Enorin 6000 Anti-Xa IU/0.6 ml (SC Injection)

0.6 ml pre-filled syringe: ৳ 575.00

Medicine Details

Indications

  • Treatment of deep vein thrombosis
  • Treatment of unstable angina and non-Q-wave myocardial infarction
  • Prevention of thrombus formation in the extra-corporal circulation during haemodialysis
  • Prophylaxis of venous thromboembolic disease (prevention of blood clot formation in the veins)
  • Prophylaxis of venous thromboembolic disease in medical patients bedridden due to acute illness

Composition

  • 20 mg Enoxaparin Sodium (BP) in 0.2 ml pre-filled syringe
  • 40 mg Enoxaparin Sodium (BP) in 0.4 ml pre-filled syringe
  • 60 mg Enoxaparin Sodium (BP) in 0.6 ml pre-filled syringe
  • 80 mg Enoxaparin Sodium (BP) in 0.8 ml pre-filled syringe

Pharmacology

Low molecular weight heparin with high anti-Xa activity and low anti-lla or antithrombin activity. Does not increase bleeding time or notable modification of activated Partial Thromboplastin Time (aPTT). Primarily metabolised in the liver.

Dosage

  • Subcutaneously 100 anti-Xa lU/kg twice daily for 10 days
  • Subcutaneously 150 anti-Xa lU/kg once daily for 10 days
  • Subcutaneously 100 anti-Xa lU/kg for prevention during hemodialysis
  • Subcutaneously 2000 anti-Xa IU (0.2 ml) or 4000 anti-Xa IU (0.4 ml) once daily for 7 to 10 days in general surgery patients
  • Subcutaneously 4000 anti-Xa IU (0.4 ml) once daily for 7 to 10 days in orthopedic surgery patients
  • Subcutaneously 4000 anti-Xa IU (0.4 ml) once daily for 6-14 days in medical patients

Administration

  • Instructions on injecting yourself with Enoxaparin Sodium Syringes
  • Selecting your dose
  • Injecting

Interaction

Recommended discontinuation of agents which affect hemostasis prior to Enorin therapy unless strictly indicated

Contraindications

  • Known hypersensitivity to Enoxaparin Sodium, heparin or other low molecular weight heparins
  • Active major bleeding and conditions with a high risk of uncontrolled hemorrhage including recent hemorrhagic stroke

Side Effects

  • Haemorrhage (bleeding)
  • Thrombocytopenia
  • Elevations of serum aminotransferase
  • Pain, bluish marks at injection sites
  • Skin rash at injection sites
  • Neuraxial hematomas with concurrent use of Enorin and spinal/epidural anesthesia

Pregnancy & Lactation

  • Pregnancy category B
  • No evidence of crossing the placental barrier
  • Use during pregnancy only if clearly needed
  • Unknown excretion in human milk
  • Decision should be made whether to discontinue nursing or discontinue Enoxaparin, taking into account the importance of Enoxaparin to the mother and the known benefits of nursing

Precautions & Warnings

  • Enorin should be injected by deep subcutaneous route in prophylactic and curative treatment
  • Used with caution in conditions with increased potential for bleeding
  • Recommended platelet counts measurement before and during treatment

Use in Special Populations

  • No dosage adjustment necessary in elderly patients unless kidney function is impaired
  • Observation for signs and symptoms of bleeding in patients with renal impairment
  • Caution in hepatically impaired patients

Overdose Effects

Accidental overdosage may lead to hemorrhagic complications. Can be largely neutralized by the slow i.v. injection of protamine sulfate

Therapeutic Class

Parenteral anti-coagulants

Storage Conditions

Store in a cool and dry place, protect from light and moisture. Do not store above 25°C. Keep out of the reach of children

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