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Available Form:   Injectable
Manufacturer name:   Amgen
Generic name:   filgrastim
Strength:   300mcg/ml

What is Neupogen?

Neupogen (Filgrastim) belongs to the family of medications known as granulocyte colony stimulating factors (G-CSF). It helps the bone marrow produce white blood cells which help the body fight infection.

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Neupogen frequently asked questions

Can I Get Same-Day Delivery?

Yes! We do provide same-day delivery in select areas. We do next business day delivery and can also ship overnight as well.

How Much is Shipping Cost for Neupogen in Canada?

Shipping cost for Neupogen to you in Canada is zero. Pocketpills offers FREE shipping anywhere in Canada to help you get access to treatment.

How to get Neupogen delivered to my home?

You could get Neupogen delivered at your doorstep from us in Canada if you ordered prescription medications with a valid prescription. If you are not sure if we deliver to your area, contact us.

How to get Neupogen in Canada for free?

You can get Neupogen for free in Canada if your health insurance provider covers it fully. Contact your provider or us to help you find out if you qualify to get Neupogen for free.

Neupogen How to Take

Neupogen (Filgrastim) belongs to the family of medications known as granulocyte colony stimulating factors (G-CSF). It helps the bone marrow produce white blood cells which help the body fight infection.

Neupogen (Filgrastim) is used to prevent infections caused by febrile neutropenia (a condition of low blood counts of a certain type of white blood cell known as neutrophils, accompanied by Fever) or to reduce the duration of neutropenia for people who:

  • are receiving a type of chemotherapy that slows down white blood cell production,
  • are receiving bone marrow or stem cell transplants,
  • have acute myeloid Leukemia, or
  • have severe chronic neutropenia

Neupogen (Filgrastim) is also used by people with HIV infection (the virus that causes AIDS), to keep the number of white blood cells within the normal range.

Neupogen (Filgrastim) may be available under multiple brand names and/or in several different forms. Any specific brand name of Neupogen (Filgrastim) may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Neupogen (Filgrastim) may not be used for all of the conditions discussed here.

Your doctor may have suggested Neupogen (Filgrastim) for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Neupogen (Filgrastim), speak to your doctor. Do not stop taking Neupogen (Filgrastim) without consulting your doctor.

Do not give Neupogen (Filgrastim) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

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Neupogen Dosage

The recommended child and adult dose of Neupogen (Filgrastim) is based on body weight and varies depending on the circumstances of its use. Neupogen (Filgrastim) is given by subcutaneous (under the skin) or intravenous (into a vein) injection once daily. For people who are being treated with chemotherapy, treatment should start no sooner than 24 hours after the chemotherapy has been given.

Your dose may be adjusted depending on your response to Neupogen (Filgrastim) and therapy is usually continued until neutrophil counts reach an acceptable level. For some conditions, Neupogen (Filgrastim) will be needed indefinitely.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

Neupogen (Filgrastim) is usually given under medical supervision. If you are giving Neupogen (Filgrastim) to yourself, your doctor or health care professional will instruct you on how to use Neupogen (Filgrastim) properly. It is important that this medication be used exactly as prescribed by your doctor.

If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

If you are receiving Neupogen (Filgrastim) in a clinic or at your doctor's office and you miss an appointment to receive Neupogen (Filgrastim), contact your doctor as soon as possible to reschedule your appointment.

This medication should be stored in the refrigerator, but do not allow it to freeze. Avoid shaking Neupogen (Filgrastim). Store it in the carton it is packaged in to protect it from light. Neupogen (Filgrastim) may be stored out of the refrigerator, at room temperature, for a single period of up to 24 hours. Keep Neupogen (Filgrastim) out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Neupogen Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Neupogen (Filgrastim). If you are concerned about side effects, discuss the risks and benefits of Neupogen (Filgrastim) with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • mild-to-moderate bone or muscle pains or aches
  • reaction at the injection site (e.g., redness, swelling or itching)

Although most of these side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • bone pain or fractures
  • enlarged spleen (increased tenderness or swelling in the left upper stomach area)
  • signs of kidney injury (puffy face or ankles, blood in the urine or brown-coloured urine, decreased urination)
  • signs of bleeding (e.g., bloody nose, blood in urine, coughing blood, bleeding gums, cuts that don't stop bleeding)
  • red or purple spots, patches, or lesions on the skin

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • signs of acute respiratory distress syndrome (e.g., fever, shortness of breath, cough, or lung congestion)
  • symptoms of capillary leak syndrome (e.g., swelling or puffiness, decreased urine production or need to pass water, difficulty breathing, abdominal swelling, general feeling of tiredness)
  • signs of a ruptured spleen (e.g., abdominal pain on the upper left side or pain at the tip of the shoulder)
  • signs of a Anaphylaxis (severe allergic reaction) (e.g., Hives, shortness of breath, wheezing, swelling of the face or throat, fast heart rate, dizziness)
  • signs of sickle cell crisis (e.g., severe pain in bones, chest, abdomen or joints)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Neupogen (Filgrastim).

