Grafeel is a medication used to treat certain types of cancer, including acute myeloid leukemia, breast cancer, and non-Hodgkin’s lymphoma. It is an injectable medication that works by stimulating the production of white blood cells in the body.
Composition:
Grafeel contains Filgrastim, a medication that is a granulocyte colony-stimulating factor (G-CSF).
Indications:
Grafeel is indicated for the treatment of:
- Neutropenia (reduced white blood cell count) caused by chemotherapy
- Acute myeloid leukemia (AML)
- Breast cancer (in combination with chemotherapy)
- Non-Hodgkin’s lymphoma (in combination with chemotherapy)
Mechanism of Action:
Filgrastim works by:
- Stimulating the production of granulocytes (a type of white blood cell) in the bone marrow
- Increasing the number of circulating white blood cells in the body
- Enhancing the function of white blood cells
Dosage and Administration:
The recommended dosage of Grafeel is:
- 300mcg/m2 injected subcutaneously or intravenously once daily
- The dose should be adjusted based on the patient’s response to treatment and tolerability
Side Effects:
Common side effects of Grafeel include:
- Injection site reactions (pain, swelling, redness)
- Bone pain
- Headache
- Fatigue
- Nausea and vomiting
- Diarrhea
- Allergic reactions
Serious side effects can include:
- Allergic reactions (anaphylaxis)
- Bone marrow toxicity (decreased bone marrow function)
- Leukocytosis (increased white blood cell count)
- Thrombocytopenia (decreased platelet count)
- Hypersensitivity reactions
Contraindications:
Grafeel is contraindicated in patients with:
- Hypersensitivity to Filgrastim or other G-CSF medications
- Severe allergic reactions to other medications
- Severe neutropenia (less than 500 neutrophils/μL)
Precautions:
- Patients with a history of allergic reactions to other medications should be closely monitored while receiving Grafeel.
- Patients with a history of bone marrow disorders should be closely monitored while receiving Grafeel.
- Patients with a history of liver or kidney disease should be closely monitored while receiving Grafeel.
Patient Counseling:
- Patients should be counseled on the importance of taking their medication as directed and not missing doses.
- Patients should be instructed to report any signs of injection site reactions or allergic reactions.
- Patients should be advised to report any changes in their appetite or weight loss.
Storage and Handling:
- Store at room temperature (20°C to 25°C) and protected from light.
- Do not freeze or expose to direct sunlight.
- Use within 24 months of opening.
Please note that the dosage and administration information is based on the recommended dosage and may vary depending on individual patient needs and circumstances.
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