Introduction About EXHEP PEN 300 CARTRIDGE

EXHEP PEN 300 CARTRIDGE contains Enoxaparin which belongs to the group of medicines called Anticoagulants. It is used to manage blood clot formation in the body.

EXHEP PEN 300 CARTRIDGE works by stopping the blood clots formation. It also manages the existing blood clots from growing bigger in size. Due to this property, it is highly used as a prophylactic therapy for managing blood clot formation during risky conditions that involves clot formation such as before or after a surgery, during dialysis or after a heart attack or a severe chest pain (angina).

It can also be used to reduce the risk of blood clot formation caused due to prolong period of immobility or due to cancer therapy.

Before receiving EXHEP PEN 300 CARTRIDGE inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have diabetes, high blood pressure or a history of stomach ulcer.

EXHEP PEN 300 CARTRIDGE is not recommended for use in patients who are bleeding heavily or have any pre-existing conditions (such as stomach ulcer or stroke) that can increase the risk of internal bleeding. It is also not suitable for use in patients scheduled for spinal anesthesia or lumbar puncture.

Inform your doctor before receiving EXHEP PEN 300 CARTRIDGE if you are pregnant or breastfeeding. The most common side effects of receiving EXHEP PEN 300 CARTRIDGE are injection site reactions (such as pain or irritation), skin rashes, low platelet count, bleeding or bruising and headache. Consult your doctor if any of these side effect worsens.

Uses Of EXHEP PEN 300 CARTRIDGE

Manage and manages blood clots in the body

How EXHEP PEN 300 CARTRIDGE Works

EXHEP PEN 300 CARTRIDGE is an anticoagulant medicine. It inactivates certain proteins (such as coagulation factor II a and X a) in the blood that causes blood clotting. This reduces the chances of blood clot formation within the body which therefore manages blockage of blood vessels.

How to use EXHEP PEN 300 CARTRIDGE

EXHEP PEN 300 CARTRIDGE will be given to you only by a doctor or a nurse into the vein (intravenously) or under the skin (subcutaneously).

It can also be self-administered by the patients if advised by the physician. Carefully, follow the instructions given by the doctor in case of self-administration.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

Side Effects Of EXHEP PEN 300 CARTRIDGE

Common

Bleeding, bruising
Injection site reactions (such as pain or redness)
pinky patches on the skin (especially in the injection site)
skin rash, itching, redness
low RBC count in blood
headache

Uncommon

sudden severe headache
tender and swollen stomach

Rare

increased blood potassium levels
hair loss
osteoporosis (weak and brittle bones)
tingling, numbness and muscular weakness (especially in the lower part of the body) especially if you have had a spinal puncture or a spinal anesthetic
loss of control over the intestine or bladder

Contact your doctor immediately if you experience any of the following side effects after receiving EXHEP PEN 300 CARTRIDGE:

severe allergic reactions (such as skin rash, itching, swelling of the face, mouth, throat, tongue leading to difficulty in breathing or swallowing)
signs of excessive bleeding (excessive weakness, tiredness, paleness, dizziness, headache or unexplained swelling)
severe skin reactions (such as skin rash, itching, skin redness with blisters or peeling of the skin, which may be associated with high fever and joint pains, dark red spots under the skin)
cramping pain, redness, warmth, swelling in one of the legs
breathlessness, chest pain, coughing up blood

How To Manage Side Effects

Headache:

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Injection site reactions:

Place an ice pack on the affected area. Do not frequently move the injection site. Consult your doctor if the symptom did not improve.

Warning & Precautions

Pregnancy

EXHEP PEN 300 CARTRIDGE should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before receiving it.

Breastfeeding

EXHEP PEN 300 CARTRIDGE should be used with caution in breastfeeding women. Therefore, consult your doctor before receiving it.

Driving and Using Machines

EXHEP PEN 300 CARTRIDGE does not affect your ability to drive or operate machinery. However, do not drive or handle any heavy tools or machines if your ability is affected by EXHEP PEN 300 CARTRIDGE.

Alcohol

Avoid consumption of alcohol before receiving EXHEP PEN 300 CARTRIDGE.

Kidney

EXHEP PEN 300 CARTRIDGE should be used with caution in patients with kidney problems. Therefore, consult your doctor before receiving it.

Liver

EXHEP PEN 300 CARTRIDGE should be used with caution in patients with liver problems. Therefore, consult your doctor before receiving it.

Allergy

Talk to your doctor before receiving EXHEP PEN 300 CARTRIDGE if you are allergic to Enoxaparin or to any other low molecular weight heparins (such as nadroparin, tinzaparin or dalteparin).

Heart Disease

EXHEP PEN 300 CARTRIDGE should be used with caution in patients fitted with heart valves and in patients with heart problems (such as heart infections or high blood pressure). Therefore, consult your doctor before receiving it.

