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Tranexamic Acid

Tranexamic Acid 650MG

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What is Tranexamic Acid?

Lysteda is used to treat heavy bleeding during menstrual cycles. Tranexamic acid is the generic version. On average Lysteda is priced at about $148 for a supply of 30, 650 mg tablets. Luckily, you can use our Rx.com savings offer to receive a Lysteda discount of up to 80% off the retail price at participating pharmacies near you.

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What is Tranexamic Acid ?

Lysteda is used to treat heavy bleeding during menstrual cycles. Tranexamic acid is the generic version. On average Lysteda is priced at about $148 for a supply of 30, 650 mg tablets. Luckily, you can use our Rx.com savings offer to receive a Lysteda discount of up to 80% off the retail price at participating pharmacies near you.
  • Unusual bleeding, bruising, or weakness
  • Numbness or weakness on one side of your body, sudden or severe headache, problems with vision, speech, or walking
  • Pain in your lower leg
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Chest pain, trouble breathing, or coughing up blood
  • Trouble seeing, vision changes
  • If this medicine does not reduce your bleeding after 2 menstrual cycles or if it seems to stop working, check with your doctor.
  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.
  • This medicine may cause the following problems:Higher risk of blood clots (which can lead to heart attack or stroke) when used with hormone birth control, such as pills or a patch Eye and vision problems
  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, bleeding problems, or leukemia.
  • Unusual bleeding, bruising, or weakness
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
What is tranexamic acid used for?
The oral tablet (Lysteda) is FDA-approved to treat cyclic heavy menstrual bleeding (menorrhagia) in women. The injectable form (Cyklokapron) is FDA-approved for short-term use to reduce or prevent bleeding in people with hemophilia who are undergoing a tooth extraction. It works by helping blood clots stay stable so bleeding slows down. Always use it as prescribed by your doctor.
How quickly does tranexamic acid stop heavy menstrual bleeding?
Tranexamic acid tablets are taken only during the days of monthly bleeding to help reduce heavy menstrual flow. Your doctor or pharmacist can tell you how and when to take it and what to expect for your situation. Follow the dosing instructions on your prescription, and let your provider know if your bleeding does not improve.
What are the most common side effects of tranexamic acid?
With the oral tablets, the most commonly reported side effects are headache, sinus and nasal symptoms, back pain, abdominal pain, muscle and joint pain, and fatigue. More serious but less common risks include blood clots and, with the intravenous form, seizures. Contact your doctor if you have any concerning symptoms.
Who should not take tranexamic acid?
You should not take tranexamic acid if you have an active blood clot such as a DVT or pulmonary embolism, a history of clots, or an inborn tendency to form clots, or if you also use combination hormonal birth control. People with reduced kidney function often need a lower dose. Tell your doctor about your full health history so they can decide if it is safe for you.
Is tranexamic acid safe to take with birth control pills?
Tranexamic acid should not be used together with combination hormonal contraceptives, which include birth control pills, patches, or rings that contain both estrogen and progestin, because combining them raises the risk of a dangerous blood clot. If you use hormonal birth control, tell your doctor before starting tranexamic acid so they can review your options.
How much does Tranexamic Acid cost without insurance?
The price of Tranexamic Acid without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save up to 67% off retail prices with a free Rx.com coupon.
What are the common side effects of Tranexamic Acid?
Common side effects of Tranexamic Acid may include: Unusual bleeding, bruising, or weakness, Numbness or weakness on one side of your body, sudden or severe headache, problems with vision, speech, or walking, Pain in your lower leg, Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Chest pain, trouble breathing, or coughing up blood. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Tranexamic Acid?
Generic versions may be available for Tranexamic Acid. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Tranexamic Acid on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Tranexamic Acid?
The cheapest pharmacy for Tranexamic Acid depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Tranexamic Acid near you.

Tranexamic Acid Coupons & Prices

Tranexamic Acid 650MG

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Tranexamic Acid Tablet — prescription drug image
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Looking for a tranexamic acid coupon? Tranexamic acid is an inexpensive generic medicine, but the cash price still varies widely from one pharmacy to the next, so comparing before you fill matters. Rx.com checks prices at more than 60,000 pharmacies so you can find a low cash price near you and print or show a free discount coupon at the counter, whether or not you have insurance. Enter your ZIP above to see today's price at pharmacies near you.

What is tranexamic acid and how does it work?

Tranexamic acid is an antifibrinolytic medication, meaning it helps blood clots stay stable so bleeding can slow down. It works as a lysine analog that blocks the activation of plasminogen, the process that would otherwise break clots apart. The oral tablet is sold under the brand name Lysteda and is FDA-approved to treat cyclic heavy menstrual bleeding (menorrhagia) in women. An injectable form, Cyklokapron, is FDA-approved for short-term use to reduce or prevent bleeding in people with hemophilia who are having a tooth extraction.

Tranexamic acid is a widely used, well-established medicine and is not a controlled substance. A generic version is available, which is why the cash price is generally low compared with many brand-name drugs.

Tranexamic acid cost and how to save with a coupon

Because tranexamic acid is available as a generic, it is already one of the more affordable prescription options in its category. Even so, the cash price is not the same everywhere. Two pharmacies on the same street can charge noticeably different amounts, so the single biggest way to save is to compare prices before you fill. That is true whether you are uninsured, have a high deductible, or simply want to pay less than your insurance copay.

Rx.com compares cash prices across more than 60,000 pharmacies and gives you a free discount coupon you can use instead of insurance. There is no membership fee to use the coupon. Enter your ZIP above to see today's price near you and pick the pharmacy with the best price. If you prefer the brand-name oral tablet, you can also compare prices for Lysteda.

Alternatives and related medicines

Tranexamic acid belongs to a small group of antifibrinolytic drugs. A closely related option is aminocaproic acid, which works in a similar way to help stabilize clots. If your prescriber wrote for a specific brand, the oral tablet brand is Lysteda and the injectable brand is Cyklokapron; in most cases the generic tranexamic acid is the same medicine at a lower cash price.

Which option is right for you depends on your diagnosis and health history, so this is a conversation to have with your doctor or pharmacist. Whichever one you are prescribed, you can compare cash prices for it on Rx.com to find the lowest available near you.

Safety and side effects

Tranexamic acid should not be used by people who have active blood-clot conditions such as a deep vein thrombosis (DVT), pulmonary embolism (PE), or clotting in the brain, or by people with a history of or an inborn tendency toward clots. It should also not be combined with combination hormonal birth control (pills, patches, or rings that contain both estrogen and progestin), because using them together raises the risk of a dangerous clot. There is a risk of arterial or venous blood clots, and with the intravenous form, a risk of seizures. Rare visual changes, including changes in color vision, and a rare eye condition called ligneous conjunctivitis have been reported. People with reduced kidney function usually need a lower dose.

The most common side effects of the oral tablets are headache, sinus and nasal symptoms, back pain, abdominal pain, muscle and joint pain, and fatigue. This information is a summary and is not medical advice. Tell your doctor or pharmacist about all the medicines you take, and talk with your provider about whether tranexamic acid is safe for you.

Sources & accuracy

This Tranexamic Acid information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Tranexamic Acid on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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