Wean Patients off Lovenox at 12 weeks?

lberd18

2 Posts
Reply Posted on: Jul 26, 2012 at 10:39am
Dear Dr. Braverman,

After being tested for very slightly elevated NK cells (about 15%) and a barely elevated APA panel (only one of the several things tested for in the Chicago panel of tests was elevated, and if it had to be at 10, it was at something like 10.19), I am having a succesful pregnancy while being treated with Intralipids and lovenox (30 mg per day). My doctor wants to rerun the panels at 12 weeks in the hopes that she can begin to wean me off the lovenox but I am terrified to go off of it. I'm currently 10.5 weeks pregnant, and so far, everything has been terrific. if my results come back around the same, do you think it is safe to go off the Lovenox? I would so appreciate your input. Thank you!

Dr. Braverman

2016 Posts
RE: Wean Patients off Lovenox at 12 weeks? Posted on: Jul 26, 2012 at 11:18am
I could not make a recommendation without knowing your full history , generally however if there is a history of losses and a postive antibody scrren I continue the lovenox throughout regardless of retesting. Again you must follow the advice of the doctor who is caring for you as they know your case completely.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

lberd18

2 Posts
Reply RE: Wean Patients off Lovenox at 12 weeks? Posted on: Jul 31, 2012 at 6:09am
Dr. Braverman,
Thank you so much for getting back to me so quickly. I thought I sent a reply immediately, but it never posted for some reason. I have no history of prior losses -- it just took a while for me to get pregnant because I was not ovulating on my own (PCOS). After my first failed IVF cycle, they ran the RIP and APA panels on me and this was all they found. Does this help at all?

Dr. Braverman

2016 Posts
RE: Wean Patients off Lovenox at 12 weeks? Posted on: Jul 31, 2012 at 7:16am
In my practice I keep patietns with your history on the entire pregnancy, I do not follow the APA once positive. Again as I am not your doctor I cant tell you that this would be best for you , that has to be between you and your doctor.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.