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Exacil

Exacil

Ask a doctor about a prescription for Exacil

5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Exacil

Package Leaflet: Information for the Patient

EXACYL, 100 mg/ml, Solution for Injection

Tranexamic Acid

Read the package leaflet carefully before using the medicine, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet

  • 1. What is Exacyl and what is it used for
  • 2. Important information before using Exacyl
  • 3. How to use Exacyl
  • 4. Possible side effects
  • 5. How to store Exacyl
  • 6. Contents of the pack and other information

1. What is Exacyl and what is it used for

Exacyl contains tranexamic acid, which belongs to a group of medicines called antifibrinolytics, anti-haemorrhagics, and amino acids.
Exacyl is used in adults and children over 1 year of age to prevent and treat bleeding caused by a process that prevents blood clotting, called fibrinolysis.
Detailed indications for use include:

  • Heavy menstrual bleeding in women
  • Gastrointestinal bleeding
  • Haemorrhagic disorders of the urinary tract following prostate surgery or surgical procedures in the urinary tract
  • Surgical procedures related to the ear, nose, and throat
  • Surgical procedures related to the heart, abdominal cavity, or gynaecological surgery
  • Bleeding after the use of other medicines that dissolve blood clots.

2. Important information before using Exacyl

When not to use Exacyl

  • if you are allergic to the active substance or any of the other ingredients of this medicine (listed in section 6)
  • if you have a disease that leads to the formation of blood clots
  • if you have a condition called "consumption coagulopathy" that causes blood clotting throughout the body
  • if you have kidney function disorders
  • if you have had seizures.

Due to the risk of cerebral oedema and seizures, it is not recommended to perform intrathecal and intraventricular injections and intracranial administration.
If any of the above applies to you, or if you are not sure whether the above text applies to you, you should talk to your doctor before taking Exacyl.

Warnings and precautions

Tell your doctor if any of the following apply to you, so that he can help you decide whether Exacyl is suitable for you:

  • If you have had blood in your urine, Exacyl may lead to urinary tract obstruction.
  • If you are at risk of blood clots.
  • If you have excessive blood clotting or bleeding throughout the body (disseminated intravascular coagulation), Exacyl may not be suitable for you, unless you have severe bleeding and blood tests have shown that the process that prevents blood clotting, called fibrinolysis, has been activated.
  • If you have had seizures, do not use Exacyl. Your doctor will use the smallest possible dose to avoid seizures in you after using Exacyl.
  • If you are being treated with Exacyl for a long time, you should be aware of possible vision disturbances and, if necessary, your doctor may recommend stopping treatment. During long-term use of Exacyl in the form of a solution for injection, regular ophthalmological examinations (eye examinations, including visual acuity, colour vision, fundus, visual field, etc.) are recommended. In the event of pathological changes in the eyes, especially retinal diseases, the doctor, after consulting a specialist, will decide individually in each case whether long-term use of Exacyl in the form of a solution for injection is necessary.

Exacyl and other medicines

Tell your doctor about all medicines you are taking, or have recently taken, and about medicines you plan to take, including those that are available without a prescription, vitamins, minerals, herbal medicines, and dietary supplements.
In particular, tell your doctor if you are taking:

  • other medicines that facilitate blood clotting, called antifibrinolytics
  • medicines that prevent blood clotting, called thrombolytics
  • oral contraceptives.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Tranexamic acid passes into human milk. Therefore, it is not recommended to use Exacyl during breastfeeding.

Driving and using machines

No studies have been conducted on the effects on the ability to drive and use machines.

3. How to use Exacyl

This medicine is given as a slow intravenous injection into one of your veins.
Your doctor will decide on the appropriate dose for you and how long you should take it.

Use in children

If Exacyl in the form of a solution for intravenous injection is given to children from 1 year of age, the dose will be calculated based on the child's body weight. Your doctor will decide on the appropriate dose for the child and how long it should be taken.

Use in elderly patients

Dose reduction is not necessary, unless there is evidence of renal impairment.

Use in patients with renal impairment

If you have kidney function disorders, the dose of tranexamic acid will be reduced according to the results of a blood test (serum creatinine level).

Use in patients with hepatic impairment

Dose reduction is not necessary.

Method of administration

Exacyl should be administered only as a slow intravenous injection.
Exacyl must not be injected intramuscularly.

Overdose

If you have been given too much Exacyl, you may experience dizziness, headache, transient hypotension, and seizures. Contact your doctor or nurse immediately.

Side effects

Like all medicines, Exacyl can cause side effects, although not everybody gets them.

Side effects reported during the use of Exacyl

During the use of Exacyl, the following side effects have been observed:
Frequent(may affect up to 1 in 10 people):

  • nausea, vomiting, diarrhoea.

Uncommon(may affect up to 1 in 100 people):

  • rash.

Frequency not known(frequency cannot be estimated from the available data):

  • malaise with hypotension (low blood pressure), usually after too rapid intravenous injection;
  • blood clots in different parts of the body;
  • seizures;
  • vision disturbances, including colour vision disturbances;
  • allergic reactions;
  • fixed drug eruption.

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181 C, 02-222 Warsaw, Tel.: + 48 22 49 21 301, Fax: + 48 22 49 21 309, e-mail:
[email protected]
Side effects can also be reported to the marketing authorisation holder or its representative in Poland.
Reporting side effects will help to gather more information on the safety of this medicine.

5. How to store Exacyl

Keep this medicine out of the sight and reach of children.
There are no special storage requirements, protect from light.
Do not use this medicine after the expiry date stated on the carton. The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Exacyl contains

  • The active substance is tranexamic acid.
  • The other ingredients are hydrochloric acid for pH adjustment, purified water.

What Exacyl looks like and contents of the pack

Colourless glass type I ampoules, placed in a cardboard box.
The pack contains 5 ampoules of 5 ml each.

Marketing authorisation holder

CHEPLAPHARM Arzneimittel GmbH
Ziegelhof 24
17489 Greifswald
Germany

Manufacturer

Sanofi Winthrop Industrie
1, rue de la Vierge
33440 Ambarès, France
Delpharm Dijon
6, boulevard de l’Europe
21800 Quetigny, France

Date of last revision of the leaflet:

Alternatives to Exacil in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Exacil in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 1000 mg
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Alternative to Exacil in Ukraine

Dosage form: solution, 100 mg/ml, 5 ml in ampoules
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Prescription required
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Manufacturer: TOV "Uria-Farm
Prescription required
Dosage form: solution, 500mg/5ml
Active substance: tranexamic acid
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Dosage form: tablets, 500 mg
Active substance: tranexamic acid
Manufacturer: TOV NVF "MIKROHIM
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Online doctors for Exacil

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Exacil – subject to medical assessment and local rules.

5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • High blood pressure and metabolic conditions such as diabetes.
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Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Areas of expertise:

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  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
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Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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