Register
Medicines reference
Active substance

Tranexamic Acid

Antifibrinolytic. Registered in Georgia: 6 human medicines. Forms: coated tablet, solution, tablet.

Dose and use

Doses

Each dose comes with its source. Check the label of the product you use.

Active substance Tranexamic Acid
Before use

Safety information

No sourced safety entry is currently shown. This does not mean the substance is risk-free.

Latin name
Tranexamic Acid
Georgian name
ტრანექსამის მჟავა
Authorisation status
Human medicine, cascade use
No veterinary authorisation was found in any register checked. Veterinary use is off-label, under the prescribing cascade.
Registered in Georgia
6 of 7 forms
Human medicines in Georgia
Medsamic, Sangera, TRANASiTiL, Travozal, Tremaxine
Human medicines with this substance in the Georgian register of medicines (Ministry of Health), checked on 18 Oct 2026. They are human medicines, not veterinary products; strengths and forms differ.
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration7

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

Medsamic 500 mg, Coated tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
5.5/10
Weak evidence support
vetman assessment

Medsamic

500 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Off-label oral tranexamic acid as continued adjunctive treatment for selected canine hyperfibrinolytic bleeding when an oral regimen is clinically appropriate · By mouth
Care settingVeterinary-directed outpatient continuation after the bleeding phenotype, thrombotic risk, renal function and an accurately measurable oral regimen have been assessed
vetman score 5.5/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-046136 · Verified on 16 Oct 2026 Off-label use

A weak but potentially useful oral adjunct for a selected canine hyperfibrinolytic bleeding phenotype. The ingredient has direct canine PK/PD data, but outcome benefit remains uncertain and this whole-only 500 mg form is a poor dose-delivery match outside a narrow weight range.

Regulatory and scientific credibility6.5/10

The exact human tablet has sourced current registrations in Georgia and EU/EEA and an identifiable strength and manufacturer. It has no veterinary authorisation, and the assessed canine use is off-label.

Clinical efficacy5.0/10

Direct canine crossover data show oral absorption and reduced fibrinolysis in a laboratory model, but clinical outcome evidence is sparse and mixed. Trials of tranexamic acid in bleeding dogs have not consistently reduced transfusion, bleeding or survival outcomes, so oral use remains a selective adjunct rather than a proven routine therapy.

Safety and tolerability6.0/10

Short-course canine experience is usable but not benign: vomiting is dose- and rate-sensitive, and thrombosis, hypotension with rapid IV administration, renal accumulation, seizures and rare hypersensitivity require selection and monitoring. These exact human products have no canine target-animal safety dossier.

Clinical practicality4.0/10

A whole-only 500 mg tablet matches approximately 25-33 kg at the studied 15-20 mg/kg oral exposure, but is poorly measurable for many patients and the regimen may require dosing every 8 hours. Crushing does not validate an unmeasured powder fraction; use a measurable alternative for other doses.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This exact 500 mg tablet is recorded as whole-only. Do not estimate a smaller dose from an unmeasured fraction of crushed powder; use an accurately measurable formulation when 500 mg is not the intended unit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Coated tablet
Administration route
By mouth
Manufacturer
Medochemie · Cyprus
Registration
Georgia Yes, human
In force until 26 May 2030
Human (Ministry of Health, RAMA)
In the register: მედსამიკი 500 მგ, აბი
№ რ-046136
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Sangera 100 mg/ml, Solution

5 ml ampoule, solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage
6.3/10
Situational / acceptable
vetman assessment

Sangera

100 mg/ml, 5 ml ampoule, solution for injection, human medicine
Assessed clinical scopeDog · Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage · Intravenous
Care settingHospital treatment alongside source control, resuscitation and blood-component support, with slow IV administration and thrombotic, renal and neurologic monitoring
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-036509 · Verified on 15 Oct 2026 Off-label use

A situational hospital adjunct when hyperfibrinolysis is suspected or documented. It can suppress fibrinolysis, but has not shown consistent transfusion or survival benefit and must never replace source control, resuscitation or indicated blood components.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.0/10

Canine trials show pharmacodynamic suppression of hyperfibrinolysis, but clinical benefit is inconsistent: hemorrhagic-shock data showed clot effects without transfusion or survival benefit, and small ITP and haemorrhage studies did not establish routine outcome benefit. Use is therefore phenotype-selected and adjunctive.

