PMID- 9684414 OWN - NLM STAT- MEDLINE DCOM- 19980807 LR - 20191102 IS - 0012-6543 (Print) IS - 0012-6543 (Linking) VI - 36 IP - 4 DP - 1998 Apr TI - Low molecular weight heparins for venous thromboembolism. PG - 25-9 AB - Five years ago, we concluded that in patients undergoing major orthopaedic surgery, prophylactic use of a low molecular weight heparin (LMWH) gave greater protection against deep vein thrombosis (DVT) than did conventional unfractionated heparin (UFH). The risk of bleeding appeared to be the same. It was unclear whether the clinical advantages of the LMWHs offset their greater cost. In the UK, four LMWHs ([symbol: see text]certoparin, dalteparin, enoxaparin and tinzaparin) are now licensed for prophylaxis against venous thromboembolism during or after surgery; a fifth (nadroparin) is licensed but not yet marketed in the UK. Dalteparin, enoxaparin and tinzaparin are licensed for the treatment of DVT. Additionally, tinzaparin is licensed for the treatment of pulmonary embolism (PE). Here, we review the use of LMWHs for these indications. LA - eng PT - Journal Article PT - Review PL - England TA - Drug Ther Bull JT - Drug and therapeutics bulletin JID - 0112037 RN - 0 (Anticoagulants) RN - 0 (Heparin, Low-Molecular-Weight) SB - IM MH - Anticoagulants/adverse effects/*therapeutic use MH - Heparin, Low-Molecular-Weight/adverse effects/*therapeutic use MH - Humans MH - Orthopedic Procedures MH - Postoperative Complications/*prevention & control MH - Thromboembolism/*prevention & control RF - 39 EDAT- 1998/07/31 00:00 MHDA- 1998/07/31 00:01 CRDT- 1998/07/31 00:00 PHST- 1998/07/31 00:00 [pubmed] PHST- 1998/07/31 00:01 [medline] PHST- 1998/07/31 00:00 [entrez] AID - 10.1136/dtb.1998.36425 [doi] PST - ppublish SO - Drug Ther Bull. 1998 Apr;36(4):25-9. doi: 10.1136/dtb.1998.36425.