Online consultation and prescription
Tranexamic Acid Online Consultations and Prescription Fees
Swift Clinic offers Transamin tablets (tranexamic acid) as an oral medicine for cosmetic care. During an online consultation, a doctor reviews your skin concerns, medical history and current medicines to determine whether a prescription is appropriate.
Using prescription Transamin for melasma is off-label in Japan. See tranexamic acid: effects, side effects and how to take it for its uses and detailed precautions.
Tranexamic acid — JPY 2,400 (90 tablets; listed as a 1-month supply). Swift Clinic offers Transamin tablets (tranexamic acid) as an oral medicine for cosmetic care. During an online consultation, a doctor reviews your skin concerns, medical history and current medicines to determine whether a prescription is appropriate.
- Medicine fee
- JPY 2,400 (90 tablets; listed as a 1-month supply)
- Active ingredient
- Tranexamic acid
- Dosage form
- Tablets
- Brand
- Transamin
Tranexamic acid prescription fees
| Medicine | Quantity and the period stated by our clinic | Medicine price, including tax |
|---|---|---|
| Transamin tablets (tranexamic acid) | 90 tablets; listed as a 1-month supply | JPY 2,400 |
This medicine price is based on our oral cosmetic medicines information (Japanese) and price list (Japanese). Follow your doctor’s instructions for the actual dose and prescribed quantity. At your consultation, confirm the final amount payable, including consultation and delivery, as well as the medicine strength, dose per administration and quantity prescribed.
About the Transamin available at our clinic
Transamin is a prescription medicine containing tranexamic acid. Its approved uses in Japan include certain types of bleeding and symptoms associated with inflammation, but not melasma. When treating melasma, we discuss its off-label status and risks. PMDA: Japanese Transamin prescribing information
How to take it and continuing treatment
Follow the instructions provided during your consultation and on the medicine bag for the dose, frequency and timing. Do not increase the dose yourself. Some over-the-counter products contain the same ingredient, so check before combining them.
If your skin changes little or your symptoms change, consult your doctor instead of increasing the medicine. Whether to continue and for how long should also be reviewed during the consultation. See basic administration guidance and evaluating effects and discussing when to stop.
About its effects
Comparative trials have studied oral tranexamic acid for melasma. However, the products, doses and participant results in those studies cannot be directly applied to each person treated at our clinic. A study of effects on melasma
There are different types of pigmentation, so it is important to establish whether it is melasma. The same effect should not be assumed for all dark spots or acne marks. Prescribing for melasma is off-label, and neither the degree nor timing of improvement is guaranteed. See differences in uses and treatment of melasma and melasma versus other pigmentation.
Side effects and precautions
Nausea, diarrhoea, heartburn, loss of appetite, rash, itching and drowsiness may occur. Particular assessment is needed for people with reduced kidney function or receiving dialysis. Convulsions have been reported in dialysis patients.
Tell your doctor if you have blood clots, are at risk of thrombosis, or are confined to bed for a prolonged period after surgery. The medicine may stabilise blood clots, so decisions must take your medical history into account. Prescribing information §§9 and 11
If you develop sudden breathlessness, severe chest pain, or sudden swelling of the lips, tongue or throat while taking it, seek emergency medical care rather than waiting for a routine online appointment. NHS: side effects and when to seek emergency care
Other changes in your health are also covered in symptoms requiring stopping treatment or urgent medical attention. Do not endure symptoms and simply continue; contact the healthcare provider that prescribed the medicine.
Medicines and health conditions to review before prescribing
The medicine must not be administered to people using thrombin. Tell your doctor about all medicines you use, including other medicines affecting haemostasis, hormonal medicines such as contraceptive pills, and over-the-counter products. Kidney disease, drug allergies, possible pregnancy and breastfeeding also need to be reviewed. A prescription may not be appropriate following the assessment. Prescribing information §§2, 9 and 10
See when it cannot be used and medicine interactions and pregnancy and breastfeeding.
Differences from over-the-counter melasma medicines
Over-the-counter products containing tranexamic acid and prescription Transamin are not the same product. Their ingredient combinations and administration differ. Approval of an over-the-counter melasma product in Japan does not establish a melasma indication for prescription Transamin. Check the ingredients before taking them together. Manufacturer: Transino EX package insert
Off-label use
Transamin itself is a prescription medicine approved in Japan, but use for melasma is outside its approved indications. A doctor determines whether prescribing is appropriate after reviewing not only the expected effects but also risks such as blood clots and other medicines being used.
Frequently asked questions
Are 90 tablets always a 1-month supply?
Our clinic lists them as a 1-month supply, but the dose must be confirmed for your prescription. Follow the medicine bag and your doctor’s instructions.
Can I seek a consultation if I take a contraceptive pill?
Tell the doctor the product name and how you take it. Your history and risk of blood clots will also be reviewed. Consult your doctor rather than stopping the pill on your own.
Can I take it with an over-the-counter sore throat medicine?
Some products contain tranexamic acid. Provide the product name or ingredient information so that duplicate ingredients can be checked.
How should I store the medicine?
Transamin is stored at room temperature. Follow the precautions on the medicine bag and packaging supplied with your prescription. See storage guidance.
Does JPY 2,400 include consultation and delivery?
JPY 2,400 is the medicine price for 90 Transamin tablets. Confirm the final amount payable, including consultation and delivery, at your consultation.
Will Transamin always be prescribed if I request it?
A doctor decides after reviewing your skin, medical history including blood clots, and other medicines. Not all pigmentation is melasma, and the assessment may mean the medicine cannot be prescribed.
Information current as of 2026-10-08. All treatments at our clinic are self-funded and are not covered by Japanese public health insurance. Diagnosis and prescribing require a medical consultation.
Online consultation and delivery process
- Make an appointment through online booking (English).
- After booking, use the questionnaire link provided in your booking confirmation to enter your skin concerns, medical history and current medicines.
- During the consultation, review the explanation of off-label use, whether a prescription is appropriate, and how to take the medicine with the doctor.
- If prescribed, confirm the fees and delivery information. Use the delivered medicine according to the instructions provided with the prescription.
What to prepare before your consultation
- Your skin concerns, when they began and how they have changed
- Medical history such as blood clots or kidney disease, and pregnancy or breastfeeding status
- Names or ingredient labels of current products, including prescription medicines, contraceptive pills, over-the-counter sore throat medicines and melasma products
Online consultation information / Read more about tranexamic acid
A doctor determines whether a prescription is appropriate.
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