Two doses of enoxaparin inj a day for APS stroke survivors?

[Wittycjt]

I ve had a couple of dibilatating strokes but w alot of PT(physio) i am very close to 98%. My question is i am on enoxaparin 2.2 mg/kg every twelve hours is this average for most. I know some without strokes take only take 40mg a day as a preventative. What are other”APS stroke” patients taking. Curious if my dose should be half of what im taking, instead 1.1mg per kg every twelve hours so half of what my dose is now every twelve hours. Ive had some surgery done recently and the medical staff are questioning the high dose, but hematologist is not concerned. Im concerned it maybe an oversight , i will ask at my next appt again but curious what others are doing

[KellyInTexas Administrator]

Depends on surgery and how vascular it was, I should think? Some surgeries carry a far greater bleeding risk than others depending on surgical site, size and depth.. etc.

1.1 mg? Do you mean 1.5 ?

Also, who are these “medical people?”

Trust your hematologist and surgeon, especially if they are in agreement. I should think they are, or the surgery would not have gone forward.

[Wittycjt in reply to KellyInTexas]

No, i was editing when you were responding please reread…may be i am more clear now

[KellyInTexas Administrator in reply to Wittycjt]

I was taking 70 mg every 12 hours plus clopidogrel and 10 mg statin.

Wright: 112 pounds

It did not last me the 12 hours- had break through APS symptoms at the 10 hour mark - tingling and numbness, TIA symptoms, migraines, so was switched back to warfarin.

This was about 10 days only …

[Wittycjt in reply to KellyInTexas]

Thanks, i recall this

[KellyInTexas Administrator in reply to Wittycjt]

Happy to hear you are at almost 98%!!!! 💥🎉🌸

[Wittycjt in reply to KellyInTexas]

And they didn’t change the dose to the surgery, this is my typical every day dose🤷🏼‍♀️

[KellyInTexas Administrator in reply to Wittycjt]

They did not lower it all for a surgery?

[Wittycjt in reply to KellyInTexas]

No, but held it for 16 hours

[MaryF Administrator]

I think your Haematologist is the one who understands your disease process the best, I am sure they will answer your questions in detail for you. MaryF