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Post Info TOPIC: Low white blood cells at week three?!?!


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RE: Low white blood cells at week three?!?!
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It's nice to know some of us share a similar journey, but I hope not too similar. I got told on Friday my platelets and WBC were too low and I need neupogen, so I had to stop treatment at week three. We have to try to get patient assistance for neupogen now, but apparently there is no medicine to help with my platelets which are at 77*L, if they go below 70*L I have to stop treatment again, even with the neupogen. I feel so utterly lost and I have been so positive through this whole thing. I don't know what to do and I am more than a little scared. I hope there is someone out there who has gone through this and can help me understand what to do next. I am running low on hope and positivity. Good luck to all of you fighting this horrible virus. Lots of love to all.

 

 

 



__________________

VL 5.8 million at start of treatment, Milk Thistle brought viral load down from 11.9 million. Started Ribaviron/Pegasys Interferon/Incivek on April 6, 2012. Stopped treatment due to low platlets and WBC at three wks in. VL undetectable.



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Thank you for the sh*t, I needed someone to see it as sh*tty. It helped to read your comments and I wish you the best! I am just spinning today and maybe tomorrow I will feel uplifted again, who knows? I'm trying though, but today is just not my day. Lots of Love!



-- Edited by Lara441983 on Monday 30th of April 2012 07:59:16 PM

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VL 5.8 million at start of treatment, Milk Thistle brought viral load down from 11.9 million. Started Ribaviron/Pegasys Interferon/Incivek on April 6, 2012. Stopped treatment due to low platlets and WBC at three wks in. VL undetectable.



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SH**t! (excuse my language) I've heard that this can happen with some people -- having to stop treatment. Here, in Sweden, they do not use the neupogen or the procrit for low blood counts. My drs just keep lowering my Riba (now at 600mg day) and lowering my interferon dose (i've been at 90 -- a half dose-- for the past 3 injections) and slowly my numbers are increasing or at least stable.

Lara, I hope you get the assistance that you need to continue. But it can be dangerous if the blood counts get too low. You have to listen to your dr and nurse, they are there for your wellbeing. My nurse keeps telling me... if this doesn't work, not to worry, there are new treatments that are not far off. And I keep telling her, Oh God, I really don't want to do this twice!

I hope you can get that positive outlook back. It's not always easy, but it sure helps us get through this mess! I wish you all the best!



-- Edited by innerview on Monday 30th of April 2012 05:13:33 PM

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Peace, Mark

1A, stage 2/3, TT, began TX with Incivo 1/31/12, Week 4 VL<15, week 7 UND, week 12 UND, week 18 UND!!! End of Tx July 31 VL UND!!!  I had to do 26 weeks total and was on half Riba and half Interferon for most of Tx. 12 week post Tx VL UND!




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Heya Lara!

Yup, yup totally feeling you on a few counts there...

Low WBC... check
Fairly healthy appetite... check
No weight loss... check (bummer lolz)
Not too run down... check

I know it's different on tx for everyone even though we do share a common journey :)

As far as the low neutrophils go I get tested bout every 2 weeks to monitor it. I got onset tonsillitis and was prescribed heavy duty antibiotics which kicked my butt! If you can manage without them I recommend it, but thats just a kind of 'adverse' reaction experience I had...

Just keep rolling with treatment roller-coaster, even on bad days its totally worth it!

Good luck

K




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Genotype: III, Treatment started: 5 March 2012, Peg-Interferon + Ribavirin for 24 weeks, Viral load at start of tx 6.9 million, 4 week UND WOOT WOOT!



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Kellyw wrote:

 In fact the real bummer is that my appetite while wildly different has not been bad. I may be the only person to go thru treatment and NOT lose weight. 

 

 


 In the first 12 weeks I've gained 7 lbs. I've had no problem with appetite either ... I'm eating all the time... but I do try to eat healthy food and healthy fat.  Now that I am finished with the Telaprevir part of treatment, I expect that I may start to shed those extra pounds.  smile  Although the nurse thinks I am too thin and tells me to keep eating.