Safety and tolerability6.0/10

Short-course canine experience is usable but not benign: vomiting is dose- and rate-sensitive, and thrombosis, hypotension with rapid IV administration, renal accumulation, seizures and rare hypersensitivity require selection and monitoring. These exact human products have no canine target-animal safety dossier.

Clinical practicality8.0/10

The 100 mg/mL solution permits the sourced 10-15 mg/kg dose as 0.10-0.15 mL/kg with practical syringe accuracy in hospital. The 5 mL presentation requires venous access and slow IV administration but no complex reconstitution.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This presentation is for intravenous use only. Give slowly through verified venous access; rapid IV delivery can cause hypotension, and neuraxial administration is a potentially fatal medication error.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage
5.6/10
Weak evidence support
vetman assessment

Sangera

100 mg/ml, 5 ml ampoule, solution for injection, human medicine
Assessed clinical scopeCat · Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage · Intravenous
Care settingHospital treatment alongside source control, resuscitation and blood-component support, with slow IV administration and thrombotic, renal and neurologic monitoring
vetman score 5.6/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-036509 · Verified on 15 Oct 2026 Off-label use

A weak, low-confidence feline hospital adjunct. Published use exists, but dosing is non-standardized, outcome evidence is absent and possible adverse events are material; reserve it for an individualized hyperfibrinolytic bleeding rationale with close monitoring.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy4.5/10

Feline evidence is limited to retrospective clinical use with varied regimens and uncertain causality. A 35-cat multicentre series found no standardized regimen and possible adverse events in 20%; canine mechanistic and outcome studies are indirect and cannot establish feline clinical benefit.

Safety and tolerability5.0/10

Published feline experience is small and reported possible adverse events in 20%, some severe, although causality was uncertain. Thrombosis, vomiting, hypotension with rapid IV delivery, renal accumulation, seizures and hypersensitivity remain clinically important concerns without a feline target-animal dossier.

Clinical practicality8.0/10

The 100 mg/mL solution permits the sourced 10-15 mg/kg dose as 0.10-0.15 mL/kg with practical syringe accuracy in hospital. The 5 mL presentation requires venous access and slow IV administration but no complex reconstitution.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This presentation is for intravenous use only. Give slowly through verified venous access; rapid IV delivery can cause hypotension, and neuraxial administration is a potentially fatal medication error.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Tranexamic Acid100 mg/ml
Formulation Type
Solution
Administration route
Intravenous
Manufacturer
Yuria-Pharm · Ukraine
Registration
Georgia Yes, human
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Sangera 100 mg/ml, Solution

10 ml ampoule, solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage
6.3/10
Situational / acceptable
vetman assessment

Sangera

100 mg/ml, 10 ml ampoule, solution for injection, human medicine
Assessed clinical scopeDog · Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage · Intravenous
Care settingHospital treatment alongside source control, resuscitation and blood-component support, with slow IV administration and thrombotic, renal and neurologic monitoring
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-036510 · Verified on 16 Oct 2026 Off-label use

A situational hospital adjunct when hyperfibrinolysis is suspected or documented. It can suppress fibrinolysis, but has not shown consistent transfusion or survival benefit and must never replace source control, resuscitation or indicated blood components.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.0/10

Canine trials show pharmacodynamic suppression of hyperfibrinolysis, but clinical benefit is inconsistent: hemorrhagic-shock data showed clot effects without transfusion or survival benefit, and small ITP and haemorrhage studies did not establish routine outcome benefit. Use is therefore phenotype-selected and adjunctive.

Safety and tolerability6.0/10

Short-course canine experience is usable but not benign: vomiting is dose- and rate-sensitive, and thrombosis, hypotension with rapid IV administration, renal accumulation, seizures and rare hypersensitivity require selection and monitoring. These exact human products have no canine target-animal safety dossier.

