Lonopin 40mg Injection 0.4ml

Introduction About LONOPIN 40MG INJECTION

LONOPIN 40MG INJECTION contains Enoxaparin which belongs to the group of
medicines called Anticoagulants. It is used to manage blood clot formation in
the body.

LONOPIN 40MG INJECTION works by stopping the blood clots formation. It also
manages the existing blood clots from growing bigger in size. Due to this
property, it is highly used as a prophylactic therapy for managing blood clot
formation during risky conditions that involves clot formation such as before or
after a surgery, during dialysis or after a heart attack or a severe chest pain
(angina).

It can also be used to reduce the risk of blood clot formation caused due to
prolong period of immobility or due to cancer therapy.

Before receiving LONOPIN 40MG INJECTION inform your doctor if you have any
liver, kidney or heart problems. You must also inform your doctor if you have
diabetes, high blood pressure or a history of stomach ulcer.

LONOPIN 40MG INJECTION is not recommended for use in patients who are bleeding
heavily or have any pre-existing conditions (such as stomach ulcer or stroke)
that can increase the risk of internal bleeding. It is also not suitable for use
in patients scheduled for spinal anesthesia or lumbar puncture.

Inform your doctor before receiving LONOPIN 40MG INJECTION if you are pregnant
or breastfeeding. The most common side effects of receiving LONOPIN 40MG
INJECTION are injection site reactions (such as pain or irritation), skin
rashes, low platelet count, bleeding or bruising and headache. Consult your
doctor if any of these side effect worsens.

Uses Of LONOPIN 40MG INJECTION

• Manage and manages blood clots in the body

How LONOPIN 40MG INJECTION Works

LONOPIN 40MG INJECTION is an anticoagulant medicine. It inactivates certain
proteins (such as coagulation factor II a and X a) in the blood that causes
blood clotting. This reduces the chances of blood clot formation within the body
which therefore manages blockage of blood vessels.

How to use LONOPIN 40MG INJECTION

LONOPIN 40MG INJECTION will be given to you only by a doctor or a nurse into the
vein (intravenously) or under the skin (subcutaneously).

It can also be self-administered by the patients if advised by the physician.
Carefully, follow the instructions given by the doctor in case of
self-administration.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and disease condition.

Side Effects Of LONOPIN 40MG INJECTION

Common

• Bleeding, bruising
• Injection site reactions (such as pain or redness)
• pinky patches on the skin (especially in the injection site)
• skin rash, itching, redness
• low RBC count in blood
• headache

Uncommon

• sudden severe headache
• tender and swollen stomach

Rare

• increased blood potassium levels
• hair loss
• osteoporosis (weak and brittle bones)
• tingling, numbness and muscular weakness (especially in the lower part of the body) especially if you have had a spinal puncture or a spinal anesthetic
• loss of control over the intestine or bladder

Contact your doctor immediately if you experience any of the following side
effects after receiving LONOPIN 40MG INJECTION:

• severe allergic reactions (such as skin rash, itching, swelling of the face, mouth, throat, tongue leading to difficulty in breathing or swallowing)
• signs of excessive bleeding (excessive weakness, tiredness, paleness, dizziness, headache or unexplained swelling)
• severe skin reactions (such as skin rash, itching, skin redness with blisters or peeling of the skin, which may be associated with high fever and joint pains, dark red spots under the skin)
• cramping pain, redness, warmth, swelling in one of the legs
• breathlessness, chest pain, coughing up blood

How To Manage Side Effects

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as
water or electrolytes. Applying a pain-relieving balm on your forehead can be
beneficial. Do not consume excessive alcohol, as it could aggravate your
headache. Consult your doctor if your headache worsens.

!### Injection Site Reactions

Place an ice pack on the affected area. Do not frequently move the injection
site. Consult your doctor if the symptom did not improve.

Warning & Precautions

!### Pregnancy

Monitoring requiredLONOPIN 40MG INJECTION should be used in pregnant women only if it is considered
necessary by the physician. Therefore, consult your doctor before receiving it.

!### Breastfeeding

Use with CautionLONOPIN 40MG INJECTION should be used with caution in breastfeeding women.
Therefore, consult your doctor before receiving it.

