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Blood thinners

Enoxaparin

Also sold as: Clexane, Lovenox

Prescription neededBlood thinners
Comes as:Injection

Usual adult dose

Injected under the skin of the belly. To prevent clots: 40 mg once a day. Treatment of clots: 1 mg per kg twice a day or 1.5 mg per kg once a day, as set by your doctor. Lower dose in kidney disease.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • bruising
  • pain or a small lump at the injection site

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • serious bleeding
  • low platelets with new clots
  • severe allergic reaction

Do not take it, or take care, if

  • Active bleeding
  • Past low platelets caused by heparin
  • Recent bleeding in the brain
  • Severe kidney disease (dose must be changed)

Interactions

Medicines that can react with this one.

Moderate3 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Aspirin

    Together they raise the risk of bleeding.

  • Clopidogrel

    Together they raise the risk of bleeding.

  • Ibuprofen

    NSAIDs with enoxaparin raise the risk of bleeding.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Heparin
  • Rivaroxaban
  • Apixaban
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.