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Enoxaparin Coupon - Enoxaparin 40mg/0.4ml syringe

enoxaparin

Generic Lovenox
Used for Heart Attack, Deep Vein Thrombosis, Pulmonary Embolism
Used for Heart Attack, Deep Vein Thrombosis, Pulmonary Embolism

Enoxaparin (Lovenox) is a blood thinner that's used to treat and prevent blood clots and other clotting-related conditions. It's given as an injection under the skin in the stomach. The dosing for enoxaparin (Lovenox) depends mostly on your weight, but also on why you need the medication. Enoxaparin (Lovenox) is a preferred choice for pregnant women, but it might not be the best option if they have prosthetic (artificial) heart valves. Side effects aren't common, but can include bleeding or bruising at the injection site. Enoxaparin (Lovenox) is available as a brand and generic medication.

Last reviewed on August 20, 2023
basics-icon

What is Enoxaparin (Lovenox)?

What is Enoxaparin (Lovenox) used for?

How Enoxaparin (Lovenox) works

Enoxaparin (Lovenox) is an anticoagulant (or blood thinner). It blocks certain proteins in your blood that are responsible for forming blood clots. This helps prevent blood clots from getting bigger and new blood clots from forming.

When does Enoxaparin (Lovenox) start working?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Full effect

Drug Facts

Common BrandsLovenox
Drug ClassAnticoagulant
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only

More on Enoxaparin (Lovenox) essentials

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Avg retail price
$295.33(save 92.62%)
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$21.81
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What are the side effects of Enoxaparin (Lovenox)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

Other Side Effects

  • Bleeding, bruising, redness, or pain at injection site
  • Low red blood cell count (anemia)
  • Bruising
  • Swelling
  • Fever

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Severe bleeding: feeling faint, lightheadedness, dizziness, vomiting blood, bloody or dark-colored stools, severe stomach pain or discomfort
  • Heparin-induced thrombocytopenia (HIT) or heparin-induced thrombocytopenia with thrombosis (HITT): skin changes or bruising, shortness of breath, chest pain or tightness, trouble speaking, numbness on one side of your body, vision problems
  • Serious allergic reaction: rash; trouble breathing; swelling of the lips, tongue, or face; vomiting; chills; fever
  • Blood clots due to stopping enoxaparin (Lovenox) too soon: in leg or arm (e.g., swelling or redness in arms or legs, skin that's warm to touch); in lungs (e.g., trouble breathing, chest pain, cough, irregular heartbeat)
When do Enoxaparin (Lovenox) possible side effects begin and end?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Risk for abnormal liver tests
Risk for bruising
Risk for major bleeds
Risk for heparin-induced thrombocytopenia (HIT)
Seek immediate medical care if you experience this side effect.
If a line continues to the right, you'll likely keep experiencing this side effect once it starts.

Source: DailyMed

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Bleeding gums

coughing up blood

difficulty with breathing or swallowing

dizziness

headache

increased menstrual flow or vaginal bleeding

nosebleeds

paralysis

prolonged bleeding from cuts

red or black, tarry stools

red or dark brown urine

shortness of breath

Less common

Bruising

chest discomfort

collection of blood under the skin

confusion

continuing bleeding or oozing from the nose and/or mouth, or surgical wound

convulsions (seizures)

fever

irritability

lightheadedness

lower back pain

pain or burning while urinating

swelling of the hands or feet

tightness in the chest

uncontrolled bleeding at the site of injection

vomiting of blood or material that looks like coffee grounds

wheezing

Rare

Back pain

burning, pricking, tickling, or tingling sensation

chest pain

chills

cough

decreased urine output

dilated neck veins

dizziness or lightheadedness when getting up suddenly from a lying or sitting position

