What Is Fondaparinux?
Fondaparinux is an injectable anticoagulant medication used to prevent and treat serious blood clots, such as deep vein thrombosis (DVT) and pulmonary embolism (PE). It is often administered following surgery or in patients who are at high risk of thromboembolic events. Fondaparinux is a synthetic pentasaccharide that works by inhibiting factor Xa, a key enzyme in the clotting cascade, which helps reduce the formation of harmful clots in the bloodstream.
Fondaparinux is marketed under the brand name Arixtra, and it is typically prescribed for short-term use in a hospital setting or during recovery at home under medical supervision.
How Does Fondaparinux Work?
Fondaparinux selectively binds to antithrombin III, enhancing its ability to inhibit factor Xa. This mechanism effectively prevents the conversion of prothrombin to thrombin, a key step in the formation of blood clots. By reducing thrombin generation, Fondaparinux minimizes the risk of clot formation without affecting platelet function.
Unlike some other anticoagulants, Fondaparinux does not require routine blood monitoring and has a predictable pharmacokinetic profile, making it easier to manage in clinical settings.
Benefits of Using Fondaparinux
- Prevents deep vein thrombosis and pulmonary embolism after surgery
- Treats acute DVT and PE in combination with warfarin
- Convenient once-daily subcutaneous injection
- Predictable dose response without routine monitoring
- Synthetic structure reduces risk of heparin-induced thrombocytopenia (HIT)
Uses of Fondaparinux
Fondaparinux is commonly prescribed for:
- Prevention of DVT in patients undergoing hip fracture surgery, hip or knee replacement, or abdominal surgery
- Treatment of acute DVT and PE, often as a bridge to long-term anticoagulation therapy
- Alternative anticoagulant in patients with a history of HIT
It is important to use Fondaparinux only under the guidance of a healthcare professional due to the risk of bleeding.
Fondaparinux Dosage
Typical dosage guidelines include:
- DVT Prophylaxis: 2.5 mg subcutaneously once daily, starting 6–8 hours after surgery
- DVT/PE Treatment: Dose is weight-based
- <50 kg: 5 mg once daily
- 50–100 kg: 7.5 mg once daily
- 100 kg: 10 mg once daily
- <50 kg: 5 mg once daily
The duration of treatment and dosing adjustments may vary depending on kidney function and clinical response.
Fondaparinux Side Effects
Common side effects:
- Mild bleeding or bruising at the injection site
- Nausea
- Fever
- Anemia
Serious side effects (seek immediate medical attention):
- Uncontrolled bleeding
- Signs of internal bleeding (e.g., dark stools, coughing up blood)
- Low platelet count (thrombocytopenia)
- Spinal or epidural hematoma (especially after certain spinal procedures)
Always inform your doctor if you experience any unusual symptoms while using Fondaparinux.
Fondaparinux Overdose
An overdose of Fondaparinux may lead to excessive bleeding. Symptoms include prolonged bleeding from wounds, blood in urine or stool, or severe headache or dizziness. There is no specific antidote for Fondaparinux overdose, so supportive care and monitoring are essential.
If an overdose is suspected, seek emergency medical help immediately.
Fondaparinux Missed Dose
If you miss a dose of Fondaparinux, take it as soon as you remember, unless it is almost time for your next dose. Do not inject two doses at once to make up for a missed dose. Consistent dosing is critical for effective anticoagulation, so set reminders if needed.
Warnings and Precautions
- Do not use if you have active bleeding or a history of HIT
- Use with caution in patients with kidney impairment
- Increased risk of spinal hematomas in patients receiving spinal anesthesia or undergoing spinal puncture
- Not recommended during pregnancy unless clearly needed
- Inform your healthcare provider of all medications you are taking, especially NSAIDs, blood thinners, or antiplatelet drugs
Due to its potent anticoagulant effects, careful monitoring and medical oversight are necessary during treatment with Fondaparinux.
Where to Buy Fondaparinux
You can buy Fondaparinux (Arixtra) from Honeybee Pharmacy, your trusted online source for safe and affordable medications. When you order from our website, you can be confident in receiving authentic, effective medications delivered directly to your door. We are dedicated to helping patients access essential treatments without the high costs often associated with local pharmacies.
Honeybee Pharmacy is committed to maintaining high standards of quality, safety, and customer care. Each order is processed with discretion and precision, ensuring your medication arrives securely and on time.
For assistance with your prescription or questions about your treatment, contact our toll-free number to speak with our team. Our experienced pharmacy staff can help with everything from dosage inquiries to refills and shipping updates. We’re here to support your health every step of the way.
Ordering from Honeybee Pharmacy means getting the right medication at the right price—with the personalized service you deserve.
Contact Information
If you have any questions about your medication order or need assistance, feel free to call or text us at 1-888-483-1267 (Toll-Free). You can also fax us at 1-888-338-6690. Our support team is available Monday through Friday from 10:00 AM to 8:00 PM CST and on weekends from 9:00 AM to 5:00 PM CST, ensuring help is available every day of the year.
For prompt service, we recommend reaching out to our customer support team during business hours. This allows you to speak directly with a representative for immediate assistance regarding orders, shipping, or product details.
Medication orders from Canada typically arrive within 10-14 business days from the shipping date. Internationally sourced medications may take 15-20 business days to arrive. If you have any concerns about tracking or receiving your order, please call or text 1-888-483-1267 to speak with a member of our loyalty team.





