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Low molecular weight heparin (LMWH)

Dalteparin sodium

Brand names: Fragmin

Adult dose

Dose: VTE prophylaxis: 5,000 units SC OD; Treatment: 200 units/kg SC OD or 100 units/kg SC BD; Cancer-associated VTE: 200 units/kg/day month 1, then 150 units/kg/day
Route: Subcutaneous
Frequency: OD–BD

Clinical pearls

  • NICE NG89/NG158
  • CLOT trial (cancer-associated VTE) underpinned LMWH preference; DOACs now alternative per ISTH
  • RCOG GTG 37a/37b — pregnancy LMWH

Contraindications

  • Active major bleeding
  • Severe thrombocytopenia
  • Recent intracranial/spinal surgery
  • HIT history (use alternative)
  • CrCl <15

Side effects

  • Bleeding
  • HIT
  • Hyperkalaemia
  • Injection-site reactions
  • Osteoporosis (long-term)

Interactions

  • Anticoagulants/antiplatelets/NSAIDs
  • ACEi/ARB (hyperkalaemia)

Monitoring

  • FBC (HIT)
  • Renal function
  • Anti-Xa in pregnancy / extreme weights / renal
  • Bleeding

Reference: BNF; NICE NG89; NICE NG158; RCOG GTG 37a; BSH; https://bnf.nice.org.uk/drugs/dalteparin-sodium/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.