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Enoxaparin

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    Related terms
    • Brand Names: U.S.: Lovenox®
    • Brand Names: Canada: Enoxaparin Injection;Lovenox®;Lovenox® HP

    Uses
    • It is used to thin the blood so that clots will not form.
    • It is used to treat blood clots.
    • It is used to lower the number of heart attacks in patients who have unstable angina or mild heart attacks.
    • Enoxaparin changes the body's clotting system. It thins the blood to stop clots from forming.

    Dosing

    How to take

    • Use as you have been told, even if you are feeling better.
    • To gain the most benefit, do not miss doses.
    • It is given as a shot into the fatty part of the skin on the right or left side of the belly.
    • Your doctor may teach you how to give the shot.
    • Wash your hands before and after use.
    • Move the site where you give the shot with each shot.
    • If using prefilled syringe, do not get rid of air bubble from syringe before giving.
    • Throw away needles in a needle/sharp disposal box and take the box back to your doctor when it is full.

    Missed Dose

    • Take a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.
    • Do not change the dose or stop this drug. Talk with the doctor.

    Storage

    • Store at room temperature.

    Safety



    Warnings

    • People who have had recent spinal anesthesia, epidurals, or spinal taps are more likely to have bleeding problems when started on this drug. This bleeding rarely happens, but can be very bad. Tell your doctor if you have had any spinal care. Do not take any other blood-thinner drugs including nonsteroidal anti-inflammatory drugs.
    • Tell your doctor you use this drug before you get spinal anesthesia or a spinal treatment.
    • Do not use this drug in pregnant women who have had a heart valve replaced.

    Avoid

    • If you have an allergy to enoxaparin or any other part of this drug.
    • If you are allergic to pork products, talk with the doctor.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you have any of these health problems: Bleeding problems or low platelet count during past use.
    • If you know that you will not take the drug as you have been told.
    • If you are pregnant and have had a heart valve replaced.

    Precautions

    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Wear disease medical alert ID (identification).
    • If you have kidney disease, talk with your doctor.
    • Tell dentists, surgeons, and other doctors that you use this drug.
    • You may bleed more easily. Be careful and avoid injury. Use a soft toothbrush and an electric razor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Talk with your doctor before using products that have aspirin, blood thinners, garlic, ginseng, ginkgo, ibuprofen or like products, pain drugs, or vitamin E.
    • Use care if you weigh less than 100 pounds (45 kilograms).
    • Use care to stop injury and avoid falls or crashes.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • Bleeding problems.
    • Irritation where the shot is given.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • A fast heartbeat.
    • Very bad dizziness or passing out.
    • A fall or crash when you hit your head. Talk with your doctor even if you feel fine.
    • Swelling, warmth, or pain in the leg or arm.
    • Change in thinking clearly and with logic.
    • Very upset stomach or throwing up.
    • Very bad headache.
    • Weakness, numbness, or tingling.
    • Any bruising or bleeding.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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