What does this medicine do?
Enoxaparin (e noks ah PAIR in) is an anticoagulant, which helps prevent blood clots from forming in the blood vessels. It does not dissolve clots, although you may hear people call it a “blood thinner.” In order for this medicine to safely help your child, it must be given correctly.
It is given as a shot under your skin.
It starts to work within 2 hours and the effects last up to 12 hours.
How should I give enoxaparin?
It is given as a shot subcutaneously (just under the skin) once or twice a day. Give the shot in the fatty part of the skin. You will be taught how to give the shot. See the education sheet, “Injections (subcutaneous).”
Give the shot at the same time each day to keep a steady level of the medicine in the bloodstream.
Use this medicine exactly as prescribed, even if your child feels fine.
Your child should be awake and alert when taking any medicine.
Are there any precautions about food or other medicines?
While on enoxaparin, DO NOT TAKE:
- any other type of blood thinner medicine, such as warfarin (Coumadin®, or another brand) any medicine containing aspirin
- ibuprofen (Advil®, Motrin®, or another brand)
- any non-steroidal anti-inflammatory medicine (NSAIDs)
Check with the doctor, before giving any other prescription or non-prescription medicines, herbs, or vitamins.
What should I do if a dose is missed?
If a dose is missed, give it as soon as you remember, unless it is less than 6 hours until the next dose. In that case, skip the missed dose and continue with the regular schedule. Never give a double dose.
What are the side effects?
- Pain, redness, or bruising at the injection site
- Swelling, or a lump under the skin where the shot is given
- Bleeding problems*
- Throwing up blood or something that looks like coffee grounds.
- Warmth or redness in face, neck, arms, or upper chest.
* Ways to prevent bleeding are:
- Brush teeth gently with a soft toothbrush.
- Floss teeth gently after brushing (for children younger than 9 years, parents should help with brushing and flossing). Cut fingernails and toenails carefully.
- Prevent constipation by drinking extra fluids and eating high-fiber foods.
- Use an electric razor rather than a razor blade.