Lovenox dosing obese patients
Common Questions and Answers about Lovenox dosing obese patients
lovenox
I had an ablation last week and am doing well, but am very beat up (low energy, black and blue, sore throat from TEE and polka dot bruises from Lovenox). My question is how long a time period is it usual to be on Lovenox? My doctor has said a full month. From my research, other than pregnant women, for all other conditions it says 2 weeks or less. I can't take coumadin due to a severe reaction to it.
If you are on triple therapy for genotype 1 and undetectable then your doc is following AASLD protocol for anemia management
Anemia developed among recipients of both PIs. Hemoglobin decreases below 10 g/dL (grade 2 toxicity) occurred in 49% of patients who received a BOC regimen compared to 29% of those who received the SOC
regimen, whereas 9% had a hemoglobin decline of <8.5 g/dL (grade 3 toxicity).
What I did was stop the Coumadin 5 days before, and then 4 days before started Lovenox to bridge up until the surgery (Lovenox is a subcutaneous injection and is a Low Molecular Weight Heparin that will keep the blot thin enough to prevent clotting). The night of the day of the procedure I had, I restarted the Coumadin, and the following day after the surgery used Lovenox for 2 days giving the Coumadin time to begin building back up again.
Hello,
I have been reading a lot lately about the side effects of Seroquel. The one that concerns me the most is the diabetes. I am obese and diabetes runs in my family. I even have a brother that is insulin dependent. I am wondering if I should get off this drug? Does the diabetes continue even after the drug is discontinued? Is there another antipsychotic I could take that does not have this side effect?
Thank you so much for your time.
7 compared with those with genotype 1, cirrhotic patients had an OR of 0.15 compared with noncirrhotic patients, and obese patients had an OR of 0.23 compared with normal and overweight patients. Hepatic steatosis was not an independent risk factor for response to antiviral treatment. In conclusion, obesity, only when defined as a BMI greater than 30 kg/m(2), is an independent (of genotype and cirrhosis) negative predictor of response to hepatitis C treatment.
Retrieved from http://www.ncbi.
Thanks for your answer. My cardiologist mentioned stopping the warfariin and going with lovenox for 3 days prior to a cathererization but said there was no need for plavix to be stopped.
The other night I was given 50 mg Lopressor, plavix, and lovenox, as I thought and the hospital thought I was having a cardiac event. I already take 25 mg atenolol. I wasn't having event, but non-specific chest pain. That was Monday night. Now I wake up with my heart racing and blood pressure rising. I also wake up exhausted. I think this is from coming off of the Lopressor. I called my MD and they said just go back to regular dose of atenolol.
Since my surgery is so close he put me on Lovenox for now. He also told me when he puts me on Comaden?? after the surgery I can't eat greens -they contain vitamin K.
So I then went to the anticoagulants unit where a pharmacist showed me how to administer this medicine and she told me that it would be ok to take tonight even though I already took a baby aspirin and to call her to see if I should continue taking my aspirin with the Lovenox ( not wantint to step on the Nuerolgist toes).
The safety and effectiveness of these dosing interval adjustment recommendations have not been clinically evaluated in patients with moderate or severe renal impairment, therefore
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clinical response to treatment and renal function should be closely monitored in these patients [See Warnings and Precautions (5.3)]. There are no data to recommend use of VIREAD tablets 150, 200 or 250 mg or VIREAD oral powder in patients with renal impairment.
That depends on your doctors comfort levels in prescribing , a patients ability to tolerate side effects, other medical conditions, effectiveness of using opiates, but typically- most physicians will not prescribe over 90 to 100 MME mg dosing per day-(Morphine equivalent dosing per day)- and typically only for patients who have been on opiates for some time. MME dosing combines both long acting and immediate release types of opiates to reach 90-100mg MME daily.
Obese patients usually are encouraged to lose weight before having surgery. Although weight loss alone is not likely to solve the problem, it can make complications during and after surgery less likely. Weight loss and nutritional counseling can help patients before and after surgery.
Psychological counseling: Mental health professionals may address issues such as depression, sexual dysfunction, and low self-esteem.
I also have the same issue. My IGM first came back borderline and then the 2nd 2 tests were just slightly positive. I don't have any history of miscarriages. I'm on 40mg Lovenox a day and have been spotting brown blood for past 2 weeks. I have heard Lovenox causes bleeding. I don't think I need to be on Lovenox. My Rhemetologist said some docs would think Lovenox is necessary while other docs would think I wouldn't need Lovenox.
I was put on Lovenox and a baby aspirin 2 weeks prior to miscarrying. The Doctor seems to think that when we get pregnant again that I can get on Lovenox and baby aspirin when i'm 7 weeks pregnant and that the pregnancy will be a healthy succuessful one. I'm just wondering has anyone else had a successful pregnancy taking Lovenox? Just really nervous and have alot of questions now. Should I go ahead and take the baby aspirin now or wait? The Doctor says we can try again in October.
In a Phase IIa combination trial in HCV patients, we reported data that showed that setrobuvir added to pegylated interferon and ribavirin accelerated the rate of viral clearance, with comparable response at setrobuvir doses of 200 mg bid and 400 mg bid. A single patient out of more than 60 exhibited viral breakthrough while receiving setrobuvir plus standard of care, corresponding to a low breakthrough rate of < 2%.
On the day before administration of the next dose, peginterferon--2b was undetectable in nine patients in group A (once weekly dosing). The same pattern was observed during the next 3 weeks of therapy. In group B (twice weekly dosing) peginterferon--2b was detectable at any given time point and higher than in group A (P between 0.01 and <0.0001). Viral load decreased in all patients within 2 days after the first dose of peginterferon--2b, but increased again on day 3.
The authors also suggested that use of higher doses of pegylated interferon and ribavirin for extended periods might help overcome the lower response rates observed in obese patients. Weight-based dosing and longer treatment durations are currently the subject of considerable research, but the authors also suggested higher dosing based on levels of insulin resistance or amount of visceral fat, rather than body weight alone.
Likewise, ultrasound in obese patients is not nearly as accurate in diagnosing fatty liver as it is in normal weight individuals. Your liver enzymes are really not that far out of range that you should panic or anything like that but they do suggest some ongoing damage which should be diagnosed with as much certainty as possible.
You said you saw a "specialist' who told you because you're extremely obese you obviously have fatty liver. What type of specialist was this doctor?
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