• Neutropenia Management: Prevents or reduces the duration of low white blood cell counts caused by myelosuppressive chemotherapy or radiation.
• Stem Cell Collection: Mobilizes stem cells into the blood for collection before transplants.
• Radiation Sickness: Used to improve survival in patients exposed to life-threatening doses of radiation.
• Bone Marrow Recovery: Assists recovery following a bone marrow transplant. 

• Timing: The first dose must be given at least 24 hours after chemotherapy and should not be given within 24 hours before the next chemo cycle.
• Site Rotation: Common injection sites include the abdomen (avoiding 2 inches around the navel), thighs, or upper arms. Rotating sites daily helps prevent skin irritation or scar tissue.
• Preparation: Remove the syringe from the refrigerator 30 minutes before use to reach room temperature, which reduces stinging. Do not shake the medication as it can damage the protein. 

• Bone Pain: The most common side effect; it can often be managed with antihistamines like loratadine (Claritin) or analgesics, but consult your doctor first.
• Latex Allergy: Many prefilled syringe needle caps contain natural rubber latex. Patients with latex allergies should alert their care team.
• Serious Warnings: Seek immediate medical care for:
• Splenic Rupture: Indicated by pain in the upper left stomach or left shoulder.
• Lung Problems: Shortness of breath, fever, or coughing up blood (ARDS).
• Capillary Leak Syndrome: Sudden swelling, low blood pressure, or decreased urination. 

• Temperature: Store in the refrigerator between 2°C – 8°C (36°F – 46°F).
• Light Protection: Keep syringes in the original carton to protect them from light.
• Room Temp Limit: Most brands can stay at room temperature for up to 24 hours; if left out longer, they must be discarded. 

Patient Medical Disclaimer

• Informational Purposes Only: The information provided is for general educational and informational purposes only.
• Not Medical Advice: This content does not constitute professional medical advice, diagnosis, or treatment. It is not intended to create, and does not constitute, a physician-patient relationship.
• Consult a Professional: Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or treatment.
• Do Not Delay Treatment: Never disregard professional medical advice or delay in seeking it because of something you have read here.
• Emergency Situations: If you think you may have a medical emergency, call your doctor or emergency services immediately.
• No Endorsements: Reference to any specific commercial products, processes, or services by trade name or manufacturer does not constitute or imply endorsement or recommendation.
• Assumption of Risk: Reliance on any information provided is solely at your own risk.

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