About This Treatment

Tranexamic acid is a well-studied oral medication originally used to reduce bleeding. In recent years, it has gained recognition in dermatology for its ability to fade stubborn hyperpigmentation such as melasma, sunspots and post-inflammatory hyperpigmentation. It works by reducing inflammation and blocking signals that trigger excess melanin production.

Tranexamic acid works by inhibiting the activity of plasmin, which helps reduce inflammation in the skin and interrupts the pathways that lead to melanin overproduction. This makes it especially helpful for treating pigment triggered by sun exposure, hormones or chronic inflammation.

It is often prescribed in low doses as a daily oral supplement and is generally well-tolerated. In some cases, topical or injectable forms may be used, but oral medication remains the most common approach for persistent hyperpigmentation.

How Does It Work?

• Reduces skin inflammation linked to hyperpigmentation

• Lightens stubborn discolouration over time

• Supports results of in-clinic treatments like lasers or microneedling

Key Benefits

• Effective for Melasma and Hormonal Hyperpigmentation
  Backed by clinical studies showing visible improvement in hyperpigmentation that resists topical treatments

• Safe for Long-Term Use Under Medical Supervision
  Prescribed in low doses with a favourable safety profile when monitored by a doctor

• Can Be Combined With Other Hyperpigmentation Treatments
  Complements laser and topical therapies for better and longer-lasting results

Other Oral Medications Commonly Used in Skin & Scalp Care

While tranexamic acid is specific to hyperpigmentation, other oral medications may be prescribed by doctors for related concerns such as acne or hair loss:

For Acne:

• Oral antibiotics (e.g. doxycycline, minocycline): Help reduce acne-causing bacteria and inflammation

• Spironolactone: Often prescribed for hormonal acne in women

• Isotretinoin (Roaccutane): A powerful option for severe acne, usually used short-term under strict medical
• supervision
• Zinc supplements: Support skin healing and reduce inflammation in some acne cases

For Hair Loss:

• Oral minoxidil: Encourages hair regrowth in both men and women

• Finasteride: Commonly prescribed for male pattern hair loss

• Iron or vitamin D supplements: May be used if deficiencies are contributing to hair thinning

• Biotin: Sometimes added for hair strength, although clinical evidence is mixed

These treatments are only recommended after a full consultation and blood work where necessary. Our doctors will assess whether oral medication is suitable and safe for each individual.