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MRP: Rs. 39 for 1 vial(s) (2 ML injection each)
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Composition for NEXI

Tranexamic Acid(NA)

food interaction for NEXI

alcohol interaction for NEXI

pregnancy interaction for NEXI

lactation interaction for NEXI

It is better to take Nexi injection with food.
Interaction with alcohol is unknown. Please consult your doctor.
Nexi injection may be unsafe to use during pregnancy.
Either animal studies have shown adverse effect on fetus and there are no human studies or studies in human and animals are not available. It should be given only if potential benefits justifies risk to the fetus. Please consult your doctor.
Unknown. Human and animal studies are not available. Please consult your doctor.


Tranexamic Acid(NA)


Nexi injection is used as tablet in treatment of women with cyclical heavy menstrual bleeding (menorrhagia). In the form of an injection, it is used to prevent excessive bleeding during cervical surgery, dental extractions in patients who have a hereditary blood clotting disturbances (hemophilia), surgery for removal of prostate, in hemorrhagic complications associated with therapy used to break down blood clots in the body or in disseminated intravascular coagulation (serious condition when the blood in the entire body begins to clot).

How it works

Nexi injection belongs to a class of medication called as antifibrinolytic. It prevents bleeding during heavy menstruation, surgery or clotting disorders by not allowing the blood clots formed in your body to break down.

Common side effects

Vomiting, Nausea, Pale colored skin, Abdominal pain, Muscle pain, Joint pain, Back pain, Bruise, Bleeding, Bone pain, Dizziness, Diarrhoea, Shortness of breath, Fatigue, Headache, Sinus pain


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Expert advice for NEXI

Do not take tranexamic acid:
  • before the start of menstruation.
  • If you are a woman >45 years of age 
  • If you are allergic to tranexamic acid or any of the ingredients of this medicine
Do not continue tranexamic acid and consult your doctor If you experience skin rashes or other serious symptoms like swelling of face, lips and throat causing breathlessness or difficulty swallowing, as this may denote allergy. 
  • Consult your  doctor if menstrual bleeding is not reduced after three menstrual cycles.
  • To be sure this medication is not causing harmful effects, your vision may need to be tested while you are using tranexamic acid. Follow your doctor's instructions.

Frequently asked questions for NEXI

Tranexamic Acid

Q. Is tranexamic acid a NSAID/steroid/a blood thinner/painkiller?
No, tranexamic acid belongs to a class of medications called antifibrinolytic, which are used to prevent the breakdown of blood clots in the body, thereby reducing bleeding. It is not an NSAID, steroid, blood thinner, or pain-killer.
Q. Is tranexamic acid an over the counter drug?
No, it is available as a prescription drug.
Q. Is tranexamic acid FDA approved?
Yes, tranexamic acid is approved by FDA, and marketed in most countries.
Q. Can I take tranexamic acid with ibuprofen/ paracetamol/ Cerazette (progesterone alone contraceptive pill)/ norethisterone/ mefanamic acid/ diclofenac/ Provera (medroxyprogesterone) /antibiotics?
Cerazette (progesterone alone contraceptive pill)/ norethisterone/ Provera (medroxyprogesterone) are contraindicated with tranexamic acid. No clinically observed drug interaction has been reported with paracetamol, ibuprofen or diclofenac. Please consult your doctor when using concomitantly.
Q. How long can I take Tranexamic acid?
It is advisable to take this drug only till prescribed by the doctor.
Q. Does tranexamic acid stop period/ period pain?
Tranexamic acid helps to reduce excessive bleeding during heavy menstrual cycle. It may not reduce the pain associated with periods.
Q. Does tranexamic acid affect ovulation/fertility/ heels cramp/cause a blood clot/ stop bleeding?
Tranexamic acid helps to reduce excessive bleeding during heavy menstrual cycle. It does not reduce fertility or ovulation, and is not known to cause leg cramps or, blood clot. Always follow your doctor’s advice regarding its use.


Content on this page was last updated on 16 June, 2015, by Dr. Varun Gupta (MD Pharmacology)