Product image of Neupogen (Filgrastim) supplied by GNH India

Neupogen

Active Ingredient:
Filgrastim
Origin:
EU

Neupogen (Filgrastim)

Filgrastim, the active ingredient in Neupogen, is a Granulocyte colony-stimulating factor (G‑CSF) presented as an injectable solution for subcutaneous use. It stimulates neutrophil production and is used to reduce the duration of neutropenia in patients receiving myelosuppressive therapy.
GNH India supplies Neupogen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Amgen Europe B.V.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Neupogen is a recombinant G‑CSF that supports the hematopoietic system in conditions associated with low neutrophil counts.

  • Chemotherapy‑induced neutropenia: reduces the incidence and severity of infection by accelerating neutrophil recovery.
  • Bone marrow transplantation: promotes engraftment and shortens the period of neutropenia after transplant.
  • Severe chronic neutropenia: increases absolute neutrophil count to lower infection risk.
  • Aplastic anemia: assists in restoring neutrophil production when bone marrow function is compromised.

How It Works

  • Filgrastim binds to the specific G‑CSF receptor on hematopoietic progenitor cells in the bone marrow, activating intracellular signaling pathways that drive proliferation, differentiation, and functional activation of neutrophil precursors, thereby increasing circulating neutrophil numbers.

Side Effects

Neupogen may cause a range of adverse reactions, most of which are mild to moderate in severity.

Common Side Effects

  • Bone pain: aching discomfort in the limbs or back.
  • Injection‑site reactions: redness, swelling, or tenderness.
  • Fever or chills: transient elevations in body temperature.
  • Headache: mild to moderate intensity.
  • Fatigue: general feeling of tiredness.
  • Nausea: occasional upset stomach.

Serious or Rare Side Effects

  • Splenic rupture: sudden abdominal pain requiring urgent care.
  • Acute respiratory distress syndrome (ARDS): severe breathing difficulty.
  • Severe allergic reactions: rash, swelling, or anaphylaxis.
  • Capillary leak syndrome: hypotension and edema.
  • Leukocytosis with very high neutrophil counts.
  • Severe bone pain unresponsive to analgesics.

Precautions & Warnings

Before initiating Neupogen, clinicians should assess patient‑specific factors and monitor for potential complications.

  • Monitor blood counts: track neutrophil recovery and avoid excessive leukocytosis.
  • Assess spleen size: be vigilant for splenomegaly or abdominal pain.
  • Use caution in sickle‑cell disease: increased risk of vaso‑occlusive events.
  • Avoid in patients with known hypersensitivity to filgrastim or any excipients.
  • Adjust therapy in renal impairment if required by the prescriber.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Filgrastim may interact with other agents that affect hematopoiesis or immune response.

Major Interactions (Avoid)

  • Concurrent use of another colony‑stimulating factor: may cause excessive neutrophil proliferation.
  • High‑dose chemotherapy combined with filgrastim without dose adjustment: increased risk of severe bone pain.

Moderate Interactions (Monitor Closely)

  • Systemic corticosteroids: may blunt the neutrophil response to filgrastim.
  • Anticoagulants (e.g., warfarin, heparin): may increase bleeding risk at injection sites.
  • Monoclonal antibodies targeting immune cells: potential alteration of filgrastim efficacy.
  • Cytokine‑modulating agents: may affect neutrophil kinetics.
  • Drugs causing hypersensitivity reactions: heightened risk of allergic response.

Frequently Asked Questions

Neupogen is a recombinant form of filgrastim used to stimulate the production of neutrophils. It is indicated for patients who develop neutropenia after chemotherapy, those undergoing bone marrow transplantation, individuals with severe chronic neutropenia, and patients with aplastic anemia, helping to reduce infection risk and support hematopoietic recovery.

Filgrastim binds to the granulocyte‑colony stimulating factor receptor on hematopoietic stem cells in the bone marrow. This binding activates intracellular signaling that promotes the proliferation, differentiation, and activation of neutrophil precursors, leading to an increased number of functional neutrophils in the bloodstream.

The dose of Neupogen is individualized by the prescribing clinician based on the patient’s weight, underlying condition, and response to therapy. Healthcare providers calculate the appropriate amount and frequency, and patients should follow the prescriber’s instructions without self‑adjusting the dose.

The safety of Neupogen in pregnancy and lactation has not been firmly established. It is classified as pregnancy category unknown, and use is generally reserved for situations where the potential benefit outweighs any potential risk. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss risks with their healthcare professional.

To order Neupogen, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, cold‑chain shipping details, and necessary import documentation.

Neupogen (filgrastim) is a short‑acting recombinant G‑CSF, similar in efficacy to other filgrastim products but differs from long‑acting agents such as pegfilgrastim, which require less frequent dosing. Choice between products depends on clinical protocol, dosing convenience, cost considerations, and patient-specific factors.

Neupogen must be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking. If the product reaches room temperature, it may be used for a limited period as specified in the label, but should be returned to refrigeration promptly.

Neupogen is administered by subcutaneous injection, typically into the abdomen or thigh. The injection site should be rotated to minimize local irritation. Administration is performed by a qualified healthcare professional or trained patient under medical supervision, following aseptic technique and the prescriber’s dosing schedule.

Serious risks include splenic rupture, acute respiratory distress syndrome, severe allergic reactions (including anaphylaxis), capillary leak syndrome, and uncontrolled leukocytosis. Patients should be instructed to seek immediate medical attention if they experience sudden abdominal pain, difficulty breathing, severe rash, or unexplained swelling.

Neupogen should not be used in individuals with a known hypersensitivity to filgrastim or any of its excipients. Caution is also advised for patients with sickle‑cell disease, active splenomegaly, or those receiving concurrent colony‑stimulating factors, unless specifically directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.