I don't think it matters when the procrit is done. I think the reason is that the ribavirin - the usual culprit in causing anemia - builds up in the blood stream and there is not a significant difference in the ribavirin blood level. Also, since you take riba 2x a day, it would be hard to avoid dosing and counteracting with the procrit.
uncledudness - that certainly is a lot of procrit. Is it helping?
pcds - My doctor (last time) said to take the neup at least 24 hours after the interferon but I tried googling this and didn't come up with a whole lot. The text I give the web address for was the best thing I found and it has to do with cancer chemotherapy drugs and the use of neulasta (similar but longer lasting than neupogen) . It is a good article -- they wanted to know if it was more effective to do the neulasta the day after the chemo which was protocol when it meant having the patient - on the day he feels the worst, the day after chemo - come back to the hospital for the shot. There was a difference but it was not significant. They still suggest the 24 hours is better, but it may not make a big enough difference to matter.
http://news.cancerconnect.com/advances-in-the-management-of-neutropenia-and-anemia-asco-2006/
I take neupogen on Thursday, peg on Friday and procit on Monday. I let all the drugs come to room temperature and lately inject in my belly because my legs are so sore. I also inject very slowly. I have not experienced the burning sensation and hope I can avoid that "joy."
" boy does it burn."
I found that letting it warm to room temp. and injecting it slowly helps greatly with that............ Wow dude thats alot of procrit.
The safety and efficacy of NEUPOGEN® given simultaneously with cytotoxic chemotherapy have not been established. Because of the potential sensitivity of rapidly dividing myeloid cells to cytotoxic chemotherapy‚ do not use NEUPOGEN® in the period 24 hours before through 24 hours after the administration of cytotoxic chemotherapy.
http://pi.amgen.com/united_states/neupogen/neupogen_pi_hcp_english.pdf
(see bottom of pg 13.)
i am taking 120,000 units of procrit (3 shots) a week. my doc said to wait 1 day after the interferon to start the procrit. boy does it burn.
I was just told by my doc's office that I can take neupogin and peg on same day. After reading this I am concerned.
Thanks, The needle techs where I get my shots didn't know about neuopogen being 24 hrs apart from intef shot.Have to keep watching your own back.
i do both a lot of times together....billy
There was many times i did the procrit and interferon on the same day with no problems, doc said it was ok......Good luck