Neupogen Back-To-Back Days

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meatie
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Location: San Jose, CA

Neupogen Back-To-Back Days

Postby meatie » Wed Apr 13, 2016 4:46 pm

My mom is getting a single neupogen shot on 3 consecutive days right after 5fu pump removal, instead of 3 shots spread out over the "bye week". Anyone had similar experiences?
Last edited by meatie on Wed Apr 13, 2016 6:49 pm, edited 1 time in total.
Mother DX @59 8/14
cln+lvr res 9/14, stage 4
FOLOX+Avs 12-rd 10/14 to 4/15
Reoccurrence, KRAS mutant 11/15
Folfiri 18-rds 11/15-8/16
FOLFIRI with Ramicirumab 28-rds 8/17-9/18
Regorafenib 10/18-10/19
Lonsurf 10/19 onward
Folfox rechallenge 05/20
Regonivo (Opdivo+Stivarga) 08/20

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Bev G
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Location: Quechee, VT

Re: Neupogen Back-To-Back Days

Postby Bev G » Wed Apr 13, 2016 4:57 pm

When my husband (lymphoma) was being prepared for his stem cell transplant he received SIX Neupogen shots EACH day for 8 days.
58 yo Type1 DM 48 years
12/09 Stage IV 2/22 nodes + liver met, colon resec
3 tx FOLFIRI, liver resec 4/10
9/10 6 mos off chemo, Neg PET&CTC CEA nl
2/11 finished total 10 rounds chemo

9/13 ^17th clean PET/CT NED for now

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meatie
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Location: San Jose, CA

Re: Neupogen Back-To-Back Days

Postby meatie » Wed Apr 13, 2016 6:48 pm

My original post was poorly worded. Let me clear it up.

My mother had a single neupogen shot each day for three consecutive days two weeks ago. The first one was given right after the 5fu pump was removed on wednesday (march 30th) . Then one on both the thursday (march 31th) and friday (april 1) of the same week. Then nine days passed, and on monday this week (april 11th), her neutriphil was too low, and was given a neupogen shot the same day, and infusion was pushed back to april 13. We returned today (april 13), her neutrophil level was okay, and got the infusion done.

Why was the neupogen shots given on 3-30, 3-31, and 4-1, instead of let's say 4-4, 4-6, 4-8?
Mother DX @59 8/14
cln+lvr res 9/14, stage 4
FOLOX+Avs 12-rd 10/14 to 4/15
Reoccurrence, KRAS mutant 11/15
Folfiri 18-rds 11/15-8/16
FOLFIRI with Ramicirumab 28-rds 8/17-9/18
Regorafenib 10/18-10/19
Lonsurf 10/19 onward
Folfox rechallenge 05/20
Regonivo (Opdivo+Stivarga) 08/20

JDinNC
Posts: 771
Joined: Fri Jul 05, 2013 9:49 pm
Location: Murphy, N.C.

Re: Neupogen Back-To-Back Days

Postby JDinNC » Wed Apr 13, 2016 7:50 pm

Yes...near the end of my chemo treatments I had to recieve neupogen shots for three days in a roll. I believe I had this done four times.....to kick my WBC back up...though I never had to miss a treatment.
61 y/o female @ DX...........
T3N0M1
6/13 DX- stage 4
Sigmoid colon cancer.
One met to lung
7/13 colon resection
8/13 lung resection
7/17 four years....NED
8/18 five years....NED
MELANOMA
63 y/o @ DX
6/15 stage 2a
7/15 surgery on arm
7/15 NED
4/16 recurrance
5/16 remove metastasis from back
5/16. Started immunotherapy
8/16 discontinue treatment
7/18...PET scan...NED

orcasres
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Location: Orcas Island, WA

Re: Neupogen Back-To-Back Days

Postby orcasres » Wed Apr 13, 2016 10:26 pm

I had only one neupogen shot during each FOLFOX cycle and it was the day before my next infusion. Never had low neutrophils again after they started doing that. I would ask why they are not giving the shots closer to her next injection. It is my understanding that with Neulasta they give it after the infusion, not right before the next one, but I could be mistaken on that. Lois
63 yo F
Colon resection Sept. 2010
pT3N0M0 Stage 2A
Medullary Tumor 6.5cm long
Lymphovascular invasion
Lynch negative
12 FOLFOX 11/2010 to 5/2011 8 w/Oxi
NED so far

Deborah614
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Facebook Username: Deborah Melchi

Re: Neupogen Back-To-Back Days

Postby Deborah614 » Wed Apr 13, 2016 10:51 pm

I needed 22 neupogen shots to complete 8 rounds of Folfox. They were given consecutively 24 hours after treatment for 4 or 5 days. I was a hot mess during chemo, but lived to tell the tale:)
Deb.
dx 12/17/14
stage 2 rectal cancer T3N0M0
standard treatment 28 days radiation w/xeloda, surgery, 8 rounds Folfox
22 shots neupogen 32 days in hospital for infections
60 years old
mother of 6, grandmother of 10, wife of 1 for 35 years
Jeremiah 29:11
05/28/15 APR, Barbie butt, permanent colostomy
May 2016 Cat scans NED!
May 2016 mammogram
June 2016 invasive ductal carcinoma breast cancer left breast stage1
August3 '16 mastectomy with reconstruction, genetic screening scheduled

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Dave Hudson
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Re: Neupogen Back-To-Back Days

Postby Dave Hudson » Thu Apr 14, 2016 5:42 am

I was a 14 day cycle of FOLFOX and received three doses on days 11, 12 and 13. I would stop the day before treatment began. I went from being is a state of neutropenia to consistently having high neutrophil counts. The stuff was very effective for me.
Rectal Cancer 45 yo M - diagnosed July 2, 2015
Chemoradiotherapy with oral Capcetabine - July 20 - August 27, 2015
Laprascopic assisted low anterior resection and ileostomy - October 22, 2015
Path report - T3N1bM0, 2/31 lymph nodes positive + vascular invasion Stage IIIc- October 30,2015
Chest port insertion Dec 1/15, start 4 months FOLFOX on a 2 week cycle - December 3, 2015 -March 19,2016
Ileostomy reversal surgery - May 30, 2016
CT scan clear NED - July 6, 2016
Colonoscopy clear - October 22, 2016

Deb m
Posts: 558
Joined: Tue Jan 14, 2014 10:08 am

Re: Neupogen Back-To-Back Days

Postby Deb m » Thu Apr 14, 2016 8:16 am

Yes, I remember my husband getting back to back shots for low wbc a few times during his folfox days.

deb m


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