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NEXAG 1.000 MG COATED GRANULES IN SACHETS

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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 NEXAG 1.000 MG COATED GRANULES IN SACHETS

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Nexag 1,000mg coated granules in sachets

tranexamic acid

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are possible side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Nexag and what is it used for
  2. What you need to know before taking Nexag
  3. How to take Nexag
  4. Possible side effects
  5. Storage of Nexag
  6. Package Contents and Additional Information

1. What is Nexag and what is it used for

This medication is used to reduce heavy menstrual bleeding and should only be used when your menstrual cycle is regular, 21-35 days, with no more than 3 days of individual variability in duration, and you are over 15 years old.

It contains tranexamic acid, which prevents the action of the enzyme that dissolves blood clots. This results in less blood loss and a faster healing rate.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Nexag

Note that this medication should only be used if your menstrual cycles are regular and heavy. To be sure, the answer to the following two questions should be affirmative:

  1. Are your menstrual cycles regular, i.e., your menstrual cycle lasts between 21 and 35 days (with no more than 3 days of individual variability in duration)?
  2. Do you need to use double sanitary protection, pads plus tampons, or double pads to prevent bleeding through, or do you need to change your sanitary protection very often?

Do not take Nexag

  • if you are being treated for a blood clot, e.g., in the legs, lungs, or brain
  • if you have severe kidney failure
  • if you have a history of seizures (attacks or crises)
  • if you are taking a combined hormonal contraceptive ("the pill", vaginal ring, or patch)
  • if you are allergic to tranexamic acid or any of the other ingredients of this medication (listed in section 6).

Warnings and Precautions

Consult your doctor before taking this medication if:

  • Your menstrual cycles are irregular
  • You have ever had a blood clot and your parents or siblings have had a blood clot
  • You have had blood in your urine between menstrual cycles
  • You have kidney failure.

If you experience heavy bleeding while using combined hormonal contraceptives ("the pill", vaginal ring, or patch), you should not start taking tranexamic acid; consult your healthcare professional.

Heavy menstrual bleeding can be caused by uterine diseases, e.g., fibroids or polyps.

If they are treated, heavy menstrual bleeding is reduced. If in doubt, you should ask your gynecologist.

Regular gynecological check-ups are recommended.

Children and Adolescents

There is no clinical experience with tranexamic acid in menorrhagic girls under 15 years of age.

Other Medications and Nexag

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

If this medication is taken at the same time as anticoagulant medications, it may affect the way this medication or the anticoagulants work.

Pregnancy and Breastfeeding

This medication is indicated for regular heavy menstrual bleeding and is not intended for use during pregnancy. The impact of breastfeeding on the infant appears unlikely at therapeutic doses. Ask your doctor or pharmacist for advice if you are breastfeeding.

Driving and Using Machines

Side effects have been reported that may affect your ability to drive and use machines. If you feel dizzy or have vision problems, do not drive or use machines until the symptoms have passed.

Nexag contains sucrose.

If your doctor has informed you that you have an intolerance to some sugars, contact them before taking this medication.

3. How to Take Nexag

Follow the administration instructions for this medication exactly as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

The coated granules can be taken with a glass of water.

Treatment should be started when your menstrual cycle begins. The recommended dose for adult women and adolescents over 15 years old is 1 sachet 3 times a day as needed, for a maximum of 4 days. It is possible to increase the dose if the bleeding is very heavy. Do not use more than 4 sachets per day (1 sachet every 6 to 8 hours). Your doctor may prescribe a different dose.

If the effect (reduction of bleeding) has not occurred after the first day, discontinue treatment and discuss it with your doctor.

If you take more Nexag than you should

If you have taken more medication than you should, or if children have taken the medication accidentally, contact your doctor or hospital for advice on the risk and measures to take. Signs of an overdose may include dizziness, headache, nausea, diarrhea, hypotension, myopathy, and seizures. It may include a risk of thrombosis if you are predisposed.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.

If you forget to take Nexag

Do not take a double dose to make up for the forgotten dose.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

Common(may affect up to 1 in 10 people): nausea, vomiting, diarrhea, stomach pain, headache, dizziness. These side effects are usually mild and transient.

Uncommon(may affect up to 1 in 100 people): allergic skin reaction.

Rare(cannot be estimated from the available data): cases of blood clots, changes in color vision, and other vision problems, seizures.

