PMID- 11585001 OWN - NLM STAT- MEDLINE DCOM- 20011204 LR - 20190915 IS - 1465-6566 (Print) IS - 1465-6566 (Linking) VI - 2 IP - 8 DP - 2001 Aug TI - Dalteparin sodium. PG - 1325-37 AB - Dalteparin sodium (Fragmin, Pharmacia Corporation) is a low molecular weight heparin (LMWH) with a mean molecular weight of approximately 5000 Da. As with the other LMWHs, dalteparin sodium has certain advantages over unfractionated heparin (UFH), most important of which are improved bio-availability by sc. injection, a prolonged antithrombotic activity which is highly correlated with body weight permitting the o.d. administration of the drug. Dalteparin sodium has been subjected to a large number of well-designed randomised clinical trials for the prevention and treatment of thrombotic disorders. Based on data from the randomised clinical trials, dalteparin sodium has been approved internationally for a wide spectrum of clinical indications (e.g., prevention of thromboembolic events after surgery). Dalteparin sodium has also been studied in randomised controlled trials in the maintenance of graft patentcy following peripheral vascular surgery, in place of warfarin for the long-term treatment of patients presenting with deep vein thrombosis (DVT), in the prevention of upper extremity thrombosis in patients with indwelling portacath devices and in pregnant patients with a history of previous venous thromboembolism with or without thrombophilia. Dalteparin sodium has been compared with heparin for the prevention of thrombotic complications during haemodyalisis and haemofiltration. These studies have shown promising results but further work is required before dalteparin sodium can be recommended for these indications. FAU - Pineo, G F AU - Pineo GF AD - University of Calgary, Thrombosis Research Unit, Foothills Hospital, AB, Canada. jeanne.sheldon@crha-health.ab.ca FAU - Hull, R D AU - Hull RD LA - eng PT - Journal Article PT - Review PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Anticoagulants) RN - S79O08V79F (Dalteparin) SB - IM MH - Animals MH - Anticoagulants/chemistry/pharmacokinetics/*therapeutic use MH - Clinical Trials as Topic/methods/statistics & numerical data MH - Dalteparin/chemistry/pharmacokinetics/*therapeutic use MH - Humans MH - Myocardial Infarction/drug therapy/metabolism MH - Venous Thrombosis/*drug therapy/metabolism RF - 97 EDAT- 2001/10/05 10:00 MHDA- 2002/01/05 10:01 CRDT- 2001/10/05 10:00 PHST- 2001/10/05 10:00 [pubmed] PHST- 2002/01/05 10:01 [medline] PHST- 2001/10/05 10:00 [entrez] AID - 10.1517/14656566.2.8.1325 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2001 Aug;2(8):1325-37. doi: 10.1517/14656566.2.8.1325.