Description
Fragmin is an anticoagulant medication belonging to the class of low-molecular-weight heparins (LMWH). It is primarily prescribed to prevent and treat conditions related to abnormal blood clotting like pulmonary embolism (PE), deep vein thrombosis (DVT), and atrial fibrillation (AFib).
Fragmin works by inhibiting certain clotting factors, preventing the formation of blood clots.
Fact Table
|
Formula
|
C26H40N2O36S5 (average for the repeating disaccharide unit)
|
License
|
US FDA, EMA
|
Bioavailability
|
87% (subcutaneous)
|
Legal status
|
Prescription only (Rx)
|
Chemical Name
|
Low molecular weight heparin (LMWH)
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Elimination half-life
|
2-4 hours (subcutaneous)
|
Dosage (Strength)
|
2500 IU, 5000 IU, 7500 IU, 10,000 IU, 12,500 IU, 15,000 IU, 18,000 IU prefilled syringes
|
Pregnancy
|
Consult a doctor; generally considered safe
|
Brands
|
Fragmin
|
Protein binding
|
~80%
|
PubChem CID
|
772
|
MedlinePlus
|
a602008
|
ChEBI
|
CHEBI:7506
|
ATC code
|
B01AB04
|
DrugBank
|
DB06779
|
KEGG
|
D07957
|
Routes of administration
|
Subcutaneous
|
Directions
The Fragmin dosage is based on weight. Take it exactly as prescribed by your doctor.
Ingredients
The active ingredient in Fragmin is dalteparin sodium.
Interactions
Common drug-drug interactions may include:
- Abciximab
- Aceclofenac
- Acemetacin
- Acenocoumarol
- Alipogene Tiparvovec
- Alteplase, Recombinant
- Amtolmetin Guacil
- Anagrelide
- Anistreplase
- Antithrombin, Recombinant
- Apixaban
- Argatroban
- Aspirin
- Bemiparin
- Betrixaban
- Bivalirudin
- Bromfenac
- Bufexamac
- Caplacizumab-yhdp
- Celecoxib
- Choline Salicylate
- Citalopram
- Clonixin
- Clopidogrel
- Collagenase, Clostridium histolyticum
- Curcumin
- Dabigatran Etexilate
- Danaparoid
- Desvenlafaxine
- Dexibuprofen
- Dexketoprofen
- Diclofenac
- Diflunisal
- Dipyridamole
- Dipyrone
- Drotrecogin Alfa
- Droxicam
- Edoxaban
- Enoxaparin
- Eptifibatide
- Escitalopram
- Etodolac
- Etofenamate
- Etoricoxib
- Felbinac
- Fenoprofen
- Fepradinol
- Feprazone
- Floctafenine
- Flufenamic Acid
- Fluoxetine
- Flurbiprofen
- Fluvoxamine
- Fondaparinux
- Ibrutinib
- Ibuprofen
- Ibuprofen Lysine
- Iloprost
- Indomethacin
- Inotersen
- Ketoprofen
- Ketorolac
- Lepirudin
- Levomilnacipran
- Lornoxicam
- Loxoprofen
- Lumiracoxib
- Meclofenamate
- Mefenamic Acid
- Meloxicam
- Milnacipran
- Morniflumate
- Nabumetone
- Nadroparin
- Naproxen
- Nepafenac
- Niflumic Acid
- Nimesulide
- Nimesulide Beta Cyclodextrin
- Nintedanib
- Omadacycline
- Orlistat
- Oxaprozin
- Oxyphenbutazone
- Parecoxib
- Paroxetine
- Pentosan Polysulfate Sodium
- Phenindione
- Phenprocoumon
- Phenylbutazone
- Piketoprofen
- Piracetam
- Piroxicam
- Prasugrel
- Proglumetacin
- Propionic Acid
- Propyphenazone
- Proquazone
- Reteplase, Recombinant
- Rivaroxaban
- Rofecoxib
- Salicylic Acid
- Salsalate
- Sarecycline
- Sertraline
- Sodium Salicylate
- Streptokinase
- Sulfinpyrazone
- Sulindac
- Tenecteplase
- Tenoxicam
- Tiaprofenic Acid
- Ticlopidine
- Tinzaparin
- Tirofiban
- Tolfenamic Acid
- Tolmetin
- Trazodone
- Treprostinil
- Turmeric
- Urokinase
- Valdecoxib
- Venlafaxine
- Vilazodone
- Vorapaxar
- Vortioxetine
- Warfarin
Cautions
Patients using Fragmin should use caution, especially if they have a history of bleeding disorders or certain medical conditions. Regular monitoring of blood cell levels may be necessary during Fragmin therapy.
Side Effects
Common adverse reactions may include:
- Bleeding from nose
- Contusion
- Extradural intracranial hematoma
- Hematoma, Injection site
- Hematoma, Spinal
- Hemorrhage, Major
- Hemorrhagic cerebral infarction
- Increased liver function test
- Intracranial hemorrhage
- Intrauterine
- Irritation symptom, Local
- Injection site bruising
- Injection site pain
- Non-allergic anaphylaxis
- Paralysis
- Subdural hemorrhage
- Thrombocytopenia
References
Fragmin [package insert]. New York, NY: Pfizer; May 2019.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 11483