Page last updated: 2024-10-18

dalteparin and Obesity

dalteparin has been researched along with Obesity in 65 studies

Dalteparin: A low-molecular-weight fragment of heparin, prepared by nitrous acid depolymerization of porcine mucosal heparin. The mean molecular weight is 4000-6000 daltons. It is used therapeutically as an antithrombotic agent. (From Merck Index, 11th ed)

Obesity: A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).

Research Excerpts

ExcerptRelevanceReference
"The current recommended doses of fondaparinux and heparins for the treatment of venous thromboembolism appear to provide similar protection against recurrence and major bleeding to one another and to obese and non-obese patients."9.12Effect of obesity on outcomes after fondaparinux, enoxaparin, or heparin treatment for acute venous thromboembolism in the Matisse trials. ( Büller, HR; Davidson, BL; Decousus, H; Gallus, A; Gent, M; Lensing, AW; Piovella, F; Prins, MH; Raskob, GE; Segers, AE, 2007)
"We were concerned that a fixed rather than a weight-based dosing regimen of dalteparin sodium to prevent venous thromboembolism (VTE) might result in decreased efficacy in obese patients and decreased safety in elderly patients."7.73Efficacy and safety of fixed low-dose dalteparin in preventing venous thromboembolism among obese or elderly hospitalized patients: a subgroup analysis of the PREVENT trial. ( Cohen, AT; Goldhaber, SZ; Kucher, N; Leizorovicz, A; Olsson, CG; Turpie, AG; Vaitkus, PT, 2005)
"These results suggest that doses of dalteparin in obese patients should be based on total body weight or an adjusted body weight, but not lean body weight."7.70The effect of body weight on dalteparin pharmacokinetics. A preliminary study. ( Duffull, SB; Yee, JY, 2000)
" This study supports the safety of dosing dalteparin based on actual body weight in obese patients."5.33The safety of dosing dalteparin based on actual body weight for the treatment of acute venous thromboembolism in obese patients. ( Al-Yaseen, E; Anderson, J; Kovacs, MJ; Martin, J; Wells, PS, 2005)
"The current recommended doses of fondaparinux and heparins for the treatment of venous thromboembolism appear to provide similar protection against recurrence and major bleeding to one another and to obese and non-obese patients."5.12Effect of obesity on outcomes after fondaparinux, enoxaparin, or heparin treatment for acute venous thromboembolism in the Matisse trials. ( Büller, HR; Davidson, BL; Decousus, H; Gallus, A; Gent, M; Lensing, AW; Piovella, F; Prins, MH; Raskob, GE; Segers, AE, 2007)
" Lean body weight was proposed as a suitable weight scalar for induction of anaesthesia with propofol whereas total body weight for maintenance of anaesthesia with propofol and depolarizing muscle relaxants."4.98Peri-operative Medication Dosing in Adult Obese Elective Surgical Patients: A Systematic Review of Clinical Studies. ( Curtain, C; Hussain, Z; Mirkazemi, C; Zaidi, STR, 2018)
"We were concerned that a fixed rather than a weight-based dosing regimen of dalteparin sodium to prevent venous thromboembolism (VTE) might result in decreased efficacy in obese patients and decreased safety in elderly patients."3.73Efficacy and safety of fixed low-dose dalteparin in preventing venous thromboembolism among obese or elderly hospitalized patients: a subgroup analysis of the PREVENT trial. ( Cohen, AT; Goldhaber, SZ; Kucher, N; Leizorovicz, A; Olsson, CG; Turpie, AG; Vaitkus, PT, 2005)
"These results suggest that doses of dalteparin in obese patients should be based on total body weight or an adjusted body weight, but not lean body weight."3.70The effect of body weight on dalteparin pharmacokinetics. A preliminary study. ( Duffull, SB; Yee, JY, 2000)
"To review the evidence cited in recent consensus documents providing recommendations for drug dosing for venous thromboembolism (VTE) prophylaxis in obese trauma patients."3.01Pharmacologic venous thromboembolism prophylaxis in obese trauma patients. ( Barletta, JF; Erstad, BL, 2023)
"Compared with fixed dosing daily, weight-based dosing twice daily more effectively achieved prophylactic anti-Xa levels without reaching the therapeutic range."2.82A randomized controlled trial of differing doses of postcesarean enoxaparin thromboprophylaxis in obese women. ( Caballero, DC; McNulty, J; Neeper, JM; Serra, AE; Stephenson, ML, 2016)
"1 IU/mL was considered subtherapeutic and the final dosage requirement was recorded."2.80Standard Dosing of Enoxaparin for Venous Thromboembolism Prophylaxis Is Not Sufficient for Most Patients Within a Trauma Intensive Care Unit. ( Ahmed, N; Allen, J; Brevard, SB; Frotan, AM; Gonzalez, RP; Replogle, WH; Rostas, JW; Simmons, JD; Thacker, D, 2015)
