{"id":17255,"date":"2021-11-11T14:15:24","date_gmt":"2021-11-11T22:15:24","guid":{"rendered":"https:\/\/ameripharmaspe.wpengine.com\/?p=17255"},"modified":"2025-12-30T17:25:35","modified_gmt":"2025-12-31T00:25:35","slug":"pegfilgrastim-neulasta","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/","title":{"rendered":"Pegfilgrastim (Neulasta)"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#What_Is_Pegfilgratism_Neulasta\" >What Is Pegfilgratism (Neulasta)?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#What_Is_Neutropenia\" >What Is Neutropenia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Mechanism_of_Action\" >Mechanism of Action<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#How_is_Neulasta_Used\" >How is Neulasta Used?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Available_Formulations\" >Available Formulations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Subcutaneous_Injection\" >Subcutaneous Injection<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Specialized_Skin_Patch_On-Body_Injector_OBI\" >Specialized Skin Patch (On-Body Injector, OBI)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Missed_Dose\" >Missed Dose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Storage\" >Storage<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Disposal\" >Disposal<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#What_To_Avoid_While_Taking_Pegfilgrastim\" >What To Avoid While Taking Pegfilgrastim<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Pregnancy_and_Neulasta\" >Pregnancy and Neulasta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Side_Effects\" >Side Effects<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Injection-Site_Pain\" >Injection-Site Pain<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Bone_and_Muscle_Aches\" >Bone and Muscle Aches<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Thrombocytopenia_Leukocytosis\" >Thrombocytopenia, Leukocytosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Lung_Problem_Called_Acute_Respiratory_Distress_Syndrome_ARDS\" >Lung Problem Called Acute Respiratory Distress Syndrome (ARDS)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Kidney_Injury\" >Kidney Injury<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Capillary_Leak_Syndrome_CLS\" >Capillary Leak Syndrome (CLS)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Inflammation_of_Blood_Vessels\" >Inflammation of Blood Vessels<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Rupture_of_the_Spleen\" >Rupture of the Spleen<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Less_severe_side_effects_can_include\" >Less severe side effects can include:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#Precautions\" >Precautions<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/#FAQs\" >FAQs<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Is_Pegfilgratism_Neulasta\"><\/span>What Is Pegfilgratism (Neulasta)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Pegfilgrastim (pronounced [peg fil GRA stim]), which is also known by the brand name, Neulasta, is a medication that helps your body make more white blood cells. It\u2019s used to raise the white blood cell count in people who receive certain chemotherapy or are exposed to high doses of radiation, which can both lower the white blood cell count. Neulasta was the first medication produced based on the active element pegfilgrastim. Pegfilgrastim is not chemotherapy. Clinics may still have special safety rules for handling any medication\u2014follow your clinic\u2019s rules. Several different biosimilars based on Neulasta have been produced to date. Common U.S. biosimilars include Fulphila, <a href=\"https:\/\/ameripharmaspecialty.com\/cancer\/everything-you-need-to-know-about-udenyca-for-cancer-patients\/\">Udenyca<\/a>, <a href=\"https:\/\/ameripharmaspecialty.com\/cancer\/ziextenzo-preventing-and-treating-febrile-neutropenia-in-cancer-patients\/\">Ziextenzo<\/a>, Nyvepria, Stimufend, and Fylnetra.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-e297e2121b31b8f1638184217bd77571\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tSpeak to a Chemo Specialist\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Is_Neutropenia\"><\/span>What Is Neutropenia?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Neutropenia occurs when you have too few <a href=\"https:\/\/www.healthline.com\/health\/neutrophils\">neutrophils<\/a>, a type of white blood cell that helps our bodies fight off infections. Having neutropenia indicates a higher risk of developing serious bacterial and fungal infections. Neutropenia is a very common side effect of cancer patients undergoing chemotherapy. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Febrile neutropenia is a more serious condition where the neutrophil count drops to a dangerously low level where there are not enough white blood cells to fight off infections. This could potentially lead to life-threatening infections.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Mechanism_of_Action\"><\/span>Mechanism of Action<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Pegfilgrastim binds (attaches) to the granulocyte colony-stimulating factor (G-CSF) receptor to stimulate the bone marrow to make and release more infection-fighting neutrophils.