extreme fatigue

fainting

fast or irregular heartbeat

general feeling of discomfort or illness

irregular breathing

leg weakness

problems with bowel or bladder function

skin rash or hives

sneezing

sore throat

sudden fainting

swelling of the face, fingers, feet, genitals, mouth, or tongue

thickening of the bronchial secretions

troubled breathing

weight gain

Incidence not known

Abdominal or stomach pain

deep, dark purple bruise

hives or welts

irregular heartbeat

itching, pain, redness, or swelling

large, flat, blue, or purplish patches in the skin

nausea or vomiting

nervousness

numbness or tingling in the hands, feet, or lips

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

redness of the skin

skin rash

unusual tiredness or weakness

weakness or heaviness of the legs

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

Diarrhea

irritation, pain, or redness at the place of injection

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Enoxaparin (Lovenox)

thumbs-up

Pros

Works well to treat several types of blood-clotting problems

Safe to use during pregnancy (except those with prosthetic heart valves)

Possible medication available that might help work as an antidote (reversal agent) to reverse effects

Blood tests are available to check how well the medication is working, but they're not required

thumbs-down

Cons

Only available as an injection, which can be uncomfortable

Might be difficult for some people to inject at home

Might not be a good option for people with kidney problems

Can cause a serious low platelet condition called heparin-induced thrombocytopenia (HIT)

pharmacist-tips

Pharmacist tips for Enoxaparin (Lovenox)

pharmacist
  • Mark your appointments on your calendar to see your provider. Also, set reminders for when your enoxaparin (Lovenox) doses are due. This makes sure you're being properly monitored and also helps you remember to receive your treatments on time.

    • Let your surgeon or dentist know that you're taking enoxaparin (Lovenox) before any surgery or procedure is scheduled. This medication can raise your risk for bleeding. Your provider might give you specific instructions around the time of your scheduled procedure about when to stop using enoxaparin (Lovenox) to prevent serious bleeding complications.

      • Enoxaparin (Lovenox) can make it easier for you to bruise or bleed. It can also make it take longer for your body to stop any bleeding. Call your provider if you have any unusual bleeding (e.g., blood in urine or stool, coughing up blood, vomiting blood) or bruising while taking this medication.

        • Get medical help right away if you fall and hit your head hard, especially if you also feel dizzy or have a severe headache. You might need a head scan to see whether you have a brain bleed.

          More tips for using enoxaparin (Lovenox) at home:

          • Your provider might allow you to give yourself enoxaparin (Lovenox) injections under your skin at home. Carefully read the directions for use or watch the instructional video so you can give yourself the injections safely and properly.

            • Make sure you know which strength and dose of enoxaparin (Lovenox) you have to prevent medication errors because enoxaparin (Lovenox) comes in many different strengths. Contact your provider or pharmacist if you're not sure of your dose.

              • Inject enoxaparin (Lovenox) into the fat tissue under the skin of your stomach at least 2 inches away from your belly button. Always choose a different injection site for each dose. Repeated injections to the same area can cause pain and damaged skin. Never inject enoxaparin (Lovenox) into your muscle or vein.

                • Before injecting enoxaparin (Lovenox), always check to make sure the medication is clear and colorless to a pale yellow. If it's cloudy, discolored, or has many particles (solid chunks), don't use it. Contact your provider or pharmacist to see whether it's possible to get a replacement.

                  • Throw away each enoxaparin (Lovenox) prefilled syringe after using. Each prefilled syringe provides a single dose of medication, and they don't contain any preservatives to keep germs out of the medication once they're opened.

                    • If you're prescribed the 300 mg/3 mL vial of enoxaparin (Lovenox), it's good for 28 days after you first use it. Mark the date on the vial when you should throw it away. This vial contains enough medication for multiple doses of enoxaparin (Lovenox) that you'll need to draw up into a syringe as directed by your provider.

                      • Throw away used syringes and needles in a sharps container or something made of heavy-duty plastic (e.g., empty milk carton, laundry detergent bottle). This lowers the risk of needle-stick injuries. Don't throw them away in your trash can. Learn more about how to throw away your sharps on the FDA's website.

                        • Store enoxaparin (Lovenox) at room temperature. Don't put the medication into the refrigerator.

