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  3. Exhep 40 Injection 0.4 ml

Exhep 40 Injection 0.4 ml, Pack of 1 INJECTION
Exhep 40 Injection 0.4 ml, Pack of 1 INJECTION
Exhep 40 Injection 0.4 ml, Pack of 1 INJECTION
Exhep 40 Injection 0.4 ml, Pack of 1 INJECTION
Exhep 40 Injection 0.4 ml, Pack of 1 INJECTION
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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Exhep 40 Injection is used to prevent or treat blood clots caused by medical conditions, such as unstable angina, after an operation or long periods of bed rest due to illness, after a heart attack, and the formation of blood clots in the dialysis machine tubes. It contains Enoxaparin, which prevents existing blood clots from growing larger, allowing your body to break them down and prevent them from harming you. Also, it inhibits the formation of new blood clots in your blood. It may cause side effects such as increased liver enzymes, skin rash (hives,urticaria), itchy red skin, bruising or pain at the injection site, and headache. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Composition :

ENOXAPARIN-40MG

Manufacturer/Marketer :

Emcure Pharmaceuticals Ltd

Consume Type :

PARENTERAL

Return Policy :

Not Returnable

Expires on or after :

About Exhep 40 Injection

Exhep 40 Injection is used to prevent or treat blood clots caused by medical conditions, such as unstable angina, after an operation or long periods of bed rest due to illness, after a heart attack, and the formation of blood clots in the dialysis machine tubes. A blood clot is a mass of blood that forms when platelets, proteins, and cells in the blood stick together. A blood clot can occur in any body part, leading to a heart attack, stroke, and organ damage (even coma or death).

Exhep 40 Injection contains Enoxaparin, which is a low molecular weight heparin that works by preventing existing blood clots from growing larger, allowing your body to break them down and prevent them from harming you. On the other hand, it inhibits the formation of new blood clots in your blood.

Exhep 40 Injection will be administered by a healthcare professional; do not self-administer. Side effects of Exhep 40 Injection include increased liver enzymes, skin rash (hives, urticaria), itchy red skin, bruising or pain at the injection site, and headache. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects are persistent, report to your doctor immediately. 

If you are known to be allergic to Exhep 40 Injection or any other medicines, inform your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before receiving the Exhep 40 Injection . Also, disclose to your doctor if you have any pre-existing medical conditions like a stomach ulcer, recent surgery of the brain or eyes or spine, recent bleeding stroke, diabetes, high blood pressure, or recent onset of stroke or kidney or liver disorders. Also, let your doctor know if you are underweight or overweight or if you have high levels of potassium in your blood.

Uses of Exhep 40 Injection

Treatment and prevention of blood clots

Directions for Use

Exhep 40 Injection will be administered by a qualified healthcare professional. Kindly do not self-administer.

Medicinal Benefits

Exhep 40 Injection contains Enoxaparin, which is a low molecular weight heparin (LMWH) that helps to treat harmful blood clots due to medical conditions, including unstable angina, after an operation or long periods of bed rest due to illness, after a heart attack, and blood clots forming in the tubes of your dialysis machine. Exhep 40 Injection works by stopping existing blood clots from getting any bigger; this helps your body break them down and prevents them from causing you harm. On the other hand, it stops new blood clots from forming in your blood.

How Exhep 40 Injection Works

Exhep 40 Injection contains Enoxaparin, which is a low molecular weight heparin that works by preventing existing blood clots from growing larger, allowing your body to break them down and prevent them from harming you. On the other hand, it inhibits the formation of new blood clots in your blood.

