I am on 30mg once a day of Lovenox and they told me to stop the baby aspirin. Today I've started researching this online and it seems most are on 40mg a day and still do the aspirin. I called my doctor's office and talked to a nurse and she said what I'm on is fine. I'm not convinced. I have APA and am homozygous MTHFR. Would you push for more or to talk to to the doctor yourself about it?
Also what are you on?
Re: Lovenox dosage question
"You reach deeper until you can find the strength. That's all life is, one big fight after another."
Angel babies: 9/19/07, 10/08/09, 1/05/11
I don't see a hematologist, but my OB did send me to an MFM due to my clotting disorder. I take 40mg daily, but I stopped the baby aspirin.
There are 2 types of Lovenox doses - prophylactic and therapeutic
Prophylactic - used to prevent m/c and blood clots. It is TYPICALLY 40 mg once a day and is not weight based.
Therapeutic - used to treat blood clots. It is weight based and is usually twice per day (a typical dose would be 80 mg twice a day but would increase as your weight increased throughout the pregnancy.)
The reason I asked which kind of doctor was treating you is because I thought maybe your doctor knew something new about prophylactic doses, but since it is just your regular OB I think I would lean towards discussing your dose further with your OB and/or trying to get in to see a MFM or hemo.
(I really can't speak to the aspirin since I am not on it, but I am glad some others have chimed in to help answer that question for you.)
"You reach deeper until you can find the strength. That's all life is, one big fight after another."
Angel babies: 9/19/07, 10/08/09, 1/05/11
I am on 40mg of lovenox and a daily baby aspirin. I spoke to my doctor yesterday about my positive ANA test, in which she said I will be tested for antiphospholipid antibody syndrome (I'm assuming that is your APA, right?).
Anyways, she clearly said that the treatment for APA is baby aspirin and lovenox. If I were you I would push to see a specialist.
BFP #2 February 2009: Beautiful baby girl born at 33weeks 5days after 8 weeks of PTL, hospital bedrest and mag sulfate
BFP #3 September 2010: miscarried at 6.5 weeks
BFP #4 January 2011: Cerclage placed at 12.5 weeks, live miscarriage at 14 weeks RPL testing May 2011 - FOUND Factor V Leiden and slight autoimmune issues! Never so excited to have something wrong with me!
BFP #5 August 2011: Aspirin and Lovenox - trying one more time!IT'S A BOY!!!