Clinical practicality8.0/10

The 100 mg/mL solution permits the sourced 10-15 mg/kg dose as 0.10-0.15 mL/kg with practical syringe accuracy in hospital. The 10 mL presentation requires venous access and slow IV administration but no complex reconstitution.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This presentation is for intravenous use only. Give slowly through verified venous access; rapid IV delivery can cause hypotension, and neuraxial administration is a potentially fatal medication error.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage
5.6/10
Weak evidence support
vetman assessment

Sangera

100 mg/ml, 10 ml ampoule, solution for injection, human medicine
Assessed clinical scopeCat · Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage · Intravenous
Care settingHospital treatment alongside source control, resuscitation and blood-component support, with slow IV administration and thrombotic, renal and neurologic monitoring
vetman score 5.6/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-036510 · Verified on 16 Oct 2026 Off-label use

A weak, low-confidence feline hospital adjunct. Published use exists, but dosing is non-standardized, outcome evidence is absent and possible adverse events are material; reserve it for an individualized hyperfibrinolytic bleeding rationale with close monitoring.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy4.5/10

Feline evidence is limited to retrospective clinical use with varied regimens and uncertain causality. A 35-cat multicentre series found no standardized regimen and possible adverse events in 20%; canine mechanistic and outcome studies are indirect and cannot establish feline clinical benefit.

Safety and tolerability5.0/10

Published feline experience is small and reported possible adverse events in 20%, some severe, although causality was uncertain. Thrombosis, vomiting, hypotension with rapid IV delivery, renal accumulation, seizures and hypersensitivity remain clinically important concerns without a feline target-animal dossier.

Clinical practicality8.0/10

The 100 mg/mL solution permits the sourced 10-15 mg/kg dose as 0.10-0.15 mL/kg with practical syringe accuracy in hospital. The 10 mL presentation requires venous access and slow IV administration but no complex reconstitution.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This presentation is for intravenous use only. Give slowly through verified venous access; rapid IV delivery can cause hypotension, and neuraxial administration is a potentially fatal medication error.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Tranexamic Acid100 mg/ml
Formulation Type
Solution
Administration route
Intravenous
Manufacturer
Yuria-Pharm · Ukraine
Registration
Georgia Yes, human
In force until 27 Sep 2027
Human (Ministry of Health, RAMA)
In the register: სანგერა 100 მგ/მლ, 10 მლ ამპულა, საინექციო ხსნარი
№ რ-036510
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Tranestat 500 mg, Tablet

tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
5.4/10
Weak evidence support
vetman assessment

Tranestat

500 mg, tablet, human medicine
Assessed clinical scopeDog · Off-label oral tranexamic acid as continued adjunctive treatment for selected canine hyperfibrinolytic bleeding when an oral regimen is clinically appropriate · By mouth
Care settingVeterinary-directed outpatient continuation after the bleeding phenotype, thrombotic risk, renal function and an accurately measurable oral regimen have been assessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-033664 · Verified on 16 Oct 2026 Off-label use

A weak but potentially useful oral adjunct for a selected canine hyperfibrinolytic bleeding phenotype. The ingredient has direct canine PK/PD data, but outcome benefit remains uncertain and this whole-only 500 mg form is a poor dose-delivery match outside a narrow weight range.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy5.0/10

Direct canine crossover data show oral absorption and reduced fibrinolysis in a laboratory model, but clinical outcome evidence is sparse and mixed. Trials of tranexamic acid in bleeding dogs have not consistently reduced transfusion, bleeding or survival outcomes, so oral use remains a selective adjunct rather than a proven routine therapy.

Safety and tolerability6.0/10

Short-course canine experience is usable but not benign: vomiting is dose- and rate-sensitive, and thrombosis, hypotension with rapid IV administration, renal accumulation, seizures and rare hypersensitivity require selection and monitoring. These exact human products have no canine target-animal safety dossier.

Clinical practicality4.0/10

A whole-only 500 mg tablet matches approximately 25-33 kg at the studied 15-20 mg/kg oral exposure, but is poorly measurable for many patients and the regimen may require dosing every 8 hours. Crushing does not validate an unmeasured powder fraction; use a measurable alternative for other doses.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This exact 500 mg tablet is recorded as whole-only. Do not estimate a smaller dose from an unmeasured fraction of crushed powder; use an accurately measurable formulation when 500 mg is not the intended unit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Tablet
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 27 Oct 2026
Human (Ministry of Health, RAMA)
In the register: ტრანესტატი 500 მგ, აბი
№ რ-033664
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Tranestat 500 mg/5 ml, Solution

solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage
6.3/10
Situational / acceptable
vetman assessment

Tranestat

500 mg/5 ml, solution for injection, human medicine
Assessed clinical scopeDog · Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage · Intravenous
Care settingHospital treatment alongside source control, resuscitation and blood-component support, with slow IV administration and thrombotic, renal and neurologic monitoring
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Medium Georgia: Suspended · № რ-033785 · Verified on 15 Oct 2026 Off-label use

A situational hospital adjunct when hyperfibrinolysis is suspected or documented. It can suppress fibrinolysis, but has not shown consistent transfusion or survival benefit and must never replace source control, resuscitation or indicated blood components.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.0/10

Canine trials show pharmacodynamic suppression of hyperfibrinolysis, but clinical benefit is inconsistent: hemorrhagic-shock data showed clot effects without transfusion or survival benefit, and small ITP and haemorrhage studies did not establish routine outcome benefit. Use is therefore phenotype-selected and adjunctive.

