Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian experts

Melasma, a chronic pigmentary skin condition mainly affecting the face, remains a challenge despite the availability of several options for treatment. Many melasma patients are not satisfied with treatment outcomes. Tranexamic acid (TXA), an anti-fibrinolytic drug has shown promising results in pati...

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Main Authors: Kiran Godse, Rashmi Sarkar, Venkataram Mysore, Manunath M Shenoy, Manas Chatterjee, Rajetha Damisetty, Swapnil Shah, Maya Vedamurthy, Sanjeev Aurangabadkar, Chakravarthi Srinivas, Anil Ganjoo, Sudip Das, Anant Patil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=2;spage=178;epage=185;aulast=Godse
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author Kiran Godse
Rashmi Sarkar
Venkataram Mysore
Manunath M Shenoy
Manas Chatterjee
Rajetha Damisetty
Swapnil Shah
Maya Vedamurthy
Sanjeev Aurangabadkar
Chakravarthi Srinivas
Anil Ganjoo
Sudip Das
Anant Patil
author_facet Kiran Godse
Rashmi Sarkar
Venkataram Mysore
Manunath M Shenoy
Manas Chatterjee
Rajetha Damisetty
Swapnil Shah
Maya Vedamurthy
Sanjeev Aurangabadkar
Chakravarthi Srinivas
Anil Ganjoo
Sudip Das
Anant Patil
author_sort Kiran Godse
collection DOAJ
description Melasma, a chronic pigmentary skin condition mainly affecting the face, remains a challenge despite the availability of several options for treatment. Many melasma patients are not satisfied with treatment outcomes. Tranexamic acid (TXA), an anti-fibrinolytic drug has shown promising results in patients with melasma. Evidence from several clinical studies has surfaced on efficacy and tolerability of TXA in these patients. It can be used as monotherapy or adjuvant with other therapies. Currently, there is no published consensus or guideline document for its use in the treatment of melasma. TXA is available for oral use, topical use as well as an injection. In this article, a consensus of Indian experts is prepared based on the available literature and experience with use of oral TXA in melasma. This review article might help clinicians for use of oral TXA appropriately while treating melasma.
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spelling doaj.art-757d4a6817994631a694972390c7e4bb2023-05-18T05:46:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112023-01-0168217818510.4103/ijd.ijd_266_22Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian expertsKiran GodseRashmi SarkarVenkataram MysoreManunath M ShenoyManas ChatterjeeRajetha DamisettySwapnil ShahMaya VedamurthySanjeev AurangabadkarChakravarthi SrinivasAnil GanjooSudip DasAnant PatilMelasma, a chronic pigmentary skin condition mainly affecting the face, remains a challenge despite the availability of several options for treatment. Many melasma patients are not satisfied with treatment outcomes. Tranexamic acid (TXA), an anti-fibrinolytic drug has shown promising results in patients with melasma. Evidence from several clinical studies has surfaced on efficacy and tolerability of TXA in these patients. It can be used as monotherapy or adjuvant with other therapies. Currently, there is no published consensus or guideline document for its use in the treatment of melasma. TXA is available for oral use, topical use as well as an injection. In this article, a consensus of Indian experts is prepared based on the available literature and experience with use of oral TXA in melasma. This review article might help clinicians for use of oral TXA appropriately while treating melasma.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=2;spage=178;epage=185;aulast=Godseadverse eventanti-fibrinolytic agentevidencetreatment outcome
spellingShingle Kiran Godse
Rashmi Sarkar
Venkataram Mysore
Manunath M Shenoy
Manas Chatterjee
Rajetha Damisetty
Swapnil Shah
Maya Vedamurthy
Sanjeev Aurangabadkar
Chakravarthi Srinivas
Anil Ganjoo
Sudip Das
Anant Patil
Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian experts
Indian Journal of Dermatology
adverse event
anti-fibrinolytic agent
evidence
treatment outcome
title Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian experts
title_full Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian experts
title_fullStr Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian experts
title_full_unstemmed Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian experts
title_short Oral tranexamic acid for the treatment of melasma: evidence and experience-based consensus statement from Indian experts
title_sort oral tranexamic acid for the treatment of melasma evidence and experience based consensus statement from indian experts
topic adverse event
anti-fibrinolytic agent
evidence
treatment outcome
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=2;spage=178;epage=185;aulast=Godse
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