how to dose low-molecular-weight heparin (Lovenox, etc) in patients who are very obese
February 2008
There's still controversy about how to dose low-molecular-weight heparin (Lovenox, etc) in patients who are very obese.
Some prescribers worry that doses based on total body weight will be too high for patients over 150 kg. This leads them to cap the dose to try to prevent overdosing.
Many experts fear that capping treatment doses...or using just a fixed dose for prophylaxis...may lead to UNDERDOSING.
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