Safety and tolerability6.0/10

Short-course canine experience is usable but not benign: vomiting is dose- and rate-sensitive, and thrombosis, hypotension with rapid IV administration, renal accumulation, seizures and rare hypersensitivity require selection and monitoring. These exact human products have no canine target-animal safety dossier.

Clinical practicality8.0/10

The 100 mg/mL solution permits the sourced 10-15 mg/kg dose as 0.10-0.15 mL/kg with practical syringe accuracy in hospital. The 5 mL presentation requires venous access and slow IV administration but no complex reconstitution.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This presentation is for intravenous use only. Give slowly through verified venous access; rapid IV delivery can cause hypotension, and neuraxial administration is a potentially fatal medication error.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage
5.6/10
Weak evidence support
vetman assessment

Tranestat

500 mg/5 ml, solution for injection, human medicine
Assessed clinical scopeCat · Off-label intravenous tranexamic acid as an adjunct for selected clinically suspected or documented hyperfibrinolytic bleeding; not routine treatment of every hemorrhage · Intravenous
Care settingHospital treatment alongside source control, resuscitation and blood-component support, with slow IV administration and thrombotic, renal and neurologic monitoring
vetman score 5.6/10 Weak evidence support
Evidence confidence: Low Georgia: Suspended · № რ-033785 · Verified on 15 Oct 2026 Off-label use

A weak, low-confidence feline hospital adjunct. Published use exists, but dosing is non-standardized, outcome evidence is absent and possible adverse events are material; reserve it for an individualized hyperfibrinolytic bleeding rationale with close monitoring.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy4.5/10

Feline evidence is limited to retrospective clinical use with varied regimens and uncertain causality. A 35-cat multicentre series found no standardized regimen and possible adverse events in 20%; canine mechanistic and outcome studies are indirect and cannot establish feline clinical benefit.

Safety and tolerability5.0/10

Published feline experience is small and reported possible adverse events in 20%, some severe, although causality was uncertain. Thrombosis, vomiting, hypotension with rapid IV delivery, renal accumulation, seizures and hypersensitivity remain clinically important concerns without a feline target-animal dossier.

Clinical practicality8.0/10

The 100 mg/mL solution permits the sourced 10-15 mg/kg dose as 0.10-0.15 mL/kg with practical syringe accuracy in hospital. The 5 mL presentation requires venous access and slow IV administration but no complex reconstitution.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This presentation is for intravenous use only. Give slowly through verified venous access; rapid IV delivery can cause hypotension, and neuraxial administration is a potentially fatal medication error.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Tranexamic Acid100 mg/ml
Formulation Type
Solution
Administration route
Intravenous
Manufacturer
Registration
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Tranexam 500 mg, Coated tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
5.4/10
Weak evidence support
vetman assessment

Tranexam

500 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Off-label oral tranexamic acid as continued adjunctive treatment for selected canine hyperfibrinolytic bleeding when an oral regimen is clinically appropriate · By mouth
Care settingVeterinary-directed outpatient continuation after the bleeding phenotype, thrombotic risk, renal function and an accurately measurable oral regimen have been assessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-039091 · Verified on 16 Oct 2026 Off-label use

A weak but potentially useful oral adjunct for a selected canine hyperfibrinolytic bleeding phenotype. The ingredient has direct canine PK/PD data, but outcome benefit remains uncertain and this whole-only 500 mg form is a poor dose-delivery match outside a narrow weight range.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy5.0/10

Direct canine crossover data show oral absorption and reduced fibrinolysis in a laboratory model, but clinical outcome evidence is sparse and mixed. Trials of tranexamic acid in bleeding dogs have not consistently reduced transfusion, bleeding or survival outcomes, so oral use remains a selective adjunct rather than a proven routine therapy.

