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Heparin Vs Lovenox In Pregnancy
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
What are the risks in taking lovenox (enoxaparin) /heparin during pregnancy? What if baby aspirin is taken as well?
Heparin: Plain Heparin and Lovenox (enoxaparin) (lmw heparin) can both cause easy bruising and bleeding, even hemorrhage, decrease in normal platelet numbers, bone thinning - scary stuff - but usually are very safe. The trick is never to use them without a clear benefit to outweigh the risks, and always monitored under a specialist care. ...Read more
Lovenox (enoxaparin) vs. heparin: Unfractionated Heparin (UFH) & enoxaparin (lovenox or lmwh) both prevent blood clots by indirectly inhibiting the function of 2 important clotting factors, xa and iia (thrombin). Ufh is very large , while lmwh is smaller. Dosing of UFH is IV or sq every 8-12 hrs, and lmwh sq every 12-24 hrs. Care is needed with lmwh if renal failure. Ufh is more likely to cause hit, a dangerous allergic reaction. ...Read more
Discuss with doctor: Not sure what a&c means. Mthfr mutation is very weakly associated with miscarriage. If you are heterozygous then blood thinning medicines are not indicated. If you are homozygous then possibly. Ask about a fasting homocystine test. Your age of 41 is also a risk factor for miscarriage. ...Read moreSee 1 more doctor answer
Are any of the new anticoags useful for factor v leiden and lupus anticoag. Antibody. On lovenox (enoxaparin) 100mg bid. Venous and arterial clotting and pes. ?
Maybe: The newer medications to prevent blood clots are not approved for use in the us for your condition. There is published research in europe showing that these medications can be used effectively for your type of problem. My personal bias is that you should wait until more research has been done. Your doctor can help advise you as to the status of this research as it evolves. ...Read more
Different salts: Heparin comes in different forms. For blood collection tubes, the two common forms are sodium and lithium. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more
Clexane: Clexane (known as Lovenox in the U.S.) is the brand name for enoxaparin. This medication is commonly used during pregnancy. Some doctors will switch back to unfractionated Heparin close to delivery since Heparin has a completely effective antidote, while enoxaparin's antidote is less reliable. Obviously, the OB doesn't want anyone to bleed excessively during delivery. ...Read more
How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?
Risks: The risks as you describe them, are many, but they are not insurmountable. First, having a baby at 40 is more of a health hazard than having a baby at 20. This might be the biggest hurdle. Second, any chronic disease must be well controlled. Lupus should be quiet before attempting pregnancy. Third, any medications should be reviewed - you are likely aware that warfarin causes birth defects. ...Read moreSee 2 more doctor answers
Tendency to clot: Factor v leiden is a hereditary abnormality of a clotting protein that increases your risk of forming clots, notably in the veins (phlebitis). If you are undergoing a procedure that would also increase this risk (surgery, prolonged immobilization), Lovenox (enoxaparin) might be used preventively. It is only for short-term use, and oral drugs such as warfarin would be used if you need long-term protection. ...Read more
Unknown: Xarelto is approved by the us food & drug administration for the treatment of pulmonary embolism and deep venous thrombosis. It is approved in europe for these indications as well as in the prevention of stroke or systemic issues for patients with atrial fibrillation. As far as i can tell there is no approval for antiphospholipid antibody syndrome. I would consult with a hematologist to be sure. ...Read more
Many: Warfarin is a vitamin k antagonist and is given in pill form and is much cheaper, requires constant checking levels in the blood ( pt-inr). Lovenox (enoxaparin) is a low molecular sintetic heparin, injectable once or twice a day subcutaneously, much more expensive buy does not requiere to check the levels in the blood tests. Warfarin has to be stopped 3 to 5 days before surgery, Lovenox (enoxaparin) only 36 hrs. ...Read moreSee 1 more doctor answer
Cost vs safety: In patient with atrial fibrillation there is an increase risk of atrial clot formation. These clots can travel to the brain and lungs resulting in stroke and pulmonary embolism, both possibly life threatening. Pradaxa and warfarin both reduce this risk directly. Pradaxa is newer, may be safer, easier to manage and much more expensive. Aspirin is less effective. ...Read moreSee 1 more doctor answer
What are the risks of disseminated intravascular coagulation after a single fetal demise @ 28 weeks.This a triplet pregnancy - trichorion/triamnio?
See below: Both are blood thinners that act on different parts of the coagulation (clotting) pathway in our system, warfarin is oral and needs regular blood test to check if it is in a good level, avoid eating vitamin k rich foods like dark greens while on this med. Lovenox (enoxaparin) is injectable, dosing computed thru weight. ...Read moreSee 1 more doctor answer
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