What is the mechanism of action of Lovenox?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The mechanism of action of Lovenox, which is enoxaparin, involves binding to and accelerating the activity of Antithrombin III. Antithrombin III is a natural anticoagulant in the body that inhibits several enzymes in the coagulation cascade, primarily thrombin and factor Xa. When Lovenox binds to Antithrombin III, it enhances the inhibition of these factors, which leads to a reduction in clot formation.

This mechanism is particularly relevant in the treatment and prevention of venous thromboembolism, as it effectively reduces the risk of blood clots in patients undergoing surgery, those with certain medical conditions, and individuals with a history of thrombosis. The specific action of Lovenox provides both immediate and effective anticoagulation, making it a valuable medication in clinical practice.

The other options do not correctly describe the workings of Lovenox. For example, it does not involve binding to Vitamin K, which is essential for the synthesis of clotting factors in the liver and is a mechanism related to warfarin. The drug does not inhibit thrombin directly; rather, it inhibits thrombin indirectly through its action on Antithrombin III. Additionally, the inhibition of Vitamin C synthesis is unrelated to the

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