Description
Fulphila is a prescription drug that is used alongside cancer treatments. It decreases the risk of infection in people receiving drugs that weaken the immune system and is given to patients with non-myeloid malignancies with a significant incidence of febrile neutropenia.
Pegfilgrastim is a colony-stimulating factor (CSF) that acts as a bone marrow growth stimulant. It mimics naturally occurring hormones by binding to cells in the bone marrow to increase growth and replication. Fulphila's active component, Pegfilgrastim, is a pegylated form of granulocyte colony-stimulating factor (G-CSF). The augmentation of neutrophils enhances the body's defense against infections by restoring the function of the immune system.
Directions
The usual directions are to inject 6 mg under the skin once per chemotherapy cycle.
Ingredients
The active ingredient in Fulphila is pegfilgrastim.
Interactions
- Fulphiila has no known drug-drug interactions
Cautions
Fulphila should not be given 14 days before or 24 hours after administration of cytotoxic chemotherapy. Doing so may negate the effects of the drug.
Pediatric patients should receive a weight-based dose rather than a fixed dose.
Tell your doctor immediately if you feel pain in the left upper abdomen or the shoulder. These pains may be a symptom of an enlarged spleen that could lead to splenic rupture.
Stop this drug immediately if you experience trouble breathing, as this could be a sign of a hypersensitivity reaction or acute respiratory distress syndrome (ARDS).
Tell your doctor if you have a personal or family history of sickle cell disease.
Tell your doctor if you have a history of kidney disease before starting this drug.
Side Effects
Common adverse reactions may include:
- Acute myeloid leukemia
- Acute respiratory distress syndrome
- Aortitis
- Anaphylaxis
- Bone pain
- Capillary leak syndrome
- Glomerulonephritis
- Leukocytosis
- Myelodysplastic syndrome
- Pain in limb
- Rupture of spleen
- Sickle cell anemia with crisis
- Thrombocytopenia
References
Fulphila [package insert]. Zurich, Switzerland: Mylan; June 2018.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 14435