Dosing Guidlines for Adults

Drug Detail for Adult Drugs


Heparin (low-molecular-weight)

Miscellaneous Agents

Anticoagulants


General Toxicity Notes
Excreted Unchanged %
No data
Half-Life (NormalESRD) hours
2.2-6.0/4-10
Plasma Protein Binding %
No data
Volume of Distribution L/kg
0.06-0.13
Dose for Normal Renal Function
30-40 mg bid
Second Dose
Adjustment for Renal Failure Method
D
Adjustment for Renal Failure GFR, mL/min >50 [Recommended Level]
100% [B]
Adjustment for Renal Failure GFR, mL/min 10-50 [Recommended Level]
100% [B]
Adjustment for Renal Failure GFR, mL/min <10 [Recommended Level]
50% [B]
Supplement for Dialysis [Recommendation Level]: IHD
IHD: Not applicable, [D]
Supplement for Dialysis [Recommendation Level]: PD
PD: Dose for GFR <10, [D]
Supplement for Dialysis [Recommendation Level]: CRRT
CRRT: 50% and monitor Xa, [D]
References
Weitz JI. Low-molecular-weight heparins. N Engl J Med. 1997; 337: 688-98. [PMID: 9278467]
Toxicity Notes
Bleeding may be enhanced in patients with uremic platelet defects.