What happens if I miss a dose?

Use the missed dose as soon as you remember, but not within the 24-hour period before or after you receive chemotherapy treatment. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of a filgrastim overdose are not known.

What should I avoid while using filgrastim?

Follow your doctor's instructions about any restrictions on food, beverages, or activity while you are using filgrastim.

Avoid being near people who have colds, the flu, or other contagious illnesses. Contact your doctor at once if you develop signs of infection.

What are the possible side effects of filgrastim?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using filgrastim and call your doctor at once if you have any of these serious side effects:

sudden or severe pain in your left upper stomach spreading up to your shoulder;
rapid breathing or feeling short of breath;
fever, chills, body aches, flu symptoms;
easy bruising or bleeding, unusual weakness;
white patches or sores inside your mouth or on your lips;

Less serious side effects may include:

nausea, vomiting, loss of appetite;
diarrhea, constipation;
bone pain;
muscle aches;
hair loss;
headache, tired feeling;
mild skin rash; or
itching, swelling, or redness where the medicine was injected.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect filgrastim?

Before using filgrastim, tell your doctor if you are also using lithium (Eskalith, Lithobid, Lithane, and others). You may need a dose adjustment or special tests to safely use filgrastim.

There may be other drugs that can interact with filgrastim. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about filgrastim.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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