Storage

Store in a cool and dry place away from sunlight
Side effects of Exhep 40 Injection 0.4 ml
  • Managing a low platelet count (thrombocytopenia) caused by medication usage requires a multi-step approach. Here are some steps to help manage the condition:
  • Inform your doctor about your low platelet count and medication usage. They will assess the situation and guide the best course of action.
  • Your doctor may recommend adjusting or stopping the medication that is causing a low platelet count. This could involve switching to alternative medication or reducing the dosage.
  • Monitor your platelet count regularly through blood tests to track any changes. This will help the doctor determine the effectiveness of the treatment plan.
  • If an underlying condition, such as infection or inflammation, contributes to the low platelet count, your doctor will treat it.
  • In some cases, alternative treatments like platelet transfusions or medications that stimulate platelet production may be necessary.
  • Avoid risky activities and certain medications; eat a balanced diet with plenty of water to reduce bleeding risk and boost overall health.
  • If you experience severe bleeding or bruising, seek emergency medical attention immediately.
  • Follow a balanced diet by including fruits, vegetables, and whole grains.
  • Increase fibre intake as it aids toxin removal.
  • Avoid processed foods and sugary drinks.
  • Aim for moderate-intensity exercise for most days of the week.
  • Quit smoking, as it can worsen liver health.
  • Manage stress with meditation or yoga.
  • Monitor liver function through regular blood tests.
  • Consume more fruits, vegetables, and cruciferous foods like cabbage, kale, and broccoli.
  • Reduced alcohol intake can enhance liver enzyme function.
  • Oxidative stress can be managed by eating foods rich in antioxidants, such as vitamins C and E.
  • Liver function tests regularly can help manage increased levels of AST.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Apply pressure for 5-10 minutes to reduce bleeding.
  • Apply cold compresses or ice packs for 15-20 minutes, repeat every few hours.
  • Consult the doctor and use antihistamines if advised to minimise injection site reaction.
  • Use pain relief medication, like acetaminophen if recommended by the doctor, but avoid NSAIDs if bleeding is a concern.
  • Rotate injection sites and use proper needle size and technique if you are self-administering the medication.
  • Monitor signs such as increased pain, redness, warmth, or pus, and seek medical attention if symptoms worsen.
  • Injection site reaction can include numbness or redness.
  • Get a physical examination, follow your doctor's instructions, if it worsens or gets swollen.
  • Apply cold compress for pain relief.
  • Practice good hygiene and keep the injection site away from heat and pressure.

What if I have taken an overdose of Exhep 40 Injection

The overdose of Exhep 40 Injection is unlikely as it is administered by a doctor. However, if you suspect any adverse reactions or unusual symptoms while on treatment with Exhep 40 Injection , please inform your doctor immediately.

Drug Warnings

Patients should inform the doctor if they are on active treatment with this Exhep 40 Injection before any surgery is scheduled. If you are known to be allergic to Exhep 40 Injection or any other medicines, inform your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using the Exhep 40 Injection . Before using this Exhep 40 Injection , disclose to your doctor if you have any pre-existing medical conditions like stomach ulcer, recent surgery of the brain or eyes or spine, recent bleeding stroke, diabetes, high blood pressure, or recent onset of stroke or kidney or liver disorders, And also let your doctor know if you are underweight or overweight or if you have high levels of potassium in your blood.

Drug-Drug Interactions

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EnoxaparinMifepristone
Critical
EnoxaparinDefibrotide
Critical

Drug-Drug Interactions

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EnoxaparinMifepristone
Critical
How does the drug interact with Exhep 40 Injection 0.4 ml:
Combining Mifepristone with Exhep 40 Injection 0.4 ml can increase the risk or severity of side effects of vaginal bleeding.

How to manage the interaction:
Taking Exhep 40 Injection 0.4 ml with Mifepristone is not recommended as it can result in an interaction, it can be taken if a doctor has advised it. However, if you experience prolonged, excessive bleeding, you should contact a doctor immediately. Do not stop using any medications without talking to a doctor.
EnoxaparinDefibrotide
Critical
How does the drug interact with Exhep 40 Injection 0.4 ml:
Combining Defibrotide with Exhep 40 Injection 0.4 ml can increase the risk of bleeding.

