Clexane and Clexane Forte* - Medsafe Home Page

1 Clexane and Clexane . Forte*. enoxaparin sodium Consumer medicine Information What is in this leaflet medicines work by reducing blood Do not use Clexane after the expiry clotting activity. date printed on the syringe or This leaflet answers some common Your doctor may have prescribed ampoule. questions about Clexane . Clexane for another reason. Do not use Clexane if the It does not contain all the available Ask your doctor if you have any packaging is torn or shows signs of information. questions about why Clexane has tampering. It does not take the place of talking to been prescribed for you.

2 If you are not sure whether you your doctor or pharmacist. There is no evidence that Clexane is should start using Clexane , talk to addictive. your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed This medicine is only available with Before you are given it the risks of you using Clexane a doctor's prescription. against the benefits they expect it Tell your doctor or pharmacist if will have for you. you have allergies to: If you have any concerns about heparin or its derivatives, using this medicine , ask your Before you are given it including other LMWHs doctor or pharmacist.

3 Any other medicines Keep this leaflet with the medicine . When you must not use it any other substances, such as You may need to read it again. Do not use Clexane if you have an foods, preservatives or dyes. allergy to Clexane , heparin or its Tell your doctor or pharmacist if derivatives including other you have or have had any of the LMWHs. Some signs and following medical conditions: What Clexane is used symptoms of an allergic reaction major bleeding disorder or blood for can include swelling of the face, clotting problem, including a lips or tongue, wheezing or recent stroke or hereditary blood Clexane is used in a number of troubled breathing, skin rash, disorders medical conditions.

4 It is used to: itching hives, blisters or peeling skin. bacterial endocarditis, treat blood clots inflammation of the lining of the Do not use Clexane if you have, or treat certain types of heart disease heart caused by bacteria have ever had any of the following (eg. angina and heart attacks), stomach or bowel problems such medical conditions: when used with aspirin as ulcers or ulcerative colitis major blood disorders prevent blood clots forming after kidney or liver disease an operation, during certain types of stroke uncontrolled high blood pressure hospitalisation or extended bed stomach or bowel problems such rest or during purification of the as ulcers or ulcerative colitis diabetic related eye disease blood by an artificial kidney bacterial infections in your heart.

5 Recently undergone brain, spinal (haemodialysis). or eye surgery Do not give Clexane to a child. Clexane is one of a group of history of spinal surgery or spinal medicines called low molecular The safety and effectiveness of deformity weight heparins (LMWH). These Clexane has not been established in children. an artificial heart valve Clexane AND Clexane FORTE 1. obesity medicines used to treat the usual dose is 30mg injected into a If you have not told your doctor or inflammatory disease, such as vein plus 1mg/kg injected under the pharmacist about any of the above, oral non-steroidal anti- skin, followed by 1mg/kg injected tell them before you start using inflammatory medicines or under the skin twice a day.

6 Clexane . corticosteroids. For treatment of certain other Tell your doctor or pharmacist if If any of these medicines are used types of heart disease, you are pregnant or intend to while using Clexane , careful the usual dose is 1 mg/kg injected become pregnant. monitoring of your blood clotting under the skin twice a day. factors is required by your doctor. Like most LMWHs, Clexane is not These doses of Clexane may be recommended to be used during These medicines may be affected by changed by your doctor. Your doctor pregnancy. If there is a need to Clexane or may affect how well it will decide when and how much consider Clexane during your works.

7 You may need to use different Clexane you will be given. pregnancy, your doctor or pharmacist amounts of your medicine or you will discuss with you the benefits and may need to use different medicines. How to use it risks of using it. Your doctor or pharmacist will advise you. Clexane is usually given by an Tell your doctor or pharmacist if injection under the skin or into the you are breastfeeding or plan to Your doctor and pharmacist may tubing of the dialysis machine. The breastfeed. have more information on medicines recommended site for injection is the to be careful with or avoid while Like most LMWHs, Clexane is not stomach area.

8 A different injection using Clexane . recommended while you are site should be used for each injection. breastfeeding. If there is a need to Do not rub the injection site after consider Clexane while you are administration. breastfeeding, your doctor or It may be given by your doctor, nurse pharmacist will discuss with you the How to use it or yourself. Your doctor will tell you benefits and risks of using it. how you will be given your injection. How much to use Tell your doctor that you are using Clexane can also be given by an Clexane if your doctor is planning Your doctor will decide what dose injection into a vein.

9 This will be for you to have an anaesthetic you will receive. This depends on done in hospital by your doctor or injection in your back (spinal or your condition and other factors, nurse. epidural injection). such as your weight. Prefilled Syringes If you have not told your doctor or For the prevention of blood clots, the The prefilled syringes are ready for pharmacist about any of the above, following are the usual doses, which use. The air bubble in the syringe tell them before you start using are administered by injection under should not be expelled. Clexane .

10 The skin once a day: Graduated Prefilled Syringes moderate risk patients: 20mg Taking other medicines When using the 60mg, 80mg, 100mg, high risk patients: 40mg 120mg and 150mg graduated Tell your doctor or pharmacist if For the treatment of blood clots syringes, the volume to be injected you are taking any other which have formed in the leg/deep should be measured precisely medicines, including any that you vein, according to the dosage buy without a prescription from the usual dose is 1mg/kg body weight recommended by your doctor. your pharmacy, supermarket or health food shop.