• Tanking blood counts (technical know as nadir) and Filgrastim (Neupogen®)

    Asked by SueRae1 on Friday, September 21, 2012

    Tanking blood counts (technical know as nadir) and Filgrastim (Neupogen®)

    Carboplatian is causing havoc with my white blood cell and platelet counts. Not to mention my energy. I had to skip postpone 2 treatments in the last month. I just injected my first dose of Filgrastim (Neupogen®). I would like some input about it's effectiveness and side effects. Also any suggestions for what I can do nutritionally and/or using complimentary treats to help my bone marrow bounce back quicker would be very helpful

    15 Answers from the Community

    15 answers
    • packerbacker's Avatar
      packerbacker

      Hi SueRae 1,
      My blood counts were really low last week, so they withheld chemo also. I also receive Carboplatan. They gave me a shot of Neulasta

      about 5 years ago
    • FreeBird's Avatar
      FreeBird

      Neupogen and Neulasta have both been used for my dad. The major difference is that NeuLASTa LASTs longer, and with Neupogen, you receive more injections. Both of them worked well to increase white blood cells. The only real noticed side effect was bone/joint pain-- which was experienced with both medications.

      They are also expensive. If you live far away from a cancer center and they ask you to give yourself Neupogen injections at home, you might want to check to make sure your insurance covers self-administered injections.

      about 5 years ago
    • packerbacker's Avatar
      packerbacker

      Sorry, SueRae 1 - I guess I waited too long and it took what I had typed so far. So, I got a shot of Neulasta last week, and my blood counts were much improved. For side effects, I experiences generalized body aches, not very comfortable. But, I'm glad my counts improved and treatment continued as scheduled. I hope Neupogen has a good effect for you, also. Good luck to you on your journey!

      about 5 years ago
    • FreeBird's Avatar
      FreeBird

      I wouldn't worry about doing anything else, other than normal healthy eating and taking care of yourself. Those shots are very effective.

      about 5 years ago
    • lynn1950's Avatar
      lynn1950

      It may be that the Neulasta shot could be more effective in bringing up your counts quickly. I had both: Neulasta for adriamycin/cytoxin and Neupogen for taxotere. I self-administered the Neupogen because I live in a really rural part of Idaho. The Neulasta shots are very expensive and cannot be self-administered. Eat healthy and get plenty of rest. Take care.

      about 5 years ago
    • teddyfuzz's Avatar
      teddyfuzz

      After my second round of chemo, my immune system tanked and I ended up in the hospital with neutropenia. After that, I received Neulasta shots which kept my blood counts up where there were supposed to be. I really hated those injections. For a couple of days afterwards my skin, muscles, joints and bones would hurt. As far as what else you can do, just make sure you are eating well and not pushing yourself physically. Your body will do the rest. Good luck and hang in there sister!

      about 5 years ago
    • pookie's Avatar
      pookie

      I was treated with Neupogen with great results. My white blood count dropped after the chemo treatments so after each treatment I would have shots of Neupogen. It brought the white blood count back up. I had no problems with the Neupogen.

      about 5 years ago
    • mamoladyc's Avatar
      mamoladyc

      Sue, I had to give myself the neupogen after each round of AC. I never had to skip a chemo though I did still feel crappy. I guess I may not have been as bad as I could have been..... Tylenol took care of achyness, though my sister had more trouble with the injections. She got a larger dose from the nurse, I did smaller doses every day at home so that may have been the difference.

      about 5 years ago
    • ruthieq's Avatar
      ruthieq (Best Answer!)

      Neupogen takes more shots to boost the bone marrow than neulasta which is only one next day after chemo. They both boost the bone marrow quickly to bring the counts up faster. You can't do it that fast nutritionally so just eat what you can and leave the bone marrow boost to the drugs. Some people feel very few side effects, and some feel very bad aches and pains in joints and bones. I was the latter, as I also had RA though I didn't know it, that got worse with each chemo I took. My insurance allowed me to take my own neulasta shot at home. It depends on your location relative to the cancer center/hospital. I lived 30 mins away. I couldn't see coming back next day for a shot I could give myself (I am anRN). I don't think any of these drugs are cheap at all, except maybe the steroids they give you to help you get thru the chemo itself. hugs! Good luck.

      about 5 years ago
    • princess123's Avatar
      princess123

      I take the shots once a month. One for white count and one for bone health. I do ache for several days afterward. So far they are doing the job.

      about 5 years ago
    • SueRae1's Avatar
      SueRae1

      Thanks for all your supportive and helpful answers to my question. My co-pay for three shots was just under $300. I can not take Neulasta because you can not have chemo for 2 weeks after the shot, and my protocol is 2 weeks on 1 week off, and my oncologist wants me to take the shots between week 1and week 2 (week 2 has been the issue) I had chemo on Thursday and my First shot Friday (yesterday, I'm not sure if the extra crankiness I am feeling is because of MRI/CT scans I had Wed, the fact that my chemo started at 3:00 instead of 10:00 or the neuopgen. The area where I gave my self the shot is a bit sore - I was told to inject in my stomach - and I picked a place too close to my panty line.

      about 5 years ago
    • blondie's Avatar
      blondie

      Filgrastin (neupgen). www.neulasta.com

      about 5 years ago
    • FreeBird's Avatar
      FreeBird

      Do you live far from your cancer center? Next time around, it might be worth looking into whether insurance will fully cover Neupogen if given to you at the cancer center, if it's conveniently located.

      about 5 years ago
    • ticklingcancer's Avatar
      ticklingcancer

      I was on Cisplatin & Etoposide and by the end of my treatment, My WBC and RBC were destroyed. My platelets took a pretty big hit as well. Neupogen took care of the low WBC but the body aches associated with the medicine were horrible. As far as the RBC, my oncologist said, there are no over the counter remedies that will resolve this. Eating liver and things like that will do you absolutely no good. He said I had two options. I could let them rebuild on their own which would take time and I'd continue to feel like XXX or I could get a transfusion. I went for the transfusion. As far as my platelets, your biggest issue is bleeding. My Dr decided instead of doing a platelet infusion, we would let them recover on their own. We just made sure to stay away from anything that would act as a blood thinner like aspirin.

      about 5 years ago
    • GrandmaCynthia's Avatar
      GrandmaCynthia

      Claritin taken every 12 hours (instead of every 24 hrs), as recommended by my oncologist, in combination with an 8-hour Tylenol, are both very helpful to counteract the aches and pains following the shot. Begin the Claritin 12 hours before getting the shot. I had to write the times down so I could keep track of both. Good luck!

      about 5 years ago

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