What should I know before I use NEUPOGEN?
What if I am taking other medicines?
How do I use NEUPOGEN?
What should I know while using NEUPOGEN?
Are there any side effects?
Why am I using NEUPOGEN?
What should I know before I use NEUPOGEN?
What if I am taking other medicines?
How do I use NEUPOGEN?
What should I know while using NEUPOGEN?
Are there any side effects?
Product details
For more information, see Section 1. Why am I using NEUPOGEN? in the full CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding.
For more information, see Section 2. What should I know before I use NEUPOGEN? in the full CMI.
Things you should do
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Remind any doctor, nurse, dentist or pharmacist you visit that you are using NEUPOGEN.
Keep all of your doctor's appointments so that your health can be monitored.
Tell your doctor straight away if you become pregnant
Go straight to your hospital if you notice any signs or symptoms of infection.
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Things you should not do
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Do not use NEUPOGEN to treat any other complaints unless your doctor tells you to.
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Driving or using machines
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Be careful driving or using any machines or tools until you know how NEUPOGEN affects you.
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Looking after your medicine
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Keep NEUPOGEN in a refrigerator at a temperature of 2°C to 8°C.
Keep your medicine in its pack until it is time to use it. Protect it from light.
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For more information, including what to do if you have any side effects, see Section 6. Are there any side effects? in the full CMI.
What should I know before I use NEUPOGEN?
What if I am taking other medicines?
How do I use NEUPOGEN?
What should I know while using NEUPOGEN?
Are there any side effects?
Why am I using NEUPOGEN?
What should I know before I use NEUPOGEN?
What if I am taking other medicines?
How do I use NEUPOGEN?
What should I know while using NEUPOGEN?
Are there any side effects?
Product details
Do not use NEUPOGEN:
Check with your doctor if you:
Breastfeeding
Use in Children
How much to use
When to use NEUPOGEN
How to use NEUPOGEN
1. Find a clean, flat working surface, such as a table, where you can inject undisturbed.
2. Remove the syringe or vial from the refrigerator.
3. Check the packaging. Do not use NEUPOGEN if the packaging is torn or shows signs of tampering.
4. Check that the syringe or vial has NOT been used before.
5. Do not shake the syringe or vial. If the NEUPOGEN solution appears frothy or bubbly, allow the syringe or vial to sit undisturbed for a few minutes to reduce the froth or bubbles before measuring your dose.
6. Do not remove the needle cover until you are ready to inject.
7. Check the expiry date on the label. Do not use if the date has passed the last day of the month shown.
8. Check the appearance of the solution. The solution should be clear and colourless. If it is cloudy, coloured or if there are clumps or flakes, you must not use it.
9. Wash and dry your hands thoroughly.
1. Hold the syringe vertically with the needle pointing up. This helps reduce the amount of medicine that may leak out of the needle.
2. Carefully remove the needle cover, taking care not to touch the exposed needle.
3. Check the dose (in mL) that your doctor has prescribed and locate the correct volume mark on the syringe barrel.
4. Carefully push the plunger until the grey upper edge of the plunger reaches the correct volume mark. This will push the air and any excess liquid out of the syringe.
5. Double-check that you have the correct dose.
1. Check that the syringe you are using is marked every tenth of a mL/cc (i.e. 0.1, 0.2, etc. mL/cc) so that you can accurately inject the prescribed dose.
2. Flip the protective cap off the vial. Do not remove the rubber stopper.
3. Wipe the top of the rubber stopper with an alcohol swab.
4. With the needle cover on, carefully pull back on the plunger. This will draw air into the syringe. The amount of air should be the same as your NEUPOGEN dose.
5. Carefully remove the needle cover, taking care not to touch the exposed needle.
6. Gently push the needle through the rubber top of the NEUPOGEN vial.
7. Carefully push the plunger down. The air injected into the vial will allow NEUPOGEN to be easily withdrawn from the vial into the syringe.
8. Turn the vial and syringe upside down. Make sure the tip of the needle is IN the solution.
9. Slowly pull back on the plunger to draw the correct dose of NEUPOGEN into the syringe.
10. Check the syringe for air bubbles. The air is harmless, but a large air bubble will reduce the NEUPOGEN dose.
11. Check that the correct dose of NEUPOGEN has been drawn into the syringe.
12. Remove the needle from the vial.
1. Clean the site where the injection is to be made with an alcohol swab, moving the alcohol swab in an expanding circle and allow the site to dry.
2. Pinch a large area of skin between your thumb and forefinger, to create a firm injection site.
3. Pick up the syringe and hold it as you would a pencil.
4. Insert the needle directly into the skin (at an angle of between 45° and 90° or as advised by your doctor, nurse or pharmacist).
5. Inject the NEUPOGEN by gently pushing the plunger all the way in.
6. Withdraw the needle and using the alcohol swab apply pressure for several minutes to the injection site.
If you forget to use NEUPOGEN
If you use too much NEUPOGEN
( by calling 13 11 26), or
Things you should do
Go straight to your hospital if you:
Things you should not do
Driving or using machines
Looking after your medicine
When to discard your medicine
Getting rid of any unwanted medicine
Less serious side effects
Less serious side effects
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What to do
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Muscle and Skeleton:
temporary bone pain, such as in the lower back or in the long bones of the arms or legs
This pain is usually relieved with non-prescription painkillers, like paracetamol. If you continue to have bone pain even after having taken this form of pain relief, you should speak to your doctor, as you may need a prescription medicine.
back pain
pain, swelling, warmth or stiffness of joints
worsening of existing arthritis
muscle pain
muscle spasms
Gut and Digestion:
abdominal discomfort
diarrhoea or constipation
nausea (feeling sick) and/or vomiting
Blood:
pink, red or blue/purple spots or bumps on the skin
bleeding or bruising more than usual, severe nose bleeds
reddish or purplish blotches under the skin
Eyes, ears and mouth:
sore throat
sore mouth, mouth ulcers
Nervous System:
numbness
tingling in the hands and feet
Skin
redness, swelling or itching at the site of injection
skin disorders - worsening of existing symptoms
skin rash or red, itchy spots
swelling of hands, legs, ankles, feet or any other part of the body
General:
cough
hair loss
headache
looking pale
loss of appetite
unusual weakness
difficulty sleeping
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Speak to your doctor if you have any of these less serious side effects and they worry you.
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Serious side effects
Serious side effects
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What to do
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General
chest pain
fever
general feeling of tiredness
left shoulder tip pain
frequent infections
tiredness, fever and easy bruising or bleeding.
Dizziness or feeling light headed
faintness
rapid pulse or sweating
Lungs and upper airways:
coughing up blood, bleeding from the lung
breathing problems such as shortness of breath, rapid breathing
Gut, Digestion and Urine-related:
pain in the upper left side of the stomach (abdomen)
swelling of your stomach-area (abdomen) and feeling of fullness
less frequent urination
blood in the urine
Skin
fever and painful skin lesions, most commonly on your arms, legs and sometimes on your face and neck
swelling or puffiness
Signs of an allergic reaction:
rash over a large area of the body, itching or hives
shortness of breath, wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
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Call your doctor straight away, or go straight to the Emergency Department at your nearest hospital if you notice any of these serious side effects.
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Reporting side effects
What NEUPOGEN contains
Active ingredient
(main ingredient)
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filgrastim (rbe)
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Other ingredients
(inactive ingredients)
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Sodium acetate
Sorbitol
Polysorbate 80
Water for injections
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Potential allergens
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The needle cover on the pre-filled syringe contains a derivative of latex.
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