Safety and tolerability6.0/10

Short-course canine experience is usable but not benign: vomiting is dose- and rate-sensitive, and thrombosis, hypotension with rapid IV administration, renal accumulation, seizures and rare hypersensitivity require selection and monitoring. These exact human products have no canine target-animal safety dossier.

Clinical practicality4.0/10

A whole-only 500 mg tablet matches approximately 25-33 kg at the studied 15-20 mg/kg oral exposure, but is poorly measurable for many patients and the regimen may require dosing every 8 hours. Crushing does not validate an unmeasured powder fraction; use a measurable alternative for other doses.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This exact 500 mg tablet is recorded as whole-only. Do not estimate a smaller dose from an unmeasured fraction of crushed powder; use an accurately measurable formulation when 500 mg is not the intended unit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Coated tablet
Administration route
By mouth
Manufacturer
Nizhpharm · Russia
Registration
Georgia Yes, human
In force until 15 Sep 2028
Human (Ministry of Health, RAMA)
In the register: ტრანექსამი 500 მგ, აბი
№ რ-039091
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Travozal 500 mg, Coated tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
5.4/10
Weak evidence support
vetman assessment

Travozal

500 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Off-label oral tranexamic acid as continued adjunctive treatment for selected canine hyperfibrinolytic bleeding when an oral regimen is clinically appropriate · By mouth
Care settingVeterinary-directed outpatient continuation after the bleeding phenotype, thrombotic risk, renal function and an accurately measurable oral regimen have been assessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-044516 · Verified on 16 Oct 2026 Off-label use

A weak but potentially useful oral adjunct for a selected canine hyperfibrinolytic bleeding phenotype. The ingredient has direct canine PK/PD data, but outcome benefit remains uncertain and this whole-only 500 mg form is a poor dose-delivery match outside a narrow weight range.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable strength and manufacturer, but no exact trade-name registration was found in the exhaustively checked EU/EEA, UK or US registers. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy5.0/10

Direct canine crossover data show oral absorption and reduced fibrinolysis in a laboratory model, but clinical outcome evidence is sparse and mixed. Trials of tranexamic acid in bleeding dogs have not consistently reduced transfusion, bleeding or survival outcomes, so oral use remains a selective adjunct rather than a proven routine therapy.

Safety and tolerability6.0/10

Short-course canine experience is usable but not benign: vomiting is dose- and rate-sensitive, and thrombosis, hypotension with rapid IV administration, renal accumulation, seizures and rare hypersensitivity require selection and monitoring. These exact human products have no canine target-animal safety dossier.

Clinical practicality4.0/10

A whole-only 500 mg tablet matches approximately 25-33 kg at the studied 15-20 mg/kg oral exposure, but is poorly measurable for many patients and the regimen may require dosing every 8 hours. Crushing does not validate an unmeasured powder fraction; use a measurable alternative for other doses.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with active intravascular clotting or a current thromboembolic event. An antifibrinolytic can stabilize an unwanted thrombus as well as a haemostatic clot.
  • Tranexamic acid is not a universal haemostatic. Do not delay surgical or procedural source control, resuscitation, diagnostic coagulation assessment or indicated blood-component therapy while giving it.
  • Tranexamic acid is predominantly renally eliminated. Check renal function and hydration and reduce exposure or extend the interval when clearance is impaired; accumulation increases neurologic and thrombotic risk.
  • Use cautiously in patients with a seizure history or neurologic disease. Stop and reassess for myoclonus, twitching, altered mentation or seizures, particularly with high or accumulated exposure.
  • Concurrent prothrombotic products or a strongly hypercoagulable state may add thromboembolic risk. Document the rationale and monitor when combining with coagulation-factor concentrates or other haemostatic drugs.
  • Nausea and vomiting are clinically relevant and can be dose- or administration-rate related; protect the airway in obtunded patients and reassess repeated emesis, aspiration risk or inability to retain oral doses.
  • Stop immediately for suspected hypersensitivity, facial swelling, bronchospasm, collapse or anaphylaxis. A rare canine anaphylactic reaction has been reported and exact human products lack target-animal pharmacovigilance.
  • This exact 500 mg tablet is recorded as whole-only. Do not estimate a smaller dose from an unmeasured fraction of crushed powder; use an accurately measurable formulation when 500 mg is not the intended unit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Coated tablet
Administration route
By mouth
Registration
Georgia Yes, human
In force until 19 Dec 2030
Human (Ministry of Health, RAMA)
In the register: ტრავოზალი 500 მგ, აბი
№ რ-044516
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.