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Doctor insights on: Dalteparin Sodium Medication

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Dr. Mark Pack
21 Doctors shared insights

Dalteparin Sodium (Definition)

Dalteparin sodium is a heparin which is a kind of anti-coagulation drug ...Read more


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Can you tell me about inject fragmin (dalteparin) daily?

Can you tell me about inject fragmin (dalteparin) daily?

Anticoagulant: Frag in is derived from heparin, a naturally occurring anticoagulant. It is not usually given chronically since oral anticoagulants are easier and cheaper, but there are exceptions such as pregnancy, in some cancer patients, and where oral agents failed. Fragmin (dalteparin) is often used temporarily to prevent clotting or initiate treatment of a blood clot. Long term use can cause osteoporosis. ...Read more

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Help plz! Can plavix and fragmin (dalteparin) be taken together?

Increase bleeding: Both of these medications affect your ability to clot by different pathways. While they do not interact in the body to create any toxic combination, they do have an ADDITIVE affect on thinning your blood and creating the potential of having a major bleeding problem. These are both prescribed medications and this SHOULD be discussed with your doctor. ...Read more

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What do I do? I am on life long warfarin and can not come off it. Can I just switch to fragmin (dalteparin)?

What do I do? I am on life long warfarin and can not come off it. Can I just switch to fragmin (dalteparin)?

Fragmin (dalteparin): Fragmin (dalteparin) is given by injection. I doubt you'd want to take it for the rest of your life. It's also very expensive. (1 vial is $730). ...Read more

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I'm on fragmin (dalteparin). If I'm in an accident, will I bleed to death? Is there an antidote like there is for warfarin?

I'm on fragmin (dalteparin). If I'm in an accident, will I bleed to death? Is there an antidote like there is for warfarin?

High bleeding risk: To correct bleeding from fragmin, (dalteparin) would use Protamine to help reverse it, although it is not a complete antidote. ...Read more

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What is the definition or description of: Fragmin (dalteparin) allergy?

What is the definition or description of: Fragmin (dalteparin) allergy?

Fragmin allergy: Fragmin (dalteparin) is a blood thinner medication that is used to treat /prevent blood clots. Allergic reactions can include difficulty breathing, hives and swelling of face, lips, throat, mouth or tongue. ...Read more

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Accidentally injected fragmin (dalteparin) into a vein is this serious?

Accidentally injected fragmin (dalteparin) into a vein is this serious?

I answered: This question but will repeat/ first how do you know that was injected in a vein. It is usually injected under the skin was there a bigger vein? Makes no difference nothing will happen. Hope no mistakes were done with the total dose injected. ...Read more

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How would fragmin (dalteparin) encourage osteoporosis if taken for no more than one year? Is this of high concern? Can it be prevented?

How would fragmin (dalteparin) encourage osteoporosis if taken for no more than one year? Is this of high concern? Can it be prevented?

Not of high concern: There are studies suggesting low molecular weight heparins cause osteoporosis. The risk is so low (one figure cites 0.91%) that porphylaxis with osteoporsis meds has not been proposed. ...Read more

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Been on fragmin (dalteparin) injections for a year. D-dimer showing normal but having the exact same symptoms of a pe again. So confused?

Been on fragmin (dalteparin) injections for a year. D-dimer showing normal but having the exact same symptoms of a pe again. So confused?

See your doctor: Fragmin (dalteparin) treatment for a year implies a significant coagulation problem, and your statement suggests that you have had prior pulmonary embolism. The d-dimer being normal, means there is no significant clot formation, but since you are having pulmonary symptoms again, you should see your doctor for help. ...Read more

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Why are some people injected with fragmin (dalteparin) instead of aspirin?

Why are some people injected with fragmin (dalteparin) instead of aspirin?

