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Re: Regulardoc post# 102199

Tuesday, 08/24/2010 8:23:57 AM

Tuesday, August 24, 2010 8:23:57 AM

Post# of 257251
Thanks, Regulardoc, for your estimates of various enoxaparin doses. As another hospital based internist, I think your figures seem right on.
I'll make a prediction that we will be seeing a modest increase in utilization of enoxaparin driven by lower cost. The reason is increasing evidence that the risk of developing DVT doesn't end when a patient is discharged. Out of sight, but not out of risk. Orthopedic patients often get prophylaxis for 3 wks after surgery in the area I work. But, medical patients , based on the evidence , especially the frail and semi-ambulatory, should probably also be getting anticoagulation for up to a month after acute illness. So, to the extent that lower price will drive utilization in that underserved niche, I think there is reason to think we will see increased utilization of the 30 and 40 mg daily dosage.

Urche (in Vt/NH)

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