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-91cf127d6ba27b9b466194c781d16213\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tSpeak to a Specialist About Copay Assistance\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">Consult a Chemo Specialist<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_is_Neulasta_Used\"><\/span>How is Neulasta Used?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Available_Formulations\"><\/span>Available Formulations<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Neulasta is given as an injection under the skin. It is available as a prefilled syringe and as the Onpro on-body injector (OBI) that gives the dose later. Neulasta injection is available as a single-use prefilled syringe for subcutaneous injection at a dose of 6 mg\/0.6 ml. (Children and adults with very low body weight may get different doses\u2014your care team will guide this.)<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17256 alignright\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/11\/Pegfilgrastim-247x300.png\" alt=\"Pegfilgrastim (Neulasta)\" width=\"247\" height=\"300\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/11\/Pegfilgrastim-247x300.png 247w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/11\/Pegfilgrastim-71x86.png 71w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/11\/Pegfilgrastim-138x167.png 138w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/11\/Pegfilgrastim-231x280.png 231w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/11\/Pegfilgrastim.png 294w\" sizes=\"auto, (max-width: 247px) 100vw, 247px\" \/><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Subcutaneous_Injection\"><\/span>Subcutaneous Injection<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">You can inject into the stomach (at least 2 inches from the belly button), front of the thighs, upper outer arms, or upper outer buttocks. Don\u2019t use spots that are sore, red, bruised, scarred, or hard. Don\u2019t rub the injection site after the dose is given. The needle cap has dry natural rubber (a kind of latex). If you\u2019re allergic to latex, don\u2019t handle the capped syringe. You should not attempt to give yourself a subcutaneous injection until you have received the appropriate training from your healthcare provider.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Specialized_Skin_Patch_On-Body_Injector_OBI\"><\/span>Specialized Skin Patch (On-Body Injector, OBI)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>The Onpro device is set to give your dose about 27 hours after it\u2019s put on, which is at least 24 hours after chemo. This is convenient for many patients because it saves them a trip to the doctor\u2019s office the day after receiving chemotherapy.<\/p>\n\n\n\n<p>If the device beeps, flashes, or you think it didn\u2019t give the full dose, call your clinic right away. They may give you a replacement shot.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Missed_Dose\"><\/span>Missed Dose<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">If you miss a dose, contact your physician immediately to reschedule. If the OBI malfunctions and fails to deliver medication as scheduled, consult your physician immediately to schedule for the administration of a manual injection as soon as possible.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Storage\"><\/span>Storage<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Store Neulasta in the refrigerator and avoid freezing. If frozen, thaw in the refrigerator before use. For the prefilled syringe, take it out of the fridge for about 30 minutes before the shot. Throw it away if it has stayed at room temperature for more than 48 hours. Do not shake the vials, and keep them protected from light by storing them in their original containers. The OBI kit should be kept refrigerated until 30 minutes prior to use and should not be left at room temperature for more than 12 hours.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Disposal\"><\/span>Disposal<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Dispose of Neulasta if it has been left at room temperature for more than 48 hours for the syringe or 12 hours for the OBI kit. Dispose of Neulasta if it has been frozen more than once. After injection, dispose of any unused Neulasta left in the prefilled syringe. Be sure to dispose of the pre-filled syringes in an FDA-cleared sharps disposal container (not in the household trash).<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-94da878d7f813fde9041418b7882bd71\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tGet Chemotherapy Copay Assistance\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tChemotherapy\u00a0Financial Assistance\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left\"><span class=\"ez-toc-section\" id=\"What_To_Avoid_While_Taking_Pegfilgrastim\"><\/span>What To Avoid While Taking Pegfilgrastim<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">While on pegfilgrastim therapy, you must follow some precautions. Always tell your physician about any medication you are already taking. <\/span><b>Do not take any drug or medicine (even herbals or over-the-counter medications) without prior consent from your physician or pharmacist<\/b><strong>,<\/strong><span style=\"font-weight: 400;\"><strong> as they may have interactions with Neulasta.