Filgrastim-txid (fil-GRA-stim - txid)

Helps your body make white blood cells after you receive cancer medicines and reduce the duration of neutropenia.

Brand Name(s):

When This Medicine Should Not Be Used:

How to Use This Medicine:

Injectable

• Your 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 (usually in the upper arms, stomach, thighs, or buttocks) or through an IV catheter placed into a vein.
• A nurse or other health provider will give you this medicine.
• You 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.
• You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas. Do not inject into skin areas that are tender, red, bruised, hard, scaly, or has scars or stretch marks.
• Allow 30 minutes for the prefilled syringe to warm up to room temperature. Do not warm using heat sources (including hot water, microwave, or sunlight).
• Check the liquid in the prefilled syringe. It should be clear and colorless to slightly yellowish. Do not use it if it is cloudy or discolored, or has flakes or particles in it. Do not use it if it is cracked or broken ,or has been dropped. Do not shake
• Do not use the prefilled syringe if the needle guard has been activated.
• Prefilled syringe:
  • Wash your hands with soap and water before and after using this medicine.
  • Do not twist or bend the gray needle cap. Do not hold the syringe by the plunger rod. Do not put the cap back on.
  • Check the syringe for air bubbles. Point the needle up and gently tap the syringe with your fingers until the air bubbles go to the top of the syringe.
  • Gently pinch the skin. With your other hand, insert the needle into the skin at a 45 to 90 degree angle. Slowly push down on the plunger rod as far as it will go so the plunger head is completely between the needle guard wings. Do not pull back the plunger rod.
  • Slowly release the plunger and allow the needle guard to cover the needle.
• Use a new needle and syringe each time you inject your 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: Call your doctor or pharmacist for instructions.
• If you store this medicine at home, keep it in the refrigerator. Do not freeze.
• Keep the medicine in the carton and away from heat or direct light. You may store the medicine at room temperature for up to 24 hours. Throw away any medicine that has been out of the refrigerator for more than 24 hours.
• Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, lung or breathing problems, or sickle cell disease.
• This medicine may cause the following problems:
  • Spleen problems
  • Lung or breathing problems (including acute respiratory distress syndrome)
  • Sickle cell crisis
  • Kidney problems
  • Capillary leak syndrome
  • Blood or bone marrow problems (including myelodysplastic syndrome or acute myeloid leukemia) in patients with breast or lung cancer
  • Cutaneous vasculitis (inflammation of blood vessels in the skin)
  • Aortitis (inflammation of the largest artery in the body)
• This medicine lowers the number of certain blood cells, so you may bleed or bruise more easily. Be careful to avoid injuries.
• 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.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Bone, joint, or muscle pain
• Coughing up blood
• Decrease in how much or how often you urinate, red or dark brown urine, lower back or side pain
• Fever, chills, cough, sore throat, body aches, stomach pain
• Lightheadedness, dizziness, fainting
• Pain in your left side or shoulder, feeling unusually full
• Skin redness, blisters, or sores, red or purple spots on your skin
• Swelling in your face, ankles, or feet
• Trouble breathing or fast breathing
• Unusual bleeding, bruising, tiredness, or weakness

If you notice these less serious side effects, talk with your doctor:

• Constipation, diarrhea
• Hair loss or thinning of hair
• Pain, itching, burning, swelling, or a lump under your skin where the shot was given

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088