Nursing considerations for filgrastim

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Bleeding problems or. Cutaneous vasculitis (skin disorder) or. Glomerulonephritis (kidney disease) or. Leukocytosis (high white blood cell count) or.

Please refer to the other literature in this special edition of Seminars in Oncology Nursing for psychosocial considerations during HCT. ... The nurse will typically administer granulocyte colony stimulating factor (g-CSF) drugs (e.g., tbo-Filgrastim [Granix®]) by subcutaneous injection to shorten the time from neutropenia to …Ferrous sulfate: Standard iron preparation against which other oral iron preparations are usually measured. Corrects erythropoietic abnormalities induced by iron deficiency but does not stimulate erythropoiesis. May reverse gastric, esophageal, and other tissue changes caused by lack of iron. Ferrous gluconate: Claimed to cause less gastric ...Adults—6 milligrams (mg) as a single injection under the skin once every cancer treatment cycle. Children weighing more than 45 kilograms (kg)—Dose is based on body weight and must be determined by your doctor. It is usually 6 milligrams (mg) as a single injection under the skin once every cancer treatment cycle.Drug Name Generic Name : guaifenesin Brand Name:Allfen; AMBI 1000, 1200; Diabetic Tussin; Hytuss; Hytuss 2X; Liquibid; Mucinex; Muco-Fen; Organidin NR; Robitussin, Scot-Tussin Expectorant; Siltussin SA Classification: Expectorant Pregnancy Category C Dosage & Route Available forms : Syrup—100 mg/5 mL; liquid—100, 200 mg/5 mL; …Filgrastim-aafi injection is used to treat neutropenia (low white blood cells) that is caused by cancer medicines. It is a synthetic (man-made) form of a substance that is naturally produced in your body called a colony stimulating factor. Filgrastim-aafi helps the bone marrow to make new white blood cells.

Go to: Continuing Education Activity. Pegfilgrastim is a pegylated granulocyte colony-stimulating factor that is FDA-approved to decrease the risk of patients developing febrile neutropenia when …Antianginal Drugs. Antianginal drugs are used primarily to restore the balance between the oxygen supply and demand of the heart. These drugs dilate the coronary vessels to increase the flow of oxygen to the ischemic regions. Other than that, they also decrease the workload of the heart so the organ would have less demand for oxygen.Special pediatric considerations are noted when applicable, otherwise adult provisions apply. MECHANISM OF ACTION: Filgrastim (recombinant human granulocyte colony stimulating factor, rG-CSF) is a hematopoietic growth factor which regulates the production and function of neutrophils. Filgrastim controls proliferation of committed progenitorA. Filgrastim is a medication that is given to cancer patients to stimulate the growth of the white blood cells in order to make the patients less vulnerable to diseases. It increases the production of neutrophils in the bone marrow. The following nursing interventions are appropriate to safely administer filgrastim and provide patient safety ...Filgrastim is a type of medication given to patients with low neutrophil count (neutropenia) commonly caused by some cancers, chemotherapy, bone marrow transplant, etc.. Basically, it stimulates the formation of CFU-G in order to produce more neutrophils to decrease incidence of infections in susceptible patients. Some nursing considerations:LEVOTHYROXINE SODIUM (Tirosint) Nursing Considerations. UREA (Urea 47% Cream) Nursing Considerations. ... (FLUPHENAZINE DECANOATE) Nursing Considerations. FILGRASTIM-AAFI (Nivestym) Nursing Considerations. View the FULL Outline. When you start a FREE trial you gain access to the full outline as well as: SIMCLEX (NCLEX Simulator) 6,500+ Practice ...

