Can Lovenox cause bleeding?
Lovenox carries a black-box warning explaining that its use in patients who have spinal or epidural anesthesia or spinal puncture carries an increased risk of bleeding and bruising. The medicine carries a risk of bleeding problems even if you don't have anesthesia or a spinal puncture.
Your recommended dose of Lovenox will depend on your body weight, health condition, and other factors such as your kidney function. For instance, if you are taking Lovenox to prevent blood clots after a heart attack, the dose is often 1 milligram for every 2.2 pounds of body weight every 12 hours for two to eight days.
- Heparin injection is an anticoagulant. It is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels. This medicine is sometimes called a blood thinner, although it does not actually thin the blood.
- Common side effects of Heparin are:
- easy bleeding and bruising;
- pain, redness, warmth, irritation, or skin changes where the medicine was injected;
- itching of your feet; or.
- bluish-colored skin.
- Abstract. Background: Thrombolytic therapy (powerful anticoagulation drugs) is usually reserved for patients with clinically serious or massive pulmonary embolism (PE). Evidence suggests that thrombolytic agents may dissolve blood clots more rapidly than heparin and reduce the death rate associated with PE.
Lovenox (enoxaparin sodium) Injection is an anticoagulant (blood thinner) used to prevent blood clots that are sometimes called deep vein thrombosis (DVT), which can lead to blood clots in the lungs. A DVT can occur after certain types of surgery, or in people who are bed-ridden due to a prolonged illness.
- LMWH, such as enoxaparin, is made from heparin. It is also available as a liquid injectable solution used to prevent blood clots, but it is used differently than heparin. LMWH produces a more predictable anticoagulant response so frequent monitoring is not needed to adjust the dose.
- Remember: Do not inject yourself within about 1-2 inches of your belly button or near scars or bruises. Alternate the site of injection between the left and right sides of the stomach and thighs. LOVENOX® should never be injected into muscle, as bleeding into the muscle may occur.
- In inpatient (hospital) treatment, patients with acute deep vein thrombosis with pulmonary embolism or patients with acute deep vein thrombosis without pulmonary embolism (who are not candidates for outpatient treatment), the recommended dose of Lovenox is 1 mg/kg every 12 hours administered SC or 1.5 mg/kg once a day
If you miss a dose of Lovenox, administer your missed injection right after you remember it. If it is close to the time of your next scheduled dose, however, disregard your missed dose and continue with your normal schedule. Do not use extra Lovenox to make up for the missed dose.
- The more common side effects of enoxaparin can include:
- anemia (not having enough healthy red blood cells)
- pain and bruising at the site on your skin where you give the injection.
- swelling in your legs.
- Heparin sodium is not effective by oral administration and should be given by intermittent intravenous injection, intravenous infusion, or deep subcutaneous (intrafat, i.e., above the iliac crest or abdominal fat layer) injection.
- It is due to a blockage in a blood vessel in the lungs. A pulmonary embolism (PE) can cause symptoms such as chest pain or breathlessness but may have no symptoms and be hard to detect. A massive PE can cause collapse and death. PE usually happens due to an underlying blood clot in the leg - deep vein thrombosis (DVT).
Updated: 2nd October 2019