A nurse provides teaching to a woman who is taking tranexamic acid [Lysteda] for menorrhagia. Which statement by the patient indicates a need for further teaching?
a. "I may experience back pain or muscle cramps while taking this drug."
b. "I may take two tablets 3 times daily for up to 5 days with each period."
c. "I should take an oral contraceptive to prevent pregnancy while taking this drug."
d. "I should take this medication with food to improve absorption of the drug."
C
The greatest concern with tranexamic acid (TA) is venous or arterial thrombosis. Women taking TA should not take oral contraceptives, which would increase the risk of thrombosis. Back pain and muscle cramps are known adverse effects. Women may take up to two tablets 3 times a day for up to 5 days with each period. The medication can be taken with or without food, but bio-availability increases in the presence of food.
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