                          More on Enoxaparin (Lovenox) tips

                          faqs

                          Frequently asked questions about Enoxaparin (Lovenox)

                          Where do I inject enoxaparin (Lovenox)?
                          Inject enoxaparin (Lovenox) under the skin of your stomach at least 2 inches from the left or right of your belly button. You should alternate injection sites each time you give yourself a dose to avoid pain or damage to your skin. Never inject enoxaparin (Lovenox) through clothes or into skin that has bruises or scars; your body might not absorb the medication well so it might not work as well to prevent or treat blood clots.
                          How long does enoxaparin (Lovenox) stay in your system?
                          In general, enoxaparin (Lovenox) can stay in your system for up to 35 hours after you stop taking the medication, but it could be longer if you have kidney problems. Keep in mind that this time frame is estimated based on the half-life of enoxaparin (Lovenox), a measure of how long it takes your body to remove the medication from your system.
                          Is enoxaparin (Lovenox) a blood thinner?
                          Yes, enoxaparin (Lovenox) is a blood thinner (anticoagulant). This means that it prevents your blood from clotting together. As a result, it can raise your risk for bleeding. Stop taking enoxaparin (Lovenox) and get medical help right away if you feel lightheaded, dizzy, you vomit or cough up blood, or you have blood in your stool. These are signs of bleeding that might be happening in your body.
                          Is enoxaparin (Lovenox) heparin?
                          No. "Heparin" typically refers to another medication called unfractionated heparin. Enoxaparin (Lovenox) is a type of low-molecular-weight heparin. It has a slightly different chemical structure than unfractionated heparin that allows it to have longer-lasting effects. While both medications are injectable blood thinners that prevent or treat blood clots, they're FDA-approved for slightly different clotting problems. For example, enoxaparin (Lovenox) is approved for heart attacks, but unfractionated heparin is approved for preventing clots in people with atrial fibrillation (AFib). In addition, enoxaparin (Lovenox) is typically given once or twice per day, whereas unfractionated heparin is given more frequently or by continuous infusion. Finally, enoxaparin (Lovenox) doesn't require routine blood tests for monitoring, but unfractionated heparin does. Talk to your provider to learn more about how both medications compare.
                          What happens if enoxaparin (Lovenox) is injected into the muscle?
                          Enoxaparin (Lovenox) shouldn't be injected into a muscle because doing so can cause a painful bruise. If you've accidentally injected enoxaparin (Lovenox) into a muscle, contact your provider for further instructions.
                          Does enoxaparin (Lovenox) affect INR?
                          No, enoxaparin (Lovenox) doesn't typically affect INR. But a recent study showed that it might in people receiving enoxaparin (Lovenox) after certain stomach and intestinal surgeries. The international normalized ratio (INR) is a blood test that tells how well your blood can clot. This test is specific for measuring how well a different blood thinner called warfarin (Coumadin) works, not enoxaparin (Lovenox). Instead, a blood test that can be used to measure how well enoxaparin (Lovenox) is working is the anti-factor Xa blood test.
                          Does enoxaparin (Lovenox) need to be refrigerated?
                          No, keep enoxaparin (Lovenox) at room temperature in the original packaging until you're ready to use the medication. Don't place enoxaparin (Lovenox) in the refrigerator or in the freezer.
                          Is enoxaparin (Lovenox) safe in pregnancy?
                          Yes, enoxaparin (Lovenox) is generally safe to use during pregnancy because it doesn't reach the unborn baby through the placenta. But it shouldn't be used in pregnant women who have a prosthetic heart valve(s) because of the risk for dangerous blood clots on the valve(s). To be safe, make sure to tell your provider if you're pregnant or thinking of becoming pregnant before starting enoxaparin (Lovenox).
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                          warings-icon

                          What are the risks and warnings for Enoxaparin (Lovenox)?