<\/strong> Avoid taking Neulasta within 14 days before or 24 hours after having chemotherapy.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Pregnancy_and_Neulasta\"><\/span>Pregnancy and Neulasta<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Pregnant women, women who are planning to become pregnant, and breastfeeding women must consult a physician prior to initiating Neulasta. There isn\u2019t much information on pregnancy or breastfeeding. Talk with your provider to discuss the medication\u2019s risks and benefits for you and your baby.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Side_Effects\"><\/span>Side Effects<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">As with any other medication, you may encounter side effects while taking pegfilgrastim. A few things to keep in mind are:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">You may not have all the side effects listed below. Many people may experience little to no side effects.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">The severity of side effects may vary from person to person, so do not compare your side effects with other people\u2019s experiences.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Most of the side effects will improve when therapy is discontinued.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Do not hide any symptoms; when you feel any discomfort, do not hesitate to tell your physician or pharmacist about it.<\/span><\/li>\n<\/ul>\n\n\n\n<p><b>Note<\/b><span style=\"font-weight: 400;\">: The side effects listed below are not a comprehensive list of all side effects. Talk to your doctor if you have questions.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Some of the more serious side effects of Neulasta are:<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Injection-Site_Pain\"><\/span>Injection-Site Pain<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Most needles are painful, but Neulasta is especially known for causing some pain in the injection site, even for a while after the injection is complete. This is also often accompanied by mild bruising, swelling, or redness at the injection site. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Injection site pain can be controlled using over-the-counter painkillers such as Tylenol or Motrin, but usually, it resolves on its own within a few days. Consult your doctor or pharmacist prior to starting any new over-the-counter therapies.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Bone_and_Muscle_Aches\"><\/span>Bone and Muscle Aches<strong><br><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">This is the most common side effect of Neulasta since it stimulates the bone marrow (a spongy substance found inside of bone), causing it to swell and cause potential bone pain. It commonly starts about 1 to 2 days after receiving a Neulasta dose and can last up to a week, depending on the person. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Bone or muscle pains can be controlled using over-the-counter painkillers such as Tylenol or Motrin. Consult your doctor or pharmacist before starting any new over-the-counter therapies. Some people try an antihistamine (like loratadine) for bone pain. Ask your provider first to see if this is right for you. Keep in mind that it doesn\u2019t work well for everyone.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-0afb98c3aabe45845bc2c1503e04336f\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tConsult a Chemotherapy Specialist\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tGet Chemotherapy Treatment Assistance\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">Schedule a Consultation<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Thrombocytopenia_Leukocytosis\"><\/span>Thrombocytopenia, Leukocytosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Your provider may check your blood cell counts. Sometimes white blood cells get very high, or platelets get low.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Lung_Problem_Called_Acute_Respiratory_Distress_Syndrome_ARDS\"><\/span>Lung Problem Called Acute Respiratory Distress Syndrome (ARDS)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Contact a physician or get emergency medical help right away if you have shortness of breath with or without a fever, trouble breathing, or a fast rate of breathing.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Kidney_Injury\"><\/span>Kidney Injury<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Kidney swelling (glomerulonephritis) can happen. Call your provider if you have puffy face\/ankles, blood in urine, or are urinating less.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Capillary_Leak_Syndrome_CLS\"><\/span>Capillary Leak Syndrome (CLS)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Neulasta can cause fluid to leak from blood vessels into your body\u2019s tissues. <a href=\"https:\/\/rarediseases.org\/rare-diseases\/systemic-capillary-leak-syndrome\/\">CLS<\/a> can quickly cause you to have symptoms that may become life-threatening. Get emergency medical help right away if you develop any of the following symptoms: swelling or puffiness, urinating less often, trouble breathing, swelling of the abdominal area, and feeling of fullness, dizziness, or faintness.