Pegfilgrastim

Neulasta®


Uses


What is Pegfilgrastim for?

Pegfilgrastim is a medicine used to reduce your chance of getting an infection after chemotherapy. It stimulates the bone marrow to produce a particular kind of white blood cell that helps your body fight infection.

How should I take or use Pegfilgrastim?

It is a single dose subcutaneous (under the skin) injection. Pegfilgrastim should be administered at least 24 hours following your chemotherapy.

Before administration, ensure that the solution is clear and colourless, without any visible particles present. Avoid shaking the injection excessively.

What should I do if I forget to take or use Pegfilgrastim?

If you miss a dose of Pegfilgrastim, please contact your doctor immediately.


Precaution


What precautions should I take when taking or using Pegfilgrastim?

  • Inform your doctor if you:
    • Plan to get or suspect that you are pregnant
    • Intend to breastfeed

Side Effects


What are some common side effects of Pegfilgrastim?

  • Mild to moderate bone and/or muscle pain
    May be relieved by taking paracetamol.
  • Flu-like syndrome e.g. fever, chills, headache, body aches
    Usually occurs at start of treatment. Maintain hydration, drink lots of fluids and take paracetamol if necessary.
  • Headache
  • Mild skin rash may occur
    More common in patients with history of sensitive skin.
  • Pain and redness at injection site

Inform your doctor if any of the following occurs:

  • Fever of 38°C or higher
  • Sores in the mouth and throat
  • Chest pain and rapid irregular heartbeat
  • Severe bone and/or muscle pain
  • Allergic reaction e.g. rash, itch, swelling, dizziness and breathing difficulties

Handling


How should I store Pegfilgrastim?

  • Keep away from children
  • Keep in a cool, dry place, away from direct sunlight
  • Store in the refrigerator. Do not freeze.
  • Do not freeze.

    Pegfilgrastim may be allowed to sit at room temperature (up to 30°C) for a maximum period of 72 hours. Any injection left at room temperature beyond this period should be discarded.

How do I throw away Pegfilgrastim safely?

Dispose the needle in a hard, puncture-proof container. Do not attempt to re-cap the needle after use. Do not throw the exposed needle directly into the dustbin or leave it lying about.

How should I handle Pegfilgrastim safely?

Be careful to hold the syringe securely. Do not point the needle at anyone when uncapped.

Disclaimers

Please take note that the above is not a complete list of all possible side effects. If you have any concerns about your medication or if you have other side effects that you think are caused by this medication, please consult your doctor or pharmacist.

If you take more than the recommended dose, please seek medical advice immediately. The information provided on this page does not replace information from your healthcare professional. Please consult your healthcare professional for more information.

This article is jointly developed by members of the National Medication Information workgroup. The workgroup consists of cluster partners (National Healthcare Group, National University Health System, and SingHealth), community pharmacies (Guardian, Unity, and Watsons), and the Pharmaceutical Society of Singapore. The content does not reflect drug availability and supply information in pharmacies and healthcare institutions. You are advised to check with the respective institutions for such information.

Last Updated on September 2017



Need More Medicine?

Need More Medicine?

Use Medicine Order Service on HealthBuddy.


Medicines Reminder

Medicines Reminder

Get reminders and chart progress on HealthBuddy.


Understand Your Medicines
Understand Your Medicines

Learn to manage your medications in a series of easy-to-understand bite-size videos and infographics.

Health Articles