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lady4law View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Topic: Neulastia
    Posted: Jul 19 2007 at 4:29pm
Is it normal procedure to have neulastia the day after chemo? Iam having my first chemo tomorrow and suppose to have the neulastia Saturday.
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trip2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 3:44am
I know alot of ladies get them including me.  It can really make a difference during that nadir period, the first 7 to 10 days after chemo when your white blood cell count drops.  It helps keep them from dropping too low.
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peach View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote peach Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 5:04am
I get mine the day after chemo, they give it to me in my stomach I don't feel a thing.  Best of luck today.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote PineHouse Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 6:57am

I get my Neulasta the day after chemo too on my current chemo.

I had a different treatment 3 years ago where I had to give myself Neupogen (similar medication to boost WBC) injection once a day for a few days during the chemo cycle.  That was an interesting experience.

Stage IV lung-06/06 brain-12/08 BRCA1 TNBC
Avastin+Taxol,Carboplatin,PARP-Inhibitor,Navelbine+Xeloda,Avastin+Ixempra,Doxil+Cytoxan
Currently Abraxane+Gemzar (3/09)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MicheleM Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 9:44am
Hi.......

I had chemo on Fridays and then nuelasta on Sunday.......I think that's pretty standard.......
Michele

DX,8-04,IDC, Stage 2A, Gr.3, Lumpectomy/sentinel node biopsy, clear margins, triple negative, 4 A/C, 4 Taxol, 33 Rad
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lisa L Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 12:24pm
I also had neulasta the day following chemo.  The onc nurse taught my husband how to do it so we wouldnt have to go back for the shot.  It stings a little, but is over with quickly.  It goes just below your skin, not deep into a muscle.  It can cause muscle pain also, but it wasnt bad.  Good luck to you, and remember, if you have side effects, dont be afraid to call and ask for some differrent meds.  No need to suffer too much!  good luck to you.
Dx 8/05 age 43
mast & lat flap 10/05
Triple neg
BRCA neg
IDC 4.5cm rt br
0/1 sen node
6 A/C 5 Taxol, 25 rads 11/05-6/06
Central Illinois
Currently NED
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fd411 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fd411 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 2:01pm
When I was doing TAC, I got chemo on a Thursday and the Neulasta the following Monday. Usually the injection is given 24 hours after chemo.

For me, my counts went way down before the neulasta started to bring them back up.
Ferne
2006 - Stage IIIA IDC; TAC, lumpectomy, rads
5/07 Mets to lungs, chest, supe clav and axillary nodes
7/07 Skin mets, neck nodes
9/07 Liver mets, more nodes
1/08 Brain Mets, more nodes
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 4:56pm
THank you allI am very weell tonight and wll have amy neulasria to morroow. O hop rof feel better.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 21 2007 at 7:49am
Jean how did your first chemo treatment go?
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lady4law View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Jul 21 2007 at 3:14pm
CHmeo was't as babd as I thought it woudl be. May thing...as expected...was the IV. Grist nurse poked around both arms, put a hot pad on...then poked around some more. (We we first went in, we say a guy that always does my son;s chemo on the first try...he kept an eye out for me and asfter seeing her do this for about 10+ minutes, he can over and asked her if he coudl do it. ONe try but I started bleeding, so he had to juse the other arm. One try.
Tod ay he gave me my Nuelastia. ONE TRY...and I actually didn't feel a time. He ribbed my arm well putting the drug in , and the needle was very small. be great if her was my nurse next time.
Looks like my chemo has been changed from 3 cycles (3 weeks apart) to 6 treatments. Puts of fthe mastectomy until October? more chemo, the relocating my pacemaker than RADS....looks like a long year.
Jean
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 22 2007 at 4:33am
Jean, good, I'm glad your first treatment wasn't all that bad, that is a little tough when you don't have a port.  Hate the needle poking!  I wonder why they couldn't put a port in since you are having 6 instead of 3?
I'm also glad to hear you got your Neulasta shot, it should really help you during the next few days as it kicks in with your white blood cell count.
I'm sorry they have added more chemo treatments.  Yes it does make for a longer year but evidently they decided it was the best for  you.  Things will come, we are forced to learn patience and it is really hard to do.Smile
 
 
I have been dealing with my situation since early February, they just added 2 more treatments on me last week so I can understand a little of how you feel. 
 
