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1

&NA;. "Heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 1414 (2012): 28–29. http://dx.doi.org/10.2165/00128415-201214140-00091.

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&NA;. "Heparin/low-molecular-weight heparins." Reactions Weekly &NA;, no. 1198 (2008): 22. http://dx.doi.org/10.2165/00128415-200811980-00068.

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&NA;. "Heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 1210 (2008): 18. http://dx.doi.org/10.2165/00128415-200812100-00051.

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&NA;. "Heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 1211 (2008): 17–18. http://dx.doi.org/10.2165/00128415-200812110-00053.

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&NA;. "Heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 1211 (2008): 18. http://dx.doi.org/10.2165/00128415-200812110-00056.

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&NA;. "Heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 1277 (2009): 23. http://dx.doi.org/10.2165/00128415-200912770-00068.

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&NA;. "Heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 1231 (2008): 16–17. http://dx.doi.org/10.2165/00128415-200812310-00049.

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&NA;. "Heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 989 (2004): 10. http://dx.doi.org/10.2165/00128415-200409890-00030.

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9

Mulloy, Barbara, Trevor Barrowcliffe, and Elaine Gray. "Heparin and low-molecular-weight heparin." Thrombosis and Haemostasis 99, no. 11 (2008): 807–18. http://dx.doi.org/10.1160/th08-01-0032.

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SummaryHeparin is one of the oldest biological medicines, and has an established place in the prevention and treatment of venous thrombosis. Low-molecular-weight heparins (LMWH) have been developed by several manufacturers and have advantages in terms of pharmacokinetics and convenience of administration. They have been shown to be at least as effective and safe as unfractionated heparin and have replaced the latter in many indications. In this article the chemistry, mechanisms of action, measurement of anticoagulant activities, and clinical status of heparin and LMWH are reviewed.
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10

Hoppensteadt, Debra, Jeanine M. Walenga, Jawed Fareed, and Rodger L. Bick. "Heparin, low–molecular-weight heparins, and heparin pentasaccharide." Hematology/Oncology Clinics of North America 17, no. 1 (2003): 313–41. http://dx.doi.org/10.1016/s0889-8588(02)00091-6.

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11

&NA;. "Heparin/low molecular weight heparins/warfarin." Reactions Weekly &NA;, no. 1321 (2010): 20. http://dx.doi.org/10.2165/00128415-201013210-00061.

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12

Hirsh, Jack. "Heparin and low-molecular weight heparins." Coronary Artery Disease 3, no. 11 (1992): 990–1002. http://dx.doi.org/10.1097/00019501-199211000-00002.

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13

&NA;. "Heparin/low-molecular weight heparin." Reactions Weekly &NA;, no. 1216 (2008): 19. http://dx.doi.org/10.2165/00128415-200812160-00049.

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14

Mulloy, B., C. Gee, S. F. Wheeler, R. Wait, E. Gray, and T. W. Barrowcliffe. "Molecular Weight Measurements of Low Molecular Weight Heparins by Gel Permeation Chromatography." Thrombosis and Haemostasis 77, no. 04 (1997): 668–74. http://dx.doi.org/10.1055/s-0038-1656031.

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SummaryThe molecular weight profiles of low molecular weight heparin samples have been measured by high-performance gel permeation chromatography using as calibrant the heparinase-degraded material (90/686) now established as the 1st International Reference Preparation (IRP) Low Molecular Weight Heparin for Molecular Weight Calibration. Use of the calibrant as a broad molecular weight standard is described and a calibration table provided based on data collected over several years in one laboratory.In order to confirm the assignment of degree of polymerisation to resolved oligosaccharide peaks
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15

Martinez-Salas, José, Richard Mendelssohn, William M. Abraham, Bernard Hsiao, and Tahir Ahmed. "Inhibition of allergic airway responses by inhaled low-molecular-weight heparins: molecular-weight dependence." Journal of Applied Physiology 84, no. 1 (1998): 222–28. http://dx.doi.org/10.1152/jappl.1998.84.1.222.