                          Enoxaparin (Lovenox) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                          risk-warning

                          Risk of bleeding around the spinal cord during other injections near the spine

                          • Risk factors: Lumbar puncture (spinal tap) | Getting anesthesia near the spine (epidural or spinal anesthesia) | History of spinal surgery, spinal taps, spine problems, or epidurals | Taking nonsteroidal anti-inflammatory drugs (NSAIDs) or other blood thinners

                            You're at a greater risk of bleeding around your spinal cord if you're taking enoxaparin (Lovenox) and need to have a lumbar puncture (spinal tap) or an epidural. Sometimes, this spinal bleeding can make you paralyzed. To lower this risk, your provider will tell you when to stop taking enoxaparin (Lovenox) before your planned back surgery or procedure. If it's not possible, make sure to be aware of the signs and symptoms of spinal problems. Call your provider right away if you notice pain along your spine; tingling, a burning sensation, numbness, or weakness in your legs; or are unable to urinate or have bowel movements.

                            risk-warning

                            Risk of bleeding

                            • Risk factors: Taking other medications that raise the risk for bleeds | History of bleeding problems | Kidney problems | Eye problems related to diabetes | Recent stomach ulcer | Severe high blood pressure

                              Taking enoxaparin (Lovenox) can raise your risk for bleeds. Your risk is higher if you're also taking other medications that can cause bleeding. If you do have a serious bleed from enoxaparin (Lovenox) use, your provider might be able to give you a medication called protamine to help reverse the effects of enoxaparin (Lovenox). Let your provider know if you have a fall, head injury, or other kinds of physical injury. They might need to check you for bleeding inside your body. Get medical help right away if you have dark or tarry stool, bleeds that are difficult to stop, or any unusual bleeding or bruising.

                              risk-warning

                              Low platelet counts and clotting problems

                              • Risk factors: Recent history of heparin-induced thrombocytopenia (HIT) or heparin-induced thrombocytopenia with thrombosis (HITT)

                                Enoxaparin (Lovenox) works similarly to heparin. Like heparin, enoxaparin (Lovenox) can cause your platelet counts to go down. In rare cases, a low platelet count can occur along with a life-threatening condition called heparin-induced thrombocytopenia (HIT). HIT happens when the immune system makes antibodies that affect how platelets function. This can cause blood clots to form in various parts of the body and lead to blockages in your veins or arteries, a condition called heparin-induced thrombocytopenia with thrombosis (HITT).

                                Make sure you keep up with your lab work so your provider can keep track of your platelet counts. If your platelets become very low or if you experience any blood clots during or after treatment, your provider will probably stop enoxaparin (Lovenox) and consider a different blood thinner for you if needed. Get medical help right away if you experience any symptoms of blood clots during or after enoxaparin (Lovenox) treatment.

                                risk-warning

                                Higher risk of clots in pregnant women with prosthetic heart valves

                                Pregnant women with prosthetic (artificial) heart valves who are taking enoxaparin (Lovenox) are at higher risk for blood clots that form on the heart valves. This lead sometimes lead to dangerous complications in the mother and baby. If you have a prosthetic heart valve and are pregnant, your provider might require you to get more frequent visits and lab tests to make sure enoxaparin (Lovenox) is working appropriately and safely.

                                risk-warning

                                Risk of serious breathing problem in infants (gasping syndrome)

                                • Risk factors: Newborns | Infants with low birth weight | Pregnant women | Breastfeeding

                                  Benzyl alcohol is one of the preservatives found in certain enoxaparin (Lovenox) products. This preservative can cause a rare, but serious and sometimes life-threatening medical condition called gasping syndrome. This condition is more likely to happen in newborns and infants with low birth weight. If you're pregnant or breastfeeding, talk with your provider before receiving enoxaparin (Lovenox), since your baby could potentially be exposed to benzyl alcohol in the womb or through your breast milk. Your provider can make sure you receive a preservative-free formulation of the medication.

                                  Tell your provider if your child experiences any major weight changes while receiving enoxaparin (Lovenox). Get medical attention right away if your child has symptoms, such as gasping, slowed heart rate, clammy skin, dizziness, seizures, slurred speech, or weakness in an arm or leg.

