Good morning general physician

2026-09-02 06:28:10
If Dicynene injection is not available, So is it ok and safe to use tranexamic acid injection for Epistaxis ?
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Yes.

Answered2026-09-02 15:04:51

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Yes

Answered2026-09-02 12:44:56

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Yes

Answered2026-09-02 11:29:39

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Ok Inj Tranexamic acid can be used instead of Inj Dicynene inj.

Answered2026-09-02 11:13:33

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O yes

Answered2026-09-02 10:56:42

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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Answered2026-09-02 10:46:42

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Not the first line of rx Used only in severe and recurrent cases Local pressure With head bent Apply ice

Answered2026-09-02 10:37:27

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Yes, tranexamic acid is actually the better drug of the two for epistaxis - Dicynene (etamsylate) has weak evidence, while tranexamic works well for nosebleeds, including as local application on a soaked gauze pack. It should be avoided if there is a history of clots, DVT, stroke, kidney disease, or if she is on hormonal pills, so it is not a blind self-injection drug. But most nosebleeds do not need any injection at all - firm pinching of the soft part of the nose for 10 minutes with the head bent forward stops the majority.
Next Steps
Use pressure first; tranexamic only if a doctor clears it. If bleeding lasts beyond 20 minutes, is heavy from both nostrils, or she feels faint - go to the nearest emergency for nasal packing. Repeated nosebleeds need Hb, platelet count and clotting tests plus an ENT nasal check. Happy to review the case properly on a Practo consult.

Answered2026-09-02 10:04:27

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A proper consultation is needed to assess and guide treatment.

Answered2026-09-02 10:00:32

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Kindly connect and book online consultation from the Practo app. Happy you help and solve your concern

Answered2026-09-02 11:04:57

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Do consult

Answered2026-09-02 10:23:30

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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Answered2026-09-02 10:15:31

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