K8ENC28 & anyone else on lovenox

str8ota

I just saw your post from last week regarding lovenox vs. heparin.  I'm currently on 60 mg of lovenox twice a day because they are hoping when I do get a bfp I will not have an early m/c.  When I had my 17w m/c I was on heparin and the doctors now feel it may have been possible (though no guarantee) to have a successful pregnancy if I was on lovenox instead.  It doesn't change the fact when it gets later into a pregnancy that you will have to go on heparin.

Here is my advice to everyone.  Call either your insurance's customer service or the mail service pharmacy number on the back of your insurance card and ask about a prescription mail in service.  I was paying $100/month for heparin alone.  When I was put on lovenox I called customer service to see which pharmacy I could go to to get the best price on lovenox (Walgreen's and Costco were running me $500/month).  Right before we were getting off the phone she mentions the mail service pharmacy.

For me going through the mail service it costs me $65 for a 90 day supply!  Yep, I pay $65 instead of $1500 for 3 months worth of lovenox!  It turns out I could have done that with my heparin also instead of paying $300 for 3 months!  I go through Medco, I copied their link below.  GL!

https://host1.medcohealth.com/

K8ENC28

Thanks so much for sharing that. I'm still on the fence right now about whether I will attempt another pregnancy in the future.  I had such a hard time with my daughter and had a loss at 22w before I had her.  If you don't mind my asking, why are you on the lovenox?  Clotting Genes?  I was put on the lovenox because I had lost my first pregnancy from a clot in the placenta and was found to have Factor V...then after having my daughter I developed terrible joint pain and I was finally diagnosed with lupus.  I know if I did attempt another pregnancy I'd have to come off the coumadin I'm currently on and switch to lovenox shots before ttc.  Thanks again for sharing this.  I was paying $50 per month for lovenox injections so $65 for 3 months seems really reasonable. 

str8ota

I'm sorry for your loss and also that you have to deal with any of this, I know what a PITA it is! 

I have the blood clotting disorder APS (pregnancy lupus) and had a DVT in the past (way before I was ttc) from my BCP.  They think (and did confirm it was a secondary reason) I loss DS because the APS caused my placenta to stop developing which then caused the baby to slowly pass away.  I have had 3 early m/c and a stillborn.  They are hoping that by having me  anticoagulated now that it will help prevent an early m/c, of course there are no promises...I was on lovenox already when I had my most recent early m/c in May.  But with all of this being said, my ob and mfm really do feel I can have a successful pregnancy.

 

K8ENC28

Good Luck to you!  I hope the next time you have a healthy and happy 9 months ahead!  I actually had a DVT and PE after having my daughter because my hematologist took me off my blood thinners too soon.  They decided since I had preclampsia and my platelets were low to take me off the blood thinner and three weeks after delivery I was back in the hospital with blood clots.  I am still irritated over it because I feel like I should have spoke up at the time and said this is the worst time you could pull me off blood thinners.  I know my MFM had mentioned they keep patients on blood thinners for so many weeks/months afterward to prevent clots.  Oh well...not much I can do now except not let it happen again.  I wish you luck!

Jessalicious01

I also have factor V and I've got 2 genes (rather than just one gene with it like the most common case) so I have to take coumadin therapy lifelong. I had to switch to lovenox prior to TTC because I was told the birth defects from coumadin occur by the 6th week of pregnancy. 

Anyway, I saw my perinatal Dr last week and he informed me that many OB's are not prescribing a high enough dose of lovenox. I am currently on 80mg twice/day and when I switched Dr's the new OB thought that was too high and almost lowered me. Good thing she didn't!

My point is that I'm a L&D RN and I didn't know about that. So be pro-active with your Dr's and ask them to order a blood draw to make sure your lovenox is at a therapeutic level or not (this should be drawn about 4 hrs after your injection). They should do this more than once in your pregnancy since as you gain weight your dosing may have to change. It's just horrible to lose a baby and I don't want any one of us to have to go through something like that again.