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  • Nuelasta

    My oncologist is wanting to decrease my Nuelasta shot from 6mg to 3mg during cycle 2. Personally, I am against this. I want the full dosage for my piece of mind. Thoughts or concerns on this situation? His reasoning is to decrease bone pain.
    May 6 - R/O Left Testicle
    Pathology Report - Mixed Germ Cell Tumor - Non-Seminoma
    80% Embryonal 20% Yolk Sac
    Margin Free, No LVI.
    Tumor Markers - Normal
    Stage 1A - On Surveillance

    September CT Scan showed 2 Para-Aortic enlarged lymph nodes measuring 1.6cm and 1.3cm
    Restaged 2A
    9/26 Started BEP x 3
    11/21 Ended BEP x 3
    11/21 On Surveillance Again - Lymph Nodes on post chemotherapy scan were 9mm and are expected to shrink further. Merry Christmas to me!!

  • #2
    It's not an essential part of the regimen - it just helps reduce the chances of neutropenia. How have your WBC counts been on previous cycles - if they've stayed quite high then you should be fine with a lower dose.

    - T
    30 Jul 14: Discovered lump
    31 Jul 14: GP referral to specialist
    4 Aug 14: Clinical diagnosis of tumour, blood samples taken, CT scans, USS (confirming ~2cm tumour)
    8 Aug 14: Left radical orchidectomy (plus test results back: CT normal, no mets; blood markers slightly elevated: AFP 14.16, HCG 4.9, LDH 149)
    29 Aug 14: Pathology results: Stage 1A Mixed Non-Seminomatous Germ Cell Tumour (composition: Yolk-sac Tumour and Mature Teratoma)

    24 Sep 14: Started precautionary adjuvant 1xBEP
    23 Oct 14: All clear; on surveillance


    • #3
      Agree with Talis - WBC will tell the story. On an experiential note, I had Neulasta after each cycle and had the bone pain the first time (10 out of 10, for at least 3 days); OTC pain meds (e.g. - 800 mg Ibuprofen or similar) or any that could be prescribed by your Dr. generally took care of the pain for me. For the next cycles, I took Claritin prior to the Neulasta shot and did not get the bone pain (or to a much lesser extent).