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Lovenox (enoxaparin) for DVT Side Effects, Pregnancy, Injection

What brand names are available for enoxaparin?

Lovenox

Is enoxaparin available as a generic drug?

GENERIC AVAILABLE: Yes

Do I need a prescription for enoxaparin?

Yes

What are the uses for enoxaparin?

What are the side effects of enoxaparin?

Common side effect associated with Lovenox are:

Other possible side effects include:

  • Abnormal
    liver tests in the blood
  • Mild local irritation
  • pain
  • Local injection site reaction

Possible serious side
effects include:

What is the dosage for enoxaparin?

Lovenox is administered by injection under the skin
(subcutaneous) or intravenously.

  • Preventing deep vein thrombosis after abdominal surgery: 40 mg
    subcutaneous injection once daily.
  • Preventing deep vein thrombosis after knee replacement: 30 mg
    subcutaneous injection every 12 hours.
  • Preventing deep vein thrombosis after hip replacement: 30 mg every 12
    hours or 40 mg once daily by subcutaneous injection.
  • Preventing deep vein thrombosis in ill patients with limited mobility:
    40 mg subcutaneous injection once daily.
  • Treatment of deep vein thrombosis or pulmonary embolism: 1 mg/kg every
    12 hours or 1.5 mg/kg once daily by subcutaneous injection.
  • Outpatient treatment of deep vein thrombosis: 1 mg/kg subcutaneous
    injection every 12 hours.
  • Treatment of severe heart attacks (ST elevation myocardial infarction or
    STEMI): For patients under the age of 75, 30 mg intravenously plus 1 mg/kg
    subcutaneously followed by 1 mg/kg every 12 hours (maximum of 100 mg for
    each of the first two subcutaneous doses only). For patients over age 75,
    0.75 mg/kg subcutaneously every 12 hours (maximum of 75 mg for each of the
    first two subcutaneous doses only). All patients should receive aspirin.
    Doses should be reduced in patients with impaired kidney function.
  • Treatment of chest pain (unstable angina) or mild heart attack
    (non-Q-wave myocardial infarction): 1 mg/kg subcutaneously every 12 hours
    with aspirin.
  • For coronary artery stent procedures (percutaneous coronary intervention
    or PCI): Patients should receive 0.3 mg/kg during stent placement if the
    last dose of Lovenox was administered more than 8 hours before the
    procedure.

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Which drugs or supplements interact with enoxaparin?




QUESTION

Deep vein thrombosis (DVT) occurs in the _______________.
See Answer

Is enoxaparin safe to take if I’m pregnant or breastfeeding?

  • Lovenox does not cross the placenta and shows no
    evidence of effects on the fetus. It often is used during
    pregnancy as an
    alternative to oral anticoagulants such as warfarin (Coumadin), which cannot be
    safely used during pregnancy.
  • Lovenox multiple-dose vials contain benzyl
    alcohol as a preservative. Benzyl alcohol has been associated with a fatal “gasping syndrome” in premature neonates.
    Lovenox vials preserved with benzyl alcohol should be used with caution in
    pregnant women and only if clearly needed because benzyl alcohol may cross the placenta.
  • It is not known if Lovenox is excreted in breast
    milk. Since most medicines are excreted in breast milk, it is recommended that
    women receiving Lovenox should not
    breastfeed.

What else should I know about enoxaparin?

What preparations of enoxaparin are available?
  • Lovenox is available in pre-filled syringes
    containing 30, 40, 60, 80, 100, 120, and 150 mg.
  • Multiple dose vial: 300 mg
How should I keep enoxaparin stored?

All Lovenox products should be stored at room temperature, between
15 and 30 C (59 and 86 F).

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