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Clexane 40mg Injection (0.4ml Each)

Written By Dr. Sakshi Jain, MS, BDS
Reviewed By Dr. Rajeev Sharma, MBA, MBBS
Last updated on 14 Apr 2026 | 04:20 PM (IST)
Clexane 40mg Injection (0.4ml Each) is an anticoagulant medicine used to prevent and treat harmful blood clots. It helps stop existing clots from growing larger and reduces the formation of new clots. It is used in conditions such as deep vein thrombosis (DVT), pulmonary embolism (PE), and acute coronary syndrome.
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Available in pack-size of 2 injections
2 injections pack-size available
Clexane 40mg Injection (0.4ml Each)
₹849₹940.54
Available in pack size of 2 injections
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Clexane 40mg Injection (0.4ml Each)
Clexane 40mg Injection (0.4ml Each)
prefilled syringe of 1 Injection
₹425
₹470.27
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Clexane 40mg Injection (0.4ml Each)
Clexane 40mg Injection (0.4ml Each)
box of 2 injections
by Sanofi India Ltd
Get in 30 mins
₹849
₹424.5 per unit

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General Information

The content is shown in English
Clexane 40mg Injection (0.4ml Each) image
Clexane 40mg Injection (0.4ml Each) image
Clexane 40mg Injection (0.4ml Each) image
Clexane 40mg Injection (0.4ml Each) image
Clexane 40mg Injection (0.4ml Each) image
Clexane 40mg Injection (0.4ml Each) image

Product introduction

Clexane 40mg Injection (0.4ml Each) is administered under the skin by a doctor or nurse. It should not be injected into a muscle. The dose and duration of the treatment are based on your medical condition, your response to the medicine, and what you are being treated for. While on treatment with this medicine, avoid activities that increase your risk of bleeding or injury.


Common side effects of this medicine include injection site pain, bleeding, headache, increased blood platelets, breathing problems, edema, anemia, fever, diarrhea, and increased liver enzymes. A severe headache could be a sign of bleeding in the brain. A severe stomach ache could be a sign of bleeding in the stomach. Bleeding can be dangerous and may not be obvious. Look out for symptoms and tell your doctor if you are worried.


Before receiving this medicine, let your doctor know if you have high blood pressure, diabetes, or have had a recent stroke. You should not take it if you have any current bleeding. Some medicines should not be used with Clexane 40mg Injection (0.4ml Each). Let your doctor know about all the medicines you are taking to make sure it is safe. If you have low body weight, you may be at increased risk of bleeding, and drinking alcohol can increase the risk of stomach bleeding.

Uses of Clexane Injection

Benefits of Clexane Injection

Treatment of Deep vein thrombosis
Clexane 40mg Injection (0.4ml Each) is used for the treatment of acute deep vein thrombosis. It helps prevent further clot formation, limits clot extension, and reduces the risk of recurrence through effective anticoagulation.
Pulmonary embolism
In pulmonary embolism (PE), Clexane 40mg Injection (0.4ml Each) helps stabilise existing clots and prevents new clots from forming in the pulmonary circulation. It is indicated for the treatment of PE not requiring thrombolytic therapy or surgery and supports both initial and extended treatment to reduce recurrence risk.
Acute coronary syndrome
Clexane 40mg Injection (0.4ml Each) is used in acute coronary syndromes, including unstable angina, non-ST-elevation myocardial infarction (NSTEMI), and ST-elevation myocardial infarction (STEMI). When used with antiplatelet therapy, it helps prevent further thrombus formation in coronary arteries and reduces the risk of myocardial infarction and death during plaque rupture.

Side effects of Clexane Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Clexane
  • Anemia (low number of red blood cells)
  • Edema (swelling)
  • Diarrhea
  • Low blood platelets
  • Bleeding
  • Headache
  • Increased liver enzymes
  • Fever
  • Injection site pain
  • Breathing problems

How to use Clexane Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Clexane Injection works

Clexane 40mg Injection (0.4ml Each) works by slowing down the blood-clotting process in the body. It helps stop existing clots from growing bigger and prevents new clots from forming. This reduces the risk of clots blocking blood flow in the veins or arteries, helping protect the heart, lungs, and circulation during treatment.

Quick tips

  • You have been prescribed Clexane 40mg Injection (0.4ml Each) for conditions associated with the treatment and prevention of blood clots.
  • Clexane 40mg Injection (0.4ml Each) increases your risk of bleeding. Be careful while shaving, using sharp objects, or cutting fingernails or toenails.
  • Inform your doctor if you are also taking other medicines thatincrease the bleeding risk, like aspirin and NSAIDs.
  • Inform your doctor if there is bleeding from gums, nose, or wounds that lasts more than 15 minutes or if blood appears in your urine, stool, or vomit.

