Epidural or spinal hematomas may occur in patients who are anticoagulated with low molecular weight heparins or heparinoids and are receiving neuraxial anesthesia or undergoing spinal puncture.
Contra-indicated in patients with active major bleeding; thrombocytopenia with a positive in vitro test for anti-platelet antibody in the presence of enoxaparin; hypersensitivity to heparin or pork products; hypersensitivity to benzyl alcohol (multi-dose formulation only).