!### Driving and Using Machines

Use with CautionLONOPIN 40MG INJECTION does not affect your ability to drive or operate
machinery. However, do not drive or handle any heavy tools or machines if your
ability is affected by LONOPIN 40MG INJECTION.

!### Alcohol

Consult your doctorAvoid consum

!### Kidney

Use with CautionLONOPIN 40MG INJECTION should be used with caution in patients with kidney
problems. Therefore, consult your doctor before receiving it.

!### Liver

Use with CautionLONOPIN 40MG INJECTION should be used with caution in patients with liver
problems. Therefore, consult your doctor before receiving it.

!### Allergy

ContraindicatedTalk to your doctor before receiving LONOPIN 40MG INJECTION if you are allergic
to Enoxaparin or to any other low molecular weight heparins (such as nadroparin,
tinzaparin or dalteparin).

!### Heart Disease

Use with CautionLONOPIN 40MG INJECTION should be used with caution in patients fitted with heart
valves and in patients with heart problems (such as heart infections or high
blood pressure). Therefore, consult your doctor before receiving it.

!### Use In Pediatrics

Consult your doctorThe safety and effectiveness of LONOPIN 40MG INJECTION have not been established
in children and adolescents (aged below 18 years). Your doctor will decide about
administering LONOPIN 40MG INJECTION to your child after evaluating the risks
and benefits of the therapy.

!### Use In Geriatrics

Use with CautionLONOPIN 40MG INJECTION should be used with caution in elderly patients (aged 65
years or older). Therefore, consult your doctor before receiving it.

Others

LONOPIN 40MG INJECTION is not recommended for use if you:

• have a previous history of heparin-induced thrombocytopenia (low platelet count in blood)
• have antibodies against enoxaparin in your blood
• are bleeding heavily
• have any internal condition that can increase the risk of heavy bleeding (such as stomach ulcer, stroke, surgery)
• are scheduled for any spinal procedures (such as spinal anesthesia or lumbar puncture)

Before receiving LONOPIN 40MG INJECTION, inform your doctor if you:

• have a history of stomach ulcers
• recently had stroke
• have diabetes
• have diabetic retinopathy (eye damage caused due to diabetes)
• recently had surgery on your brain or eyes
• are underweight or overweight
• have hyperkalemia (high blood potassium levels)

Interactions

A. Drug-Drug interactions:

Before receiving LONOPIN 40MG INJECTION, inform your doctor if you are taking
any of the following medicines:

• warfarin (a medicine used for blood thinning)
• other medicines used to stop blood clots from forming (Ex. aspirin, clopidogrel, dipyridamole)
• dextran injection (used to replace blood)
• medicines used to relieve pain and swelling (Ex. ibuprofen, diclofenac, ketorolac, tromethamine)
• medicines used to manage asthma, rheumatoid arthritis, and other conditions (Ex. prednisolone, dexamethasone)
• medicines that increase blood potassium levels (Ex. spironolactone, triamterene, amiloride)
• sulfinpyrazone (used to manage gout)

Overdosage:

LONOPIN 40MG INJECTION will be administered to you only by a doctor or a nurse
in a hospital, and so it is unlikely to receive an overdose. However, consult
your doctor or nurse if you experience any unusual symptoms.

Synopsis

Drug	:	Enoxaparin
Pharmacological Category	:	Parenteral Anticoagulants
Therapeutic Indication	:	Blood clots
Dosage Forms	:	Injection, Pre-filled syringes (PFS), Pen, Cartridge

More Information

• Keep LONOPIN 40MG INJECTION out of reach of children
• Store LONOPIN 40MG INJECTION at room temperature

FAQs About LONOPIN 40MG INJECTION

Q: What is the use of LONOPIN 40MG INJECTION?

A: LONOPIN 40MG INJECTION is an anticoagulant used to manage blood clots in the
body. It works by stopping the blood clots formation and manages the existing
blood clots from growing bigger in size.

Q: How LONOPIN 40MG INJECTION works?

A: LONOPIN 40MG INJECTION is an anticoagulant medicine. It inactivates certain
proteins (such as coagulation factor II a and X a) in the blood that causes
blood clotting. This reduces the chances of blood clot formation within the body
which therefore manages blockage of blood vessels.

