How low does the red & white cells need to be before they give you procrit? I just got my test and red is 9.1 and white is 2.9. it keeps dropping and I'm exhausted, I get another one in 2 weeks.
5 and she probably did suggest Neupogen. Sounds to me like he needs both and pretty darn quickly. She seems to be of the opinion that a transfusion will be needed for the low hemoglobin. At 7.3 he must really be dragging. Mine has never gotten that low but a lot of folks are experiencing this on the triple.
So how is this going to work out? You said the GI is not going to reduce ribavirin doseage. I think the insurance company will get in the middle of this -- they sure did with me.
you are 67 kilos and your dose should be 1000 riba if you taking pegintron. If you are on pegasys I believe the program is different.
Your hgb is not low enough to be concerned, if it goes under 10 then you should be given procrit rather then a dose reduction to keep the level between 10-11 hgb. I believe that the recommended weight based dosage for riba is 12 mg per kilo, at 800 you are at 11.94 per kilo, at 1000 you are at 14.
have been receiving aranesp and neupogen for the last 8 weeks to help with my anemia while going through treatment. My wbc, rbc, hemoglobin and ANC held steady for the first few weeks, then started increasing and now as of last week took a decline. My wbc's went from 3.4 to 2.3, rbc's went from 2.9 to 2.7, hemo went from 10 to 9.33 and ANC went from 1770 to 930 all in one week. Is that normal and why would that happen when they were on the incline?
I was wondering if anyone has heard of neupogen raising HGB. The reason I ask is because my NP told me that was so and I've never heard of this. My WBC are low and I have to take the neupogen....just recently my HGB dropped from 10.7 to 9.8 in ten days. When I asked if this was a problem the nurse told me to just take the neupogen and that would help..well it hadn't helped in the past so I don't know why it should now.
Yes, you inject in the same manner as INF. I used to save my thighs for INF and use my belly for the Neupogen and Procrit. It is the procrit that you want to let come to room temperature as it burns going in. The neupogen does not. I had no visable side effects from the neupogen although after I completed treatment and was still doing the Neup for a few weeks to bring up the whites, I noticed the side effects (bone aches).
I only got one injection of the neupogen in before treatment ended so can't speak to that except the procrit and neupogen were done on alternate days from each other and from the interferon. That's alot of drugs to pump into a body in one day and spacing them out is a good idea. I understand the neup is much faster acting than the procrit. Good luck with the neupogen and hope it helps.
Why will your doctor not prescribe you any rescue drugs such as Neupogen for your white count or Procrit for your red count? My hgb went in the tank very early on in treatment and I was prescribed Aranesp injections every 2 weeks. My Aranesp prescription was written the minute my hgb hit 10.5 and by the time I got through all the insurance red tape my hgb was 9.8. My ANC went as low as 700 but I managed to avoid dose reduction or neupogen.
I guess I was lucky, I had to take both Neupogen and Procrit .......
000 Ribavarin. Procrit 60 split over a 20 and 40, Neupogen every six days. Though till last week, it was x2. a week.
My question is: Will Neupogen cause additional thinning to my bones? I have been unable to find any information concerning this.
I also have a question concerning hormone replacement, and Hep C. but will ask that at a later date.
I am genotype 1a, this is my 3rd. time txing, first time using neupogen.
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