Monoject Prefill Advanced is an anticoagulant (blood thinner) that prevents the formation of blood clots.

Monoject Prefill Advanced is used to flush (clean out) an intravenous (IV) catheter, which helps prevent blockage in the tube after you have received an IV infusion.

Monoject Prefill Advanced should not be used to treat or prevent blood clots in the body. A separate this medicine product is available to use for this purpose.

Monoject Prefill Advanced may also be used for purposes not listed in this medication guide.

Monoject Prefill Advanced should not be used to treat or prevent blood clots in the body. A separate this medicine product is available to use for this purpose.

You should not use Monoject Prefill Advanced if you have uncontrolled bleeding or a severe lack of platelets in your blood.

Monoject Prefill Advanced can cause bleeding. Call your doctor at once if you have easy bruising or unusual bleeding, such as a nosebleed, black or bloody tarry stools, or any bleeding that will not stop.

Tell your doctor about all medicines you use. This includes prescription, over-the-counter, vitamin, and herbal products. Using certain medicines while you are using Monoject Prefill Advanced can cause you to bleed more easily.

Monoject Prefill Advanced is injected directly into the catheter lock of your IV (intravenous) line. You may be shown how to use this medicine at home.

Do not use Monoject Prefill Advanced if you do not fully understand how to flush your IV line and properly dispose of used needles, IV tubing, and other items used to inject your medicines. Follow your doctor's instructions.

Do not use Monoject Prefill Advanced if it has changed colors or has particles in it. Call your pharmacist for a new prescription.

Use a disposable needle and syringe only once. Follow any state or local laws about throwing away used needles and syringes. Use a puncture-proof "sharps" disposal container (ask your pharmacist where to get one and how to throw it away). Keep this container out of the reach of children and pets.

Store at room temperature away from moisture and heat.

You should not use Monoject Prefill Advanced if you are allergic to it, or if you have:

• a severe lack of platelets in your blood; or

• uncontrolled bleeding.

To make sure Monoject Prefill Advanced is safe for you, tell your doctor if you have:

• any type of allergy;

• an infection of the lining of your heart (also called bacterial endocarditis);

• uncontrolled high blood pressure;

• recent history of heart attack, stroke, cancer, or surgery;

• a bleeding or blood clotting disorder, such as hemophilia;

• a stomach or intestinal disorder;

• congestive heart failure;

• kidney disease;

• liver disease; or

• if you are having a menstrual period.

It is not known whether Monoject Prefill Advanced will harm an unborn baby. Tell your doctor if you are pregnant.

Do not use Monoject Prefill Advanced without telling your doctor if you are breast-feeding a baby.

Women over 60 years of age may be more likely to have bleeding episodes while using Monoject Prefill Advanced.

Do not use Monoject Prefill Advanced in a newborn baby (less than 1 month old). Do not use this medicine in any child without your doctor's advice.

Call your doctor for instructions if you forget to use Monoject Prefill Advanced to flush your IV line.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with Monoject Prefill Advanced may cause you to bleed more easily.

Get emergency medical help if you have signs of an allergic reaction: nausea, vomiting, sweating, hives, itching, trouble breathing, swelling of your face, lips, tongue, or throat, or feeling like you might pass out.

Monoject Prefill Advanced can cause bleeding. Call your doctor at once if you have easy bruising or unusual bleeding, such as a nosebleed, black or bloody tarry stools, or any bleeding that will not stop.

Monoject Prefill Advanced may cause serious side effects. Stop using Monoject Prefill Advanced and call your doctor at once if you have:

• signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance;

• signs of a blood clot in the lung--chest pain, sudden cough, wheezing, rapid breathing, coughing up blood;

• signs of a blood clot in your leg--pain, swelling, warmth, or redness in one or both legs;

• a light-headed feeling, like you might pass out;

• skin changes in your arms, legs, hands, or feet; or

• (in an infant) extreme drowsiness, weakness, or gasping for breath.

Less serious side effects are more likely, and you may have none at all.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Tell your doctor about all your current medicines and any you start or stop using, especially other medicines that prevent blood clots.

Other drugs may interact with heparin flush, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.