Overview of enoxaparin in the treatment of deep vein thrombosis

• Published in: The American journal of managed care Vol. 6; no. 20 Suppl; pp. S1026 - S1033
• Main Author: Deitcher, S R
• Format: Journal Article
• Language: English
• Published: United States 01-11-2000
• Subjects: Enoxaparin - pharmacokinetics; Enoxaparin - therapeutic use; Fibrinolytic Agents - pharmacokinetics; Fibrinolytic Agents - therapeutic use; Health administration; Heparin, Low-Molecular-Weight - pharmacokinetics; Heparin, Low-Molecular-Weight - therapeutic use; Humans; Managed Care Programs; Meta-Analysis as Topic; Randomized Controlled Trials as Topic; Venous Thrombosis - drug therapy; Venous Thrombosis - prevention & control
• ISSN: 1088-0224

Standard medical treatment for patients with acute venous thrombosis is antithrombotic therapy. Following a historical overview of the evolution of heparin therapy to include low-molecular weight heparin (LMWH), the pharmacokinetic properties of enoxaparin are described. Therapeutic advantages of LMWH over unfractionated heparin (UFH) are also discussed, including once- or twice-daily subcutaneous dosing, reduced hospital stays, elimination of therapeutic monitoring for most patients, and possibly less bone density loss. Studies have demonstrated that enoxaparin is at least equivalent to UFH with regard to efficacy and safety. Opportunities for future study include evaluation of enoxaparin's efficacy for the prevention of deep vein thrombosis within high-risk groups and for the treatment of thrombosis in such conditions as pregnancy, cancer, obesity, and renal insufficiency, and in children.