                                  dosage

                                  Enoxaparin (Lovenox) dosage forms

                                  The average cost for 12 syringes of 40mg/0.4ml of Enoxaparin (Lovenox) is $86.38 with a free GoodRx coupon. This is 70.75% off the average retail price of $295.33.
                                  syringe
                                  Syringe
                                  DosageQuantityPrice as low asPrice per unit
                                  100mg/ml10 syringes$67.08$6.71
                                  150mg/ml10 syringes$51.22$5.12
                                  30mg/0.3ml9 syringes$38.67$4.30
                                  40mg/0.4ml12 syringes$86.38$7.20
                                  60mg/0.6ml36 syringes$242.42$6.73
                                  80mg/0.8ml8 syringes$35.67$4.46
                                  120mg/0.8ml8 syringes$70.65$8.83
                                  vial
                                  Vial
                                  DosageQuantityPrice as low asPrice per unit
                                  3ml of 300mg1 vial$21.81$21.81

                                  Typical dosing for Enoxaparin (Lovenox)

                                  The dose and length of treatment depends on your age, weight, kidney function, and why you need enoxaparin (Lovenox). The dose might also depend on certain lab test results, including complete blood count (CBC) and those measuring how long it takes for your blood to clot.

                                  In general, enoxaparin (Lovenox) is typically given as an injection under the skin (subcutaneous or SC). Manufacturer dosages for enoxaparin (Lovenox) are listed below.

                                  • Prevention of blood clots: The typical dose is either 30 mg injected under the skin every 12 hours or 40 mg under the skin once daily.

                                  • Prevention of blood clots in people with unstable angina: The typical dose is 1 mg/kg of weight injected under the skin every 12 hours. It's taken along with aspirin.

                                  • Treatment of blood clots: The typical dose is 1 mg/kg of weight injected under the skin every 12 hours or 1.5 mg/kg under the skin once daily. If your provider decides to switch you to warfarin (Coumadin), you'll take both enoxaparin (Lovenox) and warfarin (Coumadin) for at least 5 days and until your INR level is in the appropriate range.

                                  • Heart attack: In general, the typical dose is 1 mg/kg of weight injected under the skin every 12 hours, taken along with aspirin. For the treatment of certain types of heart attack, the first dose is 30 mg of enoxaparin (Lovenox) as an injection through the veins (intravenous, IV) with 1 mg/kg given as an injection under the skin.

                                  More on Enoxaparin (Lovenox) dosage forms

                                  interactions

                                  Interactions between Enoxaparin (Lovenox) and other drugs

                                  Enoxaparin (Lovenox) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Enoxaparin (Lovenox). Please note that only the generic name of each medication is listed below.

                                  Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                                  • Defibrotide

                                  Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                                  drug-cost

                                  How much does Enoxaparin (Lovenox) cost?

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                                  contraindications-icon

                                  Enoxaparin (Lovenox) contraindications

                                  Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Enoxaparin (Lovenox) will not be safe for you to take.
                                  alternatives

                                  What are alternatives to Enoxaparin (Lovenox)?

                                  There are a number of medications that your doctor can prescribe in place of Enoxaparin (Lovenox). Compare a few possible alternatives below.
                                  Enoxaparin (Lovenox)
                                  Used for:
                                  $21.81 Lowest GoodRx priceView Prices
                                  Used for:
                                  • Treat blood clots and lower the risk of new clots in children from birth and older

                                  $600.41 Lowest GoodRx priceView Prices
                                  Used for:
                                  $43.38 Lowest GoodRx priceView Prices
                                  latest news

                                  What is the latest news about Enoxaparin (Lovenox)?

                                  images

                                  Enoxaparin (Lovenox) images

                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4ml Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4ml Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection
                                  This medicine is Yellow Syringe.yellow - Enoxaparin Sodium 40mg / 0.4mL Solution for Injection

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                                  References

                                  Best studies we found

                                  Ahmed, I., et al. (2007). Heparin induced thrombocytopenia: Diagnosis and management update. Postgraduate Medical Journal.

