dalteparin

Brand: Fragmin

ISMP High Alert Prototype: enoxaparin
Drug Class: anticoagulant
Drug Family: anticoagulant
Subclass: low molecular weight heparin
Organ Systems: cardiovascularhematology-oncology

Mechanism of Action

LMWH; once-daily dosing for cancer-associated thrombosis; CLOT trial supported use over warfarin in cancer.

factor Xa via AT-III

Indications

  • DVT/PE treatment (especially cancer-associated)
  • thromboprophylaxis
  • ACS

Contraindications

  • active major bleeding
  • HIT history

Adverse Effects

Common

  • injection site bruising
  • elevated LFTs

Serious

  • major hemorrhage
  • HIT

Pharmacokinetics (ADME)

Absorption 87% SC bioavailability
Distribution moderate
Metabolism reticuloendothelial
Excretion renal
Half-life 3-5 hours
Onset 3-5 hours SC
Peak 2-4 hours
Duration 12-24 hours
Protein Binding very low
Vd 40-60 mL/kg

Drug Interactions

Drug / Agent Mechanism Severity
antiplatelet agents increased bleeding major

Nursing Considerations

  1. CLOT trial: dalteparin superior to warfarin for cancer-associated DVT/PE
  2. Therapeutic: 200 IU/kg SC daily
  3. Anti-Xa monitoring in renal impairment or extreme body weights

Clinical Pearls

  • CLOT trial: reduces recurrent VTE more than warfarin in cancer patients
  • LMWH preferred over warfarin for cancer-associated thrombosis per ACCP/ASCO guidelines

Safety Profile

Pregnancy safe
Lactation use-with-caution
Renal Adjustment Required
Hepatic Adjustment Not required
TDM Not required
Guideline Update pending

Concordance Terms

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