" It is a hydrophilic molecule that is, predominantly, eliminated renally with few data to support dosing for subjects with renal impairment and/or obesity."2.75Individualized dosing of enoxaparin for subjects with renal impairment is superior to conventional dosing at achieving therapeutic concentrations. ( Atherton, JJ; Barras, MA; Duffull, SB; Green, B, 2010)
"Data were obtained from a randomized controlled trial (n = 118) that compared conventional dosing of enoxaparin (product label) with an individualized dosing regimen."2.74Modelling the occurrence and severity of enoxaparin-induced bleeding and bruising events. ( Atherton, JJ; Barras, MA; Duffull, SB; Green, B, 2009)
"Based on Anti-Xa, no dosage adjustments are required in obese patients."2.71Dosage of enoxaparin among obese and renal impairment patients. ( Almanric, K; Bazinet, A; Blais, N; Brunet, C; Caron, S; Lalonde, L; Martineau, J; Turcotte, I, 2005)
"This pharmacodynamic study examined weight-based dosing of the low molecular weight heparin (LMWH), tinzaparin, in heavyweight/obese subjects."2.70Dosing in heavy-weight/obese patients with the LMWH, tinzaparin: a pharmacodynamic study. ( Assaid, CA; Barrett, JS; Cox, DS; Fossler, MJ; Hainer, JW; Leathers, T; Leese, PT, 2002)
" Pharmacodynamic analysis of activated partial thromboplastin time showed similar results in obese and nonobese volunteers after both intravenous and subcutaneous administration."2.70The pharmacokinetics and pharmacodynamics of enoxaparin in obese volunteers. ( Boutouyrie, B; Harding, N; Jariwala, N; Le Liboux, A; Miro, A; Montay, G; Ozoux, ML; Sanderink, GJ; Shukla, U, 2002)
"The current debate over the optimal Enoxaparin prophylactic dosing strategies in obese patients centre around whether it should be based on the actual weight of the patient (i."2.55Review of current evidence available for guiding optimal Enoxaparin prophylactic dosing strategies in obese patients-Actual Weight-based vs Fixed. ( Ball, P; He, Z; Morrissey, H, 2017)
"To review the evidence regarding increased enoxaparin dosing for venous thromboembolism (VTE) prophylaxis in the general trauma patient population."2.55Increased Enoxaparin Dosing for Venous Thromboembolism Prophylaxis in General Trauma Patients. ( Gales, MA; Horyna, TJ; Sandmann, EA; Walker, CK, 2017)
" Despite the potential for increased pharmacotherapy among obese patients, there is a paucity of dosing guidelines for this special population."2.52Clinical Pharmacology of Frequently Used Intravenous Drugs During Bariatric Surgery in Adolescents. ( van den Anker, JN; Vaughns, JD; Ziesenitz, VC, 2015)
" Recently, the use of safe-dose recombinant tissue-type plasminogen activator (rTPA) has been proposed for the treatment of moderate PE demonstrating to be safe and more effective than standard anticoagulation."2.50[Safe dose rTPA for massive pulmonary embolism associated with high bleeding risk: a case report and review of the literature]. ( Cannone, M; La Torre, PP; Mele, A; Mele, M, 2014)
"To evaluate the appropriate dosing of enoxaparin as a venous thromboembolism (VTE) prophylaxis in hospitalized obese patients."2.49Dosing of enoxaparin for venous thromboembolism prophylaxis in obese patients. ( Alsharhan, M; Cooper, MR; Durand, C; Willett, KC, 2013)
"Despite the growing epidemic of obesity in the United States, dosing medications in such patients remains poorly studied and understood."2.46Pharmacotherapy in the critically ill obese patient. ( Medico, CJ; Walsh, P, 2010)
"Enoxaparin is a low-molecular-weight heparin (LMWH) that differs substantially from unfractionated heparin (UFH) in its pharmacodynamic and pharmacokinetic properties."2.42Pharmacodynamic and pharmacokinetic properties of enoxaparin : implications for clinical practice. ( Fareed, J; Hoppensteadt, D; Iqbal, O; Jeske, W; Ma, Q; Sheikh, T; Walenga, J, 2003)
" Weight-based dosing is suitable for obese patients."1.91The effect of renal impairment and obesity on anti-Xa peak and trough levels in patients receiving therapeutic doses of nadroparin: a comparison with control patients. ( Hackeng, CM; Knibbe, CAJ; Mast, L; Peeters, MYM; Söhne, M; van den Broek, MPH, 2023)
"Obesity is a well-recognised risk factor for venous thromboembolism, and increased dosing of pharmacological prophylaxis is recommended in obese inpatients."1.72Improving compliance with venous thromboembolism prophylaxis guidelines in obese inpatients. ( Bortz, H; Chee, A; McFadyen, JD; Yip, J, 2022)
