Is enoxaparin based on weight?
Is enoxaparin based on weight?
This is unexpected, as the existing standard of care for therapeutic anticoagulation (e.g., in patients with established venous thromboembolism) is weight-based—enoxaparin is typically provided at 1 mg/kg twice daily or 1.5 mg/kg once daily.
Is Lovenox dosing based on ideal body weight?
The LMWH agent enoxaparin (Lovenox) has no official dosing recommendations for these patients,3 but data in this population suggest that a reduced weight-based dose (less than 1 mg per kg) is warranted.
What is weight-based dosing?
Weight-based dosing allows patients to have increased control over their own health because it gives them a greater say in what size doses they need versus what size pills they are given.
How does weight affect drug dosing?
As clearance determines a drug’s maintenance dose, clinicians should consider how lean body weight, rather than total body weight, impacts dosing. When lean body weight increases there will be a corresponding increase in drug clearance and an increased dose may be required.
What weight should I use for enoxaparin?
Enoxaparin for Obese or Underweight Patients In clinical trials using enoxaparin for the treatment of DVT or PE, the 1 mg/kg Q 12 h dose was given to patients up to weights of approximately 150 kg. The maximum dose of enoxaparin should be 150 mg SC Q 12 h.
What is the dosing of enoxaparin?
40 mg subcutaneously once a day for 7 to 10 days‡ followed by 40 mg subcutaneously once a day for 3 weeks. Initial dose 9 to 15 hours before surgery. Acute DVT with or without PE, inpatient treatment 1 mg per kg subcutaneously every 12 hours (with warfarin).
Why is weight important in medication dosages?
A patient’s weight is important information because it is often used to calculate the appropriate medication dose. When medication errors arise due to inaccurate or unknown patient weights, the dose of a prescribed medication could be significantly different from what is appropriate.
When do you use adjusted weight vs ideal weight?
If a patient’s actual body weight was less than his or her ideal weight, then actual weight should be used. However, if the patient is obese, then a correction is used.
How is enoxaparin day supply calculated?
The exact metric decimal quantity for enoxaparin is determined by the number of milliliters in a syringe (or vial) multiplied by the number of syringes (or vials). [6] For example, if 7 syringes of 0.3 ml of enoxaparin are dispensed, the total quantity billed should be 2.1 ml.
