Search results for:

enoxaparin

enoxaparin
Drug Name Form Strength Non-Formulary Restricted TX Sub Notes
Lovenox SOLUTION, INJECTABLE 30 mg/0.3 mL; 40 mg/0.4 mL; 60 mg/0.6 mL; 80 mg/0.8 mL; 100 mg/mL; 120 mg/0.8 mL; 150 mg/mL      
Display Heparins Class : 20120416
High Alert Drug : Policy
Medication comments:

enoxaparin therapy should be delayed for:
• 12 hours after spinal puncture or epidural catheter placement
• 4 hours after epidural catheter removal
• 12 hours after C-Section
If more than one of these scenarios applies to a particular patient, follow the longest wait period before restarting enoxaparin.
High Alert Drug: Low molecular weight heparin
 • Nurses and pharmacists verify dose and that patient is not on another anticoagulant prior to administration.
 • Two RNs independently verify dose prior to administration if the dosing requires manipulation (i.e. drawing up a portion of a vial, or giving a portion of a syringe}.
 • Anticoagulation comparison chart available on nursing units for reference.
 • Pharmacists/nurses provide patient education for oral anticoagulants.
 • Pharmacists monitor for appropriate dosing, labs, and prevention of adverse events.
 • Lovenox located in separate drawer from heparin in dispensing cabinet
Anticoagulant / Antiplatelet Stoppage For Procedures
generic (Brand) Dept. Procedure Type
(hover over entry for examples)		 Stop Medication Prior To Procedure Restart after:
enoxaparin
(Lovenox)
prophylactic		 Anesthesia High-risk 12 hours Restart after 12-24 hours
Intermediate-risk 12 hours Restart after 12-24 hours
Low-risk 12 hours Restart after 4 hours
Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.
Radiology
 Invasive Procedures 3 days
Paracentesis/Thoracentesis 12 hours
Surgery High-risk 24 hours Restart after 48-72 hours
Low-risk 24 hours Restart after 24 hours
enoxaparin
(Lovenox)
therapeutic		 Anesthesia High-risk 24 hours Restart after 12-24 hours
Intermediate-risk 24 hours Restart after 12-24 hours
Low-risk 24 hours Restart after 4 hours
Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.
Radiology
 Invasive Procedures 3 days
Paracentesis/Thoracentesis 12 hours
Surgery High-risk 24 hours Restart after 48-72 hours
Low-risk 24 hours Restart after 24 hours
2023 American Geriatrics Society Beers Criteria® for potentially inappropriate medication use in older adults.
Medication: enoxaparin (Lovenox)
Criteria 5: medications that should be avoided or have their dosage reduced with varying levels of kidney function in older adults. (Table 6)
CrCl (mL/min) at which action is required <30
Rationale Increased risk of bleeding
Recommendation Reduce dose
 Quality of evidence: Moderate, Strength of Recommendation: Strong
Last updated: Sep. 19, 2025
UpToDate Lexidrug

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



This site is intended for the staff of Iredell Health System. While others may view accessible pages, Iredell Health System makes no warranty, express or implied, as to the use of this information outside of Iredell Health System. The content of this policy and procedure document serves as guidance to the delivery of quality patient care. Care providers are expected to exercise critical thinking and situational awareness skills, and in specific situations to take such action as is necessary for the delivery of quality patient care.
Copyright © 2026 Rpharmy, LLC ­ All Rights Reserved