Hepatitis C Community
Neutrophil levels?
About This Community:

This forum is for questions about medical issues and research aspects of Hepatitis C such as, questions about being newly diagnosed, questions about current treatments, information and participation in discussions about research studies and clinical trials related to Hepatitis. If you would like to communicate with other people who have been touched by Hepatitis, please visit our new Hepatitis Social/Living with Hepatitis forum

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Neutrophil levels?

Whats really acceptable for neutrophil levels ...At 1.5 should I be getting neupogen???
Related Discussions
9 Comments Post a Comment
Blank
Avatar_n_tn
Hi there, my nuetriphils have gone down to .5 or 500. I took my second shot of nueprogen yesterday. I don't know your history but i do know some people have let them get pretty low i know Jmjm knows alot about this. I personally have decided that yesterday was going to be my last shot of nuepogen. The sx are very hard for me. Lots of bone pain. It might not be that way for eveyone but i only have 4 weeks left of tx and i don't want to add anything else to my body. Personally your nuetriphils do not sound that bad  to me. How long have you been on tx?
Blank
96938_tn?1189803458
I've been bouncing between 1.0 and 1.2 for the last couple of months.  Just watching right now.  Hemo doc will take action at .5 (or 500) and not before.  If it gets to that point will be neupogen, not neulasta. I think at 1.5 you're ok and it reflects the meds you're on.
Blank
Avatar_m_tn
As Snow has indicated, 1.5, or 1,500, generally is not a level to be concerned with for one on tx.  For the most part .5, or 500, is the threshold where most turn to rescue meds (i.e. Neupogen) for help.

I believe I did one round when I hit .6, 600, which was perhaps due to the rate ate which it had dropped from 1.1 to .6.

The plus side is that unlike the weeks required by rescue meds for anemia, low ANC med (Neupogen) is very fast acting and can have your ANC at or above normal in a 3 day period.
Blank
179856_tn?1333550962
My doc never prescribed even when my neuts got low - because they did bounce back up again on there own.

You have loads of room there - don't worry too much about it at all. One less shot is a good thing ;)
Blank
Avatar_n_tn
Thanks for everyone input..It does help me to understand better some of the readings of my cbc's....I didn't think about that my hemo is in great shape considering the level of TX........ at 26/48....I guess those are normal neuts, for this stage of tx....I know that if my hemo drops then I'm sure that would great cause for concern....
Blank
Avatar_n_tn
I was cruising under 500 for several months....once it was 442. Because I was clear at 12 weeks and I was about half way through the tx,  instead of neupogen my doc preferred a Pegasys dosage reduction down to 135mcg. I did the 48 weeks and never got an infection.
Blank
179355_tn?1207410851
Nuepogen did the same thing to me. In fact, I looked forward to the Peg shot more than the Nuet's. I hobbled everywhere, using a cane a couple times.  Since coming off the Nuepogen latter part of Nov, I haven't had it as bad. Week 38 (tomorrow) and with only 10 to go, whats the chances of having to go back on it?  Blood work today showed WBC 2.6. A drop from 4.6 two weeks ago. NE# 1.5, a drop from 3.8.  PLT 167.  Roll with the punches I guess.  A 48 week rollercoaster ride.
Blank
Avatar_f_tn
Mine went down to 300, but I never knew it at the time, I was too busy worrying about my hgb.  My NP noticed it about a month later, and by then they had gone back up on their own.  (of course, she was mad because it was MY fault that she didn't read the Feb. blood work until March, but that's another whole story...)

I wondered why there were a couple of weeks that every injury I got became very infected, but I got some antibiotics from my PCP, and all seems to have worked itself out.

I guess if I notice infections again I'll check my ANC numbers, LOL.
Blank
Avatar_n_tn
I noticed here lately that everytime they take blood for cbc's, that I get a nasty bruise now no matter the phlebotomist...
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Hepatitis C Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
Top Hepatitis Answerers
Avatar_f_tn
Blank
dontworry_behappy1
163305_tn?1333672171
Blank
orphanedhawk
Rural Mural, CA
Avatar_f_tn
Blank
nan535
Brooklyn, NY
446474_tn?1404424777
Blank
HectorSF
CA
1815939_tn?1377995399
Blank
pooh55811
96938_tn?1189803458
Blank
FlGuy
South, FL