                                  Akbar, H., et al. (2023). Acute ST-elevation myocardial infarction. StatPearls.

                                  American Heart Association. (2024). Unstable angina.

                                  View All References (30)

                                  American Society of Anesthesiologists. (n.d.). Epidurals.

                                  Amphastar Pharmaceuticals, Inc. (2023). Enoxaparin sodium injection [package insert]. DailyMed.

                                  Baglin, T. P. (2021). Heparin induced thrombocytopenia thrombosis (HIT/T) syndrome: Diagnosis and treatment. Journal of Clinical Pathology.

                                  Baroletti, S. A., et al. (2006). Heparin-induced thrombocytopenia. Circulation.

                                  Bates, S. M., et al. (2016). Guidance for the treatment and prevention of obstetric-associated venous thromboembolism. Journal of Thrombosis and Thrombolysis.

                                  Brenner, B. (2007). Enoxaparin use in pregnancy: State of the art. Women's Health.

                                  Centers for Disease Control and Prevention. (2023). Know the risks, signs & symptoms of blood clots.

                                  Cook, B. W. (2010). Anticoagulation management. Table 1: Pharmacology of commonly used anticoagulants. Seminars in Interventional Radiology.

                                  Fresenius Kabi USA, LLC. (2023). Protamine sulfate- protamine sulfate injection, solution. DailyMed.

                                  Ginsberg, J. S., et al. (2003). Anticoagulation of pregnant women with mechanical heart valves. Archives of Internal Medicine.

                                  Institute for Safe Medication Practices. (2013). Enoxaparin.

                                  Jacobson, B., et al. (2020). Safety and efficacy of enoxaparin in pregnancy: A systematic review and meta-analysis. Advances in Therapy.

                                  Jupalli, A., et al. (2023). Enoxaparin. StatPearls.

                                  Kelecy, M. W., et al. (2018). Clinical effect of enoxaparin on international normalized ratio following hepato-pancreatico-biliary and gastroesophageal resection. Journal of Surgical Oncology.

                                  Kim, H., et al. (2017). Effective method for drug injection into subcutaneous tissue. Scientific Reports.

                                  LiverTox: Clinical and Research Information of Drug-Induced Liver Injury [Internet]. (2017). Low molecular weight heparins. National Institute of Diabetes and Digestive and Kidney Diseases.

                                  Martin, A. M., et al. (2021). Optimal enoxaparin dosing strategies for venous thromboembolism prophylaxis and treatment of high body weight patients. Thrombosis Research.

                                  MedGen. (n.d.). Gasping syndrome. National Library of Medicine.

                                  MedlinePlus. (2023). Drug-induced thrombocytopenia.

                                  MedlinePlus. (2023). Lumbar puncture (spinal tap).

                                  National Heart, Lung, and Blood Institute. (2022). Thrombocytopenia.

                                  Pibarot, P., et al. (2009). Prosthetic heart valves. Circulation.

                                  Sanofi-Aventis U.S. LLC. (2021). Step-by-step instructions for self-injection.

                                  Sanofi-Aventis U.S. LLC. (n.d.). How to self-inject with Lovenox.

                                  Sikes, L., et al. (2023). Anti-factor Xa level monitoring for enoxaparin prophylaxis and treatment in high-risk patient groups. HCA Healthcare Journal of Medicine.

                                  Solari, F., et al. (2023). Low-molecular-weight heparin (LMWH). StatPearls.

                                  U.S. Food and Drug Administration. (2021). Safely using sharps (needles and syringes) at home, at work and on travel.

                                  Winthrop U.S, a business of sanofi-aventis U.S. LLC. (2021). Enoxaparin sodium- enoxaparin sodium injection [package insert]. DailyMed.

                                  Yee, J., et al. (2019). Emergency reversal of anticoagulation. The Western Journal of Emergency Medicine.

                                  Zagouri, F., et al. (2020). Supportive medication in cancer during pregnancy. Biomed Central Pregnancy and Childbirth.

                                  GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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