Again, pull back the plunger very slightly to check for blood. If blood does not appear in the syringe, inject the NEUPOGEN by gently pushing the plunger all the way in.
Withdraw the needle and using the alcohol swab apply pressure for several minutes to the injection site.
Do not put the needle cap back on the used syringe.
Does anyone know the caliber or thickness of the syringe we use with peg injections? That's the right size I want to use for the neupogin injection. Not the amount in the base, just the needle thickness. Last time they gave me a needle that was thick and painful to insert.
Does everyone check if there is blood in the syringe before push down the plunger, or after?
I am on my week 9 on tx and still not really comfortable doing the shots. I do injections in my stomach. I am pretty skinny so never sure if it goes under the skin or get into the muscle. Most instructions tell us to direct the needle straight but I use certain angle. Pegasus needle is about an inch long and how do you know how thick the subcutaneous fat layer of a thin person?
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.
And when you put the air into the vial from the syringe, do you put the air into the solution as I was not sure if that caused bubbles to form. Thanks.
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.
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.
low blood count started neupogen injections to build up white blood cell count so I can have chemotherapy, can I drink beer with this?
Just got the call this morning that my doctor wants to put me on Neupogen for 4 weeks because my white blood cells are so low. I'm so disappointed, I really wanted to be done shooting into myself!! Anyone else out there on this drug? I don't know a thing about it.
So the doc finally agreed to a neupogen shot, after many delayed shots of pegasys. I was supposed to do a shot tuesday, however got bloodwork done today and anc is 620, Doc says to take neupogen tonight (I did, the neupogen is 300mcg, im ~130lbs) and get more bloodwork done on thursday, and then he'll call friday with whether or not to take the shot or not. So here I am, waiting, again. Arggg!
I am supposed to receive Neupogen tomorrow. Did my peg shot this morning. I'm sure I will get instructions with the med but it's good to get some input from those who are currently treating with it. Are we supposed to wait 24 hrs after the peg shot to inject Neup? Should I inject more slowly than I do with Peg? Docs office told me to reduce peg today to 135 mcg but I didn't (me not listen - what a revelation) because I knew I was getting the Neup tomorrow.
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.
http://pi.amgen.com/united_states/neupogen/neupogen_ppi_pt_english.pdf
Among other things: "Serious Allergic Reactions. NEUPOGEN can cause serious allergic reactions. These reactions can cause a rash over the whole body, shortness of breath, wheezing, dizziness, swelling around the mouth or eyes, fast pulse, and sweating. If you or your child starts to have any of these symptoms, stop using NEUPOGEN and call your doctor or seek emergency care right away.
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.
you could try turning the plunger in the barrel. grasp the syringe barrel in one hand and twist the plunger a turn or two, prior to pushing the air out of the syringe barrel.
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?
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