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Martinez-Salas, José, Richard Mendelssohn, William M. Abraham, Bernard Hsiao, and Tahir Ahmed. Inhibition of allergic airway responses by inhaled low-molecular-weight heparins: molecular-weight dependence. J. Appl. Physiol. 84(1): 222–228, 1998.—Inhaled heparin prevents antigen-induced bronchoconstriction and inhibits anti-immunoglobulin E-mediated mast cell degranulation. We hypothesized that the antiallergic action of heparin may be molecular weight dependent. Therefore, we studied the effects of three different low-molecular-weight fractions of heparin [medium-, low-, and ultralow-molecular
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16

Barrowcliffe, T. W., A. D. Curtis, E. A. Johnson, and D. P. Thomas. "An International Standard for Low Molecular Weight Heparin." Thrombosis and Haemostasis 60, no. 01 (1988): 001–7. http://dx.doi.org/10.1055/s-0038-1647623.

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SummaryAn international collaborative study has been carried out with the aim of establishing an international standard for low molecular weight (LMW) heparin. Three preparations of LMW heparin were assayed against the International Standard for unfractionated heparin (UFH) by 25 laboratories in 13 countries, using nine different assay methods. The results confirmed previous findings of non-parallel assays, wide interlaboratory variability and differences between methods when LMW heparins are assayed against a UFH standard. Use of one of the LMW heparins as a standard for the other two gave pa
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17

&NA;. "Danaparoid sodium/heparin/low molecular weight heparins." Reactions Weekly &NA;, no. 1269 (2009): 15–16. http://dx.doi.org/10.2165/00128415-200912690-00042.

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18

&NA;. "Low molecular weight heparins challenge standard heparin." Inpharma Weekly &NA;, no. 805 (1991): 22–23. http://dx.doi.org/10.2165/00128413-199108050-00057.

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19

Fareed, Jawed, Walter Jeske, Daniel Fareed, et al. "Are All Low Molecular Weight Heparins Equivalent in the Management of Venous Thromboembolism?" Clinical and Applied Thrombosis/Hemostasis 14, no. 4 (2007): 385–92. http://dx.doi.org/10.1177/1076029608319881.

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Low molecular weight heparins are replacing unfractionated heparin in a number of clinical indications because of their improved subcutaneous bioavailability and more predictable antithrombotic response. Clinical trials have demonstrated that low molecular weight heparins are at least as safe and effective as unfractionated heparin for the initial treatment of venous thromboembolism, and unfractionated heparin and warfarin for primary and secondary thromboprophylaxis. The mechanism behind the antithrombotic action of low molecular weight heparins is not fully understood but is likely to involv
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20

Chen, Jianle, Yanlei Yu, Jawed Fareed, et al. "Comparison of Low-Molecular-Weight Heparins Prepared From Ovine Heparins With Enoxaparin." Clinical and Applied Thrombosis/Hemostasis 25 (January 1, 2019): 107602961984070. http://dx.doi.org/10.1177/1076029619840701.

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Heparin and its low-molecular-weight heparin derivatives are widely used clinical anticoagulants. These drugs are critical for the practice of medicine in applications, including kidney dialysis, cardiopulmonary bypass, and in the management of venous thromboembolism. Currently, these drugs are derived from livestock, primarily porcine intestine and less frequently bovine intestine and bovine lung. The worldwide dependence on the pig as a single dominant animal species has made the supply chain for this critical drug quite fragile, leading to the search for other sources of these drugs, includ
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21

Hirsh, Jack, and Robert Raschke. "Heparin and Low-Molecular-Weight Heparin." Chest 126, no. 3 (2004): 188S—203S. http://dx.doi.org/10.1378/chest.126.3_suppl.188s.