Discreet Packaging

Your privacy is important. That's why we send your medication inside a plain delivery box so no one will know what's inside.

Neupogen Available Form

Single use vials

Each mL of sterile, clear, colourless, preservative-free liquid for parenteral administration contains Neupogen (Filgrastim) 300 µg (3×107 units/mL) formulated in a 10 mM sodium acetate buffer at pH 4.0, containing 5% sorbitol, and 0.004% Tween 80. It is available in single use, preservative-free vials of 1 mL (Neupogen (Filgrastim) 300 µg) and 1.6 mL (Neupogen (Filgrastim) 480 µg).

Pre-filled syringes

Each mL of sterile, clear, colourless, preservative-free liquid for parenteral administration contains Neupogen (Filgrastim) 600 µg (3×107 units/mL) formulated in a 10 mM sodium acetate buffer at pH 4.0, containing 5% sorbitol, and 0.004% Tween 80. It is available in single use, preservative-free pre-filled syringes of 0.5 mL (Neupogen (Filgrastim) 300 µg) and 0.8 mL (Neupogen (Filgrastim) 480 µg). The needle cover on the pre-filled syringe contains dry natural rubber (latex).

Neupogen Contraindications

Do not take Neupogen (Filgrastim) if you:

  • are allergic to Neupogen (Filgrastim) or to any of the ingredients of the medication
  • are allergic to products made using the E.coli bacteria
  • are allergic to latex (for the pre-filled syringe only)

Personalized PocketPacks

We sort your medication into clearly labeled, individual packs so you can be sure you're taking the right dose at the right time.

Neupogen Precautions

There may be an interaction between Neupogen (Filgrastim) and any of the following:

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Neupogen Warnings

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Capillary leak syndrome (CLS): Neupogen (Filgrastim) has been reported to cause CLS, a condition where blood leaks out of the small blood vessels into the tissues of the body. If you experience symptoms of CLS, such as swelling or puffiness, decreased need to urinate, trouble breathing, swelling in the abdominal area, or a general feeling of tiredness, contact your doctor immediately. The symptoms often develop quickly and the severity of each episode is different. In severe episodes, CLS can be fatal.

Chronic use: When used for long periods of time, Neupogen (Filgrastim) may increase the risk of myelodysplasia (bone marrow disorders) and certain types of leukemia. It is not known if this increased risk is directly related to Neupogen (Filgrastim) or to the conditions Neupogen (Filgrastim) is being used to treat. If you are receiving long-term treatment with Neupogen (Filgrastim), your doctor will monitor your blood regularly and check your bone marrow annually.

Cytotoxic chemotherapy: The safety of using Neupogen (Filgrastim) at the same time as cytotoxic chemotherapy (a type of chemotherapy that kills cells, especially cancer cells) has not been established. Neupogen (Filgrastim) should not be used within 24 hours before or 24 hours after chemotherapy is administered.

Heart conditions: Heart-related conditions such as heart attacks and abnormal heart rhythms have been observed in rare cases with Neupogen (Filgrastim). If you have had a heart condition before starting Neupogen (Filgrastim), discuss with your doctor how Neupogen (Filgrastim) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Neupogen (Filgrastim), and whether any special monitoring is needed.

Lung problems: Neupogen (Filgrastim) may cause adult respiratory distress syndrome (ARDS), a serious lung condition, when people with neutropenia have a bacterial infection in the blood. If you experience difficulty breathing, fever or coughing blood while using Neupogen (Filgrastim), contact your doctor immediately.

Osteoporosis: Long-term use of Neupogen (Filgrastim) may increase the risk of osteoporosis in some people. If you have chronic neutropenia or have osteoporosis, discuss with your doctor how Neupogen (Filgrastim) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Neupogen (Filgrastim), and whether any special monitoring is needed.

Your doctor may want to check your bone density regularly while you are receiving Neupogen (Filgrastim).

Sickle cell disease: Neupogen (Filgrastim) may cause sickle cell crisis when used by people who have sickle cell disease. You and your doctor should carefully consider the benefits and risks of using Neupogen (Filgrastim) in these circumstances if you have sickle cell disease.

Pregnancy: Neupogen (Filgrastim) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Neupogen (Filgrastim), contact your doctor immediately.

Breast-feeding: It is not known whether Neupogen (Filgrastim) passes into breast milk. If you are a breast-feeding mother and are taking Neupogen (Filgrastim), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of Neupogen (Filgrastim) have not been established for newborn babies.

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All material © 1996-2021 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

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