Lmwx 40mg Injection may be prescribed for:

• Prevention of deep vein thrombosis (DVT): Helps reduce the risk of blood clots forming in deep veins, particularly after certain surgeries or during periods of reduced mobility.

• Prevention of pulmonary embolism: Helps prevent clots from travelling to the lungs in patients at risk.

• Treatment of venous blood clots: Enoxaparin may be used to treat DVT and pulmonary embolism, with the dose determined by the patient's condition and weight.

• Certain acute heart conditions: It may be prescribed for unstable angina and some types of heart attack to reduce clot-related complications.

The 40mg strength is commonly used for clot prevention in selected patients. It is not the appropriate treatment dose for every condition, so use only the dose prescribed by your doctor.

Lmwx 40mg Injection contains Enoxaparin, which enhances the activity of antithrombin, a natural protein that helps control blood clotting.

It mainly reduces the activity of clotting factor Xa and also affects thrombin. This slows the formation and growth of harmful blood clots and helps reduce the risk of clot-related complications.

Tell your doctor about all prescription medicines, over-the-counter medicines, supplements and herbal products you use.

• Other anticoagulants: Medicines such as warfarin and direct oral anticoagulants may increase the risk of bleeding when used with Enoxaparin.

• Antiplatelet medicines: Aspirin, clopidogrel and similar medicines can increase bleeding risk.

• Non-steroidal anti-inflammatory medicines (NSAIDs): Medicines such as ibuprofen and naproxen may increase the risk of bleeding.

• Thrombolytic medicines: Medicines used to dissolve blood clots can increase bleeding risk when combined with Enoxaparin.

• Medicines affecting kidney function: Some medicines may affect kidney function or the handling of Enoxaparin in the body, requiring closer monitoring.

• Spinal or epidural procedures: Tell your doctor if you are scheduled for spinal anaesthesia, an epidural or a lumbar puncture. Enoxaparin can increase the risk of bleeding around the spinal cord during these procedures.

Do not start or stop blood-thinning medicines without medical advice.

• Store Lmwx 40mg Injection below 25°C.

• Keep it in its original packaging until use.

• Keep it out of the reach of children.

• Do not use the injection if the solution looks abnormal or the packaging is damaged.

• Follow the storage instructions provided with the specific product pack.

Lmwx 40mg Injection is usually administered as a subcutaneous injection, which means it is injected under the skin, commonly into the abdomen. It should not normally be injected into a muscle.

If your doctor has advised you to administer it yourself:

• Follow the injection technique demonstrated by your healthcare professional.

• Use the recommended injection site and rotate sites as advised.

• Do not rub or massage the injection site after administration, as this may increase bruising.

• Use a prefilled syringe only as directed and dispose of it safely after use.

• Do not change the dose, injection schedule or treatment duration without medical advice.

The dose may need adjustment in people with impaired kidney function or a higher risk of bleeding.

Common side effects

• Bruising, pain or redness at the injection site

• Bleeding

• Anaemia

• Headache

• Increased platelet count in some patients

• Increased liver enzyme levels

• Mild swelling

Small bruises around the injection site can occur. Tell your doctor if bruising becomes extensive or bleeding persists.

Serious side effects

Seek urgent medical attention if you develop:

• Heavy or unexplained bleeding, including blood in the urine, black stools or vomiting blood.

• Severe headache, confusion or sudden weakness, which may indicate bleeding in or around the brain.

• Sudden breathlessness or chest pain, which may indicate a pulmonary embolism or another emergency.

• Severe abdominal pain or signs of internal bleeding.

• Spinal or back pain with leg weakness, numbness or loss of bladder or bowel control, particularly after a spinal or epidural procedure.

• A serious allergic reaction, including swelling of the face or throat or difficulty breathing.

• A sudden fall in platelet count or new blood clots, which may indicate heparin-induced thrombocytopenia.

Enoxaparin can cause serious bleeding. Seek medical attention promptly if you notice unusual bleeding or symptoms that may indicate a blood clot.

• Use Lmwx 40mg Injection exactly as prescribed. Do not increase, reduce or stop the dose yourself.

• Tell your doctor if you have kidney disease, a bleeding disorder, a history of stroke or previous heparin-induced thrombocytopenia.

• Inform your healthcare team about all blood thinners, aspirin and painkillers you take.

• Tell your doctor before surgery, dental procedures, spinal anaesthesia or an epidural.

• Avoid activities that carry a high risk of injury while receiving treatment.

• Follow the injection technique demonstrated by your healthcare professional and do not rub the injection site afterwards.

• Seek prompt medical advice for unusual bruising, blood in the urine or stools, or persistent bleeding.

• Keep all recommended blood tests and follow-up appointments.