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Neulestra Shot

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Barbara,

The Neulasta injection will not completely avoid the nadir, but it should

lessen its depth and duration. You will also have a more rigorous

rebound as the WBC recovers. It is unusual for someone to have such

bad mucositis with R-CHOP. Usually this means either a problem with

a viral infection or that you should have your dose reduced. Are

you jaundiced?

Rick Furman, MD

At 06:43 PM 12/13/2007, you wrote:

Thanks and Dr. Furman for all

your replies.

I appreciate very much.

Having a time with this CHOP + R. First Treatment – WBC went down

to .65

Took 2 Neuprogen shots/ Levaquin 7 days. Worked great.

2nd treatment last week. Took Neulestra Shot 24 after

treatment. Mouth is absolute mess again,

very painful w/thrush ulcers/raw skin/ Using some mouth

washes, etc.

and WBC down to .4 (below 1) Hemo. 11,

Platelets 79. RBC 3.75

Doctor put me on Levaquin 7 days again – said I couldn’t get any

more

shots right now. When does that Neulestra shot kick

in? To have blood tests

again in the AM. Feel awful – is this usual? He is keeping me

on prednisone

on a step down from 60 mg for 7 days./ went to 40 today and

tomorrow/

then 20/ then 10 rest of month.

My next treatment is scheduled for 1 month instead of 3 weeks. ( Jan 3)

Does

that make any difference in treatment benefits? Thought is was always

suppose

to be every 3 weeks. Just concerns I can’t help but think about.

I feel his nurse is doing the doctoring, for I never talk to doctor. Had

low grade

fever 99.8 and under today.

Dr. Furman, just little on Neulestra shot if possible. Is the white count

to be concerned about?

Thanks

Barbara Nicklaus – ’s friend in Arkansas

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Question:

Took Neulestra shot 24 hrs. after last chemo last week.

On day 7 WBC plummeted to 400. Test next day still

lower - . Does this shots not work sometime? If you

have had a Neulestra, can you still take Neuprogen before

next treatment?

Barb N. in Arkansas

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, Shot finally kicked in yesterday. Blood tests this am

show WBC up to 11000. Feel 100% better. It took a good

9 days for it to kick in though. Going to talk to doc about

that.

Mouth is getting better now too, so can eat.

Have a good week.

Barb N. in Arkansas

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