" To further mechanistically explore obesity-associated differences in anti-Xa concentration, a pediatric physiologically-based pharmacokinetic (PBPK) model was developed in adults, and then scaled to children with and without obesity."1.72Use of Real-World Data and Physiologically-Based Pharmacokinetic Modeling to Characterize Enoxaparin Disposition in Children With Obesity. ( Carreño, FO; Edginton, AN; Gerhart, JG; Gonzalez, D; Hornik, CP; Kirkpatrick, CM; Kumar, KR; Lee, CR; Loop, MS; Sinha, J, 2022)
" We investigated whether our dosage regimen of enoxaparin resulted in similar serum aFXa levels in female and male patients undergoing bariatric surgery."1.72Comparison of Anti-factor Xa Levels in Female and Male Patients with Obesity After Enoxaparin Application for Thromboprophylaxis. ( Duprée, A; Izbicki, J; Lautenbach, A; Mann, O; von Kroge, P; Wagner, J; Wolter, S; Wruck, H, 2022)
" Our objective was to evaluate the efficacy of enoxaparin dosed 40 mg twice daily in achieving prophylactic plasma anti-Xa levels in obese burn patients."1.62Single-center Experience with Venous Thromboembolism Prophylaxis for Obese Burn Patients. ( Jones, S; King, B; McKinzie, BP; Nizamani, R; Williams, FN, 2021)
"Standard fixed-dose enoxaparin dosing regimens may not provide adequate prophylaxis against venous thromboembolism among obese hospitalized patients."1.62Comparison of two escalated enoxaparin dosing regimens for venous thromboembolism prophylaxis in obese hospitalized patients. ( Davis, S; Gibson, CM; Hall, C; Schillig, JM, 2021)
"Current treatment dose of enoxaparin is based on total body weight (TBW), however dosage in obesity remains unclear."1.51Evaluation of weight based enoxaparin dosing on anti-Xa concentrations in patients with obesity. ( Barras, M; van Oosterom, N; Winckel, K, 2019)
"Body weight has a significant impact on blood volume and drug clearance."1.42Cancer-Associated Venous Thromboembolic Disease, Version 1.2015. ( Ashrani, A; Bockenstedt, PL; Chesney, C; Eby, C; Engh, AM; Fanikos, J; Fenninger, RB; Fogerty, AE; Gao, S; Goldhaber, SZ; Hendrie, P; Holmstrom, B; Kuderer, N; Lee, A; Lee, JT; Lovrincevic, M; McMillian, N; Millenson, MM; Neff, AT; Ortel, TL; Paschal, R; Shattil, S; Siddiqi, T; Smock, KJ; Soff, G; Streiff, MB; Wang, TF; Yee, GC; Zakarija, A, 2015)
"The mean initial anti-Xa level was higher in obese pediatric patients compared with non-obese pediatric patients, but a dosage adjustment was not required."1.39Comparison of anti-Xa levels in obese and non-obese pediatric patients receiving treatment doses of enoxaparin. ( Bomgaars, L; Kim, S; Mahoney, D; Moffett, BS; Richard, AA; Yee, DL, 2013)
"Limited data exist regarding the efficacy of weight-based dosing of low-molecular weight heparin for venous thromboembolism (VTE) prophylaxis in obese trauma patients."1.39Weight-based enoxaparin dosing for venous thromboembolism prophylaxis in the obese trauma patient. ( Bickford, A; Bledsoe, J; Dickerson, J; Johnston, R; Majercik, S; Smith, K; White, T, 2013)
"Weight-based dosing for enoxaparin is recommended in the 2008 American College of Chest Physicians (ACCP) guidelines for venous thromboembolism (VTE) prophylaxis."1.37Increased enoxaparin dosing is required for obese children. ( Dunlap, M; Johnson, PN; Lewis, TV; Nebbia, AM, 2011)
" Enoxaparin was dosed as 1 mg/kg regardless of body weight without maximum."1.36Obesity in patients with non-ST-segment elevation acute coronary syndromes: results from the SYNERGY trial. ( Antman, EM; Aylward, PE; Becker, RC; Califf, RM; Col, JJ; Ducas, J; Ferguson, JJ; Gallo, R; Goodman, SG; Langer, A; Levine, GN; Mahaffey, KW; Spinler, SA; Tonev, ST; White, HD, 2010)
"Body weight is an important risk factor for thromboses and is used in algorithms to determine dosages in prophylaxis."1.35A prospective cohort study on the effectiveness of 3500 IU versus 5000 IU bemiparin in the prophylaxis of postoperative thrombotic events in obese patients undergoing orthopedic surgery. ( Grohs, JG; Lunzer, A; Vavken, P, 2009)
"To evaluate how enoxaparin is dosed in contemporary clinical practice as a function of patients' total body weight (TBW) and body mass index (BMI), and to determine any association between dose and major bleeding."1.35Weight-based dosing of enoxaparin in obese patients with non-ST-segment elevation acute coronary syndromes: results from the CRUSADE initiative. ( Alexander, KP; Gibler, WB; Ohman, EM; Ou, FS; Peterson, ED; Pollack, CV; Roe, MT; Spinler, SA, 2009)
" This study supports the safety of dosing dalteparin based on actual body weight in obese patients."1.33The safety of dosing dalteparin based on actual body weight for the treatment of acute venous thromboembolism in obese patients. ( Al-Yaseen, E; Anderson, J; Kovacs, MJ; Martin, J; Wells, PS, 2005)
"Enoxaparin dosing is currently based on total body weight."1.32Development of a dosing strategy for enoxaparin in obese patients. ( Duffull, SB; Green, B, 2003)