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Clexane 40mg Injection (0.4ml Each). Please consult your doctor.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Clexane 40mg Injection (0.4ml Each) during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

SAFE IF PRESCRIBED
Clexane 40mg Injection (0.4ml Each) may be safe to use during breastfeeding. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.
Clexane 40mg Injection (0.4ml Each) is released in small amounts in the breast milk and amounts reaching the baby are also small, which would not be expected to cause any harmful effects to the baby.
Driving

Driving

SAFE
Clexane 40mg Injection (0.4ml Each) does not usually affect your ability to drive.
Kidney

Kidney

CAUTION
Clexane 40mg Injection (0.4ml Each) should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
Liver

Liver

CONSULT YOUR DOCTOR
There is limited data available on the use of Clexane 40mg Injection (0.4ml Each) in patients with liver disease.
However, cautious use is advised in patients with underlying liver disease.

Interaction with drugs

Taking Clexane with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Severe

Apixaban (Oral Route)

Do not consume Apixaban with Enoxaparin. If concurrent use is essential, watch out for bleeding and consult your doctor immediately.
Moderate

Rosuvastatin (Oral Route)

If concurrent use is essential, watch out for symptoms such as fatigue, nausea, loss of appetite, dark urine or jaundice and consult your doctor if you experience them. They may adjust the doses as per the observations.
Moderate

Paracetamol (Oral Route)

If concurrent use is essential, watch out for symptoms such as fatigue, nausea, loss of appetite, dark urine or jaundice and consult your doctor if you experience them. They may adjust the doses as per the observations.
Moderate

Etoricoxib (Oral Route)

Do not consume Etoricoxib with Enoxaparin. If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Etoricoxib may increase the effect of Enoxaparin.
Moderate

Telmisartan (Oral Route)

If concurrent use is essential, watch out for symptoms such as muscle weakness, fatigue, cramps, nausea, vomiting, tingling, numbness or irregular heartbeat and consult your doctor if you experience them. They may also monitor your potassium levels closely.

Frequently asked questions

Clexane 40mg Injection (0.4ml Each) is used to prevent and treat blood clots in conditions such as deep vein thrombosis (DVT) and pulmonary embolism (PE). It is also used in certain acute heart conditions, including unstable angina and heart attacks, to reduce the risk of serious clot-related complications.
Clexane 40mg Injection (0.4ml Each) is given as an injection under the skin (subcutaneous injection), usually in the abdomen. In some heart attack cases, an initial dose may be given into a vein, followed by injections under the skin.
The duration of treatment depends on the condition being treated. For blood clots like DVT or PE, treatment usually lasts several days and may be followed by oral blood thinners. In heart conditions, it is generally used for a short period until the condition stabilises or hospital treatment is completed.
Clexane 40mg Injection (0.4ml Each) should be used carefully in people with kidney problems, a history of bleeding disorders, low platelet counts, or those taking other blood-thinning medicines. Dose adjustments and close monitoring may be required in elderly patients or those with reduced kidney function.

Fact Box

Chemical Class

Heparin derivative

Habit Forming

No

Therapeutic Class

BLOOD RELATED

Action Class

Low Molecular Weight Heparins (LMWHs)

References

  1. Fox KA, White HD, Gersh BJ, et al. Antithrombotic Agents: Platelete Inhibitors, Acute Anticoagulants, Fibrinolytics, and Chronic Anticoagulants. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 373-74.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 471.
  3. Enoxaparin sodium. Guildford, Surrey: SANOFI; 1997 [revised 08 Apr. 2018]. [Accessed 18 Mar. 2019] (online) Available from:
  4. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Enoxaparin. [Updated 2020 Jan 20]. [Accessed 19 Feb. 2020] (online) Available from:
  5. Central Drugs Standard Control Organisation (CDSCO). Enoxaparin. [Accessed 18 Mar. 2019] (online) Available from:
  6. Enoxaparin [Dosage and Administration Guide]. [Accessed 20 June 2023]. (online) Available from:
  7. Enoxaparin [Prescribing Information]. Rancho Cucamonga, CA: Amphastar Pharmaceuticals, Inc.; 2023. [Accessed 20 June 2023]. (online) Available from:
  8. Enoxaparin [Summary of Product Characteristics]. Amsterdam, Netherlands: Techdow Pharma Netherlands B.V. [Accessed 19 Jan. 2026]. (online) Available from: drive.google.com/file/d/1zjl3wTT8W_rbQyBScHSO0cQKsOtYGeWz/view
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User feedback

Alternate Day
60%
Once A Day
40%
Others
57%
Deep vein thrombosis
37%
Pulmonary embolism
5%
Heart attack
1%
Excellent
44%
Average
42%
Poor
14%
Bleeding
33%
Anemia (low number of red blood cells)
25%
No Side Effect
17%
Headache
8%
Increased liver enzymes
8%
With or without food
61%
With food
36%
Empty stomach
3%
Expensive
49%
Average
36%
Not Expensive
15%
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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Sanofi India Ltd
Address: Sanofi House, CTS No.117-B, L&T Business Park, Saki Vihar Road, Powai, Mumbai 400072

Vendor Details

Country of origin: France
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