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CANCEL CONTINUE

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The product information provided in this site is intended only for residents of the United States.

CANCEL CONTINUE

Important Safety Information

Who should not take Neulasta®?

Do not take Neulasta® if you have had a serious allergic reaction to Neulasta® (pegfilgrastim) or to NEUPOGEN® (filgrastim).

What should I tell my health care provider before taking Neulasta®? Tell your healthcare provider if you:

  • Have sickle cell trait or sickle cell disease
  • Have had severe skin reactions to acrylic adhesives
  • Are allergic to latex
  • Have problems with your kidneys
  • Have any other medical problems
  • Are pregnant or plan to become pregnant. It is not known if Neulasta® may harm your unborn baby.
  • Are breastfeeding or plan to breastfeed. It is not known if Neulasta® passes into your breast milk.


Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What are possible serious side effects of Neulasta®?

  • Spleen Rupture. Your spleen may become enlarged and can rupture while taking Neulasta®. A ruptured spleen can cause death. Call your doctor right away if you have pain in the left upper stomach area or left shoulder tip area. This pain could mean your spleen is enlarged or ruptured.
  • A serious lung problem called Acute Respiratory Distress Syndrome (ARDS). Call your healthcare provider or get emergency medical help right away if you get any of these symptoms of ARDS: fever, shortness of breath, trouble breathing, or a fast rate of breathing.
  • Serious Allergic Reactions. Get emergency medical help right away if you get any of these symptoms of a serious allergic reaction with Neulasta®: shortness of breath, wheezing, dizziness, swelling around the mouth or eyes, fast pulse, sweating, and hives.


If you have an allergic reaction during the delivery of Neulasta®, remove the On-body Injector for Neulasta® by grabbing the edge of the adhesive pad and peeling off the On-body Injector. Get emergency medical help right away.
 

  • Sickle Cell Crises. Severe sickle cell crises, and sometimes death, can happen in people with sickle cell trait or disease who receive filgrastim, a medicine similar to Neulasta®.
  • Kidney injury (glomerulonephritis). Kidney injury has been seen in patients who received Neulasta®. You should notify your healthcare provider right away if you experience puffiness in your face or ankles, blood in your urine or brown colored urine or you notice you urinate less than usual.
  • Increased white blood cell count (leukocytosis). Your doctor will check your blood during treatment with Neulasta®.
  • Capillary Leak Syndrome. Neulasta® can cause fluid to leak from blood vessels into your body's tissues. This condition is called "Capillary Leak Syndrome" (CLS). CLS can quickly cause you to have symptoms that may become life-threatening. Get emergency medical help right away if you develop any of the following symptoms:
    • swelling or puffiness and are urinating less often
    • trouble breathing
    • swelling of your stomach-area (abdomen) and feeling of fullness
    • dizziness or feeling faint
    • a general feeling of tiredness


The most common side effect of Neulasta® is pain in the bones and in your arms and legs.


Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of Neulasta®. Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088 (1-800-332-1088).


For more information about Neulasta®, talk with your healthcare provider or pharmacist; go to www.neulasta.com, or call 1-844-696-3852 (1-844-MYNEULASTA).


Please see Neulasta® Patient Information.

Indication

Neulasta® is a prescription medication used to help reduce the chance of infection due to a low white blood cell count, in people with certain types of cancer (non-myeloid), who receive anti-cancer medicines (chemotherapy) that can cause fever and low blood cell count.


Neulasta® is given as an injection under the skin (subcutaneous).

How much do you know about strong chemotherapy?

Test your knowledge now, gain insight from real personal stories, then ask your doctor how Neulasta® can help during strong chemotherapy.

CORRECT! THIS IS A FACT.

A low white blood cell count is a potentially serious side effect of some chemotherapy. For more information on the risks of a low white blood cell count and how to help reduce them, talk with your doctor.

INCORRECT! THIS IS A FACT.

Actually, a low white blood cell count is a potentially serious side effect of some chemotherapy. For more information the risks of a low white blood cell count and how to help reduce them, talk with your doctor.

