Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Modern Dermatology
Tranexamic acid
Prescription only
Tranexamic acid prescribed online
Tranexamic acid is a tablet that clinicians use for stubborn melasma, alongside sun protection and creams. A Canadian-licensed medical professional checks your health history first and decides if it is right for you.
Start my assessmentAt a glance
- Oral tablet (tranexamic acid)
- For melasma that creams alone do not clear
- Clot risk checked before you start
Why Modern Dermatology
- Canadian-licensed medical professionals, 100% online
- Prescriptions sent to your pharmacy or delivered
- Follow-up and refills through your Care Team
Used forMelasmaPIH and PIE (marks after acne)
Tranexamic acid can raise the risk of blood clots. Get urgent care for chest pain, shortness of breath, a swollen or painful leg, sudden vision changes or a severe headache. Do not use it if you are pregnant.
Choosing the right plan for you
Your clinician sets the dose and the length of treatment. Courses are kept as short as possible and reviewed often. Sun protection and your usual melasma creams stay in your plan.
Considerations include
- Type and severity of melasma
- Past creams and how they worked
- Personal and family history of blood clots
- Hormonal birth control and other medicines
- Pregnancy plans and kidney health
How tranexamic acid works
Tranexamic acid calms the triggers of dark patches
Tranexamic acid blocks plasmin, a protein that breaks down blood clots. In the skin, plasmin also helps set off pigment cells. Blocking it may lower the signals that make those cells produce extra pigment.
It may also calm small blood vessels in the patches. Treatment is slow and works best with daily sun protection.
Modern Dermatology
Tranexamic acid
Prescription only
Recommended for
- Melasma that did not clear with creams
- Dark patches on the cheeks, forehead or upper lip
- Melasma that keeps coming back
- Adults with no personal history of blood clots
Your clinician reviews your skin and history, and confirms that this treatment is right for you before prescribing.
Blocks plasmin
Lowers a trigger of pigment cells
Reduces extra pigment
Patches lighten gradually
Calms small blood vessels
Less redness within the patch
Works with your creams
Adds to sun protection and topicals
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentYes, when it is appropriate for you. You fill in a short online intake, and a Canadian-licensed medical professional reviews it. Your clinician decides if tranexamic acid is right for you.
Tranexamic acid blocks plasmin, a protein that also helps trigger pigment cells in the skin. With less of that trigger, the cells make less extra pigment. This may lighten the patches over time.
Melasma changes slowly. Many people see a first change after several weeks, and more over a few months. Your clinician sets the length of treatment and reviews your progress.
Many people see lighter patches, but results vary. Melasma often returns with sun, heat or hormone changes. Daily sun protection and your maintenance creams help keep the gains.
Common effects are nausea, stomach cramps, headache and lighter periods. Rarely it can cause a blood clot. Get urgent care for chest pain, shortness of breath, a swollen painful leg or sudden vision changes.
People with a past or current blood clot, a clotting disorder or certain other conditions should not take it. Take extra care if you use estrogen-containing birth control, smoke, or have kidney disease. You must not use it during pregnancy. Your clinician checks all of this first.
Options include azelaic acid, hydroquinone and tretinoin, along with daily tinted sunscreen. These creams are often tried first. Your clinician chooses what fits your melasma and your health.
Yes, it is usually used along with sun protection and melasma creams. Tell your clinician about all your medicines, especially hormonal birth control, blood thinners and supplements. Some combinations raise the risk of clots.
Do not use it if you are pregnant or plan to be soon. Tranexamic acid passes into breast milk, so tell your clinician if you are breastfeeding. Your clinician can suggest safer options for melasma.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.
Yes. Cyklokapron is the brand name, and several generic tranexamic acid tablets are sold in Canada with the same active ingredient. Health Canada sets quality standards for generics. Your pharmacist can tell you which one they stock.
Your clinician decides if you need a refill, usually after a follow-up. Your Care Team sends the request to your pharmacy. Contact your Care Team before your supply runs out.
Safety checks during treatment
Clot risk screen
Your clinician reviews your history and medicines before you start.
Symptom check-ins
Report leg swelling, chest pain, vision changes or a severe headache right away.
Short, reviewed courses
Your clinician reviews your progress and decides when to stop.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Start my assessment
Related treatments
Your clinician can suggest another option when this one is not the right fit.