Others

EXHEP PEN 300 CARTRIDGE is not recommended for use if you:

have a previous history of heparin-induced thrombocytopenia (low platelet count in blood)
have antibodies against enoxaparin in your blood
are bleeding heavily
have any internal condition that can increase the risk of heavy bleeding (such as stomach ulcer, stroke, surgery)
are scheduled for any spinal procedures (such as spinal anesthesia or lumbar puncture)

Before receiving EXHEP PEN 300 CARTRIDGE, inform your doctor if you:

have a history of stomach ulcers
recently had stroke
have diabetes
have diabetic retinopathy (eye damage caused due to diabetes)
recently had surgery on your brain or eyes
are underweight or overweight
have hyperkalemia (high blood potassium levels)

Use in pediatrics:

The safety and effectiveness of EXHEP PEN 300 CARTRIDGE have not been established in children and adolescents (aged below 18 years). Your doctor will decide about administering EXHEP PEN 300 CARTRIDGE to your child after evaluating the risks and benefits of the therapy.

Use in geriatrics:

EXHEP PEN 300 CARTRIDGE should be used with caution in elderly patients (aged 65 years or older). Therefore, consult your doctor before receiving it.

Interactions

A. Drug-Drug interactions:

Before receiving EXHEP PEN 300 CARTRIDGE, inform your doctor if you are taking any of the following medicines:

warfarin (a medicine used for blood thinning)
other medicines used to stop blood clots from forming (Ex. aspirin, clopidogrel, dipyridamole)
dextran injection (used to replace blood)
medicines used to relieve pain and swelling (Ex. ibuprofen, diclofenac, ketorolac, tromethamine)
medicines used to manage asthma, rheumatoid arthritis, and other conditions (Ex. prednisolone, dexamethasone)
medicines that increase blood potassium levels (Ex. spironolactone, triamterene, amiloride)
sulfinpyrazone (used to manage gout)

Overdosage:

EXHEP PEN 300 CARTRIDGE will be administered to you only by a doctor or a nurse in a hospital, and so it is unlikely to receive an overdose. However, consult your doctor or nurse if you experience any unusual symptoms.

Synopsis

Drug	:	Enoxaparin
Pharmacological Category	:	Parenteral Anticoagulants
Therapeutic Indication	:	Blood clots
Dosage Forms	:	Injection, Pre-filled syringes (PFS), Pen, Cartridge

More Information

Keep EXHEP PEN 300 CARTRIDGE out of reach of children
Store EXHEP PEN 300 CARTRIDGE at room temperature

FAQs About EXHEP PEN 300 CARTRIDGE

What is the use of EXHEP PEN 300 CARTRIDGE?

EXHEP PEN 300 CARTRIDGE is an anticoagulant used to manage blood clots in the body. It works by stopping the blood clots formation and manages the existing blood clots from growing bigger in size.

How EXHEP PEN 300 CARTRIDGE works?

EXHEP PEN 300 CARTRIDGE is an anticoagulant medicine. It inactivates certain proteins (such as coagulation factor II a and X a) in the blood that causes blood clotting. This reduces the chances of blood clot formation within the body which therefore manages blockage of blood vessels.

How EXHEP PEN 300 CARTRIDGE is administered?

EXHEP PEN 300 CARTRIDGE will be given to you only by a doctor or a nurse into the vein (intravenously) or under the skin (subcutaneously). It can also be self-administered by the patients if advised by the physician. Carefully, follow the instructions given by the doctor in case of self-administration.

What precautions must be followed while receiving EXHEP PEN 300 CARTRIDGE?

Before receiving EXHEP PEN 300 CARTRIDGE inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have diabetes, high blood pressure or a history of stomach ulcer. EXHEP PEN 300 CARTRIDGE is not recommended for use in patients who are bleeding heavily or have any pre-existing conditions (such as stomach ulcer or stroke) that can increase the risk of internal bleeding. It is also not suitable for use in patients scheduled for spinal anesthesia or lumbar puncture. Inform your doctor before receiving EXHEP PEN 300 CARTRIDGE if you are pregnant or breastfeeding.

Is EXHEP PEN 300 CARTRIDGE safe?

EXHEP PEN 300 CARTRIDGE is considered safe at the doses administered by the physician. However, consult your doctor if you experience any unusual side effects

What are the common side effects of receiving EXHEP PEN 300 CARTRIDGE?

The most common side effects of receiving EXHEP PEN 300 CARTRIDGE are injection site reactions (such as pain or irritation), skin rashes, low platelet count, bleeding or bruising and headache. Consult your doctor if any of these side effect worsens.

Can the use of EXHEP PEN 300 CARTRIDGE make me bleed more?

