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Introduction About PEGSTIM 6MG INJECTION
PEGSTIM 6MG INJECTION contains Pegfilgrastim which belongs to the group of medicines called Colony stimulating factors. It is used to manage the destruction of white blood cells (WBC) in blood that is caused due to chemotherapy. It reduces the occurrence of neutropenia (low WBC count in blood) and febrile neutropenia (low WBC count in blood with fever) among patients receiving chemotherapy.
Talk to your doctor before receiving PEGSTIM 6MG INJECTION if you have any problems in your lungs or with blood circulation. You must also inform your doctor if you are allergic to Pegfilgrastim or filgrastim or have breast cancer, lung cancer or anemia as a precaution
Inform your doctor before receiving PEGSTIM 6MG INJECTION if you are pregnant or breastfeeding. The most common side effects of receiving PEGSTIM 6MG INJECTION are bone pain, nausea, headache, skin rashes, pain, redness and discomfort at the site of injection and muscle pain. Inform your doctor if any of these side effect troubles you.
Uses Of PEGSTIM 6MG INJECTION
- Prevents the risk of neutropenia and febrile neutropenia (low WBC count in blood) that is caused due to chemotherapy
How PEGSTIM 6MG INJECTION Works
PEGSTIM 6MG INJECTION works by stimulating the bone marrow to produce more white blood cells. It also enhances the survival of the white blood cells by protecting it against the harmful effects of chemotherapy. This reduces the risk of neutropenia and its associated complications (such as fever, flu, and risk of infections) among patients receiving chemotherapy.
How to use PEGSTIM 6MG INJECTION
PEGSTIM 6MG INJECTION should be administered beneath the skin (subcutaneously). It is either administered to you by a doctor or a nurse or can be self-administered if instructed by the doctor. Carefully follow the instructions given by your doctor in case of self-administration.
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.
Side Effects Of PEGSTIM 6MG INJECTION
Common
- bone pain
- nausea, headache
- skin rash
- pain, redness, bleeding or bruising at the site of injection
- general aches and pains in the joints and muscles
Uncommon
- inflammation of the blood vessels in the skin
- kidney damage
- coughing up blood
Rare
Inform your doctor immediately if you experience any of the following side effects:
- signs of allergic reactions (such as skin rash, itching, swelling of the face, lips, tongue and throat causing difficulty in breathing or swallowing)
- signs of severe skin reactions (such as skin redness, itching, blistering and peeling or skin, red circular patches or pin-point dots with raised bumps accompanied with fever and tiredness)
- cough, fever and difficulty in breathing
- swelling of body parts with low urine output, difficulty in breathing, abdominal swelling and feeling of fullness, and a general feeling of tiredness (signs of Capillary Leak Syndrome)
- signs of spleen problems (such as left upper abdominal pain or pain at the tip of shoulder)
- blood cancer (signs include tiredness, fever, and easy bruising or bleeding)
- signs of inflammation in the aorta (such as fever, stomach pain, tiredness, back pain and increased inflammatory markers)
How To Manage Side Effects
Headache
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Consult your doctor if your headache worsens.
Injection Site Reactions
Place an ice pack on the injected site. Do not move the affected area frequently. If the symptom worsens, consult your doctor.
Nausea And Vomiting
Stick to simple meals and avoid oil rich or spicy foods. Consult your doctor if nausea worsens.
Warning & Precautions
Pregnancy
Consult your doctorPEGSTIM 6MG INJECTION is not tested in pregnant women. Therefore, consult your doctor before this medicine is administered to you.
Breastfeeding
Monitoring requiredPEGSTIM 6MG INJECTION should be used in breast-feeding women only if considered necessary by the physician. Kindly consult your doctor before receiving it.
Driving and Using Machines
Use with CautionDo not drive or operate any machines if your ability is affected by PEGSTIM 6MG INJECTION.
Alcohol
ContraindicatedAvoid consumption of alcohol before receiving PEGSTIM 6MG INJECTION to avoid unwanted reactions.
Kidney
Use with CautionPEGSTIM 6MG INJECTION should be used with caution in patients with kidney diseases. Therefore, consult your doctor before receiving it.
Allergy
ContraindicatedTalk to your doctor before receiving PEGSTIM 6MG INJECTION if you are allergic to Pegfilgrastim or filgrastim.
Lungs
Use with CautionPEGSTIM 6MG INJECTION should be used with caution in patients with lung problems (such as recent, serious lung infection (pneumonia), pulmonary oedema (fluid build-up in lungs) or lung inflammation or an abnormal chest x-ray). Therefore, consult your doctor before receiving it.
Use In Pediatrics
ContraindicatedPEGSTIM 6MG INJECTION is not suitable for use in children and adolescents (aged below 18 years). Therefore, consult your doctor before receiving it.
