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This medicine works by inactivating the clotting factors that are responsible for blood clotting. It is not recommended for use in children under 18 years of age. Clexane 40 MG Injection shows some common side effects like fever, stomach discomfort, nausea, rash and irritation at the injection site. If these side effects worsen or persist for a long time inform your doctor at the earliest. It may also cause an increase in your blood platelet count and an increase in your liver enzymes. Let your doctor know if you are allergic to this medicine. Stop using it and consult with your doctor immediately if you experience, swollen ankles/feet, black stools, blood in your urine or unusual bleeding and bruising.