce the effectiveness of both medications. Speak with your doctor if you're taking both drugs.
6. Herbal Supplements
Some herbal supplements, including garlic, ginger, and gingko biloba, may increase the risk of bleeding when taken with tranexamic acid. Avoid or limit these supplements while taking tranexamic acid, unless your doctor advises otherwise.
7. Alcohol
Drinking alcohol may increase the risk of bleeding when taken with tranexamic acid. Avoid or limit alcohol consumption while taking this medication.
8. Ketoconazole
Ketoconazole is an antifungal medication that may inhibit the metabolism of tranexamic acid in the body, increasing the risk of side effects. Speak with your doctor if you're taking ketoconazole while also taking tranexamic acid.
9. Cimetidine
Cimetidine is an over-the-counter medication used to treat stomach ulcers and heartburn. Taking cimetidine with tranexamic acid may increase the risk of harmful side effects. Speak with your doctor if you're taking cimetidine while also taking tranexamic acid.
10. Other Medications
Tranexamic acid may interact with other medications, supplements, or herbal remedies. Always inform your doctor of any medications you're taking, including over-the-counter drugs.
The Bottom Line
Tranexamic acid can be a useful medication for controlling bleeding in certain medical conditions or procedures. However, it's essential to be aware of what not to mix with tranexamic acid to avoid potential harmful interactions. Speak with your doctor if you're taking any medications or supplements while using tranexamic acid.