What is Neulasta: Uses, Warnings & Interactions

How to take Neulasta

• Injection routeYour doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin.

• Injection routeA nurse or other health provider will give you this medicine.

• Injection routeYou may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.

• Start using the medicine 24 hours or more after you finish your chemotherapy. However, do not use it within 24 hours before you begin another chemotherapy treatment.

• Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

• Allow this medicine to warm to room temperature for 30 minutes before you use it.

• Do not shake the syringe. Use the syringe only once. Do not save leftover medicine.

• Missed dose: This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor, home health caregiver, or treatment clinic for instructions.

• Neulasta® single-use prefilled syringe: If you store this medicine at home, keep it in the refrigerator. Do not freeze. If the medicine is accidentally frozen, let it thaw out in the refrigerator before you use it. If the medicine freezes a second time, do not use it. Keep the medicine in the carton and away from heat or direct light. The medicine can stay out of the refrigerator for up to 48 hours. Throw away any medicine that has been out of the refrigerator for more than 48 hours.

• Neulasta® Onpro„¢ kit: Keep the medicine in the carton and away from heat or direct light. The medicine can stay out of the refrigerator for up to 12 hours. Throw away any medicine that has been out of the refrigerator for more than 12 hours.

• Injection routeThrow away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

• Injection routeA nurse or other health provider will give you this medicine.

• Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

• Missed dose: This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor, home health caregiver, or treatment clinic for instructions.

• Injection routeThrow away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

• Start using the medicine 24 hours or more after you finish your chemotherapy. However, do not use it within 24 hours before you begin another chemotherapy treatment.

• Injection routeYour doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin.

• Do not shake the syringe. Use the syringe only once. Do not save leftover medicine.

• Injection routeYou may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.

• Neulasta® Onpro„¢ kit: Keep the medicine in the carton and away from heat or direct light. The medicine can stay out of the refrigerator for up to 12 hours. Throw away any medicine that has been out of the refrigerator for more than 12 hours.

• Allow this medicine to warm to room temperature for 30 minutes before you use it.

• Neulasta® single-use prefilled syringe: If you store this medicine at home, keep it in the refrigerator. Do not freeze. If the medicine is accidentally frozen, let it thaw out in the refrigerator before you use it. If the medicine freezes a second time, do not use it. Keep the medicine in the carton and away from heat or direct light. The medicine can stay out of the refrigerator for up to 48 hours. Throw away any medicine that has been out of the refrigerator for more than 48 hours.

What to do if you miss a dose of Neulasta

Neulasta contraindications

• This medicine is not right for everyone. Do not use it if you had an allergic reaction to pegfilgrastim or filgrastim.

Neulasta warnings

• Unusual bleeding, bruising, tiredness, or weakness

• Trouble breathing or fast breathing

• Swelling in your face, ankles, or feet

• Keep all medicine out of the reach of children. Never share your medicine with anyone.

• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

• Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.

• On-body Injector (OBI) for Neulasta®: Keep the injector at least 4 inches away from electrical equipment, including cell or cordless phones, microwaves, and other appliances.Do not use hot tubs or saunas while you are wearing the injector. Do not expose the injector to sunlight. Do not sleep on the injector. Call your doctor if the injector comes off before or during a dose.Keep the injector dry at least 3 hours before the dose is scheduled to start. This will help you notice any leaks. Call your doctor if the bandage becomes wet or the medicine is dripping.The injector is programmed to deliver your dose about 27 hours after it is placed on your skin. It will take about 45 minutes for the dose to be given. Avoid activities, including driving and traveling, that may interfere with the injector 1 hour before the dose starts, while it is being given, and for at least 1 hour afterward.You should avoid airport X-ray scans and request a manual pat down instead.You should avoid sleeping on the OBI for Neulasta® or applying pressure on the OBI for Neulasta®. Doing so may prevent the OBI from working properly.You should avoid getting body lotions, creams, oils, and cleaning agents near the OBI for Neulasta® as these products may loosen the adhesive that holds the OBI into your body.

• This medicine may cause the following problems:Spleen problemsLung problems (including acute respiratory distress syndrome)Kidney problemsCapillary leak syndromeAortitis (inflammation of the aorta, the largest artery in the body)

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, lung disease, breathing problems, or sickle cell disease. Tell your doctor if you have an allergy to acrylic adhesives or latex.

Neulasta interactions

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, lung disease, breathing problems, or sickle cell disease. Tell your doctor if you have an allergy to acrylic adhesives or latex.

• This medicine may cause the following problems:Spleen problemsSerious lung problemsKidney problemsCapillary leak syndrome

• On-body Injector for Neulasta®: Keep the injector at least 4 inches away from electrical equipment, such as cell or cordless phones, microwaves, and other appliances.Do not use hot tubs or saunas while you are wearing the injector. Do not expose the injector to sunlight. Do not sleep on the injector. Call your doctor if the injector comes off before or during a dose.Keep the injector dry at least 3 hours before the dose is scheduled to start. This will help you notice any leaks. Call your doctor if the bandage becomes wet or the medicine is dripping.The injector is programmed to deliver your dose about 27 hours after it is placed on your skin. It will take about 45 minutes for the dose to be given. Avoid activities, such as driving and traveling, that may interfere with the injector 1 hour before the dose starts, while it is being given, and for at least 1 hour afterward.

• Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.

• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

• Keep all medicine out of the reach of children. Never share your medicine with anyone.