Fondaparinux Sodium side effects and warning (marketed as Arixtra) zhion@zhion.com November 2005
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Arixtra Injection
Brand Name: Arixtra
Active Ingredient: fondaparinux sodium
Strength(s): 2.5 mg/0.5 mL
Dosage Form(s): Sucutaneous Injection
Company Name: Fonda BV
Availability: Prescription only, professional use only
*Date Approved by the FDA: December 7, 2001
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What is Arixtra used for?
Arixtra is used to reduce the risk of blood clots in the deep veins
of the legs and thighs. These clots may break off and travel to
the lungs (pulmonary embolism). Patients at risk for these
complications include those undergoing:
hip fracture surgery,
hip replacement surgery,
knee replacement surgery,
abdominal surgery who are already at risk of blood clot
complications
Arixtra also is used with warfarin to treat:
· blood clots in the veins
· blood clots that have broken off and traveled to the lungs
(pulmonary embolism) when the patient is first treated in the
hospital
Who should not be given Arixtra?
Arixtra should not be given to patients who:
have severe kidney problems
weigh less than 110 pounds (50kg)
have bleeding anywhere
have a heart infection (bacterial endocarditis)
have a history of Arixtra causing the blood to have low platelets
(thrombocytopenia)
are allergic to Arixtra or to any of the ingredients in Arixtra
Tell your healthcare provider if you have any of these conditions.
Special Warning(s) with Arixtra:
Arixtra and other medicines like it can cause bleeding into the
spine when used in patients who have received epidural or spinal
anesthesia, or any spinal injection. Bleeding in the spine can
cause long term or permanent paralysis.
Arixtra, like other medicines that prevent the blood from clotting,
is given with extreme caution to people who have conditions that
have an increased risk of bleeding, such as:
bleeding disorders
ulcerative colitis and other bleeding disorders in the stomach and
intestines
bleeding into the brain (hemorrhagic stroke)
recent brain, spinal, or eye surgery
taking other medicines that prevent the blood from clotting
General Precautions with Arixtra:
Certain other medicines can increase the risk of bleeding with
Arixtra. Tell your healthcare provider about all the medicines you
take, including prescription and non-prescription medicines,
vitamins, and herbal supplements. Especially, tell your health care
provider if you are taking:
blood thinners
aspirin
non-steroidal anti-inflammatory drugs such as ibuprofen (Motrin)
or naproxen sodium (Naprosyn or Aleve)
What should I tell my doctor or healthcare provider?
Tell your healthcare provider if you have:
bleeding problems, any recent bleeding, or if you bleed easily
high blood pressure
a recent stomach ulcer
eye problems due to diabetes
kidney problems
had a stroke
What are some possible side effects of Arixtra? (This list is NOT
a complete list of side effects reported with Arixtra. Your
healthcare provider can discuss with you a more complete list of
side effects.)
The most common side effect with Arixtra is bleeding.
For more detailed information about Arixtra, ask your
healthcare provider.
