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Pharmacology General 260ef1d4

As compared to unfractionated heparin, low molecular weight heparin -

A
Are absorbed more uniformly when given subcutaneously
B
Require more frequent lab monitoring
C
Can be given to patients with heparin induced thrombocytopenia
D
A higher risk of osteopenia
High-Yield Explanation
Ans. is 'a' i.e., Are absorbed more uniformly when given subcutaneously o Unfractionated heparin binds to several plasma proteins, therefore it has less predictable dose-response profile when administered sc or iv. o On the other hand, LMW heparins are less protein bound and have a predictable dose response profile when administered sc or iv. About other options o Since aPTT/clotting time are not prolonged (much) with LMW heparins, laboratory monitoring is not needed. o LMW heparins are unsuitable for HIT as antibody may be cross-reactive. Agent of choice in HIT are direct thrombin inhibitors like hirudin, lepirudin, bivalirudin. o Osteoporosis (osteopenia) occurs as a dose related side effect of unfractionated heparin. The relative risk with LMW heparin is not yet estabilished.

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