Low WBC, RBC & Platelet, should I continue treatment?

[kally291]

I was detected hep C last summer, seems I was infected by blood transmission when I was 3. I'm 23 and started my triple therapy Mar 29. So today is the first day of my 4th week treatment. Feel good during the treatment, less side effect. Only feel losing appetite and hard to finish 20g fat. I took my lab test this Wednesday.
I got the result today, it shows
HCV RNA, PCR Quant    not detec,
HCV Viral LOG               not detec.

But the WBC, RBC and platelet are abnormal, especially for my WBC.
WBC 2.1L    4.0-11.0K/UL
RBC  3.67L  3.80-5.10 M/UL
HEMOGLOBIN  10.8L   11.5-15.5 G/DL
HEMATOCRIT    33.4L  34.0~45.0%
PLATELET COUNT 99L   130-400 K/UL

Should I continue the pegasys injection tonight? I already contacted my nurse, but the phone call turned to voice mail. I read some articles, seems when having a low WBC you need stop the treatment. I'm just shock when I seen this, because I feel everything go through better than I thought before I start my treatment.

Sorry for my poor English, I hope I express everything clearly and offer enough information.

Really appreciate your reply.

[kally291]

Jules,

I'm soooooo sorry. I copied the wrong line. The Neutrophils should be 57 40-74%

[kally291]

Hey Jules,

Sometimes I have gums bleed, but it act the same as I'm not on treatment, so I don't take it into consideration. I will talk to my dr ASAP. So should I do the shot tonight?

[jules2551]

WBC 2.1 Neu % = 12.5% Then your ANC would be .26.  I am surprised your Dr has not suggested Neupogen just to get all of those levels up.  I think I have seen some with that low of range.  It doesn't make you feel bad but can be dangerous if you were in a car accident or something major due to internal bleeding.  You should talk to him about this.  Do your gums bleed or is your urine red?

[kally291]

hey Juiles,

you mean  Neutrophils 12.5 11.0-15.0%, this one?

[jules2551]

I think there are other factors involved before dose reduction is considered.  Congrats on your post UND!

Kally...do you have a Neu # on your lab report?  The range should be around 2.0 - 7.0.  This will be your ANC # and that would determine if you need Neupogen or not.

[kally291]

I find Neutrophils on my lab, it shows 12.5 11.0-15.0%. This one is normal, I only copied the abnormal date. So from this one it looks good right?