A 67-year-old male asked:
164lb male 64 w/robotic prostatectomy day surgery was given 120mg lovenox (enoxaparin) inj 8hrs after surgery. pt died in 3 days. was 120mg a possible overdose?
3 doctor answers

Dr. Boris Aronzon answered
24 years experience Anesthesiology
Legal: You need somebody to know all the details. Ask patient's doctor or seek legal consult.
Answered on Sep 2, 2013

Dr. Randy Stevens answered
24 years experience General Surgery
Mg/kg bid: I am sorry for your loss. Dosage of Lovenox (enoxaparin) can vary depending on indication and renal function. To treat clot found in a cancer patient may have ordered 1 mg/kg. Patients with cancer are at increased risk for blood clot. Stress of surgery also can increase risk for myocardial infarction. Your doctors may have found a clot in the leg they were treating and pulmonary embolism is possible.
Answered on Jun 27, 2014
1
1 comment

Dr. Thomas Wright commented
29 years experience Phlebology
They are many factor weight / indications / renal function just to name a few as Dr Stevens pointed out it. It is very difficult probably not wise to say what dose might be best without a great deal more information.
Sep 1, 2013

Dr. Gregg Nishi answered
22 years experience Bariatrics
Lovenox (enoxaparin) overdose: Well, following an abdominal operation, the recommended dose of Lovenox (enoxaparin) is 40mg once a day. A higher dose is used for treatment of an existing blood clot and that dose is 1mg/kg. So a dose of 120mg would be for someone weighing 120kg or 264lbs. And that is only if the patient was being treated for an existing blood clot.
Answered on Jun 27, 2014
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