About
Pegfilgrastim is a pegylated form of recombinant human granulocyte colony-stimulating factor (G-CSF). It functions by stimulating the production, maturation, and release of neutrophils from the bone marrow. Neutrophils are a type of white blood cell crucial for fighting bacterial infections. This medication is primarily used to reduce the incidence of febrile neutropenia, a serious complication of myelosuppressive chemotherapy that can lead to life-threatening infections.
By accelerating neutrophil recovery, pegfilgrastim helps maintain chemotherapy schedules, reduces the risk of infection, and improves patient outcomes in oncology settings. Its pegylated formulation allows for a single dose per chemotherapy cycle, offering convenience and sustained action.
Uses
- Reduce incidence of febrile neutropenia
- Supportive care during myelosuppressive chemotherapy
- Mobilization of hematopoietic stem cells
- Severe chronic neutropenia (off-label for some G-CSFs)
Directions For Use
Administer as a single subcutaneous injection once per chemotherapy cycle, at least 24 hours after chemotherapy. Do not administer within 14 days before the next chemotherapy dose.
Benefits
- Reduces risk of life-threatening infections.
- Prevents chemotherapy-induced neutropenia.
- Allows for on-schedule chemotherapy cycles.
- Improves patient safety during cancer treatment.
- Convenient single dose per cycle.
- Stimulates white blood cell production.
Side Effects
- Bone pain
- Musculoskeletal pain
- Nausea
- Fatigue
- Headache
- Injection site reactions
- Splenic rupture (rare, serious)
- Acute respiratory distress syndrome (rare)
- Glomerulonephritis (rare)
- Leukocytosis
- Thrombocytopenia
- Allergic reactions
Safety Measures
- Alcohol - No direct interaction with alcohol. However, alcohol should be consumed in moderation, especially during chemotherapy.
- Pregnancy - Use only if clearly needed and potential benefits outweigh risks. Consult a doctor.
- Breastfeeding - Unknown if excreted in human milk. Exercise caution; consult a healthcare provider.
- Liver - No specific dose adjustment is typically required for liver impairment.
- Kidney - No specific dose adjustment is typically required for kidney impairment.
- Lung - Use with caution in patients with pre-existing lung conditions due to rare risk of acute respiratory distress syndrome (ARDS) or interstitial lung disease.
Disclaimer
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Always consult your doctor for any medical concerns, and discuss your questions about health conditions or medications with a qualified healthcare professional. Do not ignore or delay seeking professional medical advice based on information found on Med E Hub.
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