Pharmacy World & Science

, Volume 32, Issue 4, pp 416–419 | Cite as

Hypersensitivity to tranexamic acid: a wide spectrum of adverse reactions

  • Selene ImbesiEmail author
  • Eustachio Nettis
  • Paola L. Minciullo
  • Elisabetta Di Leo
  • Antonella Saija
  • Angelo Vacca
  • Sebastiano Gangemi
Case Report


Cases description This is a retrospective study, based on analysis of data from patients with previous adverse drug reactions admitted to the Allergy and Clinical Immunology Division of both the University of Messina and the University of Bari in the last 4 years. We observed five patients: four of them (two males and two females) with a well documented history of tranexamic acid hypersensitivity reactions and one female who showed a positive response to an intradermal challenge test with tranexamic acid. Conclusions Although the risk of immunogenic and severe allergic reactions to tranexamic acid is significantly lower than those associated with administration of other drugs, our experience points out that adverse reactions to tranexamic acid can occur. This drug may be responsible for a wide and various spectrum of hypersensitivity reactions characterized by different pathogenetic mechanisms (immunologic and non-immunologic). Etamsylate was a well tolerated alternative drug to tranexamic acid in all examined patients.


Adverse drug reaction Etamsylate Hypersensitivity Tranexamic acid 



We thank Dr. Francesco Cimino for pharmacological assistance, Dr. Stefania Isola for clinical assistance and Dr. Joseph Lipari for editing assistance.


No financial support was provided for this study.

Conflict of interest

None declared.


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Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Selene Imbesi
    • 1
    Email author
  • Eustachio Nettis
    • 2
  • Paola L. Minciullo
    • 1
  • Elisabetta Di Leo
    • 2
  • Antonella Saija
    • 1
  • Angelo Vacca
    • 2
  • Sebastiano Gangemi
    • 1
  1. 1.University of MessinaMessinaItaly
  2. 2.University of BariBariItaly

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