Can topical tranexamic acid be used for spontaneous epistaxis in otherwise healthy patients?
Can topical tranexamic acid be used for spontaneous epistaxis in otherwise healthy patients? Evidence-Based Answer: Possibly. Cotton nasal packing soaked with tranexamic acid solution appears to be more effective than epinephrine and lidocaine–soaked cotton packing for epistaxis treatment, whereas tranexamic acid gel is no better than placebo. Patient satisfaction is higher and emergency department length of stay is 2 hours less with tranexamic nasal packing (SOR: B, single RCTs).
Evidence Based Practice 18(8): E1