If the effect of this medication is not sufficient or if you do not tolerate this medication, there are other methods to treat heavy menstrual bleeding. Contact your gynecologist, who will inform you about these methods.

Reporting Side Effects

If you experience side effects, consult your doctor or pharmacist, even if they are possible side effects not listed in this package leaflet. You can also report side effects directly through the national reporting system included in the Spanish Medicines Surveillance System for Human Use: www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Nexag

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date stated on the packaging after CAD. The expiration date refers to the last day of that month.

This medication does not require special storage conditions.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and unused medications at the SIGRE point in the pharmacy. Ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Nexag Composition

  • The active substance is tranexamic acid. Each sachet contains 1,000 mg of tranexamic acid.
  • The other ingredients are: sugar spheres (sucrose, cornstarch), povidone K30 (E1201), sucralose (E955), colloidal anhydrous silica (E551), 30% polyacrylate dispersion, talc (E553B).

Appearance of the Product and Package Contents

Coated granules in sachets (low-density polyethylene (PEBD)/aluminum/PEBD/paper).

White to off-white coated granules.

12 sachets

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Cemag Care

55 rue de Turbigo

75003 Paris

France

Manufacturer

Inpharmasci

Z.I. n°2 Prouvy-Rouvignies,

1 Rue Nungesser,

59121 Prouvy

France

This medication is authorized in the Member States of the European Economic Area under the following names:

Spain Nexag 1000 mg coated granules in sachets

France Haima 1000 mg, coated granules in sachets

Italy Nexag

Netherlands Nexag 1000 mg, coated granules in sachets

Portugal Nexag 1000 mg, coated granules in sachets

Sweden Nexag

Date of the Last Revision of this Package Leaflet: 04/2024

Other Sources of Information

Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.gob.es/)

Online doctors for NEXAG 1.000 MG COATED GRANULES IN SACHETS

Discuss questions about NEXAG 1.000 MG COATED GRANULES IN SACHETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Doctor

Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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€80
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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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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Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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€55
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Doctor

Bulat Garipov

General medicine 15 years exp.

Dr. Bulat Garipov is a radiologist with more than 15 years of experience, specializing in magnetic resonance imaging (MRI). Throughout his professional career, he has worked in leading diagnostic imaging centers, both in on-site practice and teleradiology, which has allowed him to develop a broad and versatile approach to radiology.

Over the years, he has gained solid experience in interpreting MRI studies in various areas, including:

  •  Neuroimaging
  •  Musculoskeletal system (MSK)
  •  Angiography
  •  Abdomen and pelvis
  •  Soft tissues

Additionally, Dr. Garipov is open to new collaboration opportunities in radiology and teleradiology projects. He offers his expertise in MRI, providing both first and second readings of studies, as well as advanced image interpretation, ensuring accurate and high-quality diagnostics.

You could consult Dr. Bulat Garipov in cases where accurate interpretation of MRI studies or a second expert opinion is required. His expertise is especially valuable in cases of suspected neurological conditions, back and joint pain, vascular disorders, as well as in the diagnosis of abdominal and pelvic diseases. The doctor also provides support in complex or unclear clinical situations, including the review of previously performed studies, which helps improve diagnostic accuracy and determine the optimal treatment strategy. A teleradiology format is available, allowing you to receive a professional opinion remotely.

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€60

Frequently Asked Questions

Is a prescription required for NEXAG 1.000 MG COATED GRANULES IN SACHETS?
NEXAG 1.000 MG COATED GRANULES IN SACHETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in NEXAG 1.000 MG COATED GRANULES IN SACHETS?
The active ingredient in NEXAG 1.000 MG COATED GRANULES IN SACHETS is tranexamic acid. This information helps identify medicines with the same composition but different brand names.
Who manufactures NEXAG 1.000 MG COATED GRANULES IN SACHETS?
NEXAG 1.000 MG COATED GRANULES IN SACHETS is manufactured by Cemag Care. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of NEXAG 1.000 MG COATED GRANULES IN SACHETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether NEXAG 1.000 MG COATED GRANULES IN SACHETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to NEXAG 1.000 MG COATED GRANULES IN SACHETS?
Other medicines with the same active substance (tranexamic acid) include TRANEXAMIC ACID APC INSTYTUT 500 mg FILM-COATED TABLETS, TRANEXAMIC ACID BAXTER 100 mg/mL INJECTABLE SOLUTION, TRANEXAMIC ACID ZENTIVA 500 mg FILM-COATED TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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