Appropriate dose of tranexamic acid in the topical treatment of anterior epistaxis, 500 mg vs 1000 mg: A double-blind randomized controlled trial.

Autor:	Arikan C; Department of Emergency Medicine, İzmir Ataturk Training and Research Hospital, Izmir, Turkey.; Department of Emergency Medicine, Soma State Hospital, Manisa, Turkey., Akyol PY; Department of Emergency Medicine, İzmir Ataturk Training and Research Hospital, Izmir, Turkey.
Jazyk:	angličtina
Zdroj:	Science progress [Sci Prog] 2024 Oct-Dec; Vol. 107 (4), pp. 368504241264993.
DOI:	10.1177/00368504241264993
Abstrakt:	Aims: Patients with epistaxis typically visit the emergency department for initial treatment. According to recent studies, tranexamic acid (TXA) is effective in the treatment of epistaxis. This study compared the therapeutic superiority of saline to that of 500 and 1000 mg doses of topical TXA for the treatment of anterior epistaxis. Materials and methods: This phase 4 clinical trial was a randomized, controlled, and double-blind trial. A total of 152 patients were divided into three groups. Group 1 was treated with 1000 mg TXA, Group 2 with 500 mg TXA, and Group 3 with saline. Results: Based on multinomial logistic regression analysis, the bleeding frequency at the 5th minute was 2.9 times and rebleeding status was 4.3 times less in Group 1 (1000 mg TXA) than in Group 3 (saline). There were no differences between the three groups in terms of side effects or salvage therapy. Conclusion: In addition to its superiority in treatment, 1000 mg of TXA is recommended because of the decreased rate of recurrent bleeding and low incidence of side effects. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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