ENOXAPARIN

(Lovenox, low molecular weight heparin, LMWH)

Standard Prescription

enoxaparin__mg SC Q__H (__mg/kg/dose)

Dosages

Treatment of thrombosis:
<= 2 mo. of age: 1.5 mg/kg/dose SC Q12H
>2 mo. of age: 1 mg/kg/dose SC Q12H

DVT prophylaxis:
reduce above dose by 50% or give 1 mg/kg/dose once daily

Dose adjustment required in renal failure

Round to the nearest mg if possible

Mechanism of Action

Low molecular weight heparin; Anticoagulant

Forms Supplied

Injection:
300 mg/3 mL multi-dose vial

Comments

Hematology Consult suggested.

See Protocols for Anticoagulant and Thrombolytic Therapy in Supplementary Materials and References for information on dosage adjustment, mechanism of action, administration and teaching.

For doses less than 10 mg use 30 unit insulin syringe (1 U = 1 mg) to administer.

Store vials at room temperature; 28 day expiry once opened.

Hold 2 doses prior to any invasive procedure such as LP.

Requires "Special Authority" from Pharmacare if prescribing for home use.

Neonates may require higher dose.

References

90, 141, 149

Last Edited

2019-01-25 06:52:47