Here's my pet peeve on Lovenox.....ya gotta give it VERY slowly so it doesn't hurt (this is from the drug rep and my own practice). Whenever I have a pt that says it hurts, I SLOW down. Also, I find the needles a little on the dull side, so if I have a particularly sensitive pt, I put it in a different syringe. A lot of times this keeps your pt from refusing the shots! I've had a Lovenox shot, and, of course, the RN pushed it fast....OMG!!!! That was a stinger, and it lasted ALL DAY:bluecry1:! By the way, I'm not a "delicate flower", but that really hurt!