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Prescription medication · Low-Molecular-Weight Heparin

enoxaparin

Also sold as Lovenox. This medicine can prevent blood clots from forming after surgery or during illness when you are not moving around much.

55,714
FDA reportsOften reported
3
InteractionsFew interactions
4% less
Generic vs brandModest savings
2
Recall records

What the data shows

enoxaparin (Lovenox) is a prescription Low-Molecular-Weight Heparin, more reported than most tracked drugs (55,714 FDA reports), with a lower-cost generic available (4% less than brand).

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

enoxaparin (Lovenox) is a prescription Low-Molecular-Weight Heparin. This medicine can prevent blood clots from forming after surgery or during illness when you are not moving around much.

Enoxaparin (Lovenox) is a type of blood thinner. It helps prevent and treat blood clots.

Drug Pricing (NADAC)

Brand Price

$8.18/unit

Generic Price

$7.84/unit

Generic Savings

4%

Generic Available

Yes (9 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

This medicine can prevent blood clots from forming after surgery or during illness when you are not moving around much.

Common side effects

Bleeding, Low red blood cell count (anemia), Low platelet count (thrombocytopenia)

Key warnings

Enoxaparin can cause bleeding around your spine if you get an epidural or spinal tap.

The sections below are summarized in plain English from enoxaparin's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Enoxaparin works by blocking certain proteins in your blood that help clots form. This helps to prevent new clots from forming and keeps existing clots from getting bigger. It makes your blood less likely to clot.

How to Take It

Enoxaparin is given as a shot under your skin. The dose and how often you get it depends on why you are taking it. Your doctor will tell you exactly how much to use and when. Follow their instructions carefully.

This is a plain-language summary of enoxaparin's FDA labeling, not individualized dosing advice. Ask a pharmacist or prescriber before changing how you take this medication.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. Enoxaparin may not be safe for your baby. Discuss the risks and benefits with your doctor.

This is a plain-language summary of enoxaparin's FDA labeling, not individualized advice. Ask a pharmacist or prescriber about pregnancy or breastfeeding on this medication.

Missed Dose

If you miss a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed dose and go back to your regular schedule.

This is a plain-language summary of enoxaparin's FDA labeling, not individualized advice. Ask a pharmacist or prescriber what to do about your specific missed dose.

Storage

Store at room temperature, away from heat and light, in the original packaging.

Side Effects (from patient reports)

Based on 55,714 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for enoxaparin, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for enoxaparin each year to the FDA Adverse Event Reporting System (FAERS).

-1,00001,0002,0003,0004,0005,000 200320062009201220152018202120242025 3,207

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where enoxaparin sits

enoxaparin has more FDA adverse-event reports than 75% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is enoxaparin; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 55,714 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2003–2025.

Total Reports

55,714

Reports Mentioning Death

8,748

15.7% of reports — not proof of cause

Hospitalization Reports

30,137

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 26,906 (53%)
Male 23,658 (47%)

Age Distribution

0–17 1,042
18–44 6,140
45–64 13,235
65–74 10,304
75+ 10,316

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DYSPNOEA 2,372
2 NAUSEA 2,352
4 DIARRHOEA 2,244
5 ANAEMIA 2,189
6 THROMBOCYTOPENIA 2,065
7 PYREXIA 2,057
8 FATIGUE 1,964
9 VOMITING 1,856
10 PULMONARY EMBOLISM 1,780
11 DEATH 1,748
12 PNEUMONIA 1,660
13 ASTHENIA 1,609
14 ACUTE KIDNEY INJURY 1,563
15 HYPOTENSION 1,507
16 PAIN 1,505

Reactions in Death Reports

DEATH 1,743
DYSPNOEA 691
SEPSIS 690
PNEUMONIA 566
CARDIO-RESPIRATORY ARREST 545
DIARRHOEA 545
ASTHENIA 517
NAUSEA 506
THROMBOCYTOPENIA 503
PULMONARY EMBOLISM 491

Reactions in Hospitalization Reports

ANAEMIA 1,708
DYSPNOEA 1,646
PYREXIA 1,575
NAUSEA 1,505
PNEUMONIA 1,430
THROMBOCYTOPENIA 1,395
DIARRHOEA 1,371
VOMITING 1,261
PULMONARY EMBOLISM 1,217
ACUTE KIDNEY INJURY 1,141

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Enoxaparin can cause bleeding around your spine if you get an epidural or spinal tap. This can lead to long-term or permanent paralysis. Tell your doctor if you are taking other medicines that can increase bleeding, like NSAIDs (such as ibuprofen) or aspirin. Your doctor will monitor you for signs of nerve problems.

Known Drug Interactions

moderate rivaroxaban

7.4 Anticoagulants and NSAIDs/Aspirin Coadministration of enoxaparin, warfarin, aspirin, clopidogrel and chronic NSAID use may increase the risk of bleeding [see Clinical Pharmacology (12.3) ].

