$43.81

HEPARIN LEO

If you are using these injections at home, make sure your doctor has explained exactly how this medicine is to be given.

To obtain the best results without causing serious bleeding, use this medicine exactly as directed by your doctor. Be certain that you are using the right amount of heparin, and that you use it according to schedule . Be especially careful that you do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.

Your doctor should check your progress at regular visits . A blood test must be taken regularly to see how fast your blood is clotting so that your doctor can decide on the proper amount of heparin you should be receiving each day.

Dosing

The dose of heparin will be different for different patients and must be determined by your doctor. The dose you receive will be based on the type of heparin you receive, the condition for which you are receiving heparin, and your body weight.

Missed dose

If you miss a dose of this medicine, use it as soon as possible. However, if it is almost time for your next dose, do not use the missed dose at all and do not double the next one. Doubling the dose may cause bleeding. Instead, go back to your regular dosing schedule. It is best to keep a record of each dose as you use it to avoid mistakes. Be sure to give your doctor a record of any doses you miss. If you have any questions about this, check with your doctor.

Storage

To store this medicine:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Keep the medicine from freezing.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For heparin, the following should be considered:

Allergies Tell your doctor if you have ever had any unusual or allergic reaction to heparin, to beef, or to pork. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy Heparin has not been shown to cause birth defects or bleeding problems in the baby. However, use during the last 3 months of pregnancy or during the month following the baby's delivery may cause bleeding problems in the mother.

Breast-feeding Heparin does not pass into the breast milk. However, heparin can rarely cause bone problems in the nursing mother. This effect has been reported to occur when heparin is used for 2 weeks or more. Be sure to discuss this with your doctor.

Children Heparin has been tested in children and, in effective doses, has not been shown to cause different side effects or problems than it does in adults.

Older adults Bleeding problems may be more likely to occur in elderly patients, especially women, who are usually more sensitive than younger adults to the effects of heparin.

Other medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking heparin, it is especially important that your health care professional know if you are taking any of the following:

• Aspirin or
• Carbenicillin by injection (e.g., Geopen) or
• Cefamandole (e.g., Mandol) or
• Cefoperazone (e.g., Cefobid) or
• Cefotetan (e.g., Cefotan) or
• Dipyridamole (e.g., Persantine) or
• Divalproex (e.g., Depakote) or
• Medicine for inflammation or pain, except narcotics, or
• Medicine for overactive thyroid or
• Pentoxifylline (e.g., Trental) or
• Plicamycin (e.g., Mithracin) or
• Probenecid (e.g., Benemid) or
• Sulfinpyrazone (e.g., Anturane) or
• Ticarcillin (e.g., Ticar) or
• Valproic acid (e.g., Depakene) Using any of these medicines together with heparin may increase the risk of bleeding

• Also, tell your doctor if you are now receiving any kind of medicine by intramuscular (IM) injection.

• Allergies or asthma (history of) The risk of an allergic reaction to heparin may be increased

• Blood disease or bleeding problems or
• Colitis or stomach ulcer (or history of) or
• Diabetes mellitus (sugar diabetes) (severe) or
• High blood pressure (hypertension) or
• Kidney disease or
• Liver disease or
• Tuberculosis (active) The risk of bleeding may be increased

Also, tell your doctor if you have received heparin before and had a reaction to it called thrombocytopenia, or if new blood clots formed while you were receiving the medicine.

In addition, it is important that you tell your doctor if you have recently had any of the following conditions or medical procedures:

• Childbirth or
• Falls or blows to the body or head or
• Heavy or unusual menstrual bleeding or
• Insertion of intrauterine device (IUD) or
• Medical or dental surgery or
• Spinal anesthesia or
• X-ray (radiation) treatment The risk of serious bleeding may be increased