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I' m 73 and was diagnosed in Febuary will Stage 4 metastatic PC Gleason 8 (4+4), also have some heart issues, 3 stents 1 year ago. I just had my 1st round of 6 cycle of Chemo-Taxotere 2 weeks ago to complete the "Triplet" treatment ( Lupron, Nubeqa & Taxotere). Just spent 6 days in the hospital with extremely low WBC of 0.3 and Abs-Neut of 0.04, was treated with daily injections of Nivestym to bring WBC and ABS-Neut back to the normal range. The hospital's oncologist suggested that if I had been given Neulasta the day after chemo I may have avoided all these issues. My regular oncologist had not even suggested it as a preventative measure after chemo.
Has anyone had good results using Neulasta the day after chemo in preventing major drops in WBC.

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Replies to "I' m 73 and was diagnosed in Febuary will Stage 4 metastatic PC Gleason 8 (4+4),..."

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.