Pause-XT Tablet: Complete Guide to Uses, Dosage, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Sudden shortness of breath or chest pain
- Swelling, pain, or redness in one leg
- Severe headache with vision changes
- Blood in urine or stool
- Severe abdominal pain
- Signs of allergic reaction (rash, swelling of face or throat, difficulty breathing)
- Decreased urine output or painful urination
If experiencing severe symptoms, call emergency services immediately.
What is stalia-plus tablet used for?
This medicine is a combination of Tranexamic Acid and Tribasic Calcium Phosphate used to treat heavy menstrual bleeding. Tranexamic Acid reduces bleeding by preventing clot breakdown, while Tribasic Calcium Phosphate provides calcium and phosphate. It is taken orally, usually 1 tablet two to three times daily during menstruation, as prescribed by a doctor.
- Generic Name: Tranexamic Acid (500mg) + Tribasic Calcium Phosphate (144mg)
- Manufacturer: Wanbury Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 stalia-plus tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ट्रैनेक्सैमिक एसिड और ट्राइबेसिक कैल्शियम फॉस्फेट का संयोजन है, जिसका उपयोग महिलाओं में अत्यधिक मासिक धर्म रक्तस्राव (मेनोरेजिया) के इलाज के लिए किया जाता है। यह रक्त के थक्के बनने में मदद करती है और रक्तस्राव को कम करती है। यह दवा कैल्शियम और फॉस्फेट भी प्रदान करती है, जो हड्डियों के स्वास्थ्य के लिए आवश्यक हैं। इसका उपयोग डॉक्टर की सलाह के बिना नहीं करना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द और सिरदर्द शामिल हैं। गंभीर दुष्प्रभावों में रक्त के थक्के बनना, एलर्जी प्रतिक्रिया, और गुर्दे की पथरी शामिल हो सकते हैं। यदि आपको पैर में सूजन, सीने में दर्द, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। यदि आपको रक्त के थक्के बनने की समस्या, गुर्दे की बीमारी, या कोई रक्तस्राव विकार है, तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर की सलाह के बिना न लें। पर्याप्त पानी पिएं। दवा को ठंडी, सूखी जगह पर रखें।
💊 stalia-plus tablet Uses & Benefits
- [{"condition":"Heavy menstrual bleeding (menorrhagia)","description":"This medicine is used to reduce excessive menstrual blood loss in women with regular cycles.
- Tranexamic acid helps decrease bleeding by inhibiting clot breakdown, while calcium phosphate provides supportive minerals.","evidence":"Well-established"},{"condition":"Bleeding disorders","description":"It may be prescribed to manage bleeding in certain inherited or acquired bleeding disorders, such as von Willebrand disease or hemophilia, under specialist care.","evidence":"Established in specific cases"},{"condition":"Epistaxis (nosebleeds)","description":"Tranexamic acid in this combination can help control recurrent nosebleeds, though the calcium component is not directly involved in this effect.","evidence":"Limited"}]
Off-label uses: [{"condition":"Trauma-related bleeding","description":"Tranexamic acid has been studied for reducing bleeding in trauma patients, but this combination product is not specifically approved for that use.","evidence":"Limited"},{"condition":"Surgery prophylaxis","description":"Sometimes used off-label to reduce perioperative bleeding in certain surgeries, but the calcium phosphate component may not be necessary for this indication.","evidence":"Limited"}]
Primary treatment for: Heavy menstrual bleeding (menorrhagia)
Also treats: Bleeding disorders, Epistaxis
📋 Drug Information
| Generic Name(s) | Tranexamic Acid (500mg) + Tribasic Calcium Phosphate (144mg) |
| Brand Name | stalia-plus tablet |
| Manufacturer | Wanbury Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | BLOOD RELATED |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Tranexamic acid is included in the WHO Model List of Essential Medicines for the treatment of heavy menstrual bleeding and bleeding in trauma. However, the combination with tribasic calcium phosphate is not specifically mentioned in WHO guidelines. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) does not have specific guidelines for this combination product. Tranexamic acid is recognized for use in heavy menstrual bleeding as per standard gynecological practice in India. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with distinct mechanisms. Tranexamic Acid is a synthetic lysine analog that reversibly binds to plasminogen and plasmin, blocking their interaction with fibrin. This inhibits fibrinolysis, thereby stabilizing blood clots and reducing bleeding. Tribasic Calcium Phosphate serves as a source of calcium and phosphate ions, which are essential for bone mineralization and various metabolic functions. The combination does not have a synergistic mechanism for bleeding control; the calcium component is primarily nutritional.
Mechanism Steps
💡 How to Take stalia-plus tablet
Strength: Each tablet contains Tranexamic Acid 500mg and Tribasic Calcium Phosphate 144mg.
