Tranexamic acid for angiotensin-converting enzyme inhibitor-induced angioedema. Pathak, G. N., Truong, T. M., Chakraborty, A., Rao, B., & Monteleone, C. Clinical and Experimental Emergency Medicine, 11(1):94–99, March, 2024.
doi  abstract   bibtex   
Approximately 0.7% of patients taking angiotensin-converting enzyme inhibitors (ACEIs) develop ACEI-induced angioedema (ACEI-IA). With no approved treatments for ACEI-IA, the risk of complications is concerning. Tranexamic acid (TXA) has the potential to prevent intubations and resolve ACEI-IA by inhibiting the downstream production of bradykinin. In this review, we aim to evaluate the safety and efficacy of TXA use in ACEI-IA. We queried the PubMed database for studies involving TXA for ACEI-IA from January 2003 to January 2023. Seven studies met the study inclusion criteria. Our results demonstrate that TXA may improve angioedema symptoms and prevent intubation. In addition, its availability, low cost, and safety profile support its use for improving the symptoms and complications of ACEI-IA in an emergency setting.
@article{pathak_tranexamic_2024,
	title = {Tranexamic acid for angiotensin-converting enzyme inhibitor-induced angioedema},
	volume = {11},
	issn = {2383-4625},
	doi = {10.15441/ceem.23.051},
	abstract = {Approximately 0.7\% of patients taking angiotensin-converting enzyme inhibitors (ACEIs) develop ACEI-induced angioedema (ACEI-IA). With no approved treatments for ACEI-IA, the risk of complications is concerning. Tranexamic acid (TXA) has the potential to prevent intubations and resolve ACEI-IA by inhibiting the downstream production of bradykinin. In this review, we aim to evaluate the safety and efficacy of TXA use in ACEI-IA. We queried the PubMed database for studies involving TXA for ACEI-IA from January 2003 to January 2023. Seven studies met the study inclusion criteria. Our results demonstrate that TXA may improve angioedema symptoms and prevent intubation. In addition, its availability, low cost, and safety profile support its use for improving the symptoms and complications of ACEI-IA in an emergency setting.},
	language = {eng},
	number = {1},
	journal = {Clinical and Experimental Emergency Medicine},
	author = {Pathak, Gaurav Nitin and Truong, Thu Minh and Chakraborty, Abhishek and Rao, Babar and Monteleone, Catherine},
	month = mar,
	year = {2024},
	pmid = {37525579},
	pmcid = {PMC11009700},
	keywords = {Angiotensin-converting enzyme inhibitors, Angiotensin-converting enzyme inhibitor–induced angioedema, Bradykinin-mediated angioedema, Drug-induced angioedema, Tranexamic acid},
	pages = {94--99},
}

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