neupogen patient information

I started Neupogen about midway (week 12) when my ANC hit .350. I did 4 weekly shots of the prefilled 300s. Weekly CBCs showed that the levels went way up quickly, but also fell off quickly. I'd hit 1.800-2.100, but then be back below .500 on the cusp of the next shot. So, we switched to twice-weekly shots of half doses. Instead of factory-filled 300s, my provider compounding pharmacy makes up 150s and I pick those up, three at a time.

Do any of you have information about any long term side effects if you had Neupogen for 40 weeks?

After my first injection and at my first appt after that injection, my PA said my labs were really crazy and gave me an injection of Neupogen and a prescription for it. I have only 9 shots left and have been taking the Neupogen 3 times a week for the entire tx. They almost took me to 4 times a week. Even with 3 weekly injections of Neopogen my WBC and ANC's are still low. I guess without the Neupogen they would be non-existent.

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.

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.

This shows the dosing information for neupogen while on hcv tx. According to this information the neupogen should be stopped or taken less often if the anc is over 1000. Mine was at 6500 after five injections, and my doc tells me to keep taking the neupogen. Granulocyte Stimulating Colony Factor Criteria for Use for Hepatitis C Treatment-Related Neutropenia VHA Pharmacy Benefits Management Strategic Healthcare Group and Medical Advisory Panel Prepared by: K. Tortorice, PharmD BCPS , H.

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

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,.

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.

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...

Recent background story: On 02/17 two blood tests were run. Standard CBC and on for VL (currently status unknown). The CBC showed several factors low (PL @ 43) but the one they pulled me off treatment for was WBC of 1.5. That's what they said. Posting in here that information returned lots of info, advice, and support from all the good people around. The conclusion reached was 1.5 WBC was in 'reduce dosage' area, with 1.0 being definite stop treatment.

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?

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 medication he is on is Epogen 40,000, Neupogen singleject 480 mg and also ribavirin. That is all I know of. Can someone please just help me to understand what these medicines are supposed to do for him. I feel so lost in all of this and have no where else to go for some understanding? Thank you.

Neupogen patient information

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