neupogen patient education

HI ALL,HOPING U CAN HELP ME OUT WITH WHERE TO FIND/BUY MEDS LIKE NEUPOGEN FOR LOW WBC,IV HAD LOTS OF TROUBLE WITH LOW WBC AND MY DOC SAID AUSTRALIA HAS NOT APPROVED IT. 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.

//www.chclibrary.org/micromed/00070900.html. Accessed June 14, 2005.

and even qualify for continuing education credts. As a patient I have listened to many of these presentations and just wish my doctors would. http://www.clinicaloptions.com/Hepatitis/Topics/HCV.aspx Good luck, Iwillbeathis.

The side effects are about the same as neupogen but happen much less frequently. You can think of it as a pegylated neupogen.

Next time I try treatment I'm going to suggest to my doctor to prescribe neupogen and procrit before I start to get the counts up. Mine have always dropped into the low range. I found especially the neupogen made me feel rough after I was already well into treatment and didn't do a whole lot. Why don't doctors prescribe it before treatment? Would there be a downside to that?

Anyone get any help with bone pain and seems like a migraine after neupogen ? I am on my second shot and it's 4:30 am and I have been up all nite with a horriable headache and severe nausea. Will call docs today and ask for something.

org/posts/Hepatitis-C/Does-neuprogen-lower-platelets/show/1786217#post_8219349 I am wondering (in the case of cirrhotics) since your doctors did not prescribe Neupogen and opted for an antibiotic if any of you had to lower your dose of Peg? I understand I cannot apply the circumstances in your situations to mine but my ANC is only .6 and I am supposed to lower my Peg (not sure the amount but there is a notation on my labs) & start the Neupogen when it arrives.

Here are some patient assistance numbers from the mfgrs. I haven't used these in a while, so if one of them doesn't work for you let me know and I'll straighten it out: Pegassist (Roche Pegasys system): 1-866-422-2377 Commitment to Care (Schering- Plough PEG-Intron system): 1-800-521-7157 Amgen Pharmaceuticals (Neupogen) 1-888-762-6436 http://www.needymeds.org/drug_list.taf?

Sounds like both of you need to check with your doctor about what we fondly call rescue drugs. Neupogen boosts white blood cell production and Procrit boosts red blood cell production. Net - throughout my 56 weeks of treatment my WBC was always in the 1s and I rarely got sick. The lab that most of the doctors watch for is the absolute neutrophils. Neutrophils are a type of white blood cell necessary to fight infection. When it is low, you are open to a multitude of infections,.

Sometimes I really believe that when we treat with Filgrastim (marketed by Amgen as Neupogen) we are actually treating for ourselves more than for the patient. What I really believe is a more important issue in terms of treating infectious complications in cirrhotics is using prophylactic antibiotics. What we do in our practice for anyone that has cirrhosis and portal hypertension. That individual is on what is equivalent SBC prophylaxis…. Thrombopenia...

however, most sophisticated hematologists/hepatologists will allow their patients to drop to about 500 before either dose reducing or prescribing G-CSF drugs such as Neupogen. Some docs will allow their patients to drop to .30-.35 before they intervene. The obvious choice is to use the Neupogen; continuing on full-dose interferon is the best way to ensure that you eventually achieve SVR.

s better to boost the ANC with the Neulasta or Neupogen. I think the nurse has mixed up the response time for Procrit for boosting hgb with the response time for the neulasta or neupogen, which are nearly instantaneous in someone who responds to them. I think there may be another factor that the nurse didn't mention, which is low platelets. If both low neutrophils and low platelets are the issue, skipping one interferon shot and starting back with reduced interferon is the proper plan.

The one thing I learned from both his old posts as well as OHs is how tricky the timing can be with Neupogen. I knew out the outset to be vigilant about the timing of my labs and the Neupogen dose. Even though this was only weeks ago I see I saved myself some time and discomfort since I knew what to ask and what to look for when I started this med.

My doctor feels that although my ANC went from 670 to 840 between Monday and Friday, that we need to be prepared for Neupogen in the event that it drops again. The insurance company has denied coverage for this because HCV treatment is not on their inclusion list for medical conditions approved for neupogen usage. WTF? I know that a lot of members have had issues with their insurance companies but was wondering if anyone ran across this situation and if so, how they dealt with it.

I found this one look question and answer thing from a cancer patient to a doctor about neupogen causing low platelets. My doctor and others I have spoken to have said they never heard of this. Anyone have more info about it? this is the only thing I can find that mentions neupogen and low platelets, perhaps neup just doesn't effect platelets.

Does your trial give your doctor leeway to determine what comes first, the neupogen or the dosage reduction? If yes, you can ask your doctor to go with the neupogen first, stating you don't want a dosage reduction. Adherence to dosages in the first 12 weeks are particularly important. If the trial does not allow your doctor that leeway and it strictly requires dosage reduction at 750 ANC and neupogen at 500 ANC, you'll have to follow trial mandates.

I was just contacted by the NP and asked to reduce the pegasys from 180mcg to 135mcg since my WBC is 1.31 and Neutrophils .64. Any of you know if SP allows a patient to be treated with neupogen? I know they allow and pay for procrit but I'm not sure if they "allow" neupogen. I know they won't pay for neupogen but that's not the issue, my insurance would cover the cost.

Neupogen patient education

Common Questions and Answers about Neupogen patient education

neupogen