At what platelet count is Lovenox (enoxaparin) contraindicated?

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Last updated: February 11, 2025View editorial policy

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From the Research

Platelet Count and Lovenox (Enoxaparin) Contraindication

  • The contraindication of Lovenox (enoxaparin) at a specific platelet count is not explicitly stated in the provided studies.
  • However, the studies suggest that enoxaparin can be safely administered at a platelet count in the range of 20 and 55 x 10(9)/l in certain patient populations 1.
  • A study published in 2017 reported that guidelines for enoxaparin dose modification in patients with cancer and thrombocytopenia suggest holding anticoagulation for a platelet count <25,000/mcL 2.
  • Another study published in 2004 reported that enoxaparin treatment was safe and efficacious in patients with acute leukemia and venous thromboembolic disease, even when the platelet count was below 20,000 x 10(9)/L, with a reduced dose of 50% 3.
  • It is essential to note that these studies have different patient populations and contexts, and the platelet count at which enoxaparin is contraindicated may vary depending on the specific situation.
  • The decision to administer enoxaparin should be made on a case-by-case basis, taking into account the individual patient's risk factors and medical history 1, 2, 3.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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