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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 9, 2024 | 12:40 PM IST
Cutenox-G 20 mg 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-20MG

Manufacturer/Marketer

Gland Pharma Ltd

Consume Type

PARENTERAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Cutenox-G 20 mg Injection

Cutenox-G 20 mg 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).

Cutenox-G 20 mg 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.

Cutenox-G 20 mg Injection will be administered by a healthcare professional; do not self-administer. Side effects of Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection or any other medicines, inform your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before receiving the Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection

Treatment and prevention of blood clots

Medicinal Benefits

Cutenox-G 20 mg 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. Cutenox-G 20 mg 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.

Directions for Use

Cutenox-G 20 mg Injection will be administered by a qualified healthcare professional. Kindly do not self-administer.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Cutenox-G 20 mg Injection

  • Bleeding
  • Increases in liver enzymes
  • Bruise more easily than usual
  • Pink patches on your skin 
  • Skin rash (hives, urticaria)
  • Itchy red skin
  • Bruising or pain at the injection site
  • Decreased red blood cell count
  • High platelet counts in the blood
  • Headache

Drug Warnings

Patients should inform the doctor if they are on active treatment with this Cutenox-G 20 mg Injection before any surgery is scheduled. If you are known to be allergic to Cutenox-G 20 mg Injection or any other medicines, inform your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using the Cutenox-G 20 mg Injection . Before using this Cutenox-G 20 mg 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 Interactions

Drug-Drug Interactions: Cutenox-G 20 mg Injection may have Interaction with pain killers (e.g. aspirin, ibuprofen), blood thinners (e.g. heparin, warfarin, rivaroxaban), medicines used as a blood replacer (e.g. dextran injection), drugs used to treat asthma (e.g. prednisolone,  dexamethasone), medications which increase potassium levels in your blood such as potassium salts, water pills,  and some medicines for heart problems.

Drug-Food Interactions: Cutenox-G 20 mg Injection may interact with alcoholic beverages, so avoid the consumption of alcoholic beverages.

Drug-Disease Interactions: Cutenox-G 20 mg Injection may interact with various disease conditions, including haemophilia (clotting disorder), liver disease, peptic ulcer disease, retinopathy, subacute bacterial endocarditis (an infection that occurs to heart valves), active bleeding (bleeding problems), hypertension, renal dysfunction, thrombocytopenia (deficiency of platelets), prematurity, hypertension and kidney disease.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • IBUPROFEN
  • HEPARIN
  • WARFARIN
  • RIVAROXABAN
  • DEXTRAN INJECTION
  • PREDNISOLONE
  • DEXAMETHASONE

Habit Forming

No

Diet & Lifestyle Advise

  • A low cholesterol diet and a regular exercise regime complement treatment with Cutenox-G 20 mg 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 Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection and lead to unwanted side effects. Hence try to avoid these juices while taking Cutenox-G 20 mg Injection .

Special Advise

Regular blood tests are advised while taking Cutenox-G 20 mg Injection to monitor prothrombin, platelets, and coagulation time on a regular basis.

Disease/Condition Glossary

A blood clot can occur in any part of the body, leading to a heart attack, stroke, and damage to organs (even coma or death). Blood clots can reach your arteries or veins in organs like the brain, kidney, heart, lungs, and limbs. Conditions like atherosclerosis, diabetes, heart failure, irregular heartbeat (arrhythmia), and obesity/overweight can trigger excessive blood clotting in the brain and heart. On the other hand, deep vein thrombosis (blood clot in veins), peripheral artery disease (narrowed arteries due to fat deposit or blood clot), and atherosclerosis (fat built upon the walls of the arteries) can cause a blood clot in your limbs.

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Alcohol

Caution

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

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Pregnancy

Caution

Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection .

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Breast Feeding

Caution

Cutenox-G 20 mg 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 Cutenox-G 20 mg 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 Cutenox-G 20 mg 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 Cutenox-G 20 mg 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.

Country of origin

India

Manufacturer/Marketer address

Gland Pharma Limited, 6-3-865/1/2, Greenland Apartments, Ameerpet, Hyderabad - 500016, India
Other Info - CUT0242

Author Details

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FAQs

Cutenox-G 20 mg 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.
Cutenox-G 20 mg Injection contains Enoxaparin, which is low molecular weight heparin or LMWH. Cutenox-G 20 mg 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 Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection if you have a stomach ulcer. Please inform your doctor about this condition before receiving it.
Yes, Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection . Regular lipid profile tests are recommended to avoid any additional complications.
Cutenox-G 20 mg Injection typically starts showing its effect within 1 to 2 hours and it remains in the body for about 12 hours.
No, Cutenox-G 20 mg Injection dosage should be given exactly as prescribed by the doctor.
Cutenox-G 20 mg Injection contains Enoxaparin as it active ingredient.
Cutenox-G 20 mg 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.
Cutenox-G 20 mg 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 Cutenox-G 20 mg 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 Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection is prescribed by a doctor based on the underlying condition and the patient’s response to the treatment.
Cutenox-G 20 mg 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 Cutenox-G 20 mg 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 Cutenox-G 20 mg Injection below 25°C. Do not freeze. Keep it out of reach and sight of children.
Yes, Cutenox-G 20 mg 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.

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Keep Refrigerated. Do not freeze.