What is Lovenox?Lovenox is a medicine that reduces blood clots.
What is the most important information I should know about Lovenox?If you receive an epidural (spinal anesthesia) or undergo spinal puncture while taking Lovenox, you may be at an increased risk of developing a blood clot in or around the spine, which can result in long-term paralysis. Your risk may be further increased if you take nonsteroidal anti-inflammatory drugs (NSAIDs), platelet inhibitors, or other anticoagulants (including aspirin), have an indwelling epidural catheter, a history of spinal trauma, repeated spinal anesthesia or punctures, spinal deformities, or spinal surgery.
Contact your doctor immediately if you experience symptoms such as tingling, numbness (especially in the lower limbs), muscular weakness, pain, swelling, dizziness, vomiting, nausea, fever, unusual bleeding or bruising, and rashes or dark spots under the skin.
Excessive bleeding (hemorrhage), leading to death, has occurred with Lovenox. The use of aspirin and other NSAIDs may enhance the risk of excessive bleeding. Be sure to tell your doctor or dentist you are on Lovenox before any surgery is scheduled and before any new drug is taken.
Anyone taking Lovenox should be carefully monitored by their doctor.
Who should not take Lovenox?Lovenox should not be used if you are actively bleeding or have a low count of blood cells called platelets, which aid in clotting. This condition is called "thrombocytopenia." Lovenox also should not be used if you are allergic or sensitive to heparin or pork products.
What should I tell my doctor before I take the first dose of Lovenox?Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Lovenox. Also talk to your doctor about your complete medical history, especially if you have problems with clotting, uncontrolled high blood pressure, a recent ulcer, impaired vision due to diabetes, kidney problems, or excessive bleeding. Pregnant women with mechanical artificial heart valves may be at higher risk for blood clots. Treatment with Lovenox requires careful monitoring by a doctor.
What is the usual dosage?The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.
Adults: The usual length of treatment varies depending on your specific medical or surgical condition. Follow your doctor's instructions on how long you should take Lovenox and at what dosing schedule.
How should I take Lovenox?Your doctor will show you the correct method for injecting Lovenox. Lovenox should be injected into fatty tissue only, which is why the abdomen is the recommended injection site. Do not inject Lovenox into the muscle, which can cause bruising and discomfort.
Make sure you inject the whole length of the needle into the skin fold held between the thumb and forefinger; hold the skin fold throughout the injection. To minimize bruising, do not rub the injection site after completing the injection.
Every syringe comes with a small air bubble. Do not expel the air bubble unless your doctor instructs you to adjust your dose. It is safe to give yourself the injection, even with the air bubbles.
What should I avoid while taking Lovenox?Do not stop taking Lovenox without first talking to the doctor who prescribed it for you.
During your treatment with Lovenox, avoid taking aspirin, NSAIDs, or any other type of blood thinners unless your doctor tells you to. Using these medications together with Lovenox can increase your risk of bleeding.
What are possible food and drug interactions associated with Lovenox?If Lovenox is used with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Lovenox with the following: blood thinning medications such as warfarin and aspirin, dipyridamole, NSAIDs including ketorolac, platelet inhibitors including acetylsalicylic acid, and sulfinpyrazone.
What are the possible side effects of Lovenox?Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.
Side effects may include: mild pain, irritation, bruising, or redness of the skin at the injection site, bleeding, anemia, diarrhea, nausea
Can I receive Lovenox if I am pregnant or breastfeeding?Lovenox should be used during pregnancy only when clearly needed. If you are pregnant or plan to become pregnant, inform your doctor immediately. It is not known whether Lovenox appears in breast milk. Consult your doctor before breastfeeding.
What should I do if I miss a dose of Lovenox?Lovenox should be given under special circumstances determined by your doctor. If you miss your scheduled dose, speak to your doctor for advice.
Call your doctor immediately if you think you have given yourself too much Lovenox, even if you don't see or feel any unusual symptoms right away.
How should I store Lovenox?You should store your prefilled syringes at room temperature, away from light and moisture.
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