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22

Hirsh, Jack, Theodore E. Warkentin, Robert Raschke, Christopher Granger, E. Magnus Ohman, and James E. Dalen. "Heparin and Low-Molecular-Weight Heparin." Chest 114, no. 5 (1998): 489S—510S. http://dx.doi.org/10.1378/chest.114.5_supplement.489s.

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23

&NA;. "Low molecular weight heparin." Reactions Weekly &NA;, no. 1148 (2007): 25. http://dx.doi.org/10.2165/00128415-200711480-00081.

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24

Whang, Peter G., and Jay R. Lieberman. "Low-Molecular-Weight Heparin." Journal of the American Academy of Orthopaedic Surgeons 10, no. 5 (2002): 299–302. http://dx.doi.org/10.5435/00124635-200209000-00001.

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25

&NA;. "Low-molecular-weight heparin." Reactions Weekly &NA;, no. 683 (1998): 10. http://dx.doi.org/10.2165/00128415-199806830-00027.

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26

&NA;. "Low molecular weight heparin." Reactions Weekly &NA;, no. 378 (1991): 6. http://dx.doi.org/10.2165/00128415-199103780-00028.

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27

&NA;. "Low molecular weight heparin." Reactions Weekly &NA;, no. 417 (1992): 10. http://dx.doi.org/10.2165/00128415-199204170-00038.

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28

&NA;. "Low molecular weight heparin." Reactions Weekly &NA;, no. 341 (1991): 7. http://dx.doi.org/10.2165/00128415-199103410-00040.

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29

&NA;. "Low molecular weight heparin." Reactions Weekly &NA;, no. 357 (1991): 8. http://dx.doi.org/10.2165/00128415-199103570-00035.

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30

Hirsh, J., and MN Levine. "Low molecular weight heparin." Blood 79, no. 1 (1992): 1–17. http://dx.doi.org/10.1182/blood.v79.1.1.1.

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31

Hirsh, J., and MN Levine. "Low molecular weight heparin." Blood 79, no. 1 (1992): 1–17. http://dx.doi.org/10.1182/blood.v79.1.1.bloodjournal7911.

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32

Hirsh, Jack. "Low Molecular Weight Heparin." Thrombosis and Haemostasis 70, no. 01 (1993): 204–7. http://dx.doi.org/10.1055/s-0038-1646191.

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33

Hirsh, Jack. "Low-Molecular-Weight Heparin." Circulation 98, no. 15 (1998): 1575–82. http://dx.doi.org/10.1161/01.cir.98.15.1575.

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34

Heit, John A. "Low-Molecular-Weight Heparin." Regional Anesthesia and Pain Medicine 23, Sup 2 (1998): 135–39. http://dx.doi.org/10.1097/00115550-199823062-00002.

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35

Routledge, P. A., and R. R. West. "Low molecular weight heparin." BMJ 305, no. 6859 (1992): 906. http://dx.doi.org/10.1136/bmj.305.6859.906.

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36

Horlocker, Terese T., and John A. Heit. "Low Molecular Weight Heparin." Anesthesia & Analgesia 85, no. 4 (1997): 874–85. http://dx.doi.org/10.1097/00000539-199710000-00031.

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37

Hunt, B. J. "Low Molecular Weight Heparin." Blood Coagulation & Fibrinolysis 3, no. 5 (1992): 683. http://dx.doi.org/10.1097/00001721-199210000-00030.

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38

Schmitt, Y., and H. Schneider. "Low molecular weight heparin." Blood Coagulation & Fibrinolysis 7, no. 3 (1996): 385. http://dx.doi.org/10.1097/00001721-199604000-00051.

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39

Horlocker, Terese T., and John A. Heit. "Low Molecular Weight Heparin." Anesthesia & Analgesia 85, no. 4 (1997): 874–85. http://dx.doi.org/10.1213/00000539-199710000-00031.

