Filgrastim (G-CSF)

Haematology

Haematology · Granulocyte colony-stimulating factor

Filgrastim (G-CSF)

Dose

5 mcg/kg SC OD starting 24–72 h after chemotherapy until neutrophil recovery.

Use

Prophylaxis/treatment of chemotherapy-induced neutropenia; stem cell mobilisation.

Monitoring

FBC twice weekly, splenic size if prolonged use.

Side effects

  • Bone pain
  • Splenic enlargement/rupture (rare)
  • Capillary leak syndrome

Always confirm dose against your local formulary / BNF before prescribing.

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