Are you saying your mother in law has Leukemia? Filgastin or Neupogen is used for that. I don't know of other uses for it. She can't get it in the Philippines? If you can get a prescription from her doctor perhaps you can get it from a pharmacy here. Have a talk with a pharmacist here at one of the stores like Rite Aid, CVS any of those and see if they allow that.
Right now, the low neutrophils can be remedied with filgrastim (Neupogen, Neulasta), but nothing is prescribed for low platelets (whites involved in clotting) except for reducing the interferon. There is a drug (eltrombopag) that stimulates platelet formation but the FDA has not approved it to go with the HCV treament drugs, so insurance may not cover it.
It is always better to use the rescue drugs instead of reducing the peginterferon or riba, especially if you have not cleared yet.
Several people here have used it. Actually, what gets whacked is a component of the WBC call neutrophils - sometime referred absolute neutrophils or ANCs. These are a separate line item on a CBC report. Docs invoke the use of Neupogen at at different levels. I found the use of Neup to be a non-event, no side effects. Others expereince bone pain and injection site soreness. It's much better to use Neupogen than to reduce the dose of the Peg.
Interferon can cause a condition called ‘neutropenia’ or the suppression of white blood cells necessary to fight infection. In some countries, the drug Neupogen (filgrastim) is available to combat this, and to keep patients on full dose HCV meds.
Filgrastim and PEG-filgrastim are relatively expensive; and they might not be available in all areas.
Neupogen is a new med for him, also Procrit is another new med for him.
Obviously I have gotten some spellings incorrect.
What I want to do is look up these meds and make a document for him that is easier to read regarding side effects, etc. But, this is not possible until I find someone who knows how to spell these meds, and/or maybe knows something about their side effects personally.
Would someone out there please help me with this?
Neulasta is a peglated version of Neupogen which is also know as filgrastim. It's used to stimulate production of neutrophils, a component of whilte blood cells. It can be taken less often than regular 'ol Neupogen. I found it rougher than Neupgen in that it had some side effects, mainly bone pain. I found Neupogen to be side-less.
Aranesp is Darbepoetin Alfa which is like Procrit (epo). It is also taken less often than Procrit.
Neup works for the most part all of the time,however is it your ANC (absolute neutrophils) that usually would dictate whether neup is need or not.
best ..
t know what the dosage requirements are for Neulasta but it is not taken as often as Neupogen. My experience with Neupogen was 1 injection per week initally, then 2 and several times I was reduced to half dosage or skipped several weeks because my WBC was high. It's a balancing act and usually those on Neupogen require more blood draws than those who are not taking it.
I thought it was some nasty stuff.
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