Doctor insights on:
Lovenox Vs Aspirin Pregnancy
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
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
For recurrent stroke prevention, which is best: ASA vs Plavix (clopidogrel) vs ASA/Plavix (clopidogrel) vs Aggrenox? Risk of bleeding worse with any particular?
Other than stents (which is Baby ASA and plavix (clopidogrel) most likely), in what instances would ASA 81mg vs ASA 325mg vs Plavix (clopidogrel) or a combination be prescribed?
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
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
High risk: Coumadin is a category x which means that it is clear it causes problems. This includes central nervous system defects, spontaneous abortion, stillbirth, prematurity, hemorrhage, and ocular defects when given anytime during pregnancy, and a fetal warfarin syndrome when given during the first trimester. Fetal warfarin syndrome involves facial abnormalities and bone problems. ...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
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
For pregnancy for someone with history of uedvt...What is diff b/w heparin and lovenox (enoxaparin)? Why would one also be on baby aspirin?
Heparins, etc: Unfractionated Heparin (UFH) can be given IV or sq (as prophylaxis) and was used historically and is used now especially if want to turn on/off and be able to reverse it (w/ protamine). Enoxaparin (lovenox) is a low molecular weight Heparin (lmwh) that can be given subcutaneously (sq) for prophylaxis or treatment. Aspirin is used more to prevent arterial (mi, tia, stroke) not venous clots. ...Read more
H attack and stroke 11 months ago, 1 DES in LAD, took Plavix (clopidogrel) all the time & Aspirin for 3,5 months. Can Plavix (clopidogrel) be substituted with Eliquis?
Data still coming in: To date most information favors Eliquis over Plavix (clopidogrel) in several studies mainly having to do with atrial fibrillation. Data on your particular situation is not really available yet partly because we have to test Eliquis with DES to see if there are any problems. Keep watching as I am sure if Eliquis proves out you may be able to switch in future ...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
Both: Both cause bleeding. The 2 drugs have different indications, however. If one must be stopped, let the doctor who knows you best decide which is less critical to your health. If you have serious active bleeding, there's no choice but to temporarily stop both. ...Read more
I weigh 182 pounds and need to take lovenox (enoxaparin) injectable before a medical procedure. What would the lovenox (enoxaparin) dose be?
Warfarine vs xalerto 15 vs Apixaban 2.5 for paroxysmal afib(s.cr2)which one to use although war is nephrosafe but risk of bleeding and other problems ?
Anticoagulants: The final answer to this remains to be determined. BOTH are equal in efficacy at prevention of stroke for atrial fib. Xeralto. Is more convenient as no PT one needed to monitor, but if bleeding complication no easy reversal agent and it is expensive. Coumadin (warfarin) well established and easy to reverse, however rregular monitoring necessary. However with home monitoring units this is less of an issu ...Read more
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