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Old Tue Dec 30, 2014, 12:13 AM
Susan Susan is offline
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Join Date: Sep 2003
Location: Chicago, Il
Posts: 101
This is an old post but in researching this question it appears there are studies that support both causation and no causation. The no causation study mentioned this is based on newer research and retrospective studies. I think it is still unknown for sure though.

However when the ANC is very low, particularly <200 or even 300 or less we have to look at risk vs benefit. We have to protect ourselves from a life threatening infection now. Whichever med will work for us to raise the ANC has to be taken in my view.

If the ANC goes to a safe zone I don't see why the med can't be stopped for a short time while getting frequent CBCs to catch any fall. -Unless going on and off the med does greater harm than staying on it.

My ANC just went from 200 to 900 and I opted to decline another Neupogen shot but will recheck count in 1 week. Since Promacta reportedly has a side effect of possible clots and I have PNH (high clot risk) that would be my last choice med. Each case is different.
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AA/PNH Dx 1998, Warfarin, Soliris
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