filgrastim dose

Doctors unable to give any explanation for such wide variations on a dose to dose basis. Till date, I have also taken 5 doses of Filgrastim - the WBC Stimulator. Can you pleae advice possible reasons for such wide fluctuations.

Filgrastim is also prescribed as pegfilgrastim (called Neulasta). My doctor used the 500 neutrophill count as a cut-off, so every time I got down around 500 I used Neulasta. The interferon drops neutrophils and platelets. Some people can do okay with low neutrophils but just as many end up with kidney and sinus infections, etc., that make you even more miserable.

my stats seem to go up and down so I only have to take it now every 2 wks. It is unknown whether filgrastim (Neupogen) increases or decreasses an individual's risk of developing cancer. Based on limited long-term data from healthy people ( if a person is healthy why would they need neupogen in the first place ) who have received filgrastim, no long-term risks have been found so far. good luck to you....hope this helped!

Musculoskeletal symptoms have been the most frequently reported adverse effects of filgrastim therapy. Bone pain has been reported in approximately 22% of patients. Reactivation of pseudogout occurred in a patient receiving chemotherapy. Postmarketing reports have included decreased bone density and osteoporosis in pediatric severe chronic neutropenia (SCN) patients receiving chronic treatment with filgrastim.

Do you mean filgrastim? And are you saying Dengue fever? It would be a surprising though perhaps not impossible use of filgrastim. Dengue is usually treated by pain managers and sometimes hospitalization and a blood transfusion. Anyway, if you have a legitimate prescription from a doctor, you should be able to fill it in the United States.

For this reason, patients are prescribed antibiotics and even receive injections to increase white blood counts (such as filgrastim or lenograstim). If this 0.4 value really pertains to your white counts, then I believe this is really low and what you are experiencing is a condition called 'febrile neutropenia'. I would suggest you ask your doctor about filgrastim or lenograstim injections aside from the Levaquin. Regards.

IM AN AUSSIE AND HOPING SOME1 KNOWS OF WHERE TO GET THIS STUFF,OR ANYTHING THAT WILL HELP.IV HAD MY DOSE LOWERED AND IT SHATTERS ME COS MY CHANCES WOULD BE MUCH HIGHER WITH FULL DOSE OF INTERFERON. I DONT CARE WHAT IT COSTS I JUST WANT TO BRING MY WBC UP COS IV HAD SO MANY INFECTIONS AND FLUES ETC.I ALSO HAVE LOW RBC BUT ITS NOT BAD ENOUGH TO DROP MY RIBA THANK GOD. THANKS FOR ANY ADVICE,THIS SITE ROCKS.

Several people here have used it. Actually, what gets whacked is a component of the WBC call neutrophils - sometime referred absolute neutrophils or ANCs. These are a separate line item on a CBC report. Docs invoke the use of Neupogen at at different levels. I found the use of Neup to be a non-event, no side effects. Others expereince bone pain and injection site soreness. It's much better to use Neupogen than to reduce the dose of the Peg.

Neulasta® (pegfilgrastim) or NEUPOGEN® (Filgrastim) may reduce your chance of getting an infection, but it does not prevent all infections. An infection can happen anytime your neutrophil counts are low. Look for signs of infection, such as fever, chills, rash, sore throat, diarrhea, or redness, swelling, or pain around a cut or sore. If you have any of these signs, contact your health care professional immediately. http://www.neulasta.com/starting-chemo-with-neulasta/about-neulasta-neupogen.

One, epoetin alfa (called Procrit or Epogen) stimulates the bone marrow to produce extra hemoglobin. The other, filgrastim (called Neulasta or Neupogen) stimulates bone marrow production of neutrophils, an important white blood cell destroyed by interferon. Most patients tolerate them well. It's good to have decent insurance, since it is always better to use the rescue drugs instead of reducing the dose of either interferon or ribivirin.

I believe neupogen lasts about a week. Neulasta is the same drug as neupogen (filgrastim) but is pegylated to keep it working on the bone marrow longer. Insurance paid for mine with a $100 co-pay. I cleared early and kept getting my peginterferon reduced for low platelets. I was freaked out at first to be dose-reduced. I remained clear regardless of the reduction and the study team did not seem to think it was a big deal. They were pretty worked up over keeping the riba up to full dose.