How to manage the interaction:
Taking Exhep 40 Injection 0.4 ml with Defibrotide is not recommended as it can result in an interaction, it can be taken if your doctor has advised it. However, if you notice any unusual bleeding or bruising, other signs of bleeding, dizziness, lightheadedness, red or black tarry stools, coughing up or vomiting blood, severe headache, and weakness, you should contact a doctor immediately. Do not stop using any medications without talking to a doctor.
EnoxaparinPhenylbutazone
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
Taking Exhep 40 Injection 0.4 ml together with phenylbutazone can increase the risk or severity of bleeding complications.

How to manage the interaction:
Although taking Exhep 40 Injection 0.4 ml and Phenylbutazone together can cause an interaction, it can be taken if your doctor has suggested it. If you notice any of these signs like difficulty with bleeding, bleeding, bruising, swelling, throwing up, headache, feeling lightheaded, weakness, or blood in your urine or stools it's important to contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
EnoxaparinRuxolitinib
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
Taking Exhep 40 Injection 0.4 ml with ruxolitinib can increase the risk or severity of bleeding.

How to manage the interaction:
Taking Exhep 40 Injection 0.4 ml with Ruxolitinib together can result in an interaction, but it can be taken if your doctor has advised it. If you notice any symptoms like bleeding, bruising, dizziness, severe headaches, black or tarry stools, weakness, and vomiting other symptoms to watch out for include black or tarry stools, weakness, and vomiting. Do not discontinue any medications without consulting a doctor.
EnoxaparinUrokinase
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
Taking Urokinase with Exhep 40 Injection 0.4 ml can increase the risk or severity of bleeding.

How to manage the interaction:
Although there is a possible interaction between Exhep 40 Injection 0.4 ml and Urokinase, you can take these medicines together if prescribed by your doctor. If you notice any symptoms like bleeding, bruising, dizziness, black or tarry stools, weakness, vomiting, or headaches, it is important to contact a doctor right away. Do not stop using any medications without talking to a doctor.
EnoxaparinFlurbiprofen
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
Taking Flurbiprofen with Exhep 40 Injection 0.4 ml can increase the risk of bleeding and hemorrhage.

How to manage the interaction:
Although there is a possible interaction between Flurbiprofen and Exhep 40 Injection 0.4 ml, you can take these medicines together if prescribed by your doctor. If you notice any of these signs, bleeding, bruising, swelling, headache, feeling lightheaded, weakness, or seeing blood in your urine or stools, contact a doctor immediately. Do not stop using any medications without a doctor's advice.
EnoxaparinIbuprofen
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
The combined use of Exhep 40 Injection 0.4 ml and Ibuprofen can increase the risk of bleeding problems.

How to manage the interaction:
Co-administration of Exhep 40 Injection 0.4 ml and Ibuprofen can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like unusual bleeding or bruising, swelling, vomiting, blood in your urine or stools, headache, dizziness, or weakness, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
EnoxaparinMefenamic acid
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
Combining Mefenamic acid with Exhep 40 Injection 0.4 ml can increase the risk of bleeding and hemorrhage.

How to manage the interaction:
Although there is a possible interaction between Mefenamic acid and Exhep 40 Injection 0.4 ml, you can take these medicines together if prescribed by your doctor. If you notice any symptoms like bleeding, bruising, swelling, vomiting, headache, dizziness, weakness, or blood in your urine or stool, make sure to contact a doctor immediately. Do not stop using any medications without talking to a doctor.
EnoxaparinApixaban
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
Coadministration of Apixaban and Exhep 40 Injection 0.4 ml co-administration may raise the risk of bleeding.

How to manage the interaction:
Even though combining Exhep 40 Injection 0.4 ml and Apixaban may cause an interaction, it is still possible to take it if your doctor advises you to. Consult a doctor if you experience symptoms like blood in your urine or stool (or a black stool), severe bruising, prolonged nosebleeds, feeling dizzy or lightheaded, weakness or severe headache, vomiting blood or coughing up blood, heavy menstrual bleeding (in women), difficulty breathing, or chest pain. Without consulting a doctor, never stop taking any medications.
EnoxaparinAbciximab
Severe
How does the drug interact with Exhep 40 Injection 0.4 ml:
Combining Abciximab with Exhep 40 Injection 0.4 ml can increase the risk of bleeding.

