Posted 5/25/2011 3:46 AM (GMT -7)
Steriods generally raise your WBC. When mine dropped to .8, they upped my prednisone for a few days. The next week when I went in, my WBC was 3.4, so it had raised to a ok standard. After that, they started giving me solumedrol (i.v) along with the cytoxan. I am not sure if that is what kept it from falling so low again, but it never went below 2! Steroids cause increased bone marrow release of mature neutrophils, movement into the circulating neutrophil pool, and decreased tissue migration. An increase in white blood cells and neutrophilia occurs 4 to 8 hours after steroid use...Maybe this is one of the things your doc is trying to prevent!
If you are feeling symptoms of colds, you need to call your doctor. I am sure either your doctor or the nurse that gave you the infusion advised you on when to call your doctor if you were showing signs of infection. I believe I was to call if I was running a fever of 100.5 and it didnt lower after taking something to reduce fever!
Also, when you are getting checked in for the Cytoxan and blood work done, they should ask you how you are feeling. Any fever, cough, chills, sore throat, etc. Then they generally take your temp. If you are high, they won't give it to you. I had a temp of 99.9, and they sent me home and told me to come back in 2 days, They know Cytoxan is nothing to fool around with as it could easily turn into something very dangerous!!
Cyclosporine, Prednisone, Lisinopril,Norvasc, Mobic, Vitamin D 50,000 units
PRN: Imitrex, hydrocodone, Ambien, Flexeril, Ultram,
If God brings you to it, he will get you through it!!