Very different: Medications, with different mechanism to reduce the formation of blood clots and different risks of bleeding complications. The choice of which one is very dependent on a person's underlying problem, like aspirin being used for preventing heart attacks versus Fragmin (dalteparin) for treating pulmonary embolisms (blog clots of the lung.) ...Read more

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What blood tests are needed when taking fragmin (dalteparin) to make sure your blood is "thin" enough? Was on warfarin...Is INR meaningless now? 2 uedvts, ttc

What blood tests are needed when taking fragmin (dalteparin) to make sure your blood is "thin" enough? Was on warfarin...Is INR meaningless now? 2 uedvts, ttc

None: Fragmin is supposed to work without checking the inr. Depending on what your doctor is doing sometimes they just keep you on Fragmin or switch you back to coumadin (warfarin). I would touch base with your doctor. ...Read more

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Bad cramps light period, just stopped fragmin (dalteparin) after a year (ready for gall bladder op) could it be related? Suffered from recurring PE's

Bad cramps light period, just stopped fragmin (dalteparin) after a year (ready for gall bladder op) could it be related? Suffered from recurring PE's

Fragmin (dalteparin) and menses: I would not think so. I cannot think of any specific interaction between Fragmin (dalteparin) (low molecular weight heparin) stopping and your symptoms. Please see your gyn provider if cramps continue. Hope this helps. Good luck with the surgery. ...Read more

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I have a broken ankle and I am in a cast I have got a bruise near my toes it's little but has just appeared I am on fragmin (dalteparin) for 6 weeks what do I do?

I have a broken ankle and I am in a cast I have got a bruise near my toes it's little but has just appeared I am on fragmin (dalteparin) for 6 weeks what do I do?

See your doctor: The bruise could be pooled blood from the fracture because gravity causes it to accumulate in your feet. However, as you are on fragmin (dalteparin) any bleeding of concern should be discussed w/your doctor. They can determine the appropriate evaluation & if necessary remove the cast, image and test in the office and replace appropriately. It's important to keep your doctor apprised of bleeding while on Fragmin (dalteparin) ...Read more

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Fragmin (dalteparin) + pregnant, what to do?

Fragmin (dalteparin) + pregnant, what to do?

See you doctor: Fragmin (dalteparin) is a low molecular weight heparin and a Category B drug for pregnancy. This means animal studies have not seen harm to the fetus but there are no adequate studies in pregnant women. Some women with blood clotting problems can take these medications safely during pregnancy BUT they should be followed very closely by their physician. ...Read more

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I'm on fragmin (dalteparin) and I'm pregnant but the baby is sick and will not survive and I may miscarry. Will I hemerrage dangerously if this happens?

I'm on fragmin (dalteparin) and I'm pregnant but the baby is sick and will not survive and I may miscarry. Will I hemerrage dangerously if this happens?

Likely no: From your history I see that you have a history of dvt. Women with this are typically on a 40mg dose of fragmin, (dalteparin) which is a prophylactic dose. Pregnancy actually increases your chances of blood clot, which you likely already know. If you likely are going to miscarry, consider making sure you're on a prophylactic dose, not a therapeutic dose of the medication. A therapeutic dose could hemorrhage. ...Read more

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My fragmin/dalterparin daily injections are leaving hard lumps up to 2 inches at injection sight they don't seem to be going for weeks. Causes?

Bruise: Seem bigger than expected
check needle size, volume injected and talk with doc about possible overdosing.
While a goal of anti coagulation is important, local bleeding is uncomfortable and a possible sign of need for adjustment.

Ice may help earl, and heat later to limit bruise and resorb hematoma. ...Read more

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Can fragmin (dalteparin) affect pregnancy?

Can fragmin (dalteparin) affect pregnancy?

No: Fragmin (dalteparin) is an anticoagulant or blood thinner that may be necessary in pregnancy to prevent or treat blood clots. It is rated as a category b, does not cross the placenta, and is felt to be safe during pregnancy. It can cause increased bruising, bleeding, or a low platelet count. ...Read more

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I'm on 15000 iu of fragmin (dalteparin) daily (150lbs). Is this considered prophylactic dose? I'm pregnant but may miscarry. Should I worry about haemorrhaging?

