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Tranexamic Acid

An ingredient studied in topical products for melasma and uneven pigmentation.

Sources: 1, 2, 3
This is general ingredient information, not medical advice. Product-specific limitations and unknowns are listed below.
Skin conditioning
Also known as

TXA, Trans-4-(aminomethyl)cyclohexanecarboxylic acid

Pregnancy

Not assessed

No pregnancy- or breastfeeding-specific assessment has been completed for this record. A cosmetic safety review is not a pregnancy rating.

Evidence

Limited evidence

Name on ingredient lists (INCI)

Tranexamic Acid

What it does

Some topical preparations have improved melasma scores in clinical studies. Melasma is recurrent and needs a broader assessment and sun-protection plan.

Sources: 1, 2, 3

Good for

  • Melasma care under an appropriate plan
  • Uneven pigmentation
Sources: 1, 2, 3

How to use it

Follow the finished topical product's directions. Seek clinical advice for persistent or changing pigmentation; do not use injectable or oral medicine as an improvised cosmetic.

Sources: 1, 2, 3

Who should be careful

Irritation or intolerance is possible. Oral tranexamic acid has a different medical risk assessment; a topical melasma trial does not establish pregnancy, breastfeeding or systemic safety.

Sources: 1, 2, 3

Pairs well with

No supported pairings have been documented for this record.

Usage, safety and formulation details

Mechanism of action

Its inhibition of plasminogen-related activity is relevant to proposed pigmentation pathways. A systemic antifibrinolytic mechanism does not establish the effect of every cosmetic serum.

Sources: 1, 2, 3

Potential adverse effects

Irritation or contact allergy may occur; stop a product that causes a persistent or marked reaction.

Sources: 1, 2, 3

Formulation considerations

Vehicle, delivery and the tested preparation matter. Do not treat oral, injected and topical tranexamic acid as interchangeable exposures.

Sources: 1, 2, 3

Pregnancy and breastfeeding

Not assessed

No pregnancy- or breastfeeding-specific assessment has been completed for this record. A cosmetic safety review is not a pregnancy rating.

Safety tags

Fragrance allergen
Not assessed

Not separately assessed in this draft.

Essential oil
Not assessed

Not separately assessed in this draft.

Drying alcohol
Not assessed

Not separately assessed in this draft.

May irritate sensitive skin
Not assessed

Not separately assessed in this draft.

What remains uncertain

  • Exact concentration, final pH and the full composition of any unprovided finished product
Clinical evidence and research (1 studies)

Clinical evidence

Evidence for its main benefit

Limited evidence

A cited study is entered below. Its formulation, exposure and limitations must be considered before applying the results to another product.

Sources: 1, 2, 3

Topical tranexamic acid versus hydroquinone for melasma: randomized study

Design
Randomized, single-blind active-comparator study
Population
100 participants with melasma in India
Studied concentration
5% topical tranexamic acid solution versus 3% hydroquinone cream
Duration
12 weeks

Melasma severity scores improved in both groups, without a statistically significant between-group difference in score reduction.

Limitations: Different vehicles, limited blinding and follow-up, and no vehicle-only arm. This does not establish equivalence, cure, oral-treatment safety or a universal cosmetic dose.

Randomised clinical trialSources: 1
Regulation and ingredient label names

Regulatory information

No jurisdiction-specific assessment is recorded. An inventory listing is not blanket approval.

Names on ingredient lists

tranexamic acid

Chemical identity and molecular structure

Chemical information

A closer look

Chemical structure

No single structure to show yet

A reviewed, unambiguous PubChem compound identifier is needed before a molecular diagram can be displayed.

DetailValueSource
InChIKeyGYDJEQRTZSCIOI-LJGSYFOKSA-NFDA GSRS: Tranexamic acid substance record (trans-defined, InChIKey GYDJEQRTZSCIOI-LJGSYFOKSA-N)
material scopeTranexamic acid is the trans isomer. An unspecified-stereochemistry PubChem entry is not used to generate a supposedly exact bond image in this draft.Topical tranexamic acid versus hydroquinone for melasma: randomized study

Content updated 9 November 2026.

Sources (3)

Scientific sources

  1. Topical tranexamic acid versus hydroquinone for melasma: randomized studyrandomized human trial · 2019
  2. PubChem: Tranexamic acid reference record and trans-isomer identitychemical identity
  3. FDA GSRS: Tranexamic acid substance record (trans-defined, InChIKey GYDJEQRTZSCIOI-LJGSYFOKSA-N)chemical identity

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Products with Tranexamic Acid

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