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40

Wolf, Helmut. "Low-molecular-weight heparin." Medical Clinics of North America 78, no. 3 (1994): 733–43. http://dx.doi.org/10.1016/s0025-7125(16)30155-9.

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41

Nunnelee, Janice D. "Low-molecular-weight heparin." Journal of Vascular Nursing 15, no. 3 (1997): 94–96. http://dx.doi.org/10.1016/s1062-0303(97)90057-1.

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42

Vanpee, Dominique, Jean-Bernard Gillet, and Christian Swine. "Low Molecular Weight Heparin." Annals of Emergency Medicine 36, no. 3 (2000): 277. http://dx.doi.org/10.1067/mem.2000.109264.

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43

Salzman, Edwin W. "Low-Molecular-Weight Heparin." New England Journal of Medicine 315, no. 15 (1986): 957–59. http://dx.doi.org/10.1056/nejm198610093151509.

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44

Gough, S. "Low molecular weight heparin." BMJ 303, no. 6805 (1991): 784. http://dx.doi.org/10.1136/bmj.303.6805.784-a.

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45

Brack, M. J. "Low molecular weight heparin." International Journal of Cardiology 38, no. 2 (1993): 207–8. http://dx.doi.org/10.1016/0167-5273(93)90193-k.

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46

Barrowcliffe, T. W., A. D. Curtis, T. P. Tomlinson, A. R. Hubbard, E. A. Johnson, and D. P. Thomas. "Standardization of Low Molecular Weight Heparins : A Collaborative Study." Thrombosis and Haemostasis 54, no. 03 (1985): 675–79. http://dx.doi.org/10.1055/s-0038-1660095.

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SummaryA collaborative study was carried out, in which eight laboratories each assayed eight low molecular weight (LMW) heparins against the International Standard (IS) for heparin. APTT assays and three types of anti-Xa method were used. The results of this study showed that:1. LMW heparins cannot be validly assayed against the IS by APTT or anti-Xa methods.2. Potencies of LMW heparins vs. the IS differed considerably between the four types of assay method used and also between different laboratories using the same type of method.3. Adoption of a single LMW heparin standard would improve vali
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47

Shaughnessy, SG, E. Young, P. Deschamps, and J. Hirsh. "The effects of low molecular weight and standard heparin on calcium loss from fetal rat calvaria." Blood 86, no. 4 (1995): 1368–73. http://dx.doi.org/10.1182/blood.v86.4.1368.bloodjournal8641368.

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Osteoporosis is a well-recognized complication of long-term heparin use. However, the mechanisms by which heparin can influence bone metabolism are unclear. We report here that unfractionated heparin stimulates the process of bone resorption and that the low molecular weight heparins (LMWHs), enoxaparin, fragmin, logiparin, and ardeparin produce significantly less calcium loss than unfractionated heparin. To assess calcium loss from bone, we quantified the release of 45Ca into the culture medium of fetal rat calvaria. 45Ca release was increased in a dose-dependent manner by the addition of eit
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48

Mammen, Eberhard F. "Low Molecular Weight Heparins and Heparin-Induced Thrombocytopenia." Clinical and Applied Thrombosis/Hemostasis 5, no. 1_suppl (1999): S72—S75. http://dx.doi.org/10.1177/10760296990050s113.

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49

Ambrosioni, E., and E. Strocchi. "Pharmacokinetics of Heparin and Low Molecular Weight Heparins." Pathophysiology of Haemostasis and Thrombosis 20, no. 1 (1990): 94–97. http://dx.doi.org/10.1159/000216165.

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50

Gurfinkel, Enrique P., Jose Santopinto, Gerardo E. Bozovich, Alberto Quispe, Alejandra Strinna, and Branco Mautner. "Low-molecular-weight heparin alone versus a combination of unfractionated heparin and low-molecular-weight heparin." American Heart Journal 140, no. 1 (2000): 13A—18A. http://dx.doi.org/10.1067/mhj.2000.106643.

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