Dosage Information
| Adult Dosage | The usual adult dose for heavy menstrual bleeding is 1 tablet (Tranexamic Acid 500mg + Tribasic Calcium Phosphate 144mg) two to three times daily, depending on the severity of bleeding. For other bleeding disorders, the dose may vary. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced renal function and are at higher risk of side effects. Dose adjustment may be necessary based on renal function. Consult a doctor for appropriate dosing. |
| Renal Impairment | In patients with renal impairment, dose reduction is recommended. For creatinine clearance 30-60 mL/min, the dose may be reduced to 1 tablet twice daily. For creatinine clearance <30 mL/min, the dose may be reduced to 1 tablet once daily or as directed by a nephrologist. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution and under medical supervision. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 tablets (Tranexamic Acid 1500mg + Tribasic Calcium Phosphate 432mg) per day, unless otherwise directed by a doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of stalia-plus tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Heparin | Major | |
| Aspirin | Major | |
| Clopidogrel | Major | |
| Tretinoin (oral) | Major | |
| Alteplase | Moderate | |
| Thiazide diuretics | Moderate | |
| Calcium supplements | Moderate | |
| Antacids (Al/Mg) | Minor | |
| Iron supplements | Minor |
🚨 Major Interactions
- Anticoagulants (e.g., warfarin, heparin)
- Antiplatelet agents (e.g., aspirin, clopidogrel)
- Tretinoin (oral)
⚡ Moderate Interactions
- Thrombolytic agents (e.g., alteplase)
- Calcium supplements
- Thiazide diuretics
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal bleeding and can exacerbate the side effects of this medicine. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Active thromboembolic disease (e.g., deep vein thrombosis, pulmonary embolism)","History of arterial thrombosis (e.g., myocardial infarction, stroke)","Severe renal impairment (creatinine clearance
⚠️ Warnings & Precautions
["Use with caution in patients with a history of blood clots or cardiovascular disease.","Avoid in patients with severe kidney disease; dose adjustment may be needed.","Do not use for more than 5 days without medical advice.","May cause visual disturbances; avoid driving if affected.","Concurrent use with anticoagulants requires close monitoring.","Not recommended for use in pregnancy unless clearly needed.","Calcium phosphate may increase risk of kidney stones with prolonged use."]
🤱 Lactation Safety
Tranexamic acid is excreted in breast milk at low concentrations. It is generally considered safe for short-term use during breastfeeding, but consult your doctor before use. Calcium phosphate is a normal component of breast milk and is safe.
💊 Overdose Management
Overdose may cause nausea, vomiting, diarrhea, and increased risk of thrombosis. In case of overdose, seek immediate medical attention. Treatment is symptomatic and supportive. Hemodialysis may be considered in severe cases with renal impairment.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Inform your doctor if you have a history of blood clots, kidney disease, or any bleeding disorder. Avoid using this medicine if you are pregnant or breastfeeding unless specifically advised by your doctor. Do not take this medicine with other medications that affect blood clotting, such as anticoagulants or antiplatelet drugs, without consulting your doctor. Maintain adequate hydration while taking this medicine. Store it in a cool, dry place away from direct sunlight and out of reach of children. If you experience any signs of a blood clot, such as leg pain, swelling, or difficulty breathing, seek emergency medical help immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced renal function and are at higher risk of side effects such as blood clots and kidney stones. Dose adjustment may be necessary based on renal function. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Tranexamic acid may not be suitable during pregnancy. Your doctor may recommend alternative treatments for heavy menstrual bleeding if you are trying to conceive.
🏥 Post-Surgery Considerations
This medicine may be prescribed after certain surgeries to reduce bleeding. Follow your surgeon's instructions carefully. Inform your surgeon if you have a history of blood clots or are taking anticoagulants.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may affect bleeding during dental work. Your dentist may recommend temporary discontinuation or alternative measures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine. However, if you experience dizziness or visual disturbances, avoid strenuous activities or driving. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or visual disturbances in some people, which can affect your ability to drive or operate machinery. If you experience these effects, avoid such activities until you feel normal. Otherwise, it generally does not interfere with daily work life.
🛑 When to Stop This Medicine
Stop taking this medicine if you experience any signs of a blood clot, severe allergic reaction, or visual disturbances. Do not stop abruptly without consulting your doctor if you are taking it for a bleeding disorder. Always consult your doctor before stopping this medicine.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of kidney stones due to the calcium phosphate component. Prolonged use of Tranexamic Acid may also increase the risk of thrombosis. Regular monitoring of kidney function and signs of blood clots is advised. This medicine is generally not recommended for long-term use without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Birth control pills or hormonal IUDs can reduce heavy menstrual bleeding.
Evidence: Well-establishedNSAIDs like ibuprofen can reduce menstrual bleeding and pain.
Evidence: Well-establishedEndometrial ablation or hysterectomy may be considered for severe cases.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations as scheduled. However, consult your doctor if you have any concerns.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from direct sunlight and moisture. If crossing time zones, continue taking the medicine as prescribed; no specific time zone adjustment is needed for this medicine. Check local customs regulations regarding prescription medications before traveling internationally.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts reducing bleeding within 1 to 2 hours after taking a dose. However, the full effect may take a day or two.
A: Yes, taking it with food is recommended to reduce stomach upset and improve calcium absorption.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: This medicine is not recommended during pregnancy unless clearly needed and prescribed by your doctor. Consult your healthcare provider before use.
A: Yes, Tranexamic Acid can increase the risk of blood clots, especially in people with a history of clotting disorders. Report any signs of clots immediately.
🤔 Common Patient Concerns
🔄 Substitutes for stalia-plus tablet
View AllAlternative brands with exact same active ingredient:
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Pause-xt tablet is a contraceptive.
Fact: This medicine does not prevent pregnancy. It only reduces heavy bleeding. - Myth: Pause-xt tablet can be taken for any bleeding.
Fact: It is specifically for heavy menstrual bleeding and certain bleeding disorders. It should not be used for minor cuts or bruises. - Myth: Pause-xt tablet is safe to take without a prescription.
Fact: It is a prescription medicine and should only be taken under medical supervision due to the risk of blood clots.
🔄 Alternative Options
Generic Alternatives
- Tranexamic Acid 500mg + Calcium Phosphate 144mg tablet (various manufacturers)
Brand Alternatives
- Pause-xt tablet (Emcure Pharmaceuticals Ltd)