This may cause the drug to build up in your body and cause more side effects. Your doctor may decrease your dosage if you have severe kidney disease.
For people with a low body weight: Women who weigh less than 99 lb 45 kg and men who weigh less than lb 57 kg may have higher levels of enoxaparin in their bodies.
Your doctor may monitor you more closely for signs of bleeding. They may also give you a lower dosage to avoid side effects. They may also do tests to see if your dose needs to be changed.
For people with diabetes-related eye problems: This drug can cause bleeding. If you have retinopathy from diabetes that means the blood vessels in your eyes already leak blood.
Taking this drug puts you at high risk for hemorrhage severe, life-threatening bleeding. For people with high blood pressure: This drug can cause bleeding.
If you have low platelets, ask your doctor whether this drug is safe for you. For people with certain heart valves: If you have a mechanical prosthetic heart valve, ask your doctor whether this drug is safe for you. For people with bleeding disorders: If you have a bleeding disorder, ask your doctor whether this drug is safe for you. For pregnant women: Enoxaparin is a category B pregnancy drug. That means two things:.
Therefore, this drug should only be used in pregnancy if clearly needed. Call your doctor right away if you become pregnant while taking this drug. For women who are breastfeeding: Enoxaparin may pass into breast milk and may cause side effects in a child who is breastfed. Talk to your doctor if you breastfeed your child. You may need to decide whether to stop breastfeeding or stop taking this medication. For seniors: The kidneys of older adults may not work as well as they used to.
This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects. This dosage information is for enoxaparin injectable solution.
All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on:. The kidneys of older adults may not work as well as they used to. Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.
Severe kidney problems : 1 mg per kg of body weight injected once per day. This will be given by a healthcare provider in the hospital.
Then, 1 mg per kg of body weight will be injected every 12 hours. Then, 1 mg per kg of body weight will be injected every 12 hours, given in the hospital. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Always to speak with your doctor or pharmacist about dosages that are right for you. Enoxaparin injectable solution is used for short-term treatment. This could lead to serious problems, such as a stroke or death.
Take this drug on the schedule set by your doctor. For this drug to work well, a certain amount needs to be in your body at all times.
If you take too much: You could have dangerous levels of the drug in your body. This could lead to bleeding. Symptoms of an overdose of this drug can include:. If your symptoms are severe, call or go to the nearest emergency room right away. What to do if you miss a dose: Take your dose as soon as you remember.
But if you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects. Your doctor will do blood tests to check if this drug is working for you.
Keep these considerations in mind if your doctor prescribes enoxaparin injectable solution for you. Store enoxaparin at room temperature. The content is solely the responsibility of the authors and does not represent the official views of the Agency for Healthcare Research and Quality. Brought to you by. Who Should Report an Error? High-Alert Medications - Lovenox enoxaparin. Or, if you are a facility or organization, you can order professional pre-printed leaflets shipped directly to you. Medication Safety Alerts.
Show Your Support! This website does not host any form of advertisements. Take exactly as directed. Take enoxaparin the same time each day. Do not take extra doses or skip any doses. Prepare exact dose.
Ask your doctor, nurse, or pharmacist to teach you how to measure your dose. You may need to inject the full contents of a prefilled syringe, or discard a portion of the medicine in the syringe before injection. Do not expel the air bubble from the 30 mg and 40 mg syringes before injecting the medicine. It helps push the medicine into the body so it will not leak back out the injection site.
Inject the medicine. Follow the instructions below to inject the medicine into fatty areas of the abdomen, about 2 inches from the belly button. Do not inject the medicine into muscle, as this can cause a painful bruise. However, hospital strategies overall appear to be lacking, based on results from Elliott R. Haut, MD, of Johns Hopkins, and colleagues.
But exclusion of outliers didn't change the results. Source Reference: Louis SG, et al "Correlation of missed doses of enoxaparin with increased incidence of deep vein thrombosis in trauma and general surgery patients" JAMA Surg ; 4 : Source Reference: JohnBull EA, et al "No association between hospital-reported perioperative venous thromboembolism prophylaxis and outcome rates in publicly reported data" JAMA Surg ; 4 : This article is a collaboration between MedPage Today and:.
Action Points Missed doses of prophylactic anticoagulation account for much of the DVT that occurs in surgery and trauma patients. A second study blamed suboptimal prophylaxis for failure to find that hospitals that reached higher rates of perioperative venous thromboembolism prophylaxis had better outcomes.
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