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

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.

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