Use In Geriatrics
Use with CautionPEGSTIM 6MG INJECTION should be used with caution in elderly patients (aged 65 years or older). Therefore, consult your doctor before receiving it.
Others
Before receiving PEGSTIM 6MG INJECTION, inform your doctor if you:
- are allergic to latex or acrylic adhesives
- have any problems with spleen
- have abnormal blood count (such as high or low RBC or platelet counts)
- have sickle cell anemia (low RBC count)
- have breast cancer or lung cancer
Interactions
A. Drug - Drug interactions:
Before receiving PEGSTIM 6MG INJECTION inform your doctor if you are taking any other prescription, non-prescription and over-the-counter medicines.
Overdosage:
PEGSTIM 6MG INJECTION will be administered to you only by a doctor or a nurse in a hospital, and so it is unlikely to receive an overdose. However, consult your doctor or nurse if you experience any unusual symptoms.
Synopsis
| Drug | : | Pegfilgrastim |
| Pharmacological Category | : | Colony Stimulating Factor |
| Therapeutic Indication | : | Prevents Neutropenia |
| Dosage Forms | : | Injection, Pre-Filled Syringe |
More Information
- Keep PEGSTIM 6MG INJECTION out of reach of children
- Store PEGSTIM 6MG INJECTION in a refrigerator between 2-8°C
FAQs About PEGSTIM 6MG INJECTION
Q: What is the use of PEGSTIM 6MG INJECTION?
A: PEGSTIM 6MG INJECTION is used to manage the destruction of white blood cells (WBC) in blood that is caused due to chemotherapy. It reduces the occurrence of neutropenia (low WBC count in blood) and febrile neutropenia (low WBC count in blood with fever) among patients receiving chemotherapy
Q: How PEGSTIM 6MG INJECTION works?
A: PEGSTIM 6MG INJECTION works by stimulating the bone marrow to produce more white blood cells. It also enhances the survival of the white blood cells by protecting it against the harmful effects of chemotherapy.
Q: When is PEGSTIM 6MG INJECTION given?
A: PEGSTIM 6MG INJECTION is given after 24 hours of your last dose of chemotherapy at the end of each chemotherapy cycle.
Q: Where PEGSTIM 6MG INJECTION should be administered?
A: PEGSTIM 6MG INJECTION should be administered beneath the skin (subcutaneously). It is either administered to you by a doctor or a nurse or can be self-administered if instructed by the doctor.
Q: What are the side effects of PEGSTIM 6MG INJECTION?
A: The most common side effects of receiving PEGSTIM 6MG INJECTION are bone pain, nausea, headache, skin rashes, pain, redness and discomfort at the site of injection and muscle pain. Inform your doctor if any of these side effect troubles you.
Q: Can PEGSTIM 6MG INJECTION be given during pregnancy?
A: PEGSTIM 6MG INJECTION is not tested in pregnant women. Therefore, consult your doctor before this medicine is administered to you.
Q: Will PEGSTIM 6MG INJECTION reduce the effects of chemotherapy?
A: PEGSTIM 6MG INJECTION will only manage from the harmful effects of chemotherapy. It does not reduce the effectiveness of chemotherapy.
Q: Is PEGSTIM 6MG INJECTION effective?
A: Yes. PEGSTIM 6MG INJECTION effectively manages the risk of low WBC count among patients receiving chemotherapy.
References
1. Goodman & Gilman’s: The Pharmacological Basics of Therapeutics. Inflammation, Immunomodulation and Hematopoiesis. 12th Edition. Page – 1075.
2. Savannah D. Parker; Nafisa King; Tibb F. Jacobs. Pegfilgrastim. StatPearls. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. August 2022. [Accessed on 14th February 2023]. https://www.ncbi.nlm.nih.gov/books/NBK532893/
3. Zhisheng Zhang, Huan Li, Jiacheng Zhang, Xuan Ye, Hongyue Liu, Qing Zhai, Bo Yu, Qiong Du. Effect of 3 mg versus 6 mg pegfilgrastim on the prevention of febrile neutropenia in breast cancer patients receiving docetaxel and cyclophosphamide: a retrospective study. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. Pubmed.gov. May 2021. [Accessed on 14th February 2023]. https://pubmed.ncbi.nlm.nih.gov/33977742/
4. Amgen Europe B.V. Neulasta 6 mg solution for injection pegfilgrastim. Electronics Medicines Compendium. [Revised in June 2021]. [Accessed on 14th February 2023]. https://www.medicines.org.uk/emc/files/pil.10091.pdf
5. Amgen Inc. NEULASTA® (pegfilgrastim) injection, for subcutaneous use. U.S. Food and Drug Administration. [Revised in April 2019]. [Accessed on 14th February 2023]. https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/125031s198lbl.pdf
Useful Diagnostic Tests
- Complete Blood count
- Peripheral Smear Examination
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