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| Pronunciation |
|
 (ee
noks a PA
rin) |
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| Brand Names |
|
| Lovenox®
Injection |
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| Foreign Brand
Names |
|
| Clexane®
(Mexico) |
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| Therapeutic
Categories |
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|
Low Molecular Weight Heparin |
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| What key warnings should I know
about before taking this
medicine? |
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|
- People who have had recent spinal anesthesia, epidurals, or spinal
taps are more likely to have bleeding problems when started on this medicine.
This bleeding rarely happens, but can be severe. Tell your healthcare provider
if you have had any spinal procedures. Do not take any other blood-thinner
medicines including nonsteroidal anti-inflammatory
agents.
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| Reasons not to take this
medicine |
|
|
- If you have an allergy to pork, enoxaparin, or any other part of the
medicine.
- If you have a low platelet count during previous use or active
bleeding.
|
|
|
| What is this medicine used
for? |
|
|
- This medicine is used to thin the blood so that clots will not form.
There are a variety of medical conditions where this is needed.
- It is used for treatment of blood clots in the veins. These are called
deep-vein thrombosis or DVT.
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|
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| How does it work? |
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- Enoxaparin changes the body's clotting
system.
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| How is it best taken? |
|
|
- This medicine is given by a needle into the fatty part of the skin.
Talk to healthcare provider about teaching you how to give the shot.
- If using prefilled syringe, do not get rid of air bubble from syringe
before giving yourself the shot.
- Throw away needles in red box and return box to healthcare provider
when full.
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| What do I do if I miss a
dose? |
|
|
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
- Do not take a double dose or extra doses.
- Do not change dose or stop taking medicine without talking with
healthcare provider.
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|
| What are the precautions when
taking this
medicine? |
|
|
- If you are 65 or older, you may have more side effects especially if
getting a high dose of this medicine.
- Use caution if you have kidney disease or if weight less than 100
pounds. Talk with healthcare provider.
- Wear disease medical alert identification for blood thinner.
- If you have had a stomach ulcer or bleeding, tell healthcare provider.
- You will have a tendency to bleed more easily. Use caution to prevent
injury and avoid falls or accidents. Tell dentists, surgeons, and other
healthcare providers about this medicine.
- Avoid other blood thinners (aspirin, aspirin-containing products,
ibuprofen or like products, ticlopidine, clopidogrel, garlic, ginseng, ginkgo,
vitamin E) unless approved by healthcare provider.
- Tell healthcare provider if you are allergic to any medicine. Make
sure to tell about the allergy and how it affected you. This includes telling
about rash; hives; itching; shortness of breath; wheezing; cough; swelling of
face, lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting
pregnant.
- Tell healthcare provider if you are
breast-feeding.
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| What are the common side effects
of this
medicine? |
|
|
- Bleeding problems. This includes nosebleeds, coughing up blood, blood
in the urine or stool, or bruising.
|
|
|
| What should I monitor? |
|
|
- Watch for signs and symptoms of bleeding. If any, report them to
healthcare provider as soon as possible.
- Take good care of your teeth. See a dentist every 6
months.
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|
| Reasons to call healthcare
provider
immediately |
|
|
- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Numbness or tingling of leg, unable to walk or move.
- Severe headache.
- Passing out, fainting, dizziness, or lightheadedness.
- Changes in thinking clearly and logically.
- Blood in the stool and toilet bowl, vomiting blood, or coughing up
blood.
- Any falls or accidents, especially if you hit your head. Call
healthcare provider even if you feel fine.
- Any rash.
- Unusual bruising or
bleeding.
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| How should I store this
medicine? |
|
|
- Store in a dry place at room
temperature.
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| General statements |
|
|
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
vitamins).
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