What percentage of tranexamic acid is effective for hyperpigmentation?

Author: Mr. Art Cole V  |  Last update: Sunday, May 18, 2025

Results from a 12-week single-center clinical study in 55 Brazilian females revealed that a novel topical facial serum containing 3% tranexamic acid, 1% kojic acid, and 5% niacinamide was effective in treating mild-to-moderate PIH, with a significant decrease in MI at week 12 compared to baseline and control group.

Is 2% tranexamic acid effective?

Tranexamic acid targets uneven skin tone and hyperpigmentation, meaning it's ideal for improving the appearance of acne scars. CAN I USE TRANEXAMIC ACID AND NIACINAMIDE TOGETHER? Yes, it is suitable to layer with Niacinamide and all other ingredients in your AM or PM skincare routine.

What is the best concentration of tranexamic acid?

Typical Use Level: 1-3%: Tranexamic Acid is typically used at concentrations of 1-3% in skincare formulations. This range is effective in delivering its skin-brightening and anti-pigmentation benefits while maintaining safety and minimizing the risk of irritation.

How long does tranexamic acid take to reduce hyperpigmentation?

Oral tranexamic acid treatment benefits maximize after taking it for eight to twelve weeks.

How much tranexamic acid for hyperpigmentation?

Oral tranexamic acid dosages for hyperpigmentation typically fall on the lower end of the dosage spectrum compared to those given for bleeding disorders. However, within this lower range is a sub-range, normally ranging from 500mg to 1500mg per day.

HYPERPIGMENTATION - How To Use Azelaic Acid and Tranexamic Acid for Dark Spots

Why is my tranexamic acid not working?

If you take the wrong dose, Tranexamic Acid Tablets may not work as well and your problem may not improve. Swallow Tranexamic Acid Tablets with a full glass of water, with or without food. Your doctor will tell you how much to take and how long to take the tablets.

Is 3% tranexamic acid enough?

Several studies have confirmed the efficacy of topical TXA in treating hyperpigmentation, identifying optimal concentrations between 2% and 5%, with no reported serious adverse effects [8,10,11,12].

Which acid is best for hyperpigmentation?

Salicylic acid

It is an exfoliating agent that removes dark spots and acne-causing bacteria along with dead skin cells that can lead to pigmentation. However, you need to be patient while using salicylic acid to treat hyperpigmentation.

What not to mix with tranexamic acid?

Most frequently checked interactions
  • Acetylsalicylic Acid (aspirin)
  • Adderall (amphetamine / dextroamphetamine)
  • Adrenalin (epinephrine)
  • Benadryl (diphenhydramine)
  • Claritin (loratadine)
  • Cymbalta (duloxetine)
  • Fish Oil (omega-3 polyunsaturated fatty acids)
  • Iron Sulfate (ferrous sulfate)

What percentage of tranexamic acid works?

It can be used alongside other ingredients like niacinamide, hyaluronic acid, retinoids and Vitamin C. What Percentage Of Tranexamic Acid Is Good For Skin? In skincare formulations, we typically see tranexamic acid serums in concentrations ranging from 2% to 5%.

Which is better for hyperpigmentation, tranexamic acid or vitamin C?

Results: At the end of 8 weeks, MASI, PGA and PtGA showed improvement with both tranexamic acid and vitamin C. However the improvement was more with tranexamic acid than with vitamin C, although not statistically significant.

How to use tranexamic acid for hyperpigmentation?

We recommend applying tranexamic acid once per day when you just start using it, and up to a maximum of two times per day if your skin is tolerating active ingredients well. This is to avoid overloading your skin barrier and potentially causing skin irritation.

What are the disadvantages of tranexamic acid on skin?

The most common potential side effects are listed below. Though reported instances are rare, tranexamic acid can cause allergic reactions, such as itching, swelling, hives, or a rash.

Which tablet is best for pigmentation?

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Which acid is best for skin whitening?

Glycolic Acid

It is an alpha-hydroxy acid (AHA) derived from sugarcane. In low concentrations, glycolic acid produces desquamation of pigmented skin cells. About 30 to 70 per cent of glycolic acid can enhance the penetration of other skin lighteners such as HQ.

What is the new acid for hyperpigmentation?

One of the newest topical pigment-lightening ingredients in the OTC realm is tranexamic acid.

Is azelaic acid better than tranexamic acid for hyperpigmentation?

Are you confused about whether tranexamic acid or azelaic acid is better for dark spots and discoloration? Ultimately, choosing the best of these two acids comes down to personal preference and skin tolerance, because both are relatively gentle options that offer exceptional support for minimizing hyperpigmentation.

How long does it take for tranexamic acid to work for hyperpigmentation?

HOW LONG DOES TRANEXAMIC AICD TAKE TO WORK ON HYPERPIGMENTATION? Products can take up to six weeks to show full results, due to the time it takes for your skin cells to turnover and the results of any products to reach the surface.

What is a natural alternative to tranexamic acid?

Additionally, a systematic review of three clinical trials found that ginger capsules and myrtle fruit syrup significantly reduced menstrual duration and blood loss compared to a placebo 4. Pomegranate flower capsules were also as good as tranexamic acid at reducing blood loss 4.

Which is better, niacinamide or tranexamic acid?

Niacinamide is also known for its anti-inflammatory properties which makes it useful for those with acne prone or sensitive skin. Tranexamic acid is more effective for deeper and more stubborn hyperpigmentation such as melasma. Good news though is that Niacinamide and Tranexamic acid can work well together.

What is the success rate of tranexamic acid?

Tranexamic acid reduced the amount of blood loss by 40% to 50% for each menstrual cycle [19], translating to an average reduction of 80.32 mL/cycle (95% CI, 32.98-127.67 mL) [5].

What not to do when taking tranexamic acid?

Do not chew or break tranexamic acid tablets. Swallow the whole tablet. Tranexamic acid will not stop your period, but it will likely decrease the amount of bleeding by about one-third.

Is there an alternative to tranexamic acid?

Are there similar medicines to tranexamic acid? There are other medicines that are used to stop bleeding. However, they do not work in the same way as tranexamic acid. Etamsylate can be prescribed for heavy periods, but it may not work as well as tranexamic acid and it's not licensed as a medicine in the UK.

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