Q: How LONOPIN 40MG INJECTION is administered?

A: LONOPIN 40MG INJECTION will be given to you only by a doctor or a nurse into
the vein (intravenously) or under the skin (subcutaneously). It can also be
self-administered by the patients if advised by the physician. Carefully, follow
the instructions given by the doctor in case of self-administration.

Q: What precautions must be followed while receiving LONOPIN 40MG INJECTION?

A: Before receiving LONOPIN 40MG INJECTION inform your doctor if you have any
liver, kidney or heart problems. You must also inform your doctor if you have
diabetes, high blood pressure or a history of stomach ulcer. LONOPIN 40MG
INJECTION is not recommended for use in patients who are bleeding heavily or
have any pre-existing conditions (such as stomach ulcer or stroke) that can
increase the risk of internal bleeding. It is also not suitable for use in
patients scheduled for spinal anesthesia or lumbar puncture. Inform your doctor
before receiving LONOPIN 40MG INJECTION if you are pregnant or breastfeeding.

Q: Is LONOPIN 40MG INJECTION safe?

A: LONOPIN 40MG INJECTION is considered safe at the doses administered by the
physician. However, consult your doctor if you experience any unusual side
effects.

Q: What are the common side effects of receiving LONOPIN 40MG INJECTION?

A: The most common side effects of receiving LONOPIN 40MG INJECTION are
injection site reactions (such as pain or irritation), skin rashes, low platelet
count, bleeding or bruising and headache. Consult your doctor if any of these
side effect worsens.

Q: Can the use of LONOPIN 40MG INJECTION make me bleed more?

A: As LONOPIN 40MG INJECTION is a blood thinning medicine, it makes your blood
thin and flowy which might increase the risk of excessive bleeding. To avoid
this, your doctor will carefully evaluate your condition and prescribe a
suitable dose for you. As a precaution, you must also inform your doctor if you
have or recently had any surgery or have any pre-existing conditions (such as
stomach ulcer or stroke) that can increase the risk of internal bleeding.

Q: Can LONOPIN 40MG INJECTION be used during heart attack?

A: LONOPIN 40MG INJECTION can be used to manage blood clots in patients who
suffered a heart attack. However, consult your doctor before taking it.Q:Who should not receive LONOPIN 40MG INJECTION?

A: LONOPIN 40MG INJECTION is not recommended for use in patients who are
bleeding heavily or have any pre-existing conditions (such as stomach ulcer or
stroke) that can increase the risk of internal bleeding. It is also not suitable
for use in patients scheduled for spinal anaesthesia or lumbar puncture.

Q:Can I stop receiving LONOPIN 40MG INJECTION once my symptoms subside?

A: Do not stop taking LONOPIN 40MG INJECTION without consulting your doctor. You
need to receive LONOPIN 40MG INJECTION for the duration recommended by your
doctor to achieve complete management of blood clot formation within your body.

Q: Is LONOPIN 40MG INJECTION heparin?

A: Yes. LONOPIN 40MG INJECTION contains a medicine called enoxaparin which is a
low molecular weight heparin.

Q: Can I use LONOPIN 40MG INJECTION during pregnancy?

A: LONOPIN 40MG INJECTION should be used with caution in pregnant women
especially those with a mech
may be pregnant or are planning to get pregnant, consult your doctor before
receiving LONOPIN 40MG INJECTION.

Q: Can LONOPIN 40MG INJECTION be used in children?

A: The safety and effectiveness of LONOPIN 40MG INJECTION have not been
established in children and adolescents (aged below 18 years). Your doctor will
decide about administering LONOPIN 40MG INJECTION to your child after evaluating
the risks and benefits of the therapy.

Q: Can LONOPIN 40MG INJECTION be given IV?

A: LONOPIN 40MG INJECTION will be given to you only by a physician or a nurse
under the skin (subcutaneously). It can also be given into your vein
(intravenously) during surgeries or after heart attack. Your doctor will decide
the appropriate route of administration for you depending upon your medical
condition.

Q: Can LONOPIN 40MG INJECTION cause thrombocytopenia?

A: LONOPIN 40MG INJECTION can lower your blood platelet count
(thrombocytopenia), making you bruise more easily than usual. Consult your
doctor if you experience any unusual bruising.