How to manage the interaction:
Although taking Abciximab and Exhep 40 Injection 0.4 ml together can cause an interaction, it can be taken if your doctor has suggested it. If you notice any of these symptoms like feeling dizzy or lightheaded, dark or tar-like stools, a severe headache, feeling weak, bruising, bleeding, or vomiting, it's important to contact your doctor right away. Do not stop using any medications without first talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • A low cholesterol diet and a regular exercise regime complement treatment with Exhep 40 Injection effectively.
  • As a precautionary measure, you are recommended not to consume alcohol, or junk food items from outside, stick to a freshly prepared home-cooked meal and rest properly for a speedy recovery.
  • And also, trying to replace most of your saturated fats with unsaturated fats can reduce total cholesterol and LDL in a short time.
  • Foods like avocados, olive oil, fatty fish, and nuts contain many heart-healthy unsaturated fats, so eating them regularly is beneficial.
  • Option for foods high in vitamin K (liver, leafy green vegetables, or vegetable oils) as Exhep 40 Injection may lower Vitamin K in your body.
  • Avoid drinking alcohol as it increases the risk of gastrointestinal ulcer/bleeding.
  • Cranberry juice, grapefruit juice, noni juice, and pomegranate juice may interact with Exhep 40 Injection and lead to unwanted side effects. Hence try to avoid these juices while taking Exhep 40 Injection .

Habit Forming

No

Therapeutic Class

ANTICOAGULANT/ANTITHROMBOTIC

Exhep 40 Injection Substitute

Substitutes safety advice

  • Clexane 40 mg Injection 0.4 ml

    by Others

    ₹423.00per tablet

  • Corparin 40 Injection 1's

    by AYUR

    ₹423.00per tablet

  • Lmwx 40 Injection 0.4 ml

    by Others

    ₹413.60per tablet

  • Enoxarin-40 Injection 0.4 ml

    by AYUR

    ₹423.00per tablet

  • Loparin 40 mg Injection 0.4 ml

    by Others

    ₹358.70per tablet

Product Substitutes

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Alcohol

Caution

Limit intake of alcohol as it may increase the risk of bleeding.

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Pregnancy

Caution

Exhep 40 Injection is not recommended for use in pregnancy unless clearly necessary. So, inform your doctor if you are pregnant or suspect pregnancy. Your doctor will weigh the benefits and potential risks before prescribing Exhep 40 Injection .

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Breast Feeding

Caution

Exhep 40 Injection is not recommended for use in breastfeeding unless clearly necessary. So, inform your doctor if you are a nursing mother. Your doctor will weigh the benefits and potential risks before prescribing Exhep 40 Injection .

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Driving

Safe if prescribed

It does not affect your ability to drive.

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Liver

Caution

If you have a history of liver diseases or pre-existing liver conditions, please inform your doctor before taking this Exhep 40 Injection . Your doctor will prescribe only if the benefits outweigh the risks.

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Kidney

Caution

If you have a history of kidney diseases or pre-existing kidney conditions, please inform your doctor before taking this Exhep 40 Injection . Your doctor will prescribe only if the benefits outweigh the risks.

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Children

Unsafe

It is not recommended for treatment in children under 18 years of age as safety and efficacy have not been established.

FAQs

Exhep 40 Injection is used to prevent or treat blood clots caused by medical conditions, such as unstable angina, after an operation or long periods of bed rest due to illness, after a heart attack, and the formation of blood clots in the dialysis machine tubes.

Exhep 40 Injection contains Enoxaparin, which is low molecular weight heparin or LMWH. Exhep 40 Injection works by stopping existing blood clots from getting any bigger. This helps your body to break them down and prevents them from causing you harm. On the other hand, it stops new blood clots from forming in your blood.

