Enoxaparin

Low-Molecular-Weight Heparin
Drug Class
Low-Molecular-Weight Heparin
Mechanism of Action (MOA)
Activates antithrombin III with preferential anti-Xa (over anti-IIa) activity.
Black Box Warning
Spinal/epidural hematoma with neuraxial anesthesia or spinal puncture — can cause long-term or permanent paralysis.
Clinical Notes
Predictable dosing, no routine monitoring (follow anti-Xa if needed). Lower HIT risk than UFH; renally cleared; only partial protamine reversal.
Source
FDA label

Sources

Reviewed September 2026
  1. FDA label — FDA / DailyMed

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Used for

Same family

Anticoagulants, antiplatelets & thrombolytics · 8 drugs

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