As EXHEP PEN 300 CARTRIDGE is a blood thinning medicine, it makes your blood thin and flowy which might increase the risk of excessive bleeding. To avoid this, your doctor will carefully evaluate your condition and prescribe a suitable dose for you. As a precaution, you must also inform your doctor if you have or recently had any surgery or have any pre-existing conditions (such as stomach ulcer or stroke) that can increase the risk of internal bleeding.

Can EXHEP PEN 300 CARTRIDGE be used during heart attack?

EXHEP PEN 300 CARTRIDGE can be used to manage blood clots in patients who suffered a heart attack. However, consult your doctor before taking it.

Who should not receive EXHEP PEN 300 CARTRIDGE?

EXHEP PEN 300 CARTRIDGE is not recommended for use in patients who are bleeding heavily or have any pre-existing conditions (such as stomach ulcer or stroke) that can increase the risk of internal bleeding. It is also not suitable for use in patients scheduled for spinal anaesthesia or lumbar puncture.

Can I stop receiving EXHEP PEN 300 CARTRIDGE once my symptoms subside?

Do not stop taking EXHEP PEN 300 CARTRIDGE without consulting your doctor. You need to receive EXHEP PEN 300 CARTRIDGE for the duration recommended by your doctor to achieve complete management of blood clot formation within your body.

Is EXHEP PEN 300 CARTRIDGE heparin?

Yes. EXHEP PEN 300 CARTRIDGE contains a medicine called enoxaparin which is a low molecular weight heparin.

Can I use EXHEP PEN 300 CARTRIDGE during pregnancy?

EXHEP PEN 300 CARTRIDGE should be used with caution in pregnant women especially those with a mechanical heart valve. If you are pregnant, think you may be pregnant or are planning to get pregnant, consult your doctor before receiving EXHEP PEN 300 CARTRIDGE.

Can EXHEP PEN 300 CARTRIDGE be used in children?

The safety and effectiveness of EXHEP PEN 300 CARTRIDGE have not been established in children and adolescents (aged below 18 years). Your doctor will decide about administering EXHEP PEN 300 CARTRIDGE to your child after evaluating the risks and benefits of the therapy.

Can EXHEP PEN 300 CARTRIDGE be given IV?

EXHEP PEN 300 CARTRIDGE will be given to you only by a physician or a nurse under the skin (subcutaneously). It can also be given into your vein (intravenously) during surgeries or after heart attack. Your doctor will decide the appropriate route of administration for you depending upon your medical condition.

Can EXHEP PEN 300 CARTRIDGE cause thrombocytopenia?

EXHEP PEN 300 CARTRIDGE can lower your blood platelet count (thrombocytopenia), making you bruise more easily than usual. Consult your doctor if you experience any unusual bruising.

References

1. KD. Tripathi. Drugs affected coagulation, bleeding and thrombosis. Essentials of Medical Pharmacology. 7th Edition. 2013. Page – 619.

2. Takeo Nomura, Mika Takahashi, Kazunori Iwasaki, Tomoya Oribe, Mayuka Shinohara, Yuko Fukuda, Shinsuke Mizoguchi, Fuminori Sato, Hiromitsu Mimata. Efficacy and Safety of Enoxaparin for Preventing Venous Thromboembolic Events following Urologic Laparoscopic Surgery. International Scholarly Research Notices. April 2013. [Accessed on 28th October 2022] https://www.hindawi.com/journals/isrn/2013/415918/

3. Health-Med spólka z ograniczona odpowiedzialnoscia spólka jawna. Electronic Medicines Compendium (EMC). [Revised in March 2022] [Accessed on 28th October 2022] https://www.medicines.org.uk/emc/files/pil.782.pdf

4. Sanofi-aventis U.S. LLC. Enoxaparin. [Revised in April 2022] [Accessed on 28th October 2022] https://products.sanofi.us/lovenox/lovenox.pdf

5. Bharat Serums and Vaccines Limited. Lonopin. Enoxaparin Injection. IP. 20mg/40mg/60mg. [Revised in November 2018]. [Accessed on 28th October 2022] https://bsvgroup.com/assets/pdf/products/Re-LONOPIN-20-40-60mg-Common-Pack-Insert-for-Domestic-(Zen-Pharma-LL)-03-12-18-App.pdf

6. Central Drugs Standard Control Organization. Enoxaparin Sodium Injection (Addl. Indication). [Revised in August 2009]. Sodium Enoxaparin (LMWH) [Revised in March 1992]. Enoxaparin Sodium Inj. [Revised in March 2000]. [Accessed on 28th October 2022] https://cdscoonline.gov.in/CDSCO/Drugs

Author Details

Written By Srilekha. R - B.Pharm

Reviewed For Accuracy By Dr. Thamada Manikanta Praveen - MBBS, MD (General Medicine)

Last updated on 29 Oct 2022 | 10:05 AM(IST)

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