There is 3 type of low molecular weight heparin(LMWH) in malaysian market. S/C FONDAPARINUX (ARIXTRA) 2.5mg & 7.5mg S/C ENOXAPARINE (CLEXANE) 20MG & 40MG & 60MG S/C TINZAPARIN (INNOHEP) 10000IU & 14000IU & 18000IU Im not going to explain the MOA or administration. Im going to discuss about the pharmaco-economics of this drugs.Another exclusion in this discussion is Innohep, because s/c innohep not widely use in Malaysian government hospitals and even private settings. A single pre-filled syringe of Clexane 60mg will cost around around RM28-29(not retail price) for a health care facility meanwhile Arixtra 2.5mg will cost RM27-28. May be you can think RM 1 ringgit doest make such big difference? yes! when healthcare facility buying in large quantity. Another factor we need to aware about is mostly Clexane is a twice daily dosing except in renal impairment meanwhile Arixtra is a daily dosing drug. So the price become double.Another factor we
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