Sorry, we do not offer this product as it requires refrigeration during shipping.
(peg fil gra' stim)
- you should have a caregiver with you the first time you receive a dose of pegfilgrastim or anytime the On-body injector is applied to the back of your arm.
- you will need to monitor the On-body Injector while the entire dose of pegfilgrastim is injected in your body, so you should avoid activities and being in places that may interfere with monitoring while you are receiving the dose of filgrastim and for 1 hour afterwards.
- you should not travel, drive a car, or operate machinery 1 hour before and 2 hours after you receive your dose of pegfilgrastim with the On-Body Injector.
- you should make sure that you keep the On-Body Injector at least 4 inches away from electric appliances and equipment including cell phones, cordless telephones, and microwave ovens.
- you should avoid airport x-rays and request a manual pat down if you have to travel after the On-body Injector is applied to your body and before you receive your dose of pegfilgrastim.
- you should immediately remove the On-body Injector if you have an allergic reaction while you are receiving your dose of pegfilgrastim by grabbing the edge of the adhesive pad and peeling it off. Call your doctor immediately and get emergency medical treatment.
- you should call your doctor immediately if the On-body Injector device comes off of your skin, if the adhesive becomes noticeably wet, if you see dripping from the device, or if the status light flashes red. You should keep the On-body Injector dry for 3 hours before you receive your dose of pegfilgrastim to help you notice if your device starts to leak while you are receiving your dose.
- you should avoid being exposed to medical imaging studies (X-ray scan, MRI, CT scan, ultrasound) or oxygen rich environments (hyperbaric chambers).
- you should avoid sleeping or applying pressure on the On-body Injector device.
- you should avoid hot tubs, whirlpools, saunas, and direct sunlight.
- you should avoid using lotions, oils, creams, and cleansers on your skin near the On-body Injector device.
Before using pegfilgrastim,
- tell your doctor and pharmacist if you are allergic to pegfilgrastim, filgrastim (Neupogen), medications that are made using the bacteria E. coli, or any other medications. Ask your pharmacist if you do not know if a medication you are allergic to is made using E. coli. Also tell your doctor if you or the person who will be injecting pegfilgrastim for you is allergic to latex or acrylic adhesives.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention lithium (Eskalith, Lithobid). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you are being treated with radiation therapy,or if you have or have ever had cancer of the blood or bone marrow, an enlarged spleen (an organ located under the ribs that is needed to clean the blood and fight infection), or kidney problems.
- tell your doctor if you have sickle cell disease (a blood disease that may cause painful crises, a low number of red blood cells, infection, and damage to the internal organs). If you have sickle cell disease, you may be more likely to have a crisis during your treatment with pegfilgrastim. Call your doctor right away if you have a sickle cell crisis during your treatment.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using pegfilgrastim, call your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are using pegfilgrastim.
- you should know that pegfilgrastim decreases the risk of infection, but does not prevent all infections that may develop during or after chemotherapy. Call your doctor if you develop signs of infection such as fever; chills; rash; sore throat; diarrhea; or redness, swelling, or pain around a cut or sore.
- redness, swelling, bruising, itching or a lump in the area where the medication was injected
- bone, joint, or muscle pain
- pain in the left upper part of the stomach or the tip of your left shoulder
- shortness of breath
- trouble breathing
- fast breathing
- swelling of the face or around the mouth or eyes, stomach, feet, ankles, or lower legs
- decreased urination
- dark brown or bloody urine