Research

Studies (65)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (1.54)18.2507
2000's26 (40.00)29.6817
2010's25 (38.46)24.3611
2020's13 (20.00)2.80

Authors

AuthorsStudies
Mast, L1
Peeters, MYM1
Söhne, M1
Hackeng, CM1
Knibbe, CAJ1
van den Broek, MPH1
Galimov, OV1
Galeev, FS1
Khanov, VO1
Mukhametov, AR1
Andreev, PP1
Muslimova, LR1
Aminova, LN1
Heizmann, M1
Baerlocher, GM1
Steinmann, F1
Horber, FF1
Wuillemin, W1
Vavken, P1
Lunzer, A1
Grohs, JG1
Wagner, J1
Wruck, H1
Lautenbach, A1
von Kroge, P1
Wolter, S1
Mann, O1
Izbicki, J1
Duprée, A1
Gerhart, JG1
Carreño, FO1
Loop, MS1
Lee, CR1
Edginton, AN1
Sinha, J1
Kumar, KR1
Kirkpatrick, CM1
Hornik, CP1
Gonzalez, D1
Chee, A1
Bortz, H1
Yip, J1
McFadyen, JD1
Saadoun, R1
Bengur, FB1
Moroni, EA1
Surucu, Y1
Veit, JA1
Khan, NI1
Daniels, K1
Rothenberger, SD1
Kubik, M1
Solari, MG1
Sridharan, S1
Erstad, BL3
Barletta, JF3
Carbajal-Mamani, SL1
Dideban, B1
Schweer, D1
Balavage, KT1
Chuang, L1
Wang, Y1
Wang, S1
Lee, JH1
Amaro, B1
Cardenas-Goicoechea, J1
Nachega, JB1
Ishoso, DK1
Otokoye, JO1
Hermans, MP1
Machekano, RN1
Sam-Agudu, NA1
Bongo-Pasi Nswe, C1
Mbala-Kingebeni, P1
Madinga, JN1
Mukendi, S1
Kolié, MC1
Nkwembe, EN1
Mbuyi, GM1
Nsio, JM1
Mukeba Tshialala, D1
Tshiasuma Pipo, M1
Ahuka-Mundeke, S1
Muyembe-Tamfum, JJ1
Mofenson, L1
Smith, G1
Mills, EJ1
Mellors, JW1
Zumla, A1
Mavungu Landu, DJ1
Kayembe, JM1
Yamashita, S1
Nishi, M1
Ikemoto, T1
Yoshikawa, K1
Higashijima, J1
Tokunaga, T1
Takasu, C1
Kashihara, H1
Eto, S1
Yoshimoto, T1
Shimada, M1
Gibson, CM1
Hall, C1
Davis, S1
Schillig, JM1
McKinzie, BP1
Nizamani, R1
Jones, S1
King, B1
Williams, FN1
Briggler, R1
Matherne, E1
Johnson, C1
Boehmer, K1
He, Z1
Morrissey, H1
Ball, P1
Burns, W1
Koelper, N1
Barberio, A1
Deagostino-Kelly, M1
Mennuti, M1
Sammel, MD1
Dugoff, L1
Hussain, Z1
Curtain, C1
Mirkazemi, C1
Zaidi, STR1
Ng, QX1
Seng, C1
Ho, CYX1
Yeo, WS1
van Oosterom, N1
Winckel, K1
Barras, M1
Bickford, A1
Majercik, S1
Bledsoe, J1
Smith, K1
Johnston, R1
Dickerson, J1
White, T1
Willett, KC1
Alsharhan, M1
Durand, C1
Cooper, MR1
Mele, M1
Mele, A1
La Torre, PP1
Cannone, M1
Sebastian, R1
Ghanem, O1
DiRoma, F1
Milner, SM1
Price, LA1
Listernick, R1
Benya, E1
Trainor, J1
Kabre, R1
Lautz, T1
Sharathkumar, A2
Liem, R1
Bhat, R1
Rozenfeld, R1
Thompson, A1
Vaughns, JD1
Ziesenitz, VC1
van den Anker, JN1
Rostas, JW1
Brevard, SB1
Ahmed, N1
Allen, J1
Thacker, D1
Replogle, WH1
Gonzalez, RP1
Frotan, AM1
Simmons, JD1
Streiff, MB1
Holmstrom, B1
Ashrani, A1
Bockenstedt, PL1
Chesney, C1
Eby, C1
Fanikos, J1
Fenninger, RB1
Fogerty, AE1
Gao, S1
Goldhaber, SZ2
Hendrie, P1
Kuderer, N1
Lee, A1
Lee, JT1
Lovrincevic, M1
Millenson, MM1
Neff, AT1
Ortel, TL1
Paschal, R1
Shattil, S1
Siddiqi, T1
Smock, KJ1
Soff, G1
Wang, TF1
Yee, GC1
Zakarija, A1
McMillian, N1
Engh, AM1
Linder, KE1
Nolan, WC1
Stephenson, ML1
Serra, AE1
Neeper, JM1
Caballero, DC1
McNulty, J1
Walker, CK1
Sandmann, EA1
Horyna, TJ1
Gales, MA1
Mahaffey, KW1
Tonev, ST1
Spinler, SA3
Levine, GN1
Gallo, R1
Ducas, J1
Goodman, SG2
Antman, EM2
Becker, RC1
Langer, A1
White, HD1
Aylward, PE1
Col, JJ1
Ferguson, JJ1
Califf, RM1
Albaladejo, P1
Ou, FS1
Roe, MT1
Gibler, WB1
Ohman, EM1
Pollack, CV1
Alexander, KP1
Peterson, ED1
Barras, MA2
Duffull, SB4
Atherton, JJ2
Green, B3
Silvain, J1
Beygui, F1
Ankri, A1
Bellemain-Appaix, A1
Pena, A1
Barthelemy, O1
Cayla, G1
Gallois, V1
Galier, S1
Costagliola, D1
Collet, JP1
Montalescot, G1
Jones, JW1
Medico, CJ1
Walsh, P1
Lewis, TV1
Johnson, PN1
Nebbia, AM1
Dunlap, M1
DeDea, L1
Richard, AA1
Kim, S1
Moffett, BS1
Bomgaars, L1
Mahoney, D1
Yee, DL1
Kaul, B1
Vallejo, MC1
Ramanathan, S1
Mandell, GL1
Krohner, RG1
Sanderink, GJ1
Le Liboux, A1
Jariwala, N1
Harding, N1
Ozoux, ML1
Shukla, U1
Montay, G1
Boutouyrie, B1
Miro, A1
Frederiksen, SG1
Hedenbro, JL1
Norgren, L1
Inverso, SM1
Cohen, M1
Stringer, KA1
Vincenzi, B1
Santini, D1
Avvisati, G1
Borzomati, D1
Tonini, G1
Alikhan, R1
Cohen, AT2
Combe, S1
Samama, MM1
Desjardins, L1
Eldor, A1
Janbon, C1
Leizorovicz, A2
Olsson, CG2
Turpie, AG2
Fareed, J1
Hoppensteadt, D1
Walenga, J1
Iqbal, O1
Ma, Q1
Jeske, W1
Sheikh, T1
Bazinet, A1
Almanric, K1
Brunet, C1
Turcotte, I1
Martineau, J1
Caron, S1
Blais, N1
Lalonde, L1
Spinler, S1
Davidson, BL1
Büller, HR1
Decousus, H1
Gallus, A1
Gent, M1
Piovella, F1
Prins, MH1
Raskob, GE1
Segers, AE1
Lensing, AW1
Ellison, J1
Thomson, AJ1
Conkie, JA1
McCall, F1
Walker, D1
Greer, A1
Perry, DJ1
Haines, ST1
Dager, WE1
Trujillo, TC1
Smith, J1
Canton, EM1
Al-Yaseen, E1
Wells, PS1
Anderson, J1
Martin, J1
Kovacs, MJ1
Kucher, N1
Vaitkus, PT1
Harenberg, J1
Kuzin, MI1
Kuzin, NM1
Markov, NK1
Leont'eva, MS1
Gorbatov, OI1
Romanov, MM1
Shumbalina, LF1
Nesterova, SG1
Yee, JY1
Pfrepper, C1
Metze, M1
Weise, M1
Koch, E1
Siegemund, R1
Siegemund, A1
Petros, S1
Mousa, SA1
Hainer, JW1
Barrett, JS1
Assaid, CA1
Fossler, MJ1
Cox, DS1
Leathers, T1
Leese, PT1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Comparing Anti-XA Levels in Post-Cesarean Patients With BMI >35 Undergoing Enoxaparin Thromboprophylaxis With Weight Based Dosing Twice Daily Versus Fixed Dose 40 Milligrams Daily[NCT02070237]Phase 190 participants (Actual)Interventional2013-08-31Completed
Optimizing the Anticoagulation Regimen of Enoxaparin During Percutaneous Coronary Intervention[NCT03145675]Phase 4378 participants (Actual)Interventional2017-05-12Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Anti Xa Level

