Many doctors like to treat with Procrit when your hemoglobin is below 10. New protocol says, however, not to let it get above 11 when using procrit. The neupogen is for the absolute neutrophil count (ANC). The neutrophils are a part of the white cells. The total white count is not what they look at. When your ANC is around 500 they like to start the neupogen.
I asked about Neupogen and was told to do the reduced dose and then another CBC on Monday. What do you guys think?
Standard protocol is to use neupogen when anc drops to .5 or below.
My hepatologist goes by anc not wbc.
Neupogen can cause bone pain, and other forms of discomfort.
Make sure you're taking vit D and calcium.
These meds are hard on our bones.
Hi All,
I got my PCR result. VL baseline 2.7ml (As of July 2011). 4 weeks result 623,000. I am genotype 4 and black. My GI doctor added victrelis. I started the Vic yesterday. I don't know whether it will work for genotype 4. My Interferon response is not good. My main problem now is that my GI wants to treat me with Vic protocol which says >100 in 12 weeks or stop. Because the vic is not approved for G4 not sure it will work.
As Will stated...Your doctor is following the recommend protocol from managing thrombocytopenia and Neutropenia caused by treatment drugs.
"HIGHLIGHTS OF PRESCRIBING INFORMATION
These highlights do not include all the information needed to use
PEGASYS safely and effectively. See full prescribing information for
PEGASYS.
PEGASYS (peginterferon alfa-2a)
Injection for Subcutaneous Use
Initial U.S. Approval: 2002
http://www.gene.com/gene/products/information/pegasys/pdf/pi.pdf
"2.
Wondering if anyone else who has treated had this experience. Wondering if it was just a fluke, or something I can hope for going forward. By week 5 my neutrophils had dropped down to .72 , they gave me neupogen, but I didn't want to take it. By week 6 without neupogen my neuts shot up to 2.2. I just thought that was so strange I had to recheck my bloodwork to make sure they sent me the right one and not someone else's. Is this common?
that Co has explained above are low , then there are remedies to continue treatment (ie possibly adding the rescue drug Neupogen or ,even reducing the amount of Peginterferon ,,however delaying the shot is not proper protocol and may very well have an adverse effect on treatment success.
Good luck..
The Hematologist said he was going to start him on Neupogen is anyone else taking this and is it working for them. He also said that he may need a transfusion , which is freaking my husband out because that is how we suspect he contracted the Hep c orignally (back in the 80s). I told him that they screen the blood much differently now then they did back then , but he is still freaking out. Anyone who is taling Neupogen please let me know if it is helping.
I did not have to dose reduce but did end up starting Neupogen at week 12 and by week 21 was taking it x3 weekly. By protocol I would have had to stop treatment without growth factor drugs.
Generally, when my WBC was .9 then my ANC was in the mid .3's. Neupogen was very fast acting for me but with a short half life I'd be back where I started within a couple days. However, everyone is different.
Have you asked your doc if you can return to full interferon if you can stabilize?
5)
The use is of neupogen for hepC patients is somewhat controversial and may be unnecessary. There was a thread on this yesterday. I suggest you read it.
It was agony. I thought the first time was due to Neulasta and asked to Neupogen instead. After 18 Neupogen shots in 21 days I had hives again. Both times they were treated with steroids which somewhat diminished the symptoms but did not make them go away. It is so hard to say what really causes hives because of the great number of drugs that are administered during chemo. Curiously, I did have hives one more time.
I plan on talking to him (again) about neupogen tom, apparently he talked to a relative of mine and told them it is too late to start the neupogen now (was supposed to take shot tuesday but low neuts so doc said not to and to take a blood test thurs) but if it goes down again i could take it. BTW im on shot (well I should be on shot..
I just read that a lot of people try NOT to take Neupogen unless it is a necessity due to sx. I am on Neupogen and I take it 3 times a week and have been taking it for 8 mos. now.
Does anyone know exactly why people/anyone would want to NOT take Neupogen?
Your answers may provide some insight for me and my sx's.
low blood count started neupogen injections to build up white blood cell count so I can have chemotherapy, can I drink beer with this?
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