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A 39-year-old female asked:

Is my bruising, burning/stinging at injection site normal-am i doing something wrong? lupus anticoagulant antibody disorder-history of dvt and pe's.43 yrs old.have been on new subq enoxaparin-100mg/ml twice daily for 3 days.pain lasts at least an hour, ha

2 doctor answers3 doctors weighed in
Dr. Mary Engrav
Dr. Mary Engravanswered
Emergency Medicine 33 years experience
I : I am very concerned about your symptoms. Please call your hematologist immediately and discuss these symptoms. They could represent an unusual reaction or could represent that you are over-anticoagulated. Please call immediately. If you develop any shortness of breath, bleeding, or new symptoms then please be seen in the er.
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Dr. Alex Spyropoulos
Internal Medicine 31 years experience
LMWH: You should be on treatment doses of Lovenox (enoxaparin) at 1mg/kg SQ twice daily if you have suffered a recent DVT and have lupus anticoagulants and use Lovenox (enoxaparin) as a bridge to warfarin. It is normal to feel injection site pain with treatment doses of Lovenox (enoxaparin). I instruct my patients to give "Lovenox (enoxaparin) in the love handles" and alternate sides , in addition to putting ice at the site for 5 min before injecting
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Jan 9, 2019

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