Our primary outcome will be to assess the Anti Xa level drawn 3.5-4 hours after the third dose of Lovenox (enoxaparin) to assess if this is in the prophylactic range. (NCT02070237)
Timeframe: 3.5-4 hours after the third dose of Lovenox (enoxaparin)

InterventionIU/mL (Mean)
Enoxaparin Once Daily0.14
Enoxaparin Twice Daily0.30

Supraprophylactic Range Anti Xa Level

We will assess if any of the subjects has an Anti Xa level that is in the supraprophylactic range (treatment range). (NCT02070237)
Timeframe: 3.5-4 hours after the third dose of Lovenox (enoxaparin)

Interventionparticipants (Number)
Enoxaparin Once Daily0
Enoxaparin Twice Daily0

Reviews

12 reviews available for dalteparin and Obesity

ArticleYear
Pharmacologic venous thromboembolism prophylaxis in obese trauma patients.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2023, 02-21, Volume: 80, Issue:5

    Topics: Anticoagulants; Enoxaparin; Humans; Obesity; Patients; Venous Thromboembolism

2023
Pharmacologic venous thromboembolism prophylaxis in obese trauma patients.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2023, 02-21, Volume: 80, Issue:5

    Topics: Anticoagulants; Enoxaparin; Humans; Obesity; Patients; Venous Thromboembolism

2023
Pharmacologic venous thromboembolism prophylaxis in obese trauma patients.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2023, 02-21, Volume: 80, Issue:5

    Topics: Anticoagulants; Enoxaparin; Humans; Obesity; Patients; Venous Thromboembolism

2023
Pharmacologic venous thromboembolism prophylaxis in obese trauma patients.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2023, 02-21, Volume: 80, Issue:5

    Topics: Anticoagulants; Enoxaparin; Humans; Obesity; Patients; Venous Thromboembolism

2023
Review of current evidence available for guiding optimal Enoxaparin prophylactic dosing strategies in obese patients-Actual Weight-based vs Fixed.
    Critical reviews in oncology/hematology, 2017, Volume: 113

    Topics: Adolescent; Anticoagulants; Child; Child, Preschool; Disease Management; Enoxaparin; Female; Humans;

2017
Peri-operative Medication Dosing in Adult Obese Elective Surgical Patients: A Systematic Review of Clinical Studies.
    Clinical drug investigation, 2018, Volume: 38, Issue:8

    Topics: Analgesics; Anticoagulants; Body Mass Index; Body Weight; Clinical Trials as Topic; Elective Surgica

2018
Dosing of enoxaparin for venous thromboembolism prophylaxis in obese patients.
    The Annals of pharmacotherapy, 2013, Volume: 47, Issue:12

    Topics: Anticoagulants; Enoxaparin; Humans; Obesity; Venous Thromboembolism

2013
[Safe dose rTPA for massive pulmonary embolism associated with high bleeding risk: a case report and review of the literature].
    Giornale italiano di cardiologia (2006), 2014, Volume: 15, Issue:4

    Topics: Aged, 80 and over; Anemia, Hypochromic; Anticoagulants; Bundle-Branch Block; Diabetes Complications;

2014
Pulmonary embolism in burns, is there an evidence based prophylactic recommendation? Case report and review of literature.
    Burns : journal of the International Society for Burn Injuries, 2015, Volume: 41, Issue:2

    Topics: Adult; Anticoagulants; Burns; Enoxaparin; Evidence-Based Medicine; Female; Humans; Obesity; Pulmonar

2015
Clinical Pharmacology of Frequently Used Intravenous Drugs During Bariatric Surgery in Adolescents.
    Current pharmaceutical design, 2015, Volume: 21, Issue:39

    Topics: Adolescent; Analgesics, Opioid; Anesthetics; Bariatric Surgery; Benzodiazepines; Dexmedetomidine; En

2015
Dosing Medications in Obese Patients.
    Connecticut medicine, 2015, Volume: 79, Issue:8

    Topics: Aminoglycosides; Dose-Response Relationship, Drug; Enoxaparin; Heparin; Humans; Inpatients; Obesity;

2015
Increased Enoxaparin Dosing for Venous Thromboembolism Prophylaxis in General Trauma Patients.
    The Annals of pharmacotherapy, 2017, Volume: 51, Issue:4

    Topics: Anticoagulants; Body Weight; Dose-Response Relationship, Drug; Drug Administration Schedule; Enoxapa

2017
Pharmacotherapy in the critically ill obese patient.
    Critical care clinics, 2010, Volume: 26, Issue:4

    Topics: Aminoglycosides; Antithrombins; Arginine; Body Mass Index; Carbapenems; Cephalosporins; Drug Dosage

2010
Pharmacodynamic and pharmacokinetic properties of enoxaparin : implications for clinical practice.
    Clinical pharmacokinetics, 2003, Volume: 42, Issue:12

    Topics: Age Factors; Anticoagulants; Biological Availability; Clinical Trials as Topic; Enoxaparin; Female;

2003
Treating venous thromboembolism: enoxaparin.
    Hospital medicine (London, England : 1998), 2001, Volume: 62, Issue:12