Chlorpheniramine maleate is an antihistamine indicated for symptomatic relief of symptoms associated with perennial and seasonal allergic rhinitis; vasomotor rhinitis; allergic conjunctivitis. Generic Names & Brand Names chlorpheniramine maleate (klor fen ir‘ a meen) Aller-Chlor; Allergy; Chlo-Amine; Chlor-Trimeton Allergy 4 hr, 8 hr, and 12 hr; …All countries currently using filgrastim are urged to audit current usage to determine if under-dosing is commonplace, by number of doses and/or weight, and the implications of this on planned chemotherapy schedules and RDI (See Online Resource 1 in the electronic supplementary material for a suggested minimum dataset).Nursing Management. There are a couple of nursing management and considerations that nurses have to keep in mind when taking care of a client with leukemia. Radiation and Chemotherapy. These are primarily given to decrease the abnormally high number of white blood cells. Radiation and chemotherapy will technically restart the entire system of ...Filgrastim is a medication used to manage and treat neutropenia in patients with myelosuppression from chemotherapy or radiation, which increases the risk of infection and related events. This activity outlines the indications, actions, contraindication, adverse effects, and other important details of filgrastim as it pertains to members of the ...Drug Name Generic Name : ritonavir Brand Name: Norvir Classification: Antiretroviral Pregnancy Category B Dosage & Route Available forms :Capsules—100 mg; oral solution—80 mg/mL ADULTS 600 mg PO bid with food. PEDIATRIC PATIENTS Start at 250 mg/m2 PO bid and increase by 50 mg/m2 twice daily at 2–3 day intervals, to maximum of 400 mg/m2 PO bid; do not exceed 600 mg bid. Use in combination ...Tbo-filgrastim is a prescription medicine: used in people with certain types of cancer (non-myeloid malignancies), who are receiving chemotherapy that affects the bone marrow. given to help decrease the length of time that the number of certain white blood cells (neutrophils) are very low (severe neutropenia).

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Meningeal leukemia: Give methotrexate intrathecally in cases of lymphocytic leukemia as prophylaxis. 12 mg/m2 intrathecally at intervals of 2–5 days and repeat until cell count of CSF is normal. Lymphomas: Burkitt’s tumor, stages I and II: 10–25 mg/day PO for 4–8 days. In stage III, combine with other neoplastic drugs.Oct 5, 2022 · What is common side effect of filgrastim? rash, hives, itching, swelling of the face, eyes, or mouth, wheezing, shortness of breath. unusual bleeding or bruising, purple markings under the skin, red skin. decreased urination, dark or bloody urine, swelling of the face or ankles. painful, urgent, or frequent urination. Oct 5, 2022 · What is common side effect of filgrastim? rash, hives, itching, swelling of the face, eyes, or mouth, wheezing, shortness of breath. unusual bleeding or bruising, purple markings under the skin, red skin. decreased urination, dark or bloody urine, swelling of the face or ankles. painful, urgent, or frequent urination. The most reliable, and often the only, sign is fever. Teach patients to monitor their temperature and seek medical attention immediately for temperatures of 100.4º F (38º C) or higher. Neutropenic fever, usually defined as a single temperature greater than 100.4º F and an ANC of less than 500/mm3, is a medical emergency.Feb 10, 2024 · Filgrastim is a biosynthetic (recombinant DNA origin) hematopoietic agent that principally affects the proliferation and differentiation of neutrophils within the bone marrow and possibly other sites (e.g., spleen). 2. Filgrastim and tbo-filgrastim are structurally and pharmacologically similar drugs that contain a related drug substance. Filgrastim is a medication used to manage and treat neutropenia in patients with myelosuppression from chemotherapy or radiation, which increases the risk of infection …

Cathy begins her coverage of nursing precautions, nursing care, and patient teaching associated with cancer treatment. She discusses nursing precautions for ...Includes Filgrastim indications, dosage/administration, pharmacology, mechanism/onset/duration of action, half-life, dosage forms, interactions, warnings, adverse reactions, off-label uses and more. ... In Canada, Grastofil is a biosimilar to Neupogen (filgrastim). International considerations: Dosages below expressed as micrograms; 1 mcg ...Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Nadia Hansel, MD, MPH, is the interim director of the Department of Medicine in th...Dosing Considerations. Direct administration of the prefilled syringe to patients requiring . 6 mg ... History of serious allergic reactions to pegfilgrastim or filgrastim. Cautions Splenic rupture . ... Caution should be exercised when administered to a nursing female. Pregnancy Categories. A: Generally acceptable. ...Find information on Filgrastim (Granix, Neupogen) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.Without removing needle, withdraw specified amount of oprelvekin for injection. Give as single dose into the abdomen, thigh, hip, or upper arm. Discard any unused portion of the vial. It contains no preservatives. Use reconstituted solution within 3 h; store at 2° 8° C (36° 46° F) until used. Store unopened vials at 2° 8° C (36° 46° F).However, the pandemic caused by SARS-CoV-2 has resulted in new considerations for cancer care and supportive care. Patients with cancer are a highly susceptible population at risk of transmission of SARS-CoV-2 and the potential consequences of the associated disease, COVID-19. ... Biosimilar filgrastim costs were based on the average sales ...Find information on Filgrastim (Granix, Neupogen) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.Protamine sulfate is an antidote for standard heparin and LMWHs. In other words,Treatment of severe heparin over dosage and low molecular weight heparin over dosage. Side Effects/Adverse Effects. Severe hypotension, cardiovascular collapse, noncardiogenic pulmonary edema, catastrophic pulmonary vasoconstriction, and pulmonary hypertension.