Learn from a cancer specialist

CORRECT! THIS IS A FACT.

Strong chemotherapy can weaken your immune system in many ways, including by lowering your white blood cell count, putting you at greater risk for infection. Remember to always talk with your doctor to fully understand your treatment and how it may impact you.

INCORRECT! THIS IS A FACT.

Actually, strong chemotherapy can weaken your immune system in many ways, including by lowering your white blood cell count, putting you at greater risk for infection. Remember to always talk with your doctor to fully understand your treatment and how it may impact you.

Learn from a cancer specialist.

CORRECT! THIS IS A FACT.

The longer a patient has a low white blood cell count, the higher the risk for infection. Speak openly with your doctor on how your chemotherapy may impact you.

INCORRECT! THIS IS A FACT.

Actually, the longer a patient has a low white blood cell count, the higher the risk for infection. Speak openly with your doctor on how your chemotherapy may impact you.

Learn from a cancer specialist

INCORRECT! THIS IS A MYTH.

Actually, cases of febrile neutropenia, a low white blood cell count with fever, occur most often in the first cycle of chemotherapy. Talk to your doctor about your treatment options that may help reduce your risk of febrile neutropenia.

CORRECT! THIS IS A MYTH.

Cases of febrile neutropenia, a low white blood cell count with fever, occur most often in the first cycle of chemotherapy. Talk to your doctor about your treatment options that may help reduce your risk of febrile neutropenia.

Learn from a cancer specialist

CORRECT! THIS IS A FACT.

Along with avoiding exposure to dangerous germs, a white blood cell booster such as Neulasta® can help to reduce the risk of infection during strong chemotherapy.

INCORRECT! THIS IS A FACT.

Actually, along with avoiding exposure to dangerous germs, a white blood cell booster such as Neulasta® can help to reduce the risk of infection during strong chemotherapy.

See how Neulasta® works

INCORRECT! THIS IS A MYTH.

Actually, while you need to be careful about visiting with people who are visibly sick, you do not need to avoid everyone. Always speak with your doctor to understand what behaviors you may need to change based on your individual needs.

CORRECT! THIS IS A MYTH.

While you need to be careful about visiting with people who are visibly sick, you do not need to avoid everyone. Always speak with your doctor to understand what behaviors you may need to change based on your individual needs.

Learn from a cancer specialist

INCORRECT! THIS IS A MYTH.

Actually, beyond some of the more visible physical changes that may occur during chemotherapy, such as hair loss, you may also be affected in less visible ways, such as a depressed immune system.

CORRECT! THIS IS A MYTH.

Beyond some of the more visible physical changes that may occur during chemotherapy, such as hair loss, you may also be affected in less visible ways, such as a depressed immune system.

Learn from a cancer specialist

INCORRECT! THIS IS A MYTH.

While you should always talk to your doctor about what lifestyle choices will be right for you during treatment, this is actually a myth. Looking their best during chemotherapy may help some people maintain a positive attitude. Consider buying new make-up before beginning chemotherapy, replacing mascara every few months and utilizing disposable applicators to help minimize the risk of infection from make-up during chemotherapy.

CORRECT! THIS IS A MYTH.

While you should always talk to your doctor about what lifestyle choices will be right for you during treatment, this is actually a myth. Looking their best during chemotherapy may help some people maintain a positive attitude. Consider buying new make-up before beginning chemotherapy, replacing mascara every few months and utilizing disposable applicators to help minimize the risk of infection from make-up during chemotherapy.

Hear from a makeup artist and breast-cancer survivor

Personal Stories

Listen to others share their experiences with cancer and chemotherapy.

WATCH PERSONAL STORIES

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Helpful Resources

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Questions
to Ask Your
Doctor
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Before You
Start Chemotherapy

What Should You
Know?
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During Your
Chemotherapy:

What Can You Expect?
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After Your
Chemotherapy:

What Can Happen
Next?