Heparin question

Durve2008 · December 2013

Hi,

I am going to be 36 weeks soon, and I have been treating Factor V Leiden heterozygosity with Lovenox. At 36 weeks, I will be switching to heparin, due to the shorter half-life, so that it is out of my system faster once I go into labor. When the hematologist prescribed heparin, he just have me my prescription and told me to call if I had any questions. I forgot to ask him...but aren't you supposed to be monitored when on heparin? I thought that someone told me that I would have to be monitored...but I really don't have much experience with this drug. Any feedback on your experience with heparin injections would me appreciated

Durve2008 · December 2013

Great! Thanks for the response!

floridablonde · December 2013

I am also 28 weeks and have been on heparin w/both pregnacies. Ive never experienced extra monitoring. I love heparin more than lovenox and actually requested that I stay on heparin instead of switching to lovenox when I was early on in my pregnancy.

Durve2008 · December 2013

floridablonde said:

I am also 28 weeks and have been on heparin w/both pregnacies. Ive never experienced extra monitoring. I love heparin more than lovenox and actually requested that I stay on heparin instead of switching to lovenox when I was early on in my pregnancy.

I am so curious- why do you prefer heparin over lovenox? I figured, the only real difference I would see is the frequencies in having to inject. Does it burn less?

a2003tiger · December 2013

I've had two pregnancies using Lovenox and switched to Heparin at 37 weeks. No extra monitoring. They did do weekly BPPs, but they do those while I'm on the Lovenox too.

floridablonde · December 2013

Heparin leaves your system faster than lovenox. Also, I use the teeny tiny diabetic needles to inject the med. When doing that, I avoid the bruising and knots that I got with the lovenox. I hated the burn I got with the lovenox as well.

DahliaFlower · December 2013

There is no need to do monitoring for low-dose subcutaneous heparin, as would be used in your case.

Good luck to you!

Timscutie01 · January 2014

I was on generic Lovenox for my previous pregnancies and am also on it now. Also I switched to heparin at 37 weeks for the short half life. I don't remember any extra monitoring but honestly I preferred the enoxoparin to the heparin because I hated doing three shots compared to two.

Medic99 · January 2014

I have been on Heparin this entire pregnancy with no extra monitoring. Unless you are on a high dose they generally do not do extra monitoring.

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