Low white blood cell count

Posted by deb1961 @deb1961, 4 days ago

Good afternoon . I was wondering how common it is for white blood cell count to be low and have to put off Chemo for a week.

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I receive a Nulasta shot to keep WBC high. Ask your doctor. Good luck.

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Hi, it is common for white blood cell count to go down. It did happen to me once. How many chemotherapy treatments have you or they had. Also I had a shot of Dexamethasone to release white blood cells from my bone marrow. That raised my white blood cell count so I could continue my treatments. Hope this helps wishing you the best!! Scott

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They have had 1 chemo treatment. Thank you for the info

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Most chemo regimens, particularly those that contain oxaliplatin exert a marrow suppression effect which inhibits the production of white blood cells. They may induce marked reductions in your neutrophil counts (neutropenia) which renders the patient more susceptible to infections (viral, bacterial, fungal). Many physicians will order injections of colony stimulation factors such as filogastrin to stimulate your bone marrow's production of neutrophils and other white blood cells.
You may also chemo experience chemo related abemia, which is characterized by a reduction in your red blood cell numbers and hemoglobin. This may be addressed by transfusion of whole blood units in severe cases, infusion of iron supplements (ferlicit) or in rare cases they may administer erythopoietin (EPO) drugs to stimulate the increased red blood cell production.

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Thank you for the information

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Hi Deb, my WCC was marginal during chemotherapy on a few occasions. My understanding is that this is a routine problem. All the best with the treatment

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