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Stepza Tablet is a combination medicine used to treat heavy menstrual bleeding and menstrual pain. It prevents the breakdown of blood clots to control excessive bleeding during periods. It also blocks the production of certain chemical messengers that cause pain and inflammation.

Written By Dr. Sakshi Jain, MS, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 25 Nov 2025 | 03:07 PM (IST)
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General Information

Contains

Tranexamic Acid (NA)+ Mefenamic Acid (NA)

Marketer

Moraceae Pharmaceuticals Pvt Ltd

Storage

Store below 30°C
The content is shown in English
Stepza Tablet image
Stepza Tablet image

Product introduction

You can take Stepza Tablet at any time of day, with food, but it is best to take it at the same time each day. It should be taken on first day of the periods to get the most benefit. Keep taking it for as long as advised by your doctor.  Take this medicine in the dose and duration advised by the doctor and if you have missed a dose, take it as soon as you remember. Remember to finish the full course of treatment even if you feel better. Inform your doctor if you do not observe any change in periods even after 3 consecutive periods.

The most common side effects of this medicine include nausea, stomach pain, headache, nasal congestion, sinus pain, sinus inflammation, rash, tiredness, and musculoskeletal (bone, muscle or joint) pain. It may also cause diarrhea, so it is better to take plenty of fluids while taking this medicine as it may help to prevent dehydration. It is advised to consult with your doctor if you do not notice any changes in periods after 3 consecutive periods.

Before taking it, let your doctor know if you have any kidney problems or vaginal bleeding disorder. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking. You might be asked for eye check-ups while taking this medicine. It is advised to avoid alcohol while taking this medicine.

Uses of Stepza Tablet

Benefits of Stepza Tablet

Treatment of Menstrual pain
Stepza Tablet relieves the pain due to muscle cramps during menstrual cycles (periods). It blocks the pain signals, relaxes the muscles and prevents sudden contractions (spasms) of muscles. This treats your pain and discomfort. You may also use a heating pad, take a hot water shower, avoid stress and try mild exercise for easing out the pain.
Treatment of Heavy menstrual bleeding
Heavy menstrual bleeding is definitely a concern for every woman. Stepza Tablet is a combination of medicine that helps treat heavy menstrual bleeding. It helps the lining of the uterus or womb to clot during periods and thus reduces heavy bleeding. It is advisable to use the medicine as prescribed for it to be effective. Also, you can do yoga or meditation to reduce stress and divert your mind during those days.

Side effects of Stepza Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Stepza
  • Nausea
  • Vomiting
  • Heartburn
  • Indigestion
  • Diarrhea
  • Loss of appetite
  • Nasal congestion (stuffy nose)
  • Headache
  • Tiredness
  • Musculoskeletal (bone, muscle or joint) pain
  • Anemia (low number of red blood cells)
  • Stomach pain
  • Sinus pain
  • Sinus inflammation

How to use Stepza Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Stepza Tablet should be taken with or after food.

How Stepza Tablet works

Stepza Tablet is a combination of two medicines: Tranexamic Acid and Mefenamic Acid. Tranexamic Acid is an anti-fibrinolytic. It works by preventing the breakdown of blood clots to control excessive bleeding during periods. Mefenamic Acid is a non-steroidal anti-inflammatory drug (NSAID) which blocks the production of certain chemical messengers (prostaglandins) that cause pain and inflammation (redness and swelling).

All substitutes for Stepza Tablet

For information purposes only. Consult a doctor before taking any medicine.

Tragen MF Tablet

by Estragen Pharma
₹32.1/tablet
138% costlier
<h3 class=bodySemiBold>Tragen MF Tablet</h3>

Zaxid Tablet

by Biomax Biotechnics Pvt Ltd
₹11.2/tablet
17% cheaper
<h3 class=bodySemiBold>Zaxid Tablet</h3>

Nexable-MF Tablet

by Care Biochemicals Pvt Ltd
₹14.6/tablet
8% costlier
<h3 class=bodySemiBold>Nexable-MF Tablet</h3>

Stopbleed TM Tablet

by SAF Fermion Ltd
₹16.6/tablet
23% costlier
<h3 class=bodySemiBold>Stopbleed TM Tablet</h3>

Quick tips

  • Stepza Tablet helps relieve menstrual pain and abnormally heavy menstrual bleeding.
  • Your doctor will prescribe the lowest effective dose for the shortest possible time necessary to relieve your symptoms.
  • Take it with food to avoid an upset stomach.
  • Take it on the first day of a heavy period. Taking it before or after will not have any benefit.
  • Inform your doctor if  there is no improvement in your bleeding after using this medicine for three consecutive menstrual periods.
  • Inform your doctor if you have a history of kidney or liver disease.

Safety advice

Alcohol

Alcohol

UNSAFE
It is unsafe to consume alcohol with Stepza Tablet
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Stepza Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
Information regarding the use of Stepza Tablet during breastfeeding is not available. Please consult your doctor.
Driving

Driving

CONSULT YOUR DOCTOR
It is not known whether Stepza Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor.
Kidney

Kidney

CAUTION
Stepza Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Use of Stepza Tablet is not recommended in patients with severe kidney disease.
Liver

Liver

CONSULT YOUR DOCTOR
There is limited data available on the use of Stepza Tablet in patients with liver disease.

Frequently asked questions

Stepza Tablet is a combination of two medicines: Tranexamic Acid and Mefenamic Acid. This medication is used to treat pain and is used to treat heavy bleeding during menstrual cycle (monthly periods) in women.
Yes, it is considered to be harmful for patients with severe kidney failure, active intravascular clotting (obstruction in the blood flow due to blood clots), and color vision disorders.
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Fact Box

Habit Forming

No

Therapeutic Class

BLOOD RELATED

References

  1. Mefenamic acid. Egham, Surrey: Chemidex Pharma Ltd.; 2005 [revised 7 Dec. 2015]. [Accessed 10 Apr. 2019] (online) Available from:
  2. Tranexamic Acid and Mefenamic Acid [Patient Information Sheet]. Mohali, Punjab: Gynogen Captab; [Accessed 10 Nov. 2025] (online). Available from:
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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Moraceae Pharmaceuticals Pvt Ltd
Address: 40, LAXMANPURI COLONY, FAIZABAD ROAD, INDIRA NAGAR, LUCKNOW-226016 UTTAR PRADESH, (INDIA)

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Stepza Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

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