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, no. 08 (2015): E1