Very low doses of unfractionated heparin potentiate the anti-Xa activity of low molecular weight heparin (enoxaparin)

Abstract:

:Some previous reports indicated that a minimal amount of anti-IIa is necessary for the optimal anti-Xa activity of low molecular weight heparin (LMW-H). To know if we could improve the prophylactic activity of LMW-H, providing a mild antithrombin effect, we conducted an experiment in which we administered subcutaneously to 10 volunteers, very low doses of unfractionated heparin (UFH), (1000 IU), a LMW-H (enoxaparin, 2000 IU = 20mg), or both heparins together on alternate days, and measure the anti-Xa activity before, and 4 hours after injection. We found that the anti-Xa activity in the first group (UFH), increased by 33%, over the basal values; in the second group (LMW-H), by 93%, but it increased by 282%, in the third group (UFH + LMW-H) showing clearly (p < 0.0069), that UFH could increase synergistically, more than additive, the anti-Xa activity of enoxaparin. The impact on the cost-effectiveness of antithrombotic prophylaxis and the therapeutic results with the herein combined scheme should be evaluated.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Pèrez-Requejo JL,Lucena-Solano O,Pérez-García M,Santarelli MT

doi

10.1016/s0049-3848(97)00010-8

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

259-65

issue

3

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(97)00010-8

journal_volume

85

pub_type

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