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Neulasta 6mg/0.6ml prefilled syringe

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Neulasta is used for:

Decreasing the incidence of infection in certain cancer patients undergoing myelosuppressive cancer treatments.

Neulasta is an amino acid. It works by stimulating bone marrow to produce white blood cells, which fight infection.

Do NOT use Neulasta if:

  • you are allergic to any ingredient in Neulasta , filgrastim, or Escherichia coli (E. coli)-derived proteins

Before using Neulasta :

Some medical conditions may interact with Neulasta . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have other blood problems (eg, sickle cell anemia), bone marrow leukemia, spleen problems, lung or breathing problems, or a blood or tissue infection
  • if you are or will be undergoing chemotherapy or radiation therapy

Some MEDICINES MAY INTERACT with Neulasta . Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Lithium because it may increase the risk of Neulasta ‘s side effects

How to use Neulasta :

Use Neulasta as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Neulasta . Talk to your pharmacist if you have questions about this information.
  • Neulasta is usually given as an injection at your doctor’s office, hospital, or clinic. If you will be using Neulasta at home, a health care provider will teach you how to use it. Be sure you understand how to use Neulasta . Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
  • Do not shake Neulasta .
  • Do not use Neulasta if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
  • If you miss a dose of Neulasta , contact your doctor right away.

Important safety information:

  • Serious and sometimes fatal spleen problems (including spleen rupture) have been reported in patients using Neulasta . Notify your doctor immediately if you experience left-sided upper stomach pain and/or shoulder tip pain.
  • Neulasta may reduce the chance of infection, but it does not prevent all infection. Tell your doctor right away if you notice symptoms of infection (eg, fever; chills; sore throat; diarrhea; redness, swelling, or pain around a cut or sore) while you take Neulasta .
  • Tell your doctor if you develop a lump, swelling, or bruising at the injection site that does not go away.
  • Tell your doctor or dentist that you take Neulasta before you receive any medical or dental care, emergency care, or surgery.
  • Lab tests, including blood cell counts, may be performed while you use Neulasta . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Neulasta should not be used in INFANTS, CHILDREN, or SMALLER ADOLESCENTS weighing less than 100 pounds (45 kilograms); safety and effectiveness have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Neulasta while you are pregnant. It is not known if Neulasta is found in breast milk. If you are or will be breast-feeding while you use Neulasta , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Neulasta :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bone or joint pain; constipation; muscle pain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; dizziness; fast heartbeat; increased sweating; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); fast breathing; fever; left-sided shoulder tip pain; left-sided upper stomach pain; a lump, swelling, or bruising at the injection site; severe or persistent bone, chest, joint, or stomach pain; shortness of breath; swelling of the hands, feet, arms, or legs; wheezing.

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