The uses of tranexamic acid in dermatology: a review

Abstract Tranexamic acid is a plasmin inhibitor that is used off‐label for the treatment of melasma. The use of tranexamic acid has expanded in the field of dermatology based on its anti‐inflammatory and anti‐melanin‐producing properties, which include the treatment of rosacea, urticaria, and post‐inflammatory hyperpigmentation. Tranexamic acid may have more uses in dermatology that require future studies. It should be used with caution during the COVID‐19 pandemic given its procoagulant nature.