Hi, With modern medical advances, especially effective anti-emetics, and growth factors (filgrastim), chemotherapy has become safer and more tolerable over the last decade or so. Hair loss will be your major side effect, and some intermittent illnesses may also be expected during the course of chemotherapy. But your overall long-term benefit will be much more than these temporary effects. All the Best!

, the primary ‘rescue’ meds are (generic) epoetin alpha (brand names Epogen, Procrit, Aransp), and filgrastim (generic) (brand name Neupogen). We do have a platelet booster here that has been approved for cancer treatment; it is generically known as oprelvekin (brand name Neumega), but its use has not been FDA approved for HCV treatment to my knowledge; it tends to worsen hemolytic anemia, although we have had a few patients in forum that have tried it.

You can discuss ‘Neupogen (filgrastim) with the doc; this is a GCSF drug that stimulates bone marrow production of white cells. It is generally initiated when absolute neutrofils reach .500 or that vicinity; some docs allow closer to .350, depending on occupation and other matters.

Hello, this is my first time on this forum. I just wanted to see if anyone is having or has had some of the same problems. Five weeks ago I started a 48 week treatment for hep b with 180 mg Pegasys. The nurse gave me my first injection in my arm which hurt for two weeks. Since then, I've alternated the injection sites. Twice in my thighs and twice in my belly. I have these big, round, red rashes with bruises in the middle. They just seem to be getting worse.

NEUPOGEN® ( Filgrastim ) Program is designed to assist those patients who are medically indigent (patients may be uninsured or underinsured). Eligibility is based on patient's insurance status and income level.

s discretion, not by name, but as a drug that may be helpful if hemoglobin drops. They did provide it along with the trial meds. It also mentioned filgrastim, also not by name, but as a drug that could be useful to treat low neutrophils. It did NOT mention doctor's discretion, but indicated that it would be permissible to use it during the trial. My insurance covered it.

I believe her dose was high enough to suppress her bone marrow. Most doctors would reduce the dose by 20% in this setting. Another option is to add a growth factor such as filgrastim (neupogen) which will keep her white count up after chemotherapy.

SAID I WILL MORE THAN LIKELY HAVE LOW DOSE. THEY REALLY THOUGHT I WOULD HAVE TO FIGHT TO GET APPROVED BECAUSE MY LIVER WAS GOOD AND HAD A LOW V NUMBER. IT ALL CAME DOWN TO THE LYMPHOMA.

Yes, Neulasta is the pegylated version of Neupogen. A polyethylene glycol molecule or (“PEG”) is added to enlarge the Filgrastim molecule (Neupogen), thereby extending its half-life and causing it to be removed more slowly from the body. I don't know what the dosage requirements are for Neulasta but it is not taken as often as Neupogen.

Neulasta is a peglated version of Neupogen which is also know as filgrastim. It's used to stimulate production of neutrophils, a component of whilte blood cells. It can be taken less often than regular 'ol Neupogen. I found it rougher than Neupgen in that it had some side effects, mainly bone pain. I found Neupogen to be side-less. Aranesp is Darbepoetin Alfa which is like Procrit (epo). It is also taken less often than Procrit.

Neulasta is the expensive pegylated counterpart of neupogen. Same drug (filgrastim). Otherwise all you can do is reduce the interferon and it's generally considered better not to do that before you've cleared the virus. I don't know of any ways to reduce your risk of infection. What are you thinking of when you say that, please?

I am currently on chemotherapy with Adriomycin and Cytoxin, then I will be on Herceptin and Taxol, and will also have 6 wks of radiation worked in there. After the first dose of Adriomycin and Cytoxin my wbc drop to 200 and I had a nutropenic fever of 105.6 and pnuemonia and spent 2 wks in the hospital. After the second dose my wbc droped to 800 but I did not get nearly as sick and did not spend time in the hospital. On Friday I will be getting my third dose.

so i missed my dose of rivoferion last night fell asleep noticed this morning that i didnt take it. so nov.11th is is my last dose,by missing this dose did i just screw up my tx.i sure hope not!!!! and this is the first x.

Filgrastim dose

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