I'm on 15000 iu of fragmin (dalteparin) daily (150lbs). Is this considered prophylactic dose? I'm pregnant but may miscarry. Should I worry about haemorrhaging?

Dalteparin: This dose sounds like a treatment dose rather than a prophylactic dose. Anti coagulation does carry a risk of hemorrhage. Discussions with your health care team seems in order to address concerns. ...Read more

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I have finished meds for dvt (fragmin)and still get occasional dull pain and swelling, is this normal?

I have finished meds for dvt (fragmin)and still get occasional dull pain and swelling, is this normal?

Dvt: May be related to a post phlebitic syndrome. Vein can be scarred with some residual stenosis. Compression stocking may help. If symptoms are severe consider seeing vascular specialist. ...Read more

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I've been injecting fragmin (dalteparin) for 3 weeks (pregnant, 2dvts). The last 3 have left painful lumps under the skin. Why? Prevention tips?

I've been injecting fragmin (dalteparin) for 3 weeks (pregnant, 2dvts). The last 3 have left painful lumps under the skin. Why? Prevention tips?

Rotate areas.: Unfortunately these under the skin injections all can cause lumps under the skin. Time should improve them. My advice would be to change injection areas. Rotate between abdominal area, left and right thighs. Hope u feel better soon. ...Read more

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On fragmin (dalteparin). Spotting at 4 weeks pregnant. Has stopped for now. No pain/cramps. Had sex 24 hours prior. Is it from fragmin (dalteparin)? Sex? Threatened mc?

On fragmin (dalteparin). Spotting at 4 weeks pregnant. Has stopped for now. No pain/cramps. Had sex 24 hours prior. Is it from fragmin (dalteparin)? Sex? Threatened mc?

Needs evaluation: Any bleeding during pregnancy needs to be evaluated promptly by your doctor. About 50% of women experience some degree of bleeding in early pregnancy making it very common but not normal. Most are fine but sometimes bleeding can indicate a tubal pregnancy or miscarriage. Get checked. ...Read more

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21 wks pregnant twins, PE suspected, taking fragmin 6000 units twice, still resting heart rate 120 and if I walk few steps goes to 160 is it normal?

21 wks pregnant twins, PE suspected, taking fragmin 6000 units twice, still resting heart rate 120 and if I walk few steps goes to 160 is it normal?

Complex case: If you are pregnant with twins, diagnosed with a pulmonary embolism and have a heart rate of 160 then immediate evaluation is needed. A multi specialty evaluation may be needed including Obgyn, Perinatology, pulmonology and cardiology. A PE in pregnancy is a very serious complication. ...Read more

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I'm 54 yrs and my doc said I have low blood sodium. What can cause this besides medications?

I'm 54 yrs and my doc said I have low blood sodium. What can cause this besides medications?

Hypoactive thyroid: Is another possible reason if all the medications have been excluded. Have your doctor check TSH level. ...Read more

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How much sodium is safe to use for someone on high blood medication?

How much sodium is safe to use for someone on high blood medication?

How much salt HBP?: The recommended maximum is <1, 500 mg sodium and >4, 700 mg Potassium.

Get the DASH diet book for guidance.

ISBN 9780743410076

available as ebook for your computer.

You can also get the app myfitnesspal and use it to track the sodium in what you eat. Suspect it will be a surprise to see how much you are getting.. ...Read more

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What helps lower sodium levels in your body besides medication? I have heard bananas will anything else?

What helps lower sodium levels in your body besides medication? I have heard bananas will anything else?

No foods: Will lower sodium levels in your body as it is an essential component without which you'd die quickly. If your sodium is too high you may be slightly dehydrated, took too much diuretic, or you have a medical problem that needs your doctor's attention. If you have a real problem, which is unlikely, you can't fix it by yourself. ...Read more

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