Medication Errors with Tranexamic Acid Injection: FDA
FDA is alerting health care professionals about the risk of inadvertent intrathecal administration with tranexamic acid injection, which may result in serious life-threatening injuries, including seizures, cardiac arrhythmias, paraplegia, permanent neurological injury, and death. “In most of the cases reported to FDA, tranexamic acid injection was erroneously administered instead of the intended intrathecal anesthetic (e.g., bupvicaine injection) for neuraxial anesthesia,” a drug safety alert says.
Tranexamic acid injection is an antifibrinolytic indicated in patients with hemophilia for short-term use (two to eight days) to reduce or prevent hemorrhage and reduce the need for replacement therapy during and following tooth extraction. Health care professionals should administer tranexamic acid injection by intravenous route, the alert says. It is supplied in single-dose ampules and single-dose vials containing 1,000 mg tranexamic acid in 10 mL and is available as a generic drug product and under Pfizer’s proprietary name Cyklokapron.