Doctor insights on:
Dalteparin Sodium Medication
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
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
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
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
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
How would fragmin (dalteparin) encourage osteoporosis if taken for no more than one year? Is this of high concern? Can it be prevented?
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
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
No: Oral anticoagulants should not interfere with your periods. ...Read more
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
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
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
Stage 4 colon cancer mets to bladder lung. Developed multiple bilateral pulmonary embolisms and have been on fragmin (dalteparin). Am I to stay on fragmin (dalteparin) forever?
Colon ca and DVT:
Yes, patient has and advanced stage of colon ca.
prevent DVT may be a very personal issue, otherwise is recommended ...Read more
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
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
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?
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
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
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?
Is it safer for an embryo to start fragmin (dalteparin) while ttc or just when a pregnancy is confirmed?
Fragmin (dalteparin): No defects found in animal studies. No data from human use. ...Read more
I have finished meds for dvt (fragmin)and still get occasional dull pain and swelling, is this normal?
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
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
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
Hypoactive thyroid: Is another possible reason if all the medications have been excluded. Have your doctor check TSH level. ...Read more
How much salt HBP?:
The recommended maximum is <1, 500 mg sodium and >4, 700 mg Potassium.
Get the DASH diet book for guidance.
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
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