When is Neulasta used?
Neulasta is used to support chemotherapy to boost the white cell count. Neulasta is not often used at the start of the first cycle of chemotherapy as in most cases it is not necessary (primary prophylaxis). The exception is “high dose” chemotherapy or when chemotherapy is given to people with a higher risk of neutropenia (e.g. the elderly or those who had previous courses of chemotherapy). Sometimes during conventional chemotherapy too many white cells are killed and the patient develops an infection which can be serious. Neulasta is sometimes used, as well as antibiotics, to treat the infection. Firstly, If the white cells (neutrophils) will not or are unlikely to recover by the time the next chemotherapy is due, your Oncologist has three choices: • Delay chemotherapy • Reduce the dose of chemotherapy • Give Neulasta By giving Neulasta, the chances of neutrophil recovery are increased. This would allow scheduled chemotherapy to be given as planned and prevent unnecessary chemotherapy
