Aa
Neupegen SX?
My Doc has me taking Nuepegen 1 shot a day for 4 days a wk, then skip a week and start again. I have found that I become very fatigued the day after this shot. I have backed off to 2x a wk in order to keep working. I feel ok even though wbc levels a little low. Question: Does taking Nuepegen (increasing WBC) help kill the hep virus? Or is it just to counteract the anemia? Thanks.
I have not done that yet. How low did your WBC have to get before your insurance agreed to supplement it?
I never noticed any particular sx's to Neupogen. On the other hand, Neulasta (the pegylated version of Neupogen) can have some tougher sides. Doc will RX neupogen when ANCs (absolute neutrophil count) a componet of WBCs, take a dip. Docs may intervene when they go to 1000, 500 and some at 300. The ANC's are infection fighters and docs don't want to risk infection suseptability when we tx'ers are in a compromised condition. My doc, this tx, will intervene at 500, not before.
Like you, I had a few series of Neup shots. The stuff works quick and you'll see results via CBC in just a couple of days. I never noticed that it made me 'feel' any better or worse. Unlike Procrit, which is usually taken on a more regular basis to aid stabilization of hemoglobin levels, Neupogen is more on an 'as needed basis'. So before you doc lines you up for another 'series', hopefully he'll have validated the need with a current CBC. I found that each 'series' of Neup filled the ANC tank for about 3 weeks, on average. Avoid Neulasta if you can.
Like you, I had a few series of Neup shots. The stuff works quick and you'll see results via CBC in just a couple of days. I never noticed that it made me 'feel' any better or worse. Unlike Procrit, which is usually taken on a more regular basis to aid stabilization of hemoglobin levels, Neupogen is more on an 'as needed basis'. So before you doc lines you up for another 'series', hopefully he'll have validated the need with a current CBC. I found that each 'series' of Neup filled the ANC tank for about 3 weeks, on average. Avoid Neulasta if you can.
I'm on Neupogen once a week - 300 mg - The shot burns - it's to increase your absolute neutrofils - which is wbc by neuts - should not go below 500. One of the worse side effects I've had have been migraine headaches only since I began the neupogen. I am also on 60,000 of Procrit for low red cells. I'm in week 16, UND week 12, genotype 1a, begining vl 15 million.
My doctor was to fax me the reports but I only got 1/2 of a fax. Tried to call them and I will have to do it tomorrow as they are out of the office now. Anyway She said the last two times it went from 4.2 to 3.8. Had a test today and will find out Friday.
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