Neulasta - Is there risk, danger of having WBC being too high?
Question posted by DBJ1 on 22 Aug 2012
Last updated on 27 November 2016
Answers
No, there isn't the risk that Neulasta will cause too high WBC count. Usually the counts are non-existant when this is given and it can take a few days to see any count at all. The patient will be monitored on regular basis and Neulasta should be stopped when neutrophil count comes up to a level approved by whatever protocol is being followed.
If the white blood cell count is low or zero it can take even up to (or more than a week) before any neutrophils even appear. All the best.
Yes, there is a danger that Neulasta will cause a WBC that is too high.
We have a patient here who is near death because the oncologist injected Neulasta the day after chemo treatment without first checking WBC. The patients' WBC was 8.8 prior to chemo. The oncologist injected the patient with Neulasta the day after chemo without first checking WBC. The following day the patient was admitted to the hospital, stating they had difficulties breathing. One day later the patients heart rate jumped to around 140, blood oxygen dropped into the 70's, and the patient was rushed to ICU. Four days later physicians are unsure as to the patients survival.
Related topics
neulasta, neutropenia associated with chemotherapy
Further information
- Neulasta uses and safety info
- Neulasta prescribing info & package insert (for Health Professionals)
- Side effects of Neulasta (detailed)
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