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Generic name: Pegfilgrastim [PEG-fil GRAS-tim] Brand name: Fulphila, Fylnetra, Neulasta, Neulasta Onpro Kit, Nys Pria,… display the 8 names of the brands.
Drug class: colony-stimulating factors

What is Ziextenzo?

Ziextenzo helps to stop the development of neutropenia (a shortage of white blood cells), which is caused by receiving chemotherapy.

Ziextenzo is a protein that promotes the development of blood white cells, which help the body fight the effects ofZiextenzo can also be used to treat conditions that are not mentioned in this guide.

Side effects of Ziextenzo

Seek medical attention immediately. If you notice symptoms that are warning signs of an allergic reaction, skin eruptions, sweating, and tingling sensations dizziness, rapid heartbeats, wheezing, breathing problems, and swelling of your lips, face, and tongue.

Capillary leak syndrome can be a very rare but very serious adverse effect caused by pegfilgrastim. Consult your physician right away when you notice signs of this condition. These might include decreased urine output, fatigue, dizziness, lightheadedness, faintness, or trouble breathing. You may also experience abrupt swelling, puffiness, or the sensation of being full.

Ziextenzo may cause serious side effects. Contact your physician immediately if you experience:

  • Acute or sudden pain in your left upper stomach, which then spreads all the way to your shoulder
  • Abrupt and intense pain in your chest, stomach, or back
  • Chronic or persistent pain within your body;
  • Fever, tiredness;
  • Breathlessness and rapid breathing.
  • Simple bleeding, the unusual appearance of red or purple spots beneath your skin
  • Swelling, bruising, or a lump of hard tissue where the medicine was injected,
  • Kidney issues: little or no urine; dark or pink urine; swelling of your lower legs or face.

The cancer treatment may be delayed or completely stopped when you experience certain adverse consequences.

Common adverse effects of ziextenzo could include:

  • Bone pain
  • The pain in your arms and legs.

It's not a comprehensive listing of all the possible adverse effects. Other side effects could be present. Contact your doctor for advice regarding medical effects. You can report symptoms to the FDA at 1-800-FDA-1088.

Similar or related drugs

Neulasta, filgrastim, Zarxio, Neupogen, pegfilgrastim, and Granix


Follow the directions on your prescription label and on the label of your package. Inform your healthcare professionals about your allergies, medical conditions, and any medications you take.

Before you take this drug

It is not recommended to take Extenze if you have an allergy to Ziextenzo or filgrastim (Neupogen).

Inform your doctor if you were ever diagnosed with:

  • Sickle cell disorder;
  • Kidney disease;
  • Chronic myeloid leukemia;
  • Treatment with radiation;
  • Myelodysplastic disease (also known as "preleukemia");
  • An allergy to latex. allergic reaction.

Treatment using Fulphila and radiation, with the option of chemotherapy without or with lung cancer, makes it possible to be diagnosed with a blood disorder as well as the development of a blood cancer (leukemia). Consult your physician regarding this possibility.Consult your physician if you are breastfeeding or pregnant.

How to take Ziextenzo?

Follow the directions on the prescription label and read the medication guide or instructions sheets. Follow the medication exactly according to the directions. Ziextenzo should not be taken within 14 days prior to or within 24 hours following the time you have received chemotherapy.

Ziextenzo is injected beneath the skin. The healthcare professional may show you how to use the drug on your own.Take note of and follow the instructions for use that come along with your medication. Consult your physician or pharmacist for clarification if you aren't sure about the instructions.

Make sure to prepare your injection at the time you are ready to administer it. Don't use the medicine if it appears unclear, has changed color, or contains particles. Contact your pharmacist to inquire about a new medication.Your blood could require frequent testing.

Be sure to follow the instructions of your physician when giving Ziextenzo to a child weighing less than 100 pounds (45 kilograms). The correct dosage for a child of that size is not easily measured with the syringe that is prefilled.There may be medical tests you need to assist your doctor in determining the best time frame to treat you with Ziextenzo.Keep the already-filled syringe in its original packaging inside the refrigerator, away from light. Do not shake or freeze.

The syringe should be removed from the refrigerator and allowed to cool to temperatures of around 30 minutes prior to injecting the dose. If the syringe is frozen, you can thaw it by placing it in the refrigerator. Don't use a needle that has been frozen more than once.

Don't make use of the Neulasta or Deny A syringe that has been stored at room temperature for more than 48 hours. Don't make use of the Fylnetra, Fulphila, or Stimulant syringe that was stored on the counter at room temperature for more than 72 hours. Don't use a ziextenzo syringe that has been left in a room for more than 5 days.

This Neulasta Injector is a device that is worn on the skin and will give you your Ziextenzo dose at an exact time. It is necessary to keep the injector on for a period of 27 hours before you begin the dose. The dose of time will be removed slowly from the device over a 45-minute period.

Make sure to keep Neulasta Onpro chilled until you are able to wear it. Do not use a Neulasta Onpro device that has been kept in the refrigerator for more than 12 hours. Don't make use of a Nys Pre-filled syringe that has been stored in the refrigerator for more than 15 days.When wearing Neulasta Onpro or with a caregiver, you must test the device to make sure it's functioning properly.

Each syringe, syringe, or Onpro Injector is designed for a single use only. It is best to dispose of it after one use, regardless of whether there's still medicine within.Use a needle or syringe just once, and then put them in a puncture-proof "sharps" container. Be sure to follow the laws of your state or city on how to dispose of the container. Keep it out of the reach of pets and children.

What happens if I miss a dose?

Contact your physician for advice if you missed an injection or are having issues using Neulasta Onpro. Neulasta Onpro instrument

What happens if I overdose?

Get medical attention in an emergency or contact the Poison Help line toll-free at 1-800-222-1222.

The signs of an overdose include bones hurting, pain when you breathe or feel exhausted while lying down, wheezing, breathing heavily, coughing with foamy mucus, cold skin, feeling clammy, anxiety, and fast heartbeats.

Avoid this

If you are using Neulasta Onpro, Do not travel on roads, drive, or operate machinery while wearing the device.

Interaction with other drugs

Other medications can affect Ziextenzo. Other medications can affect Ziextenzo, including medications that are prescribed and available over the counter, vitamins, and herbal products. Discuss with your doctor your current medications as well as any medications you are about to start or stop taking.



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