Hi tk301. Neulasta (generic name: Pegfilgrastim) is a drug that stimulates the bone marrow to produce white blood cells. One side-effect of chemotherapy is that it can deplete one's body with a certain type of white blood cells (medical term: neutropenia), and these cells are our body's defense against infections, especially against bacteria. So as chemotherapy depletes the body with these cells, Neulasta aims to produce more of these so that the patient will be at less risk of acquiring infections and also that his chemotherapy can be given as scheduled (low white blood count can be a reason for chemotherapy postponement). I hope your boyfriend's dad finishes treatment with as minimal untoward events as possible.
The fever and vomitting only lasted that day. I acted too quick to the situation.
It has been 5 weeks since the lobectomy, They have this planned ... 4/28 get dose of chemo with taxol and another med (don't know the name) 5/4 taxol and another med together. After those doses he will get two weeks off. After those off weeks he will get a dose of Neulasta. Can you explain what may be going on with honesty. This is stage 3 lung cancer Edenocarcinoma with a recent lobectomy. What is the propose for Neulasta?
Hi,
The presence of the fever would raise the possibility of infection or dehydration. Was the vomiting present before the fever? If he has been vomiting and unable to take in adequate fluid, he may be starting to get dehydration. An infection in old folks may not always present with symptoms referable to the area involved – say a lung infection, you'd expect cough, so a thorough evaluation by a physician would be in order.
For patients after lobectomy, complications are referrable to the lung. Has he been having problems with retaining to much phlegm? A lung infection may be the culprit here.
See a doctor straightaway.