Filgrastim injection is used to treat neutropenia (low white blood cells) that is caused by cancer medicines. It is a synthetic (man-made) form of a substance that is naturally produced in your body called a colony stimulating factor. Filgrastim helps the bone marrow to make new white blood cells. When certain cancer medicines are used to fight ...

Serious allergic reactions. ZARXIO can cause serious allergic reactions. These reactions can cause a rash over your whole body, shortness of breath, wheezing, dizziness, swelling around your mouth or eyes, fast heart rate, and sweating. If you have any of these symptoms, stop using ZARXIO, and call your doctor or get emergency help right away.Anaerobic bacterial infection: 15 mg/kg IV infused over 1 hr; then 7.5 mg/kg infused over 1 hr q 6 hr for 7-10 days, not to exceed 4 g/day. Prophylaxis: 15 mg/kg infused IV over 30-60 min and completed about 1 hr before surgery. Then 7.5 mg/kg infused over 30-60 min at 6- to 12-hr intervals after initial dose during the day of surgery only.Nursing implications often arise from physicians' orders, but they can also come from other sources, such as the patient's request or a family member. Nursing Implications Definition. The definition of nursing implications can be confusing because the word "implication" has multiple meanings. In this context, an implication is a ...Colony-stimulating factor: A colony-stimulating factor is a protein that tells your cells what to do. G-CSF can tell an early form of a blood cell (stem cell) to become a neutrophil. It can tell a neutrophil to multiply so that you have more neutrophils. G-CSF triggers cell changes within the spongy tissue inside your bones called bone marrow.Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Happy Nurses Week! National Nurses Week occurs every year from May 6-12 in honor o...Aldesleukin is administered intravenously, and can be used for treatment of metastatic melanoma or metastatic renal cancer. Immunomodulators: Nursing pharmacology Videos, Flashcards, High Yield Notes, & Practice Questions. Learn and reinforce your understanding of Immunomodulators: Nursing pharmacology.Filgrastim is a biologic drug that comes in the form of a sterile solution for injection. The cost may depend on the purchasing pharmacy and whether the person has health insurance. As the drug is ...

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Nursing interventions include familiarizing patients with the environment, keeping areas clean, dry, well lit, uncluttered, and ensuring there are sturdy handles on walls in patient bathrooms and in hallways. Beds and wheelchairs should be locked with bed heights low when the patient is at rest and adjusted to aid in transferring. Using night ...Ethical practice is a foundation for nurses, who deal with ethical issues daily. Ethical dilemmas arise as nurses care for patients. These dilemmas may, at times, conflict with the Code of Ethics or with the nurse's ethical values. Nurses are advocates for patients and must find a balance while delivering patient care.The difference in the serum concentration profiles of filgrastim with multiple dosing is mostly related to increasing neutrophil counts, which in turn leads to an increase in cellular clearance of filgrastim. The C max occurred 4-6 h after the first dose and 3.5-4.5 h after the tenth dose.Call your doctor right away if you have swelling or puffiness and are urinating less often, trouble breathing, feeling of fullness, dizziness, or feeling faint. This medicine lowers the number of some types of blood cells in your body. Because of this, you may bleed more easily. Wash your hands often.NEUPOGEN. ®. is contraindicated in patients with a history of serious allergic reactions to human granulocyte colony-stimulating factors (G-CSFs), such as filgrastim or pegfilgrastim. Splenic Rupture. Splenic rupture, including fatal cases, can occur following the administration of NEUPOGEN. ®. Subcutaneous. Do not administer filgrastim in the period 14 d before or 24 h after cytotoxic chemotherapy. Use only one dose per vial; do not reenter the vial. Prior to injection, filgrastim may be allowed to reach room temperature for a maximum of 6 h. Discard any vial left at room temperature for >6 h. Aspirate prior to injection to avoid ... Filgrastim and pegfilgrastim are used to assist recovery in patients with low white blood cell counts. This article explores the dosing, efficacy, cost, and clinical considerations of filgrastim and pegfilgrastim in neutropenia care. Increased knowledge of the medications may contribute to positive patient outcomes.These are vital nursing interventions done in patients who are taking antibiotics: Check culture and sensitivity reports to ensure that this is the drug of choice for this patient. Ensure that patient receives full course of aminoglycosides as prescribed, divided around the clock to increase effectiveness and decrease the risk for development ... ….

