Prophylactic Regimen

Intermediate Regimen

Bemiparin 3500 U, SC OD Dalteparin 5000 U, SC OD Enoxaparin 30 mg (3000 U), SC OD (for GFR 15–30) Enoxaparin 30 mg (3000 U), SC BID (for BMI ≥40 kg/m2) Enoxaparin 40 mg (4000 U), SC OD Enoxaparin 40 mg (4000 U), SC BID (for BMI ≥40 kg/m2) Unfractionated heparin 5000 U, SC BID Unfractionated heparin 5000 U, SC TID Unfractionated heparin 7500 U, SC BID (for BMI ≥40 kg/m2) Nadroparin 2850 U, SC q24h (post‐op general surgery) Nadroparin 5700 U, SC q24h (high‐risk medical patients >70 kg) Nadroparin 3800 U, SC q24h (high‐risk medical patients ≤70 kg or post‐op hip replacement surgery Tinzaparin 3500 U, SC OD Tinzaparin 4500 U, SC OD Tinzaparin 75 U/kg, SC OD

Enoxaparin 0.5 mg/kg (50 U/kg), SC BID (if CrCl >30 mL/min) Enoxaparin 0.5 mg/kg (50 U/kg), SC OD (if CrCl <30 mL/min) Enoxaparin 30 mg (3000 U), SC BID (for BMI <40 kg/m2) Enoxaparin 40 mg (4000 U), SC BID (for CrCl >30 mL/min and BMI <40 kg/m2) Enoxaparin 60 mg (6000 U), SC BID (for CrCl >30 mL/min and BMI >40 kg/m2) Unfractionated heparin 7500 U, SC TID Dalteparin 5000 U, SC BID