Aa
A
A
Close
Avatar universal
Neutrophil levels?
Whats really acceptable for neutrophil levels ...At 1.5 should I be getting neupogen???
Cancel
9 Answers
Page 1 of 1
Avatar universal
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?
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
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.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
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.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
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 ;)
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
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....
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
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.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
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.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
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.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
I noticed here lately that everytime they take blood for cbc's, that I get a nasty bruise now no matter the phlebotomist...
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Recent Activity
17568 tn?1424977159
Blank
Cindy is... Comment
6 hrs ago
1420486 tn?1384796753
Blank
blondie717 joined this community
Welcome them!
Jun 28
517872 tn?1465669131
Blank
senseanonymous  commented on photo
Jun 28
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Hepatitis Answerers
446474 tn?1446351282
Blank
San Francisco, CA
Avatar universal
Blank
163305 tn?1333672171
Blank
Rural Mural, CA
1815939 tn?1377995399
Blank
317787 tn?1465993311
Blank
DC
Avatar universal
Blank
Hepatitis C Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Hepatitis Answerers
446474 tn?1446351282
Blank
San Francisco, CA
Avatar universal
Blank
163305 tn?1333672171
Blank
Rural Mural, CA
1815939 tn?1377995399
Blank
317787 tn?1465993311
Blank
DC
Avatar universal
Blank