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If Dicynene injection is not available, So is it ok and safe to use tranexamic acid injection for Epistaxis ?
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Ok
Inj Tranexamic acid can be used instead of
Inj Dicynene inj.
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O yes
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Not the first line of rx
Used only in severe and recurrent cases
Local pressure With head bent
Apply ice
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Do consult
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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.
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A proper consultation is needed to assess and guide treatment.
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Dr. Dhrumil Jhaveri
General Practitioner
3 yrs exp
Mumbai
Kindly connect and book online consultation from the Practo app.
Happy you help and solve your concern
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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