• Nulasta response time

    Asked by TSue on Sunday, May 12, 2019

    Nulasta response time

    First time on Nulasta, cycle 1, how quickly should we see positive results from Nulasta?

    4 Answers from the Community

    4 answers
    • GregP_WN's Avatar
      GregP_WN

      I didn't have Neulasta when I had chemo, it was years before neulasta came out, but here is some information that has been posted.

      Neulasta is a one-time injection given after each cycle that provides 14 days of coverage. Neupogen can be given daily for up to 14 days, depending on the type of chemotherapy.

      And a patient information sheet from the maker Amgen

      https://www.pi.amgen.com/~/media/amgen/repositorysites/pi-amgen-com/neulasta/neulasta_ppi_pt_english.pdf

      Posts here have indicated that it usually starts working within 24 hours. It may take longer than that to actually get your white blood count back to where it needs to be however.

      6 days ago
    • cllinda's Avatar
      cllinda

      Thanks, Greg. I didn't know this. I just remember having to get dressed the next day and get a ride to the oncology place to get a shot the day after chemo. I didn't really know how it worked. It just was something that had to be done. Thanks.

      6 days ago
    • carm's Avatar
      carm

      Hello, I am an oncology nurse and that is a great question. When you get chemotherapy, you go through a NADIR period where from day 1 through 7 your counts drop to the lowest and then it takes 14 days to build back up. That's why most chemo cycles are every 21 days. When you get a drug like neulasta, it speeds up the production of white blood cells to that you bounce back faster and stronger. The timeframe depends on the type of chemo and how long you have been getting chemotherapy. Some patients have had up to 15 lines of therapy, so the more you have gotten, the slower it is to rebound from it. I hope this helps you.

      6 days ago
    • JaneA's Avatar
      JaneA

      By my next chemo two weeks later, my counts always rebounded to high normal. I was on strong chemo for Stage IV rectal cancer.

      4 days ago

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