Description
Your doctor may prescribe Grastofil to reduce the risk of infections in individuals undergoing immune-suppressive therapies for various cancer types. Grastofil is indicated for patients with non-myeloid malignancies at significant risk of febrile neutropenia but can also be used to treat acute myeloid leukemia (AML), post-bone marrow transplantation, peripheral blood progenitor cell (PBPC) collection and therapy, severe chronic neutropenia, and HIV infection.
Grastofil shares structural similarities with granulocyte colony-stimulating factor (G-CSF), a naturally occurring hormone. Its mechanism involves boosting the production of white blood cells within the bone marrow.
Directions
Grasteofil is available in prefilled syringes that are injected under the skin.
Grastofil is dosed based on the diagnosis and individual patient characteristics. It should be taken exactly as prescribed. Do not stop or adjust treatment without speaking with your healthcare team.
Ingredients
The active ingredient in Grastofil is filgrastim.
Interactions
- Grastofil has no known drug-drug interactions
Cautions
To your doctor right away if you experience abdominal or shoulder pain because it could indicate a potential enlarged spleen and the impending risk of splenic rupture—an emergent medical situation.
Tell your doctor if you have a family or personal history of sickle cell disease.
Grastofil usage should be avoided 24 hours before or after receiving chemotherapy.
Tell your doctor if you have a history of latex allergies because the prefilled syringe contains natural latex. In such cases, alternative treatment options should be considered.
Side Effects
Common adverse reactions to this drug include:
- Alopecia
- Anemia
- Anaphylaxis
- Bleeding from nose
- Blood transfusion reaction
- Bone pain
- Capillary leak syndrome
- Cough
- Diarrhea
- Dyspnea
- Fever
- Glomerulonephritis
- Headache
- Hepatosplenomegaly
- Hypersensitivity reaction
- Hypoesthesia
- Leukocytosis
- Myelodysplastic syndrome
- Nausea
- Pain
- Pain in limb
- Pulmonary hemorrhage
- Rash
- Rupture of spleen
- Sepsis
- Sickle cell anemia with crisis
- Splenomegaly
- Thrombocytopenia
- Vasculitis of the skin
References
Grastofil [package insert]. Toronto, ON: Apotex; February 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 : 14436