Was told to lower pegasys dose wk 12 WHY?

[denigreg]

Hello all I had lab work done last week. Did shot and now doctor's office called and told me the doctor
read my lab work from last week and to lower peqasys shot from 180 mcg to 135 mcg. So I asked why and she told
me doc said too much to go into depth over phone. Would need to see me. What the hell is going on? WBC has been down for weeks platlet among a few other things. RBC has been fine. Should I drive 5 mins to get lab work from
hospital? Doc's office is there too. Why would I have to lower dose now after b4 12th shot? Riba is 1000 was @ 1200 but lowered because of shortness of breath. Help! Love you all. Hope everyone is doing well.
Denise
And why couldn't he just say he could call me back and explain?

[can-do-man]

" So I asked why and she told
me doc said too much to go into depth over phone."

Thats just B.S. Some of these nurses and doctors think sometimes we are not smart enough to get out of the rain........ Like said if it is because of your ANC then he needs to get you neupogen. Its fast working, as for platelets unless they were really low the last blood draw i would be surprised at week 12 they have fallen to dose reduction levels..... Hang in there

[denigreg]

ok just got back.....
WBC 2.1  L,       RBC 3.87 L,     Platelet count 109 L,    
Neutrophil % 33.7 L,     Mono % 17.7 H,    Neutrophil # 0.7 L,
Lymphcyte # 1.0 L,    Neutrophil%M 34.0 L,  Mono%M 16.07 H.
Plt Estimate DECREASED.....
Thank you for any input. So tired! Dizzy. My right side hurts. After my shower
last night I was drying my ears and my left ear had a little blood Called pegassist nurse
and she told me cause my skin is dry and tell doc which I forgot to tell them.
Really have drain fog bad! Awaiting your helpful and comforting reply. Lord knows I don't
get any words of comfort etc... @ home! Love n health to each and everyone of my friends!

[spectda]

It looks like they reduced you for absolute neutrophils, They are low, but not crazy low. If they get lower you can use neupogen. Your platelets are fine.
-Dave

[spectda]

Have you had a pcr yet?

[lynda607]

Platelets are low but not dangerous.  Your ANC is 700.  You don't need a peg dose reduction yet.  Doctors generally do not become concerned until the ANC hits 500 or below.  Your doctor may be anticipating the ANC will drop lower but ANC numbers can increase just as they decrease.  

Advise you speak with your doctor about Neupogen.  If he's wanting to be proactive that would be the best course of action to take.  Neupogen is very fast acting but as it stands right now even if they prescribed Neupogen and you had to wait for it to arrive a peg dose reduction isn't necessary at this point.

[James10500]

1000 mg's is still a lot of Riba.  Hang in there I know it's tough !