Filgrastim

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Non-glycosylated granulocyte colony stimulating factor produced by recombinant DNA technology.

Indication
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Reduction of the duration of neutropenia and reduction of neutropenic fever in patients treated with myelosuppressive chemotherapy (e.g. doxorubicin) due to a non-myeloidal underlying disease. Long-term therapy of severe congenital or idiopathic neutropenia. No influence on chemotherapy-induced thrombopenia and anaemia.

Notice!

Caution with malignant and premalignant diseases of myeloid origin. Use only under the supervision of oncologically experienced doctors!

Dosage and method of use
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5-10 μg/kg bw/day i.v. or s.c. Start at the earliest 24 hours after chemotherapy until the neutrophil granulocytes are back to normal. In long-term therapy, injection if the neutrophils drop below the normal value (usually 1-2 times/week).

Undesirable effects
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ARDS, BB changes, splenomegaly, liver damage, gastrointestinal disorders, dysuria, proteinuria, allergic reactions, RR drop, fever, chills, paresthesia, myalgias.

Notice! Transition of myelodysplastic syndromes to acute myeloid leukemias!

Contraindication
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Pregnancy, lactation, basic myeloid disease, restricted bone marrow function of unclear etiology, liver and kidney failure.

Preparations
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Neupogen

Note(s)
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Induction of a sweet syndrome after taking Filgrastim has been described.

Literature
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  1. Callen JP et al (2002) Neutrophilic dermatoses. Dermatol Clin 20: 409-441

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Last updated on: 29.10.2020