Ellie,
Here in the States Neulasta is given the day following some chemo infusions. It is generally given with therapies that drop the white cell count appreciably and where there is not enough time between infusions for the counts to climb back up. With dose dense ACTH, which is administered every other week, Neulasta is given as there is not enough time for the WBC's to return to an acceptable level. With TCH it is on as needed basis depending on the white count, but is often not employed as there are 3 weeks between infusions and therefore time for the white count to rise.
I was delivered 2 syringes of Neulasta per month at a cost of $6000. The day following my infusion I self-administered one of the Neulasta syringes.
Hang in there, Ellie! This cancer stuff just absolutely blows!!!!!
__________________
Smile On!
Laurel
Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
0/5 nodes
4 AC, 4 TH finished 9/08
Herceptin every 3 weeks. Finished 7/09
Tamoxifen 10/08. Switched to Femara 8/09
Bilat SPM w/reconstruction 10/08
Clinical Trial w/Clondronate 12/08
Stopped Clondronate--too hard on my gizzard!
Switched back to Tamoxifen due to tendon pain from Femara
15 Years NED
I think I just might hang around awhile....
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