Trapic 650 Tablet

Trapic Tablet contains tranexamic acid as its active ingredient. Tranexamic acid is used to stop bleeding in diseases or conditions that lead to excessive bleeding from the body. Avoid using this medicine if you are allergic to it, have any kidney or blood diseases, a history of fits.

This medicine should be taken as instructed by the doctor. Take it in the correct doses and for the exact duration as prescribed. Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding and about all the medicines and supplements you take and all the conditions or diseases you suffer from, before starting this medicine.

Dosage

Overdose

• If you accidentally end up taking a dose higher than that prescribed, you may experience symptoms like feeling sick, nausea and vomiting or be dizzy or light-headed upon standing. A headache may also accompany this. A very high dose may also lead to convulsions, low blood pressure.
• If you experience any of the symptoms or think you have taken too much of this medicine, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

• Missing a dose of this medicine may reduce the effectiveness of the treatment.
• If you have missed taking any dose of this medicine take it as soon as you remember.
• If it's time for your next dose, skip the missed dose and continue with your regular dosing schedule.
• Do not take a double dose of this medicine to compensate for the missed one.

Mode of Action

How Does It Work?

Blood clotting is a complex process and involves various enzymes in different steps. Tranexamic acid is a structural analogue of an amino acid lysine which is important for the blood clotting process. Tranexamic acid helps in arresting bleeding by binding to certain receptors where lysine binds, inhibiting the enzymes that break down these clots. Hence, it helps to stop excessive bleeding.

Directions for Use

Take this medicine as directed by your doctor. Swallow it as a whole with a glass of water. Do not cut, crush or chew the medicine. You should take this medicine regularly, at the same time and without fail as directed by your doctor. You should not consume it more than that prescribed by your doctor. If bleeding does not stop, contact your doctor, you may need further evaluation.

Precautions and Warnings

Pregnancy

Can I take Trapic Tablet during pregnancy?

You should consult your doctor before using this medicine as there is limited information about its safety during pregnancy. Your doctor will only prescribe you this medicine if it is considered essential after assessing the benefits over risks.

Breast Feeding

Can I take Trapic Tablet while breastfeeding?

This medicine passes into the breastmilk in a small amount. If a breastfeeding mother requires tranexamic acid, it is not a reason to discontinue breastfeeding. However, close monitoring and medical supervision of the breastfed infant is recommended until more data regarding safety becomes available. It is advisable to consult a doctor before initiating the medication during breastfeeding.

Driving

Can I drive if I have consumed Trapic Tablet?

This medicine does not directly affect alertness levels. However, one should watch out for signs of blurring of vision or loss of colour vision, which may appear as a side effect of this medication. Hence, regular eye check-ups are recommended in patients taking long-term treatment with tranexamic acid.

Alcohol

Can I consume alcohol with Trapic Tablet?

There is no data regarding interactions between this medicine and alcohol. However, this does not rule out the possibility of interaction and it is better to avoid alcohol consumption.

Other General Warnings

Talk to your doctor if

• You are suffering from kidney diseases.
• You are passing blood in the urine.
• You are taking oral contraceptive pills.
• You have a history of blood clots in blood vessels or with a family history of the same.
• You are suffering from excessive menstrual bleeding or irregular periods.
• If you experience visual disturbances, you should stop the medications and consult your doctor immediately.
• You may require regular eye checks if you are consuming this medicine for a long time on a doctor's prescription.

Contraindications

• If you are allergic to Tranexamic acid or any other ingredients of Trapic Tablet.
• If you have kidney diseases.
• If you have a history of convulsions or fits.
• If you have blood disorders known to increase blood clotting tendency.
• If you are currently having an episode or a history of different diseases arising because of clot formation in the body called thromboembolic diseases. E.g. Heart attack or paralysis due to clot in blood vessels in the brain, blood clots in vessels of the lower limbs, etc.

Side effects

• Back pain
• Bone pain
• Muscle pain
• Blurred vision
• If you are allergic to this medicine, signs of an allergy like rashes, itching, red swollen blistered skin with or without fever may be seen
• The signs of severe allergy may include breathlessness, hoarseness of voice, swelling of lips and mouth and rarely abdominal pain
• Rarely, convulsions or fits

Interactions

Interactions with other medicines

• You should always tell the doctor if you are taking any other medicines, herbal preparations and supplements to avoid any interactions.
• The effect of Trapic Tablet will be reduced if taken along with blood thinners (like warfarin, heparin) which are medicines that inhibit clot formations.
• An additive effect may be seen if the patient is taking medications that increase blood clot formation (like aprotinin).
• Oral contraceptive pills, when taken with this medicine, may promote blood clot formation which can be harmful, leading to blockage of blood vessels by abnormal clot formation. Inform your doctor if you are taking birth control pills.

Storage and disposal

Store this medicine in a cool and dry place, protected from direct sunlight, moisture and heat. Keep it away from children and pets. Do not use expired or damaged medicines. Discard any unused medicine properly, do not flush in the toilet or throw it into the drain.

Frequently Asked Questions (FAQs)

Can cough syrup be taken with Trapic Tablet?

This medicine is a relatively safe medication and the use of cough syrup along with it has not been reported to cause any adverse effects. However, in case of any signs of sickness after the consumption of these medicines together, consult your doctor immediately.

What medicines can be used for controlling heavy bleeding during menses?

This medicine will usually be the first line of management of heavy bleeding. However, other treatment options like oral contraceptive pills, intrauterine contraceptive devices or hormones may also be given to regulate cycles. The doctor will take into consideration various factors like your age, family planning status, sonography reports and hormone levels to decide the most appropriate line of management for you.

Can I take progesterone and Trapic Tablet together?

Trapic Tablet is usually prescribed to control excessive bleeding during menses. Your dose will be escalated based on the severity of your symptoms. However, for women who have repeated heavy cycles and other signs of hormonal imbalance, Progesterone pills maybe started to regulate the hormonal imbalance. This shall be done after evaluating your menstrual cycle, medical history and hormone levels by your gynaecologist.

Can I take this medicine to avoid getting menses?

The menstrual cycle is regulated by various female hormones like estrogen, progesterone and luteinizing hormone. Other hormones like prolactin and thyroid hormones also indirectly affect menstrual cycles. This medicine is effective only in controlling excessive bleeding during menses and is not recommended for controlling or stopping regular menstrual cycles. It is advisable to consult your gynaecologist for controlling menses.

For how many cycles can Trapic Tablet be taken?

If you are suffering from repeated heavy menstrual cycles, it is advisable to consult a gynaecologist. Though this medicine will control the excessive blood flow, it does not correct the underlying hormonal imbalance or other conditions that are responsible for causing the excessive flow. Hence, it is better to consult your gynaecologist and get a check-up done.

Can Trapic Tablet help me to get relief from stomach pain during menses?

Stomach pain during menses is induced as the uterus contracts strongly giving rise to uterine cramps. Menses result from the shedding of the inner uterine lining that leads to the formation of various chemical mediators. These mediators induce abdominal cramps. This medicine does not inhibit the action of these mediators and hence as such does not have a direct pain killer effect. This medicine is basically used to control bleeding. However, as the bleeding subsides, the pain slowly reduces.

Can Trapic Tablet be used to control post-menopausal bleeding?

Post-menopausal bleeding is never considered normal. There is always an underlying disorder that leads to post-menopausal bleeding. It is important first to diagnose the disorder and treat it for the same. Post-menopausal bleeding should never be ignored and a gynaecologist should be immediately consulted.