fondaparinux sodium: package leaflet

For patients

Package leaflet, verbatim

Package leaflet: Arixtra 1.5 mg/0.3 ml solution for injection / fondaparinux sodium · Arixtra 2.5 mg/0.5 ml solution for injection / fondaparinux sodium

1. Wash your hands thoroughly with soap and water and dry them with a towel.

2. Remove the syringe from the carton and check that:

 the expiry date has not passed
 the solution is clear and colourless and doesn’t contain particles

 the syringe has not been opened or damaged

3. Sit or lie down in a comfortable position.

Choose a place in the lower abdominal (tummy) area, at least
5 cm below your belly button (picture A).

Alternate the left and right side of the lower abdominal area at each injection. This will help to reduce the discomfort at the injection site.

If injecting in the lower abdominal area is not possible, ask your nurse or doctor for advice.

Picture A

4. Clean the injection area with an alcohol wipe.

5. Remove the needle shield, by first twisting it (picture B1)

and then pulling it in a straight line away from the body of the syringe (picture B2).
Discard the needle shield.

Important note

Do not touch the needle or allow it to touch any surface before the injection.


It is normal to see a small air bubble in this syringe. Do not try to remove this air bubble before making the injection - you may lose some of the medicine if you do.

Picture B1

Picture B2

6. Gently pinch the skin that has been cleaned to make a

fold. Hold the fold between the thumb and the forefinger during the entire injection (picture C).

Picture C
7. Hold the syringe firmly by the finger grip.

Insert the full length of the needle at right angles into the skin fold (picture D).

Picture D
8. Inject ALL of the contents of the syringe by pressing down on the plunger as far as it goes (picture E).

Picture E
Syringe automatic system

9. Release the plunger and the needle will automatically withdraw from the skin and go back into the security sleeve where it will be locked permanently (picture F).

Picture F
Syringe manual system

9. After the injection hold the syringe in one hand by gripping the security sleeve, use the other hand to hold the finger grip and pull firmly back. This unlocks the sleeve.
Slide the sleeve up the body of the syringe until it locks into position over the needle.

This is shown in Picture 3 at the beginning of these instructions.

Do not dispose of the used syringe in the household waste. Dispose of it as your doctor or pharmacist has instructed.

Package leaflet: Arixtra 5 mg/0.4 ml solution for injection. / Arixtra 7.5 mg/0.6 ml solution for injection / Arixtra 10 mg/0.8 ml solution for injection / fondaparinux sodium

1. Wash your hands thoroughly with soap and water and dry them with a towel.

2. Remove the syringe from the carton and check that:

 the expiry date has not passed
 the solution is clear and colourless to slightly yellow and doesn’t contain particles  the syringe has not been opened or damaged

3. Sit or lie down in a comfortable position.

Choose a place in the lower abdominal (tummy) area, at least
5 cm below your belly button (picture A).

Alternate the left and right side of the lower abdominal area at each injection. This will help to reduce the discomfort at the injection site.

If injecting in the lower abdominal area is not possible, ask your nurse or doctor for advice.

Picture A

4. Clean the injection area with an alcohol wipe.

5. Remove the needle shield, by first twisting it (picture B1),

and then pulling it in a straight line away from the body of the syringe (picture B2).
Discard the needle shield.

Important note

Do not touch the needle or allow it to touch any surface before the injection.


It is normal to see a small air bubble in this syringe. Do not try to remove this air bubble before making the injection - you may lose some of the medicine if you do.

Picture B1

Picture B2

6. Gently pinch the skin that has been cleaned to make a

fold. Hold the fold between the thumb and the forefinger during the entire injection (picture C).

Picture C
7. Hold the syringe firmly by the finger grip.

Insert the full length of the needle at right angles into the skin fold (picture D).

Picture D

8. Inject ALL of the contents of the syringe by pressing down on the plunger as far as it goes (picture E).

Picture E
Syringe automatic system

9. Release the plunger and the needle will automatically withdraw from the skin and go back into the security sleeve where it will be locked permanently (picture F).

Picture F
Syringe manual system

9. After the injection hold the syringe in one hand by gripping the security sleeve, use the other hand to hold the finger grip and pull firmly back. This unlocks the sleeve.
Slide the sleeve up the body of the syringe until it locks into position over the needle. This is shown in Picture 3 at the beginning of these instructions

Do not dispose of the used syringe in the household waste. Dispose of it as your doctor or pharmacist has instructed.

Source: European Medicines Agency (EMA), product information. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.