Yes, this Exhep 40 Injection is given based on your age and body weight. If you have low body weight, the chances of increased risk of bleeding are high, so mostly low doses are prescribed by your doctor. You may be monitored closely for signs of clot formation.

No, do not take this Exhep 40 Injection if you have a stomach ulcer. Please inform your doctor about this condition before receiving it.

Yes, Exhep 40 Injection may cause bleeding. If you notice purple spots on the skin or unusual bruising, blood in urine, black tarry stools, or unusual bleeding from the gums or nose, please inform your doctor immediately as these are signs of bleeding more easily.

Increases in liver enzymes are the most common side effect with Exhep 40 Injection . Regular lipid profile tests are recommended to avoid any additional complications.

Exhep 40 Injection typically starts showing its effect within 1 to 2 hours and it remains in the body for about 12 hours.

No, Exhep 40 Injection dosage should be given exactly as prescribed by the doctor.

Exhep 40 Injection contains Enoxaparin as it active ingredient.

Exhep 40 Injection is mostly prescribed for angina (chest pain), deep vein thrombosis (blood clot in veins) and as a post-surgery precautionary step.

Yes, there are many substitutes available in the market. However, please note that all these substitutes have the same composition and thus should be administered with the same set of precautions.

Exhep 40 Injection will be administered by a doctor or nurse in the hospital or clinic. Do not self-administer.

Bleeding is one of the side effects of Exhep 40 Injection in some individuals. If you experience any kind of unusual symptoms such as black tarry stool, unusual bleeding, etc., inform the doctor immediately.

The side effects of Exhep 40 Injection include bleeding, increases in liver enzymes, bruise more easily than usual, pink patches on your skin, skin rash (hives, urticaria), itchy red skin, pain or bruising at the injection site and headache. If these side effects persist or worsen, please inform your doctor.

The dose and duration of Exhep 40 Injection is prescribed by a doctor based on the underlying condition and the patient’s response to the treatment.

Exhep 40 Injection is injected beneath the skin. Fix the medicine dose and make a fold by pinching the skin of your stomach between your finger and thumb. After cleansing the area, hold the syringe like a pencil and insert the full length of the needle into the skin fold. Inject Exhep 40 Injection and discard the syringe as instructed by your doctor. Follow the instructions given by the doctor strictly. In case of any doubt or any reactions associated with the medicine, contact your doctor.

Tell your doctor if you have a heart valve fitted or have high blood pressure, gastric ulcer, kidney problems or diabetes. Also, let your doctor know if you ever had a reaction to heparin or had a recent stroke, spinal or brain surgery. The chances of complications and side effects increase in these conditions.

Store Exhep 40 Injection below 25°C. Do not freeze. Keep it out of reach and sight of children.

Yes, Exhep 40 Injection is used in the treatment of heart attack and chest pain once the patient has received the standard treatment. It is administered along with another blood thinner like aspirin. As it is a blood thinner, it prevents the blood from clotting and prevents any further episodes and complications.

Yes, you can push the air bubbles into the injection site. Removing the air bubbles causes loss of the medicine thereby changing the prescribed dose.

Country of origin

India

Manufacturer/Marketer address

255/2, Hinjawadi, Pune - 411057, India
Other Info - EXH0002

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Author Details

Doctor imageDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Doctor imageDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jan 1, 2025 | 2:49 PM IST

Doctor imageWe provide you with authentic, trustworthy and relevant information

Reference

  1. https://www.hpra.ie/img/uploaded/swedocuments/bacb76b5-7e4a-4f47-b8f0-4e18706c5070.pdf
  2. https://www.healthline.com/health/enoxaparin-injectable-solution#other-warnings
  3. https://www.webmd.com/drugs/2/drug-3475/enoxaparin-subcutaneous/details
  4. https://www.drugs.com/mtm/enoxaparin.html
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