I sure hope you get thru this as smoothly as possible.  Keep us posted and ask questions if you have them, we're here for you.
Stage 2 2003
Stage 1 2007
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bunnysmama Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 9:19am
Just out of curiosity, when all of you got (or are currently getting) your Neulasta, did you give it to yourself or did someone do the injection for you?  In my case, I got the prescription ahead of time (thank the lucky stars for health insurance - that stuff is exPENsive!!) and kept it in my fridge, then my chemo nurses would give me instructions on my treatment days for what time I should take the Neulasta the following day.  It was always a minimum of 24 hours later so that the chemo would have a chance to leave my system before I took the shot, otherwise the chemo would kill the effects of the Neulasta.  But I always gave myself the injection instead of having to go back to the hospital.  Just wondering how others do it.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 11:17am
I was first told I would have 3 chmeo treaments (cycles) then surgery, followed by more chemo. My Oncologist did mention any increase but my hosiptial papers said 6 chemos as scheudaled. With my son his cycles where 2 sesions. I wonder if I misundersstood her or if she did add 3 more after reviewing my PET/CT. SHe was very vague about the results. She just said the PET showed activity in my left breast, near the surgical site and under my arm (lymphnode). She did not explain what that "acticity" is.

I am having my husband contact my regualar GP, who also was sent the reportss, and ask if she coudl formward copies to us and explain thena littel better.

I have very little energy to day so forgive these psoting if it makes no sence.
Jean
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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lady4law View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 11:20am
I wondered about that also. M husband was a NYFD and paramedic for 17 years, he knows how to give shots. I woudl rahter he gave me the shot and save me from the trip all the way back to the hospital.

He doesn't neeed a lesson on how to give a shot, I woudl, but I coudl not do it, and would have to return to recieve the meds.
Jean
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lisa L Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 2:22pm
My onc nurse showed my husband how to give the shots so we were able to do it at home.  I felt like I was living at the doctos office already without going back another day!  They go in just under the skin in your belly so they are not to bad.
Dx 8/05 age 43
mast & lat flap 10/05
Triple neg
BRCA neg
IDC 4.5cm rt br
0/1 sen node
6 A/C 5 Taxol, 25 rads 11/05-6/06
Central Illinois
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Vicki G Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 2:31pm
I had Neulasta after each A/C. Chemo on Friday's and gave myself a shot on Saturday's. Then with Taxol they switched me to Neupogen. 7 shots for 7 days! Now that sucked! It was bad enough doing it once a week...That is one thing I could never get used to.

But I injected myself in my hip. The nurse showed me with the first injection but never mentioned my belly...Hmmmm.

And YES that stuff is a fortune!!!

Vicki

Lb Lumpectomy, IDC, Stage 2, Grade 3, 1+ node, 4 x A/C, 4 x Taxol, 33 x Rads. NED almost 4 yrs.
Los Angeles, Ca.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fd411 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 3:16pm
I went back to the infusion room at the hospital to get my shot. I don't think I could  give myself a shot or let a friend do it.
Ferne
2006 - Stage IIIA IDC; TAC, lumpectomy, rads
5/07 Mets to lungs, chest, supe clav and axillary nodes
7/07 Skin mets, neck nodes
9/07 Liver mets, more nodes
1/08 Brain Mets, more nodes
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 4:21pm
THe nurse asked me where I wanted it, stomach or arm...I took the arm. I thought it woudl hurt less.
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Jul 23 2007 at 4:23pm
That's waht happened to my son. He had a raction to the Nuelesta so they gave him the other drug. He also had to have a blood test done every day after 3 shots. Once his count reached a good number they stopped the shots.
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 24 2007 at 3:10am
Well I have to drive to my clinic 40 miles one way to get the Nuelasta shot the day after being there for chemo.  I have them give it in the hip since I have lymph nodes taken from both axillas.
I had thought maybe the ones who did them at home lived too far away so asked about it myself but my Onc nurse told me alot of insurance companies don't like the idea since they are so expensive.
Stage 2 2003
Stage 1 2007
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