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DiscussionAnyone dealing with Low White Blood Cell count after treatment?
Prostate Cancer | Last Active: Jul 28, 2025 | Replies (11)Comment receiving replies
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YES--Neulasta injections the day after chemo are the way to go! My husband's white cell count plummeted the day after his first infusion of taxotere, and we had to race to the ER. He was diagnosed with febrile neutropenia and admitted and given Neulasta to bring the white cell count back up, as well as Tylenol for fever.
We learned that the oncologist hadn't mentioned Neulasta because insurance would not cover a Neulasta injection after a chemo infusion until after the patient has a crisis--ridiculous. But once the patient has neutropenia after an infusion, then a Neulasta injection the day after each subsequent infusion is covered.
Because my husband's chemo infusions were on Friday, and the infusion center is closed on the weekends, he got an OnPro device put onto his upper arm at the time of each infusion since we couldn't get the Neulasta the next day. The device automatically injected the Neulasta about 26 hours after the infusion. Only a tiny pin prick feeling at injection, and the device was easy to remove afterward.
So do get the Neulasta after each infusion, and ask about the OnPro device if you don't want to or can't return the next day for the injection.