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Inflammation_of_Blood_Vessels\"><\/span>Inflammation of Blood Vessels<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Aortitis (swelling of a big artery) can happen. Call your provider for fever, tiredness, or deep belly\/back pain.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rupture_of_the_Spleen\"><\/span>Rupture of the Spleen<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">A ruptured spleen is one of the most severe side effects of Neulasta. The spleen may become enlarged and may possibly rupture, which can be fatal. Call your doctor right away if you have pain in the upper left stomach (abdomen) or your left shoulder.<\/span><\/p>\n\n\n\n<p><strong>Note: <\/strong>Serious allergic reactions can happen\u2014rash, wheeze, face swelling, or trouble breathing, call 911. People with sickle cell disease can have a severe crisis\u2014get help right away if you have new pain or trouble breathing.<\/p>\n\n\n\n<p>Less severe, milder side effects include bone pain, arm\/leg pain, tiredness, headache, nausea, and redness at the injection site.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Less_severe_side_effects_can_include\"><\/span>Less severe side effects can include:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sweating<\/li>\n\n\n\n<li>Dark Urine<\/li>\n<\/ul>\n\n\n\n<div  id=\"call-to-action-94da878d7f813fde9041418b7882bd71\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tGet Chemotherapy Copay Assistance\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tChemotherapy\u00a0Financial Assistance\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Precautions\"><\/span>Precautions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Unless approved by your physician, pegfilgrastim is generally not recommended for:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b>Patients who have an allergy to human granulocyte colony-stimulating factors (CFS) such as <a href=\"https:\/\/ameripharmaspecialty.com\/other-health-conditions\/filgrastim-zarxio\/\">filgrastim<\/a> or pegfilgrastim products.<\/b><span style=\"font-weight: 400;\">&nbsp;Allergic reactions can cause a rash over the whole body, shortness of breath, wheezing, dizziness, swelling around your mouth or eyes, fast heart rate, and sweating. If you have any of these symptoms, stop using Neulasta, and call your doctor or get emergency help right away.<\/span><\/li>\n\n\n\n<li><strong>Patients with sickle cell disorder. <\/strong>Using Neulasta can lead to a condition called sickle cell crisis, which may be life-threatening and require discontinuation of Neulasta.<\/li>\n\n\n\n<li><strong>Patients receiving radiation therapy. <\/strong>In some people with breast or lung cancer, using pegfilgrastim with chemo and\/or radiation has been linked to a higher risk of certain blood cancers (MDS\/AML). Your team will watch for signs.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"FAQs\"><\/span>FAQs<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h4 class=\"wp-block-heading\">Is Neulasta a chemo agent?<\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">No, it is not a chemotherapy agent. Instead, it helps treat a major side effect of chemotherapy called neutropenia (low white blood cell count). <a href=\"https:\/\/ameripharmaspecialty.com\/oral-chemotherapy-cancer-drugs\/\">Chemotherapy drugs<\/a> are directed at combating your cancer cells, while Neulasta is designed to combat the after-effects of a chemotherapy session.<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How is Neulasta taken?<\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">Neulasta is only available as an injection. It can be injected subcutaneously (under the skin) or as a specialized skin patch (also known as an <a href=\"https:\/\/www.pi.amgen.com\/united_states\/neulasta\/neulasta_dtc\/#start\">on-body injector<\/a> [OBI] or Neulasta OnPro) programmed by a healthcare provider. You should not attempt to give yourself a subcutaneous injection until you have received the appropriate training from your healthcare provider. Make sure your dose is at least 24 hours after chemo and not within the 14 days before your next chemo.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pegfilgrastim (pronounced [peg fil GRA stim]), which is also known by the brand name, Neulasta, is a medication that helps your body make more white blood cells. It\u2019s used to raise the white blood cell count in people who receive certain chemotherapy or are exposed to high doses of radiation, which can both lower the white blood cell count.<\/p>\n","protected":false},"author":11,"featured_media":17612,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[4],"tags":[11],"class_list":["post-17255","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-other-health-conditions","tag-dr-dania-jaradat"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pegfilgrastim (Neulasta) - AmeriPharma\u00ae Specialty Care<\/title>\n<meta name=\"description\" content=\"Pegfilgrastim, which is also known by the brand name, Neulasta, is a hematopoietic agent that is used to treat neutropenia.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ameripharmaspecialty.com\/es\/other-health-conditions\/pegfilgrastim-neulasta\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pegfilgrastim (Neulasta) - 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