    Topics: Ambulatory Care; Anticoagulants; Contraindications; Cost-Benefit Analysis; Drug Costs; Enoxaparin; H

2001

Trials

13 trials available for dalteparin and Obesity

ArticleYear
Anti-Xa activity in obese patients after double standard dose of nadroparin for prophylaxis.
    Thrombosis research, 2002, May-15, Volume: 106, Issue:4-5

    Topics: Anticoagulants; Area Under Curve; Body Weight; Chromogenic Compounds; Dose-Response Relationship, Dr

2002
Standard Dosing of Enoxaparin for Venous Thromboembolism Prophylaxis Is Not Sufficient for Most Patients Within a Trauma Intensive Care Unit.
    The American surgeon, 2015, Volume: 81, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anticoagulants; Body Mass Index; Dose-Response Relations

2015
A randomized controlled trial of differing doses of postcesarean enoxaparin thromboprophylaxis in obese women.
    Journal of perinatology : official journal of the California Perinatal Association, 2016, Volume: 36, Issue:2

    Topics: Adult; Blood Coagulation; Body Mass Index; Chemoprevention; Dose-Response Relationship, Drug; Drug A

2016
Modelling the occurrence and severity of enoxaparin-induced bleeding and bruising events.
    British journal of clinical pharmacology, 2009, Volume: 68, Issue:5

    Topics: Anticoagulants; Dose-Response Relationship, Drug; Enoxaparin; Female; Hemorrhage; Humans; Kidney; Ki

2009
Enoxaparin anticoagulation monitoring in the catheterization laboratory using a new bedside test.
    Journal of the American College of Cardiology, 2010, Feb-16, Volume: 55, Issue:7

    Topics: Age Factors; Aged; Angioplasty, Balloon, Coronary; Anticoagulants; Blood Coagulation Tests; Cardiac

2010
Individualized dosing of enoxaparin for subjects with renal impairment is superior to conventional dosing at achieving therapeutic concentrations.
    Therapeutic drug monitoring, 2010, Volume: 32, Issue:4

    Topics: Algorithms; Anticoagulants; Drug Monitoring; Enoxaparin; Humans; Kidney Diseases; Models, Statistica

2010
The pharmacokinetics and pharmacodynamics of enoxaparin in obese volunteers.
    Clinical pharmacology and therapeutics, 2002, Volume: 72, Issue:3

    Topics: Adolescent; Adult; Anticoagulants; Area Under Curve; Biological Availability; Cross-Over Studies; En

2002
Prevention of venous thromboembolism in medical patients with enoxaparin: a subgroup analysis of the MEDENOX study.
    Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2003, Volume: 14, Issue:4

    Topics: Aged; Aged, 80 and over; Anticoagulants; Chronic Disease; Dose-Response Relationship, Drug; Double-B

2003
Dosage of enoxaparin among obese and renal impairment patients.
    Thrombosis research, 2005, Volume: 116, Issue:1

    Topics: Aged; Blood Coagulation Tests; Body Weight; Cardiovascular Diseases; Drug Monitoring; Enoxaparin; Fa

2005
Effect of obesity on outcomes after fondaparinux, enoxaparin, or heparin treatment for acute venous thromboembolism in the Matisse trials.
    Journal of thrombosis and haemostasis : JTH, 2007, Volume: 5, Issue:6

    Topics: Adult; Aged; Anticoagulants; Enoxaparin; Female; Fondaparinux; Hemorrhage; Heparin; Humans; Male; Mi

2007
Thromboprophylaxis following caesarean section--a comparison of the antithrombotic properties of three low molecular weight heparins--dalteparin, enoxaparin and tinzaparin.
    Thrombosis and haemostasis, 2001, Volume: 86, Issue:6

    Topics: Adolescent; Adult; Anticoagulants; Antithrombin III; Cesarean Section; Dalteparin; Enoxaparin; Facto

2001
Weight-based administration of dalteparin in obese patients.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2003, Apr-01, Volume: 60, Issue:7

    Topics: Adult; Aged; Anticoagulants; Body Weight; Dalteparin; Drug Prescriptions; Factor Xa; Female; Humans;

2003
Dosing in heavy-weight/obese patients with the LMWH, tinzaparin: a pharmacodynamic study.
    Thrombosis and haemostasis, 2002, Volume: 87, Issue:5

    Topics: Adult; Anticoagulants; Body Mass Index; Body Weight; Cross-Over Studies; Factor Xa Inhibitors; Femal

2002

Other Studies

40 other studies available for dalteparin and Obesity

ArticleYear
The effect of renal impairment and obesity on anti-Xa peak and trough levels in patients receiving therapeutic doses of nadroparin: a comparison with control patients.
    European journal of clinical pharmacology, 2023, Volume: 79, Issue:11

    Topics: Anticoagulants; Factor Xa Inhibitors; Hemorrhage; Heparin, Low-Molecular-Weight; Humans; Nadroparin;

2023
[Some aspects of abdominal surgical interventions in the presence of obesity].
    Khirurgiia, 2008, Issue:12

    Topics: Anticoagulants; Cholecystitis, Acute; Female; Follow-Up Studies; Hernia, Diaphragmatic; Hernia, Vent

2008
A prospective cohort study on the effectiveness of 3500 IU versus 5000 IU bemiparin in the prophylaxis of postoperative thrombotic events in obese patients undergoing orthopedic surgery.
    Wiener klinische Wochenschrift, 2009, Volume: 121, Issue:13-14

    Topics: Adult; Aged; Algorithms; Body Weight; Cohort Studies; Female; Follow-Up Studies; Heparin, Low-Molecu

2009
Comparison of Anti-factor Xa Levels in Female and Male Patients with Obesity After Enoxaparin Application for Thromboprophylaxis.
    Obesity surgery, 2022, Volume: 32, Issue:3