Mechanism: Both drugs are blood thinners that work in different ways to prevent clots. Taking them together makes your blood much thinner and increases your chance of dangerous bleeding.

What to do: Your doctor should monitor you closely for signs of bleeding if these drugs are used together.

These agents include medications such as: anticoagulants, platelet inhibitors including acetylsalicylic acid, salicylates, NSAIDs (including ketorolac tromethamine), dipyridamole, or sulfinpyrazone.

Mechanism: Both drugs affect how your blood clots, and taking them together increases your risk of serious bleeding.

What to do: Use this combination with caution and tell your doctor immediately if you notice any unusual bruising or bleeding.

These agents include medications such as: anticoagulants, platelet inhibitors including acetylsalicylic acid, salicylates, NSAIDs (including ketorolac tromethamine), dipyridamole, or sulfinpyrazone.

Mechanism: These medicines both work to prevent blood clots in different ways, which can lead to an increased risk of bleeding when used together.

What to do: Watch for signs of bleeding and ensure your healthcare provider is aware you are taking both medications.

This is a plain-language summary of interactions documented in FDA labeling, not individualized advice. Ask a pharmacist or prescriber before combining medications.

Common Questions

What should I do if I have bleeding?
Tell your doctor right away if you have any unusual bleeding or bruising.
Can I take aspirin with enoxaparin?
Talk to your doctor before taking aspirin or other pain relievers with enoxaparin.
How long will I need to take enoxaparin?
Your doctor will decide how long you need to take enoxaparin.
Will enoxaparin interact with other medications?
Yes, enoxaparin can interact with other medications, especially those that affect blood clotting. Tell your doctor about all the medicines you take.
Can enoxaparin be given at home?
Yes, enoxaparin can be given at home by yourself or a caregiver, after proper training.
What are the symptoms of a blood clot?
Symptoms of a blood clot include pain, swelling, redness, and warmth in the affected area.
Is it safe to get a vaccine while taking enoxaparin?
Talk to your doctor before getting any vaccines while taking enoxaparin.
What tests will I need while taking enoxaparin?
Your doctor may check your blood counts and kidney function while you are taking enoxaparin.
Can I drink alcohol while taking enoxaparin?
Talk to your doctor about drinking alcohol while taking enoxaparin.
What if I need surgery while taking enoxaparin?
Tell your surgeon you are taking enoxaparin. You may need to stop it before surgery.
What are the common side effects of enoxaparin?
The most commonly reported side effects of enoxaparin include Bleeding, Low red blood cell count (anemia), Low platelet count (thrombocytopenia), Increased liver enzymes, Diarrhea. Based on 55,714 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does enoxaparin interact with other medications?
Yes, enoxaparin has 3 known drug interactions. Notable interactions include rivaroxaban, ketorolac, dipyridamole. Always inform your doctor about all medications you are taking.
What drug class is enoxaparin?
enoxaparin belongs to the Low-Molecular-Weight Heparin drug class. It requires a prescription (Rx). This medicine can prevent blood clots from forming after surgery or during illness when you are not moving around much.
Is there a generic version of enoxaparin?
Yes, generic enoxaparin is available from 9 manufacturers. The generic costs $7.84 per unit compared to $8.18 for the brand version, saving approximately 4%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
Is enoxaparin safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. Enoxaparin may not be safe for your baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has enoxaparin been recalled?
There are 2 recalls associated with enoxaparin products. Correct Labeled Product Mispack: Bags labeled for Enoxaparin Sodium Injection, 80 mg/0. Check the recalls section below for full details and affected products.

Active Recalls

Class II August 5, 2025

Correct Labeled Product Mispack: Bags labeled for Enoxaparin Sodium Injection, 80 mg/0.8 mL, contained Enoxaparin Sodium Injection, 30 mg/0.3 mL

Cardinal Health Inc.

Class I February 2, 2021

Labeling; Label Mixup; syringe barrels may containing markings for 150 mg/mL (corresponding to 120 mg/0.8mL strength) instead of 100 mg/mL markings (corresponding to 100 mg/mL strength)

Apotex Corp.

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What the FDA Data Shows for enoxaparin

The FDA label for enoxaparin (sold under brand names such as Lovenox) classifies it as a prescription-only medication in the Low-Molecular-Weight Heparin class. This medicine can prevent blood clots from forming after surgery or during illness when you are not moving around much. Official labeling lists 12 commonly reported side effects, including Bleeding, Low red blood cell count (anemia), Low platelet count (thrombocytopenia).

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 55,714 voluntary reports. The database also lists 3 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $7.84 versus $8.18 for the brand - a 4% generic savings.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 2 recall records on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice, always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: June 21, 2024

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled and last refreshed May 2026. See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a correction.

All federal data sources used on this page