A. Filgrastim is a medication that is given to cancer patients to stimulate the growth of the white blood cells in order to make the patients less vulnerable to diseases. It increases the production of neutrophils in the bone marrow. The following nursing interventions are appropriate to safely administer filgrastim and provide patient safety ...Nursing Considerations for Patients taking Dilaudid. Assess vital signs before and during administration as Diladuid may put the patient at risk for general CNS depression. Watch for signs of severe sedation or alterations in mood or behavior (euphoria, dysphoria, confusion, hallucinations).DIVALPROEX SODIUM (Depakote Sprinkles) Nursing Considerations. View the FULL Outline. When you start a FREE trial you gain access to the full outline as well as: SIMCLEX (NCLEX Simulator) 6,500+ Practice NCLEX Questions; 2,000+ HD Videos; 300+ Nursing Cheatsheets; Start Free Trial It is used to lower the chance of getting an infection in people with bone marrow problems caused by chemo. It is used to raise the number of white blood cells in certain patients. It is used in patients who have been exposed to certain doses of radiation. It may be given to your child for other reasons. Talk with the doctor. Filgrastim does not increase the number of platelets in the blood, but it may increase the risk of splenic rupture, as more white blood cells can enlarge the spleen. The client should have their platelet count and spleen size monitored regularly and report any signs of bleeding or abdominal pain. ... our nursing education contents will empower ...inflammation of your blood vessels - numbness or tingling, skin rash, fever, headache, body aches, night sweats, weight loss, feeling or weak or tired; or. kidney problems - swelling, urinating less, feeling tired or short of breath. Common Zarxio side effects may include: fever, pain, cough, trouble breathing;Without removing needle, withdraw specified amount of oprelvekin for injection. Give as single dose into the abdomen, thigh, hip, or upper arm. Discard any unused portion of the vial. It contains no preservatives. Use reconstituted solution within 3 h; store at 2° 8° C (36° 46° F) until used. Store unopened vials at 2° 8° C (36° 46° F).Study with Quizlet and memorize flashcards containing terms like filgrastim (Neupogen), Administration, Interventions for leukocytosis and more. Fresh features from the #1 AI-enhanced learning platform.aka. neupogen. class. increase neutrophil production, colony-stimulating factor. actions. increase neutrophil production in bone marrow and enhance phagocytoic and cytotoxic function of existing neutrophils. who does it help. pt. with neutropenia assoc. w/ bacterial and fungal infections. who gets it. Nursing considerations for filgrastim, INTRODUCTION. Cytotoxic chemotherapy can cause profound and sometimes prolonged neutropenia, which may result in hospitalization for treatment of fever or cause a potentially fatal infection [].Although profound prolonged neutropenia is most likely in the pre-engraftment phase of hematopoietic cell transplantation (HCT; particularly allogeneic) and in patients undergoing induction therapy for ..., GRANIX 480 mcg/1.6 mL: Each vial contains 480 mcg of tbo-filgrastim in 1.6 mL solution. • Packs of 10 single-dose vials: (NDC 63459-920-59) GRANIX and all its components are not made with natural rubber latex [see Dosage and Administration (2.2)]. Store GRANIX in a refrigerator at 36° to 46°F (2° to 8°C)., Call your doctor right away if you have swelling or puffiness and are urinating less often, trouble breathing, feeling of fullness, dizziness, or feeling faint. This medicine lowers the number of some types of blood cells in your body. Because of this, you may bleed more easily. Wash your hands often., Filgrastim is a man-made version of G-CSF that stimulates white blood cell production, and in particular, neutrophil production. A neutrophil is a type of white blood cell that is responsible for fighting infection and is often decreased during cancer therapy. When the number of these cells drops below 1000/mm3, it is called neutropenia, which ..., Nursing Interventions. Nursing interventions for a patient with hypothyroidism include the following: Promote rest. Space activities to promote