ministration is 5 to 10 days.
In patients undergoing abdominal surgery associated with a high risk of thromboembolic complications, such as malignant disorder, the recommended dose of FRAGMIN is 5000 IU subcutaneously the evening before surgery, then once daily postoperatively. The usual duration of administration is 5 to 10 days. Alternatively, in patients with malignancy, 2500 IU of FRAGMIN can be administered subcutaneously 1 to 2 hours before surgery followed by 2500 IU subcutaneously 12 hours later, and then 5000 IU once daily postoperatively. The usual duration of administration is 5 to 10 days.
Medical Patients During Acute Illness: In medical patients with severely restricted mobility during acute illness, the recommended dose of FRAGMIN is 5000 IU administered by subcutaneous injection once daily. In clinical trials, the usual duration of administration was 12 to 14 days.
Extended Treatment of Symptomatic Venous Thromboembolism in Patients with Cancer: In patients with cancer and symptomatic venous thromboembolism, the recommended dosing of FRAGMIN is as follows: for the first 30 days of treatment administer FRAGMIN 200 IU/kg total body weight subcutaneously once daily. The total daily dose should not exceed 18,000 IU. Table 3 lists the dose of FRAGMIN to be administered once daily during the first month for a range of patient weights.
Month 1
Table 3
Dose of FRAGMIN to be Administered Subcutaneously by Patient
Weight during the First Month
Body Weight (lbs) Body Weight (kg) FRAGMIN Dose (IU)
(prefilled syringe)
once daily
≤ 124 ≤ 56 10,000
125 to 150 57 to 68 12,500
151 to 181 69 to 82 15,000
182 to 216 83 to 98 18,000
≥ 217 ≥ 99 18,000
Months 2 to 6
Administer FRAGMIN at a dose of approximately 150 IU/kg, subcutaneously once daily during Months 2 through 6. The total daily dose should not exceed 18,000 IU. Table 4 lists the dose of FRAGMIN to be administered once daily for a range of patient weights during months 2-6.
Table 4
Dose of FRAGMIN to be Administered Subcutaneously by Patient
Weight during Months 2-6
Body Weight (lbs) Body Weight
(kg) FRAGMIN Dose (IU)
(prefilled syringe)
once daily
≤ 124 ≤ 56 7,500
125 to 150 57 to 68 10,000
151 to 181 69 to 82 12,500
182 to 216 83 to 98 15,000
≥ 217 ≥ 99 18,000
Safety and efficacy beyond six months have not been eva luated in patients with cancer and acute symptomatic VTE [see Warnings and Precaution (5) and Adverse Reactions (6.1)].
2.2 Dose Reductions for Thrombocytopenia in Patients with Cancer and Acute Symptomatic VTEIn patients receiving FRAGMIN who experience platelet counts between 50,000 and 100,000/mm3, reduce the daily dose of FRAGMIN by 2,500 IU until the platelet count recovers to ≥ 100,
