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Controlling Bleeding with Transexamic Acid
I have a case share. I have a patient who presented with Pericoronitis tooth number #1 and other impacted wisdom teeth. Medical history significant for von Willebrand‘s disease. I had a difficult time getting a medical status update from her PCP. Upon questioning the patient, it looks like a bleeding issues haven’t been too severe for her. However, I was concerned because my treatment plan included the removal of all four impacted wisdom teeth.
In this case, I modified my prescribing regiment to include 650 mg of transexamic acid in addition to analgesic medication. (Sig: instructed to take three times a day for up to four days.)
Tranexamic acid is a synthetic antifibrinolytic medication that prevents excessive bleeding by inhibiting the breakdown of fibrin, essential for blood clot formation.
I had the patient take her first dose of transexamic acid with her oral sedatives one hour pre-op.
I was pleasantly surprised to observe the bleeding control we achieved immediately postop surgery referenced in the photos.
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