rest and exercise as tolerated. Protect against coldness. Provide extra layer of clothing or extra blanket. Avoid external heat exposure. Discourage and avoid the use of external heat source. Mind the ..., ANGIOMAX RTU is a direct thrombin inhibitor indicated for use as an anticoagulant in patients undergoing percutaneous coronary intervention (PCI), including patients with heparin-induced thrombocytopenia and heparin-induced thrombocytopenia and thrombosis syndrome. ( 1 ) View Our Nursing Pharmacology Course. References: https://open.fda.gov/., 1 INDICATIONS AND USAGE Rapamune is an mTOR inhibitor immunosuppressant indicated for the prophylaxis of organ rejection in patients aged ‚â•13 years receiving renal transplants: Patients at low- to moderate-immunologic risk: Use initially with cyclosporine (CsA) and corticosteroids. CsA withdrawal is recommended 2‚Äì4 months after ..., Top 300 - Spring 2024 (P2) 61 terms. liud255. Preview. Respiratory Pharmacology Quiz Chapter 11. 35 terms. briannajane9. Preview. Study with Quizlet and memorize flashcards containing terms like Brand name, Therapeutic class, Pharmacologic class and more., Study with Quizlet and memorize flashcards containing terms like Anorexia and cachexia are common problems at the end of life. The nurse plays an important role in managing symptoms and preventing complications. Which of the following are appropriate nursing interventions for these problems? Select all that apply., Which of the following is the nurse's primary concern when providing end-of ..., Nursing Considerations for Hydralazine. Gather the patient’s health information. These include past and present medical history specifically the history of heart attack, coronary artery disease, rheumatic heart disease, liver or kidney increase. For a patient with a history or current heart problem, taking Hydralazine may worsen the …, Nursing Interventions. Client Education. anna vanasselberg filgrastim (Neupogren) PHARM Cht leukopoietic growth factor. binds to and stimulates immature neutrophils to divide and differentiate. also activates mature neutrophils. filgrastim interferes with the action of cytotoxic drugs. lithium potentiates release of neutrophils. leukocytosis ..., Filgrastim, dosed at 5 mcg/kg/day, requires daily s.c. administration because of its short half-life and renal clearance. 9, 10 Alternatively, pegfilgrastim is a long-acting formulation of ..., Pegfilgrastim is a pegylated granulocyte colony-stimulating factor that is FDA-approved to decrease the risk of patients developing febrile neutropenia when receiving myelosuppressive chemotherapy regimens. For primary prophylaxis, the risk of developing febrile neutropenia should be 20% or higher, and there should be no other safer regimen that is equally effective available to the patient ..., kidney problems --swelling, urinating less, feeling tired or short of breath. Common side effects may include: rash, hair loss. This is not a complete list of side effects and others may occur ..., General guidelines, 0.5-1 unit/kg/day. The number and size of daily doses, times of administration, and type of insulin preparation are determined after close medical scrutiny of the patient's blood and urine glucose, diet, exercise, and intercurrent infections and other stresses. Usually given subcutaneously., LEVOTHYROXINE SODIUM (Tirosint) Nursing Considerations. UREA (Urea 47% Cream) Nursing Considerations. ... (FLUPHENAZINE DECANOATE) Nursing Considerations. FILGRASTIM-AAFI (Nivestym) Nursing Considerations. View the FULL Outline. When you start a FREE trial you gain access to the full outline as well as: SIMCLEX (NCLEX Simulator) 6,500+ Practice ..., Report these signs to the physician or nursing staff immediately. Assess any bone pain to rule out musculoskeletal pathology; that is, try to determine if pain is drug induced rather than caused by fracture or biomechanical problems. Monitor subcutaneous injection site …, Filgrastim is a medication used to increase the production of white blood cells. An increase in the client's white blood cell count from 2,500/mm3 to 5,000/mm3 after receiving five doses of filgrastim indicates that the medication has been effective in increasing the client's white blood cell count., Find information on Filgrastim (Granix, Neupogen) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF., The preparative regimen was intravenous BCNU, etoposide, cytosine arabinoside and melphalan ("BEAM"). Patients received daily NEUPOGEN 24 hours after stem cell infusion at a dose of 5 mcg/kg/day. The median age was 33 (range 1 to 59) years; 64% males; 57% Hodgkin's disease and 43% non-Hodgkin's lymphoma., NEUPOGEN@ is a man-made form of granulocyte colony-stimulating factor (G-CSF), which is made using the bacteria E co/i. G-CSF is a substance naturally produced by. the body. It stimulates the growth of neutrophils (nu-tro-fils), a type of white blood cell important in the body's fight against infection., All patients received the same chemotherapy regimen (cyclophosphamide 3,200 mg/m² and doxorubicin 75 mg/m²). All patients received concomitant filgrastim (G-CSF) in all cycles. The patients were stratified by whether or not they had received prior chemotherapy, and randomized to receive Neumega 50 mcg/kg or placebo., Nursing Interventions Client Education Felicia Ahl Filgrastim colony stimulating factors A glycoprotein, filgrastim binds to and stimulates immature neutrophils to divide and differentiate. Also activates mature neutrophils. IV, subcut Simultaneous use with antineoplastics may have adverse effects on, Teaching points. Take this drug exactly as prescribed. Do not take a higher dosage. Avoid alcohol, sleep-inducing, or over-the-counter drugs; these may cause dangerous effects. You may experience these side effects: Drowsiness, dizziness, blurred vision (avoid driving or engaging in activities that require alertness); dyspepsia (take drug with ..., For neutropenia: Adults and children—Dose is based on body weight and must be determined by your doctor. The dose is usually 5 to 10 microgram per kilogram (mcg/kg) of body weight injected under the skin per day. Your doctor may adjust your dose as needed. Infants younger than 1 month of age—Use and dose must be determined by …, Nursing Interventions Client Education Lisa Brannum-White filgrastim colony-stimulating factors. A glycoprotein, filgrastim binds to and stimulates immature neutrophils to divide and differentiate. Also activates mature neutrophils. SC, IV. dose adjusted according to blood counts, Do you know how to get your nursing assistant renewal certification? Learn how to get your renewal certification in this article from HowStuffWorks. Advertisement As the elderly po..., Tell all of your health care providers that you take filgrastim injection. This includes your doctors, nurses, pharmacists, and dentists. If you have a latex allergy, talk …, TRETINOIN (Avita) Nursing Considerations. Watch More! Unlock the full videos with a FREE trial. Start Free Trial. Add to Study plan. Master. Previous lesson. Next lesson. Included In This Lesson. ... FILGRASTIM (NEUPOGEN) Nursing Considerations. GLYCOPYRROLATE (Glycopyrrolate) Nursing Considerations. SODIUM FLUORIDE (ZOOBY Spearmint Safari ..., With intravenous use or subcutaneous use: For subcutaneous or intravenous infusion, manufacturer advises give continuously or intermittently in Glucose 5%; for a filgrastim concentration of less than 1 500 000 units/mL (15 micrograms/mL) albumin solution (human albumin solution) is added to produce a final albumin concentration of 2 mg/mL; should …, Ch 56: Hematopoetic Agents. For which patient would the nurse question an order for administration of filgrastim (Neupogen)? Filgrastim stimulates the growth of bone marrow cells and should be used with caution in patients with cancers originating from the bone marrow. This drug may cause enhanced tumor growth., Updated on April 30, 2024. By Iris Dawn Tabangcora, RN. Antidepressants are used to alter the concentration of neurotransmitters in the brain that is responsible for the depressed affect (feelings in response to the environment, whether positive and pleasant or negative and unpleasant). These drugs counteract the effects of neurotransmitter ..., Symptoms may include fever, abdominal pain, feeling tired, and back pain. Call your healthcare provider if you experience these symptoms. The most common side effects experienced in patients receiving NIVESTYM include: •. Patients with cancer receiving chemotherapy: fever, pain, rash, cough, and shortness of breath.