سعر لوبارين 40مجم/0.4مل تحت الجلد 5 امبولات 2023

Enoxaparin sodium 40 mg/0.4 ml solution for subcutaneous injection (El Nile Co. / EPCI, Egypt); low molecular weight heparin anticoagulant.

• Prophylaxis of deep vein thrombosis in abdominal surgery, hip or knee replacement surgery, and in medical patients with severely restricted mobility during acute illnessPopulation: AdultsDailyMed (U.S. National Library of Medicine)
• Treatment of acute deep vein thrombosis with or without pulmonary embolism (with warfarin)Population: AdultsDailyMed (U.S. National Library of Medicine)
• Prophylaxis of ischemic complications of unstable angina and non-Q-wave myocardial infarctionPopulation: AdultsDailyMed (U.S. National Library of Medicine)

• Most common (>1%): bleeding, anemia, thrombocytopenia, elevated serum aminotransferases, diarrhea, nausea, ecchymosis, fever, edema, peripheral edema, dyspnea, confusion and injection-site pain.International label, same formulation · DailyMed (U.S. National Library of Medicine)

• Active major bleeding.International label, same formulation · DailyMed (U.S. National Library of Medicine)
• History of immune-mediated heparin-induced thrombocytopenia within the past 100 days or circulating antibodies.International label, same formulation · DailyMed (U.S. National Library of Medicine)
• Known hypersensitivity to enoxaparin sodium, heparin or pork products.International label, same formulation · DailyMed (U.S. National Library of Medicine)

• BOXED WARNING - spinal/epidural hematomas may occur with neuraxial anesthesia or spinal puncture and may cause long-term or permanent paralysis; consider risks such as indwelling epidural catheters and concomitant drugs affecting hemostasis.International label, same formulation · DailyMed (U.S. National Library of Medicine)
• Increased risk of hemorrhage; monitor for bleeding. Risk of heparin-induced thrombocytopenia; monitor platelet counts closely.International label, same formulation · DailyMed (U.S. National Library of Medicine)
• Pregnant women with mechanical prosthetic heart valves may be at increased risk of thrombosis; monitor more frequently and adjust dosage.International label, same formulation · DailyMed (U.S. National Library of Medicine)

• Anticoagulants, platelet inhibitors (aspirin, salicylates, NSAIDs incl. ketorolac, dipyridamole, sulfinpyrazone)Increase hemorrhage risk; discontinue before starting enoxaparin when possible, otherwise monitor closely.DailyMed (U.S. National Library of Medicine)

• Human data (retrospective cohort, 693 live births) suggest enoxaparin does not increase the risk of major developmental abnormalities.International label, same formulation · DailyMed (U.S. National Library of Medicine)
• Unknown whether excreted in human milk; passage into rat milk is very limited; weigh benefits of breastfeeding against maternal need.International label, same formulation · DailyMed (U.S. National Library of Medicine)

• Enoxaparin sodium: Low molecular weight heparin with antithrombotic properties and a higher anti-factor Xa to anti-factor IIa activity ratio than unfractionated heparin.