1.Femic contains the active substance tranexamic acid and belongs to a group of medicines called anti-fibrinolytic drugs. These are used to stop or reduce unwanted bleeding. When you bleed your body forms clots to stop the bleeding. In some people these break down causing too much bleeding. Femic stops these clots dissolving and so reduces unwanted bleeding.

Femic is used to prevent or reduce bleeding for a short period of time in many different conditions. You may have been prescribed it for one of the following:

• Following prostate surgery (post-prostatectomy)


• Following bladder surgery


• Heavy periods (menorrhagia)


• Nose bleeds (epistaxis)


• Cervical surgery (conisation of the cervix)


• Bleeding inside the eye (traumatic hyphaema)


• Tooth removal (dental extraction) in haemophiliacs (people who bleed more easily than normal). You will know if this refers to you


• A hereditary disease called angioneurotic oedema (HANO). A doctor will have told you if you have this.

Do not take Femic if:

• You are allergic to tranexamic acid or any of the other ingredients of this medicine (listed in section 6).


• You have serious problems with your kidneys (kidney failure)


• You have or have ever had a blood clot in your blood vessels (called a `thrombosis’)


• You have a history of convulsions


• You are at risk of excessive bleeding as a result of a bleeding disorder called consumption coagulopathy

If any of the above applies to you talk to your doctor or pharmacist.

Warnings and precautions
Talk to your doctor or pharmacist before taking Femic if:

• You have blood in your urine


• You have ever had any uncontrollable bleeding


• You have disseminated intravascular coagulation (DIC), a disease where your blood starts to clot throughout your body


• You have been taking medicine to treat a hereditary disease called angioneurotic oedema (HANO) every day for a long time. If so, you may need to have regular eye tests and blood tests to check your liver is working properly


• You are a woman with irregular periods


• You or your family have a history of blood clots in your blood vessels (called a `thrombosis’)


• Anyone in your family has suffered from blood clots in their blood vessels


• You have kidney disease.

Other medicines and Femic
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, in particular the following:

• Fibrinolytic drugs (used to help dissolve blood clots), such as streptokinase. This is because Femic will stop these drugs working


• Oral contraceptives. These may increase the risk of blood clots forming

Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Important:
Your doctor will choose the dose that is right for you. Your dose will be shown clearly on the label that your pharmacist puts on your medicine. If it does not, or you are not sure, ask your doctor or pharmacist.

Remember: Your medicine should always be taken with a glass of water. The tablets should be swallowed whole. Do not crush or chew them.

Use in adults and the elderly:

• The usual dose is 2 or 3 tablets taken two to three times daily


• The exact dose you take will depend on why you have been prescribed these tablets


• Follow your doctor’s instructions about how many tablets to take, when to take them and for how long.

 Use in children and adolescents:

• Your doctor will tell you exactly how much medicine you should give your child. They will work out the dose according to how much your child weighs.

 Use in patients with kidney problems:

• Your doctor will tell you how much to take. The dose you take may be lower than the usual adult dose.

 If you take more Femic than you should

• If you accidentally take too much of your medicine, immediately tell your doctor or go to the nearest hospital casualty department.


• Taking too much Femic may make you feel sick, be sick or be dizzy or light-headed upon standing.

If you forget to take Femic

• Do not take a double dose to make up for a missed dose. Simply take the next dose as planned.


• If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

• Like all medicines, this medicine can cause side effects, although not everybody gets them.

Eye disorders
Rare (affects 1 to 10 users in 1,000)

• Problems with your eyesight, especially your colour vision.


• A blood clot in your eye. This may cause bleeding in the eye, or a loss of vision

Immune system disorders
Very rare (affects less than 1 user in 10,000)

• This includes allergic reactions which cause difficulty in breathing or dizziness.

Vascular disorders
Very rare (affects less than 1 user in 10,000)

• A blood clot in your blood vessels (called a `thrombosis’).

Gastrointestinal disorders
Very rare (affects less than 1 user in 10,000)

• Feeling sick


• Being sick


• Diarrhoea

These are usually mild and pass very quickly, but if they continue, tell your doctor or pharmacist.

Skin and subcutaneous tissue disorders
Rare (affects 1 to 10 users in 1,000)

• Itchy, red or swollen skin

Nervous system disorders
Frequency not known (cannot be estimated from the available data)

• Convulsions, particularly in cases of misuse

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.

Keep out of the reach and sight of children.
Store below 30°C.
Do not use this medicine after the expiry date which is stated on the label and carton. The expiry date refers to the last day of that month.
Do not throw away any medicines via wastewater or household waste. Ask the pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.