    Topics: Anticoagulants; Drug Administration Schedule; Enoxaparin; Factor Xa Inhibitors; Female; Humans; Male

2022
Use of Real-World Data and Physiologically-Based Pharmacokinetic Modeling to Characterize Enoxaparin Disposition in Children With Obesity.
    Clinical pharmacology and therapeutics, 2022, Volume: 112, Issue:2

    Topics: Adult; Anticoagulants; Child; Enoxaparin; Heparin, Low-Molecular-Weight; Humans; Obesity; Venous Thr

2022
Improving compliance with venous thromboembolism prophylaxis guidelines in obese inpatients.
    Internal medicine journal, 2022, Volume: 52, Issue:9

    Topics: Anticoagulants; Enoxaparin; Humans; Inpatients; Obesity; Venous Thromboembolism

2022
Assessment of BMI and Venous Thromboembolism Rates in Patients on Standard Chemoprophylaxis Regimens After Undergoing Free Tissue Transfer to the Head and Neck.
    JAMA otolaryngology-- head & neck surgery, 2022, 11-01, Volume: 148, Issue:11

    Topics: Anticoagulants; Body Mass Index; Chemoprevention; Cohort Studies; Enoxaparin; Female; Humans; Male;

2022
Incidence of venous thromboembolism after robotic-assisted hysterectomy in obese patients with endometrial cancer: do we need extended prophylaxis?
    Journal of robotic surgery, 2021, Volume: 15, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Endometrial Neoplasms; Enoxaparin; Female; Heparin;

2021
Clinical Characteristics and Outcomes of Patients Hospitalized for COVID-19 in Africa: Early Insights from the Democratic Republic of the Congo.
    The American journal of tropical medicine and hygiene, 2020, Volume: 103, Issue:6

    Topics: Adolescent; Adult; Asymptomatic Diseases; Azithromycin; Chloroquine; COVID-19; COVID-19 Drug Treatme

2020
Clinical analysis of postoperative venous thromboembolism in Japanese patients after colorectal cancer surgery.
    Surgery today, 2021, Volume: 51, Issue:6

    Topics: Aged; Anticoagulants; Asian People; Colorectal Neoplasms; Enoxaparin; Female; Fibrin Fibrinogen Degr

2021
Comparison of two escalated enoxaparin dosing regimens for venous thromboembolism prophylaxis in obese hospitalized patients.
    Journal of thrombosis and thrombolysis, 2021, Volume: 52, Issue:2

    Topics: Anticoagulants; Enoxaparin; Humans; Obesity; Prospective Studies; Venous Thromboembolism

2021
Single-center Experience with Venous Thromboembolism Prophylaxis for Obese Burn Patients.
    Journal of burn care & research : official publication of the American Burn Association, 2021, 05-07, Volume: 42, Issue:3

    Topics: Adult; Aged; Anticoagulants; Burns; Drug Administration Schedule; Enoxaparin; Female; Humans; Male;

2021
Recurrent Thrombi in an Obese Patient With History of Bariatric Surgery Despite Anti-Xa Therapy.
    Journal of pharmacy practice, 2022, Volume: 35, Issue:5

    Topics: Anticoagulants; Bariatric Surgery; Enoxaparin; Female; Heparin; Heparin, Low-Molecular-Weight; Human

2022
The association between anticoagulation therapy, maternal characteristics, and a failed cfDNA test due to a low fetal fraction.
    Prenatal diagnosis, 2017, Volume: 37, Issue:11

    Topics: Adult; Anticoagulants; Blood; Enoxaparin; Female; Humans; Maternal Serum Screening Tests; Middle Age

2017
Enoxaparin: A cause of postoperative fever?
    Medical hypotheses, 2018, Volume: 121

    Topics: Aged; Animals; Anticoagulants; Arthroplasty, Replacement, Knee; Cattle; Diabetes Complications; Enox

2018
Evaluation of weight based enoxaparin dosing on anti-Xa concentrations in patients with obesity.
    Journal of thrombosis and thrombolysis, 2019, Volume: 48, Issue:3

    Topics: Adult; Body Weight; Drug Dosage Calculations; Enoxaparin; Factor Xa Inhibitors; Female; Hemorrhage;

2019
Weight-based enoxaparin dosing for venous thromboembolism prophylaxis in the obese trauma patient.
    American journal of surgery, 2013, Volume: 206, Issue:6

    Topics: Anticoagulants; Body Mass Index; Dose-Response Relationship, Drug; Enoxaparin; Female; Follow-Up Stu

2013
A 15-year-old obese girl with abdominal pain.
    Pediatric annals, 2015, Volume: 44, Issue:4

    Topics: Abdominal Pain; Adolescent; Anticoagulants; Appendicitis; Diagnosis, Differential; Enoxaparin; Femal

2015
Cancer-Associated Venous Thromboembolic Disease, Version 1.2015.
    Journal of the National Comprehensive Cancer Network : JNCCN, 2015, Volume: 13, Issue:9

    Topics: Adult; Anticoagulants; Body Mass Index; Body Weight; Dalteparin; Enoxaparin; Fondaparinux; Heparin;

2015
Obesity in patients with non-ST-segment elevation acute coronary syndromes: results from the SYNERGY trial.
    International journal of cardiology, 2010, Mar-04, Volume: 139, Issue:2

    Topics: Acute Coronary Syndrome; Aged; Aged, 80 and over; Anticoagulants; Body Mass Index; Comorbidity; Data

2010
[Summary and perspectives. Rivaroxaban].
    Annales francaises d'anesthesie et de reanimation, 2008, Volume: 27 Suppl 3

    Topics: Administration, Oral; Aged; Anticoagulants; Clinical Trials, Phase III as Topic; Comorbidity; Enoxap

2008
Weight-based dosing of enoxaparin in obese patients with non-ST-segment elevation acute coronary syndromes: results from the CRUSADE initiative.
    Pharmacotherapy, 2009, Volume: 29, Issue:6

