Mr. Ibrahem/Enoxaparin
Clinical data
Trade namesLovenox, Clexane, Xaparin, others
Other namesEnoxaparin sodium
AHFS/Drugs.comMonograph
MedlinePlusa696006
License data
Pregnancy
category
  • B
Routes of
administration
Subcutaneous (SC), intravenous (IV)
Legal status
Legal status
Pharmacokinetic data
Elimination half-life4.5 hours
Chemical and physical data
Formula(C26H40N2O36S5)n
Molar mass4500 g/mol (average)
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Enoxaparin is an anticoagulant medication (blood thinner).[2] It is used to treat and prevent deep vein thrombosis (DVT) and pulmonary embolism (PE) including during pregnancy and following certain types of surgery.[2] It is also used in those with acute coronary syndrome (ACS) and heart attacks.[2] It is given by injection just under the skin or into a vein.[2] Other uses include inside kidney dialysis machines.[3]

Common side effects include bleeding, fever, and swelling of the legs.[2] Bleeding may be serious especially in those who are undergoing a spinal tap.[2] Use during pregnancy appears to be safe for the baby.[2] Enoxaparin is in the low molecular weight heparin family of medications.[2]

Enoxaparin was first made in 1981 and approved for medical use in 1993.[4][2] It is on the World Health Organization's List of Essential Medicines.[5] Enoxaparin is sold under several brand names and is available as a generic medication.[2] The wholesale cost in the developing world is about US$2–10 per day.[6] In the United States the wholesale cost is about $14 per day as of 2016.[7] Enoxaparin is made from heparin.[4] In 2017, it was the 299th most commonly prescribed medication in the United States, with more than one million prescriptions.[8][9] As of 2021, one pre-filled syringe of enoxaparin costs the NHS around £2-3.[10]

References

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  1. ^ Cite error: The named reference who was invoked but never defined (see the help page).
  2. ^ a b c d e f g h i j "Enoxaparin Sodium". The American Society of Health-System Pharmacists. Archived from the original on 21 December 2016. Retrieved 8 December 2016.
  3. ^ "Clexane Forte Syringes - Summary of Product Characteristics (SPC) - (eMC)". www.medicines.org.uk. 6 August 2015. Archived from the original on 20 December 2016. Retrieved 15 December 2016.
  4. ^ a b Network, Northern Neonatal (2008). Neonatal Formulary: Drug Use in Pregnancy and the First Year of Life. John Wiley & Sons. p. 96. ISBN 9780470750353. Archived from the original on 2016-12-20.
  5. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  6. ^ "Enoxaparin". International Drug Price Indicator Guide. Archived from the original on 22 January 2018. Retrieved 8 December 2016.
  7. ^ "NADAC as of 2016-12-07 | Data.Medicaid.gov". Centers for Medicare and Medicaid Services. Archived from the original on 21 December 2016. Retrieved 15 December 2016.
  8. ^ "The Top 300 of 2020". ClinCalc. Archived from the original on 12 February 2021. Retrieved 11 April 2020.
  9. ^ "Enoxaparin Sodium - Drug Usage Statistics". ClinCalc. Archived from the original on 28 January 2020. Retrieved 11 April 2020.
  10. ^ "2. Cardiovascular system". British National Formulary (BNF) (82 ed.). London: BMJ Group and the Pharmaceutical Press. September 2021 – March 2022. pp. 142–143. ISBN 978-0-85711-413-6.{{cite book}}: CS1 maint: date format (link)