Peace, Mark



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Peace, Mark

1A, stage 2/3, TT, began TX with Incivo 1/31/12, Week 4 VL<15, week 7 UND, week 12 UND, week 18 UND!!! End of Tx July 31 VL UND!!!  I had to do 26 weeks total and was on half Riba and half Interferon for most of Tx. 12 week post Tx VL UND!




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hi,

 

I know what you mean about feeling ok. I did not have a dramatic reaction. I too have had low WBC since early in treatment . I have been on a shot (or two) a week to keep it up. For me not a big deal. At first I was surprised I didnt feel bad but some dont I guess. In fact the real bummer is that my appetite while wildly different has not been bad. I may be the only person to go thru treatment and NOT lose weight. 

 

Take care. Keep an eye on your blood work. drink lots of water.



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Kelly 2b dx 8/11. Tx begun 12/30/11. Apparently had it for decades.


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Thanks for moving the post to the correct area and thank you all for the info. I guess I was fearful low WBC could mess with my treatment and it is good to know that it will not. Thank you all so much, it helps since I don't see the Doctor till tomorrow. Lots of love to all!



__________________

VL 5.8 million at start of treatment, Milk Thistle brought viral load down from 11.9 million. Started Ribaviron/Pegasys Interferon/Incivek on April 6, 2012. Stopped treatment due to low platlets and WBC at three wks in. VL undetectable.



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Hi Lara! Welcome!
I understand your concern. I feel the same way. But here's my experience so far...
I am on reduced interferon for low WBC. I have been on half dose (90) for the past 3 weeks, and was reduced to 135 in week 5 through 9. I just got my 12 week labs and I am UND. My WBC is up a bit so I will be increasing my interferon to 135 on Monday! I am still on reduced Riba (600mg day) for low RBC.
I just finished with the Incivo/Incivek so dr says we should start to see a rise in both R/WBC and can start to increase Riba dose soon. The dr also said that the research is showing no decline in SVR with reduced doses for those categorized as Rapid Responders with Incivo. So I pray that that is true.

Mark

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Peace, Mark

1A, stage 2/3, TT, began TX with Incivo 1/31/12, Week 4 VL<15, week 7 UND, week 12 UND, week 18 UND!!! End of Tx July 31 VL UND!!!  I had to do 26 weeks total and was on half Riba and half Interferon for most of Tx. 12 week post Tx VL UND!




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Hi Lara,

Welcome and good luck with your treatment. Glad to hear you're feeling good so far. Some people have few or mild side effects. However your meds also have a cumulative build up effect in your system so it's not uncommon to get your side effects later or at anytime.

We all run the risk of low WBC (and red). Thats why we have our blood counts checked frequently. My WBC was at "low" week four and "Alert" week eight. We'll see what week twelve brings. You're lower than I am which is why you have to scale back the interferon. It's bad news but certainly not catastrophic. People in your situation keep treating and can reach SVR. Two things to do:

1) Repost under the On Treatment thread and you'll probably get responses from people in similar situation
2) Use the search link up top and key in "low white" There are several older threads on this topic.

Best, Dave

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All Done Poisoning the Dragon that Used to Poison Me

Genotype 1b  Incivek Combo



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Hi and welcome Lara!  Please don`t feel guilty that you`re not feeling run down, just be thankful!  We all like to hear that someone`s having an easier time.  smile

All the best of luck with your treatment.

~ Jill xx

ps - I`m moving this thread to the `On Treatment` section.




-- Edited by Cinnamon Girl on Wednesday 25th of April 2012 10:10:35 AM

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Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 



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I am at week three of triple therapy and so far other than my first day things have been very easy for me. I read about all of your stories and I feel guilty that I don't feel run down. I'm so sorry to all of you that are feeling sick and tired. I wish you all the best. 

I did just get bad news, however, and am unsure if it is bad, horrible or catastrophic. I was wondering if anyone has had a low white blood cell count and if so what happened next in their treatment. They said they are going to half my pegasys, but I am still worried about what the future can hold. Hopefully someone knows. Thanks everyone for reading. Good luck and lots of love to all. 



__________________

VL 5.8 million at start of treatment, Milk Thistle brought viral load down from 11.9 million. Started Ribaviron/Pegasys Interferon/Incivek on April 6, 2012. Stopped treatment due to low platlets and WBC at three wks in. VL undetectable.

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