3 and Nuet 12. The doctors office called me this morning and gave me neupogen injections. I did the 2 weeks test without the pcr and the WBC was 2 and Neut was 22. The NP gave me 4 neupogen injections of which I used 2 in 2 weeks but instead of the WBC going up it tanked. Now my NP wants me to inject 4 injections in a week. Is it normal to do 4 injections in a week? My PCR result will come out next week and I will post it here.
I am doing SOC for genotype 4 and will add vic next week.
SPLENIC RUPTURE
SPLENIC RUPTURE, INCLUDING FATAL CASES, HAS BEEN REPORTED FOLLOWING THE ADMINISTRATION OF NEUPOGEN. INDIVIDUALS RECEIVING NEUPOGEN WHO REPORT LEFT UPPER ABDOMINAL AND/OR SHOULDER TIP PAIN SHOULD BE EVALUATED FOR AN ENLARGED SPLEEN OR SPLENIC RUPTURE."
http://www.neupogen.com/pi.html#warnings
" My WBC actually dropped back to 1.2 and this is with me on Neupogen.
I had awful bone pain when I was on Neupogen. I've always contended for me, the side effects from Neupogen were as bad if not worse than those from antiviral therapy. It stimulates the colonies of white stem cells within the bone marrow causing the level of neutrophils in the blood to rise. It is common to have aching bones and joints for 2-3 days duration starting 1-2 days after the start of the injections.
low blood count started neupogen injections to build up white blood cell count so I can have chemotherapy, can I drink beer with this?
Neupogen should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Neupogen should not be administered in the period 24 hours before the administration of chemotherapy. Neupogen should be administered daily for up to 2 weeks‚ until the ANC has reached 10‚000/mm3 following the expected chemotherapy-induced neutrophil nadir.
s a balancing act. Lots of blood tests to monitor ANC levels. Some weeks 2 injections, other weeks no injections. The longest I went without Neupogen was 2 wks because my ANC would drop below 400 and would not rebound.
8 log IU at 4 weeks. I had rt labs done 2/27/07 and it showed wbc at 1.26. ( i have had 8 injections) I saw Dr 3/6 and was told to stop all treatment until approval for Neupogen. I was due to take Pegaysis SQ on 3/6 and to Dc ribovarin also. I offered to get RX and fill it out of pocket or reduce dose and dr refused. I am upset and not sure how to proceed. Dr says interruption in TX should not affect Sustained effect. Tx will just be extended at the end.
Because of the potential sensitivity of rapidly dividing myeloid cells to cytotoxic chemotherapy‚ do not use NEUPOGEN® in the period 24 hours before through 24 hours after the administration of cytotoxic chemotherapy.
http://pi.amgen.com/united_states/neupogen/neupogen_pi_hcp_english.pdf
(see bottom of pg 13.
Neupogen should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Neupogen should not be administered in the period 24 hours before the administration of chemotherapy. Neupogen should be administered daily for up to 2 weeks‚ until the ANC has reached 10‚000/mm3 following the expected chemotherapy-induced neutrophil nadir.
start with neupogen as sometimes just this alone makes people feel better. Any input from all you experienced people is always greatly appreciated!
900 isn't bad, mine went 700 in my 4th week and i'm in my 45th already!
I was on Proctrit towards the end of tx and I took 3 weekly injections of Neupogen for an entire yr. All of the weekly injections were getting to me towards the end and were difficult to take. I never messed around with my Friday Interferon shot but I started to take the Neupogen whenever I could. I am glad that it is over and right now I am too happy to think anything but positive thoughts about my PCR lab tomorrow!
Thanks again to everyone on this forum for always being there.
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). Masked by the INF and RIBA and the Procrit, who knew what was causing what?
One thing I was told about Neupogen by my hemotologist was to wait 24 hours after the INF or do it at least 24 hours before. NOT AT THE SAME TIME because the INF and NEUP counter act one another.
Hi everyone. Hubby's WBC count is low, so Hepatologist wants to put him on Neupogen. Have any of you used it? Any info you can share?
Do I take it the same in the stomach or thigh the I take neupogen and interferon? I I took my INF yesterday, is it okay to take the procrit today? How long does it take to work, I've heard 2 weeks. My hgb was 7.7 on friday when they took blood.
Thanks for advice!
After Neup injections I get fever and bone aches. Wish it was side-less for me.
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