What is most

important to
remember?
If you have questions: Strong Internal Medicine
• Take Fragmin® (dalteparin) or
Lovenox® (enoxaparin) exactly as Ask your doctor, nurse or pharmacist for
you are told more information about Fragmin®
(dalteparin) or Lovenox® (enoxaparin).
• Call your doctor for any signs of
bleeding Recommended Internet Sites

• Do not start any new medications, Enoxaparin:

over-the-counter drugs or herbal medlineplus.gov/druginfo/meds/a601210.ht
remedies without talking to your ml
doctor Dalteparin:
• Tell all doctors, dentists and medlineplus.gov/druginfo/meds/a601210.ht
ml
pharmacists that you take a low
molecular weight heparin

Strong Internal Medicine

601 Elmwood Avenue
th
Ambulatory Care Facility, 5 Floor
Rochester, NY 14642
Phone: (585) 275-7424
Low Molecular Weight Heparin:
Visit our website at: Important Patient Information
www.urmc.rochester.edu/medicine/ -
general-medicine/patientcare/
What do Lovenox® (enoxaparin) and Are there any interactions with other drugs What if I forget a dose?
Fragmin® (dalteparin) do? that I need to worry about? • If a dose is less than a few hours late, take it
• They slow the ability of your blood to form a • NSAIDS such as ibuprofen (Advil®, Motrin®) now
clot and naproxen (Aleve ®) may incease the risk • If it is more than 6 hours late take your next
• They are used to prevent harmful blood clots of bleeding. Acetaminophen (Tylenol®) can dose at the normal time (i.e., if your doses
from forming in your body be used for pain are at 8am and 8pm and you remember you
What do I need to know about taking • Do not start new prescription medications, missed your AM dose at 2pm., wait until 8pm
Lovenox® (enoxaparin) and Fragmin® over-the-counter medications, or herbal and take your next dose)
(dalteparin)? dietary supplements without telling your • If your dose is once a day and it is more than
doctor or pharmacist a few hours late, take it as soon as you
• They may be given with other medications
that prevent blood clots What side effects could occur while on remember and reschedule your dose times
Lovenox® (enoxaparin) and Fragmin® 24 from then (i.e., your dose is 8am but you
• You will be shown how and where to give (dalteparin)? forgot and didn’t take it until 3pm, reschedule
yourself injections
• Bleeding is the most common side effect your time for 3 pm)
• Inject the contents of the pre-loaded syringe
• If you have a bad fall or are in an accident, • NEVER double up your dalteparin or
as directed by your doctor
call your doctor immediately enoxaparin dose
• Change where you inject to help reduce
irritation to the site
• Do NOT reuse syringes or needles. Throw
them away after use into a rigid puncture
resistant container with lids or caps such as
heavy plastic bleach/laundry/detergent
bottles or sharps container

If you have any of the following side effects, call your doctor or visit the emergency room
immediately:
• Coughing or vomiting blood or coffee • Injection site bleeding or excessive
ground material bruising
• Nosebleeds • Swelling in your face, hands or mouth
• Black, tarry stools and throat

• Unusual weakness or tiredness • Numbness and tingling

• Severe stomach pain
• Blood in urine or stool