Fragmin (Dalteparin) Patient Information: Missed a Dose and What Should I Avoid at RxList

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May 27, 2012

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Introduction to deep vein thrombosis (DVT)

Arteries have thin muscles within their walls to be able to withstand the pressure of the heart pumping blood to the far reaches of the body. Veins don't have a significant muscle lining, and there is nothing pumping blood back to the heart except physiology. Blood returns to the heart because the body's large muscles squeeze the veins as they contract in their normal activity of moving the body. The normal activities of moving the body returns the blood back to the heart.

There are two types of veins in the leg; superficial veins and deep veins. Superficial veins lie just below the skin and are easily seen on the surface. Deep veins, as their name implies, are located deep within the muscles of the leg. Blood flows from the superficial veins into the deep venous system through small perforator veins. Superficial and perforator veins have one-way valves within them that allow blood to flow only in the direc...

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Fragmin Patient Information including If I Miss a Dose

What happens if I miss a dose (Fragmin)?

Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose (Fragmin)?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include bruising, nosebleed, blood in your urine or stools, or any bleeding that will not stop.

What should I avoid while using dalteparin (Fragmin)?

Avoid taking aspirin while you are receiving dalteparin unless your doctor recommends it as part of your treatment. Aspirin can increase your risk of bleeding.

What other drugs will affect dalteparin (Fragmin)?

There are many other drugs that can increase your risk of bleeding, and it is very important to tell your doctor if you are using any of them before you start using dalteparin. This includes:

a blood thinner such as warfarin (Coumadin);
other medications used to prevent blood clots, such as alteplase (Activase), anistreplase (Eminase), clopidogrel (Plavix), dipyridamole (Persantine), streptokinase (Kabikinase, Streptase), ticlopidine (Ticlid), and urokinase (Abbokinase);
salicylates such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others; or
NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), diflunisal (Dolobid), etodolac (Lodine), flurbiprofen (Ansaid), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), meloxicam (Mobic), nabumetone (Relafen), or piroxicam (Feldene).

There may be other drugs that can interact with dalteparin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your doctor or pharmacist can provide more information about dalteparin.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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