    Topics: Acute Coronary Syndrome; Aged; Angina, Unstable; Anticoagulants; Body Weight; Cohort Studies; Enoxap

2009
Venous thromboembolism: appropriate risk assessment and treatment can save lives.
    The Journal of the Arkansas Medical Society, 2010, Volume: 107, Issue:4

    Topics: Anticoagulants; Enoxaparin; Fatal Outcome; Female; Humans; Obesity; Ovarian Neoplasms; Pneumonia; Ri

2010
Increased enoxaparin dosing is required for obese children.
    Pediatrics, 2011, Volume: 127, Issue:3

    Topics: Adolescent; Anticoagulants; Child; Dose-Response Relationship, Drug; Drug Administration Schedule; E

2011
Erythromycin for GI motility; sunscreens; enoxaparin in obesity.
    JAAPA : official journal of the American Academy of Physician Assistants, 2011, Volume: 24, Issue:8

    Topics: Enoxaparin; Erythromycin; Gastrointestinal Motility; Humans; Obesity; Sunscreening Agents

2011
Comparison of anti-Xa levels in obese and non-obese pediatric patients receiving treatment doses of enoxaparin.
    The Journal of pediatrics, 2013, Volume: 162, Issue:2

    Topics: Adolescent; Anticoagulants; Case-Control Studies; Child; Child, Preschool; Drug Monitoring; Enoxapar

2013
Accidental spinal analgesia in the presence of a lumboperitoneal shunt in an obese parturient receiving enoxaparin therapy.
    Anesthesia and analgesia, 2002, Volume: 95, Issue:2

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Anticoagulants; Cerebrospi

2002
Enoxaparin effect depends on body-weight and current doses may be inadequate in obese patients.
    The British journal of surgery, 2003, Volume: 90, Issue:5

    Topics: Adult; Aged; Anticoagulants; Body Weight; Enoxaparin; Female; Humans; Male; Middle Aged; Obesity; Pe

2003
Development of a dosing strategy for enoxaparin in obese patients.
    British journal of clinical pharmacology, 2003, Volume: 56, Issue:1

    Topics: Anticoagulants; Contusions; Enoxaparin; Female; Fibrinolytic Agents; Humans; Logistic Models; Male;

2003
Safety and efficacy of unfractionated heparin versus enoxaparin in patients who are obese and patients with severe renal impairment: analysis from the ESSENCE and TIMI 11B studies.
    American heart journal, 2003, Volume: 146, Issue:1

    Topics: Aged; Anticoagulants; Coronary Disease; Enoxaparin; Female; Fibrinolytic Agents; Heparin; Humans; Ki

2003
Enoxaparin effect depends on body-weight and current doses may be inadequate in obese patients (Br J Surg 2003; 90: 547-548).
    The British journal of surgery, 2003, Volume: 90, Issue:9

    Topics: Anticoagulants; Antithrombin III; Body Weight; Enoxaparin; Humans; Obesity; Partial Thromboplastin T

2003
Adjusting the dose of low molecular weight heparins in renally impaired and obese patients.
    Clinical advances in hematology & oncology : H&O, 2004, Volume: 2, Issue:5

    Topics: Anticoagulants; Biomarkers; Cardiovascular Diseases; Comorbidity; Creatinine; Dose-Response Relation

2004
Clinical and management challenges in preventing venous thromboembolism in health systems: a case-based panel discussion.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2010, May-15, Volume: 67, Issue:10 Suppl 6

    Topics: Aged; Anticoagulants; Arthroplasty, Replacement, Hip; Bariatric Surgery; Colonic Neoplasms; Daltepar

2010
The safety of dosing dalteparin based on actual body weight for the treatment of acute venous thromboembolism in obese patients.
    Journal of thrombosis and haemostasis : JTH, 2005, Volume: 3, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Body Weight; Dalteparin; Female; Humans; Internation

2005
Efficacy and safety of fixed low-dose dalteparin in preventing venous thromboembolism among obese or elderly hospitalized patients: a subgroup analysis of the PREVENT trial.
    Archives of internal medicine, 2005, Feb-14, Volume: 165, Issue:3

    Topics: Aged; Aged, 80 and over; Anticoagulants; Dalteparin; Female; Humans; Logistic Models; Male; Multivar

2005
The safety of dosing dalteparin based on actual body weight for the treatment of acute venous thromboembolism in obese patients: a rebuttal.
    Journal of thrombosis and haemostasis : JTH, 2005, Volume: 3, Issue:7

    Topics: Bioethics; Body Weight; Dalteparin; Factor Xa; Factor Xa Inhibitors; Heparin, Low-Molecular-Weight;

2005
[Effect of fragmin, a low-molecular heparin, on hemostasis in patients with alimentary-constitutional obesity].
    Khirurgiia, 1993, Issue:10

    Topics: Adult; Body Constitution; Dalteparin; Female; Hemostasis; Heparin; Humans; Male; Middle Aged; Obesit

1993
The effect of body weight on dalteparin pharmacokinetics. A preliminary study.
    European journal of clinical pharmacology, 2000, Volume: 56, Issue:4

    Topics: Anticoagulants; Bayes Theorem; Biological Availability; Body Weight; Case-Control Studies; Creatinin

2000
Body weight adapted tinzaparin treatment in patients with obesity.
    Thrombosis research, 2022, Volume: 214

    Topics: Anticoagulants; Body Weight; Fibrinolytic Agents; Heparin, Low-Molecular-Weight; Humans; Obesity; Ti

2022
Elevation of plasma von Willebrand factor and tumor necrosis factor-a in obese subjects and their reduction by the low molecular weight heparin tinzaparin.
    International angiology : a journal of the International Union of Angiology, 2005, Volume: 24, Issue:3

    Topics: Fibrinolytic Agents; Heparin, Low-Molecular-Weight; Humans; Obesity; Tinzaparin; Tumor Necrosis Fact

2005