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Pegfilgrastim

Uses of Pegfilgrastim

  • Pegfilgrastim is primarily used to decrease the risk of infection in patients receiving myelosuppressive anti-cancer chemotherapy that may decrease the number of neutrophils to fight infection. It belongs to the class of recombinant human granulocyte colony-stimulating factor (G-CSF) analogues.

Side effects of Pegfilgrastim

  • Bone pain

  • Pain in extremity

  • Muscle pain

  • Injection site pain

How Pegfilgrastim works

  • Pegfilgrastim is a type of long-lasting colony-stimulating factor.

  • It works by stimulating the bone marrow, which is the spongy tissue inside your bones, to produce more neutrophils. Neutrophils are a type of white blood cell that plays a crucial role in fighting off bacteria and infections. When Pegfilgrastim attaches to a particular receptor on these young blood cells, it triggers various processes within the cell that lead to increased production and maturation of neutrophils. The end result is a larger pool of mature neutrophils ready to fight off any potential infections, which is particularly beneficial for patients undergoing chemotherapy who are at risk of getting serious infections.

Certified content

Written By

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Dr. Michelle FrankMedical Content Writer| 8 years

Doctor of Medicine

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Pegfilgrastim is available for use via the subcutaneously (solution).

Age and Dose Restrictions

  • This medicine can be used by adults and children according to the doctor's prescription.

Contraindications

  • Pegfilgrastim is contraindicated in patients with known severe allergic reactions to filgrastim or pegfilgrastim. It should be used with caution in patients with a history of splenic rupture, adult respiratory distress syndrome (ARDS), glomerulonephritis (a type of kidney inflammation), leukocytosis (high white blood cell count), thrombocytopenia, or capillary leak syndrome.

Other Medications to Avoid

  • No formal medication interactions have been identified, but Pegfilgrastim may increase the myeloproliferative effects of medicine like lithium.

Overdose and Missed Dose

  • If an overdose of Pegfilgrastim occurs, white blood cell counts should be closely monitored, and general supportive measures should be initiated as needed.

  • If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and proceed with your regular schedule.

Management of Side Effects

  • Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any symptoms, please consult your doctor.

  • Applying a cold pack at the injection site might help to relieve local discomfort.

Use in Driving and Operating Machinery

  • It is unlikely that Pegfilgrastim will affect your ability to drive or operate machinery. However, as individual responses may vary, it is best to avoid such activities if you feel unwell or experience any side effects that might affect your abilities.

Use in Pregnancy and Lactation

  • It should only be used during pregnancy only if the potential benefit justifies the potential risk to the foetus. Caution is exercised when using this medicine during pregnancy and breastfeeding.

Caution in Other Conditions

  • Patients with sickle cell disorders should use Pegfilgrastim with caution, as it may increase the risk of a sickle cell crisis.

  • Caution should be exercised regarding its use in patients with severe renal impairment or hepatic impairment.

Special Dietary and Lifestyle Recommendations

  • Adequate rest is essential for recovery from illness and to counteract fatigue associated with chemotherapy. Ensure you get enough sleep every night.

Frequently asked questions

No, Pegfilgrastim is not a steroid. It is a recombinant human granulocyte colony-stimulating factor (G-CSF) analogue medicine.

There is no known direct effect of Pegfilgrastim on sleep. However, if you notice any changes in sleep patterns while taking this medicine, consult your doctor.

Pegfilgrastim is not known to impact fertility. If you have concerns about fertility, consult your doctor before starting this medication.

Always follow your doctor’s directions when taking Pegfilgrastim.

The peak serum concentrations of Pegfilgrastim are achieved in 16 to 120 hours post-administration.

Pegfilgrastim should be administered at least 24 hours after chemotherapy. Always follow your doctor's instructions regarding the timing of the injection.

The duration of treatment with Pegfilgrastim varies depending on individual patient needs and response to treatment. Always follow your doctor's instructions.

Terms & Conditions

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