While I did not experience the flu-like AEs with PEG, it is a fairly common reaction. Hopefully your body will adjust before too long. You might want to take the paracetamol as prophylaxis rather than waiting for the symptoms. I have had some itching/rashes due to the IFNs and have adopted a daily Claritin to manage it successfully.
I felt when same when I started on Peg, but after a short while, about a month or so, I hardly notice anything now. I sometimes feel a bit tired the day after the injection, just normal tiredness not fatigue. Hope you feel better soon.
I have to say I never got and still don’t get such symptoms on Peg. I do find that it made me dehydrated however, and I now make sure I drink lots of water on the day I take it.
Sorry to hear that, I remember I was very similar when I first started on Peg. My advice would be to do the injection 2hrs before you go to bed, because the symptoms tend to start about 2hrs after you've injected. You may feel a bit fluey/snotty and tired the next day, but after 3 injections I found I was tolerating it much better and since then I don't get particularly bad side effects after doing the injection, so stick with it and hopefully it'll be the same for you!
Hi JeniMac, I had my second one last night. With the first one, I was fine for the first day but had a bad shivering session during the second night. Now I am waiting to see what happens... Nurse said to take paracetamol but to alert them if symptoms persist for longer than a day. Good luck, it is a discovery journey!
I was issued my Peg yesterday at hospital . It was a battle to get it as not my usual haemotology Dr & this one was trying to push me back onto Hydroxy which I reacted badly on & weight loss. I was eventually prescribed peg interferon Alfa 2a. However it’s 90 micrograms. I read on this site that most start on 45 which I told the Dr . Not sure she was happy with me commenting however she agreed to put 45 on prescription so I will inject half syringe. No instructions how to give it myself but I have read up on it. I expect the cost of the drug is the problem however my previous Haemotology Dr had agreed on me having it. I hope this is the correct one for ET. My platelets are 540 currently aged 68 no symptoms. I asked to leave it longer but insisted I needed to start medication again . Julia UK.
Hope it works for you. I was on hu for 12 years. Changed haemotoligist as felt I wasn't getting anywhere as I was taken 3000mg a day 6 tablets. Went on to Anagralide but didn't help. Have had more tested BMB. Now I have been diagnosed with Pre Myelofibrosis my platelets count was 1028.so now on Pegysas x
I also experienced those symptoms, when I started Peg. I am now 3 months in and I barely notice any side effects. I do take some Tylenol with my injection and also take a daily Claritin. I am still on 45mcg.
Hi JeniMac, I totally agree, and can't emphasise too strongly, the need for extra hydration. This Friday is my Peg day and I am already refilling my pint glass regularly all day with water. I think it will be injection no 36. So, at one 45 mcg dose every two weeks, that's well over a year, now. And since 36 is an even number I know it will be the second use of the syringe, with a fresh needle.
With enough water, I don't get headaches afterwards and with even more water, I dont get dry eyes and a dry mouth either. I have been lucky not to get the fluey symptoms, or that might just be due to my regular high-strength vitamin C .
If it's herb tea, then that would be excellent. I'm afraid there's caffeine in regular tea, as well as coffee.
I'm in the UK too and I have only ever been told that it is "not recommended" to get more than one dose out of the same syringe. However, it was a phlebotomist who gave me my first supply of extra needles. Now I get them on Amazon.
Well I knew that Peg helps the immune system, but I'd never really thought of it in terms of a vaccine before. And here is me saying I've not been vaccinated against covid !
"A PEGylated lipid is used as an excipient in both the Moderna and Pfizer–BioNTech vaccines"
Here is the one we care about:
"When attached to various protein medications (IFN in our case) or drug carriers, polyethylene glycol of suitable length slows down their clearance from the blood"
PEG for us refers to Pegasys brand interferon. Adding Peg to IFN has made IFN useful for our MPN condition. Another pegylated IFN is Besremi, but it's not usually called "PEG"
MPN is the title of this forum, and is for "Myeloproliferative neoplasm" (quite a mouthful) It was part of MPD "Myeloproliferative Disorders" until we got our own MPN category. Neoplasm is what makes it a cancer and attracts all the research funding.
It's why we're all here. This site is a good briefing:
I have read it's a good idea to have the injection just before going to bed and take paracetamol about half an hour beforehand. You may need to take paracetamol at regular intervals for the day after until your body adjusts.
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