Neupogen and Intrallipids

Fiona in Welwyn GC

3 Posts
Reply Posted on: Jun 14, 2013 at 6:37am
Hi,

I have been presecribed Neupogen injections and Intralipids by my miscarriage consultant in the UK Dr Gorgy.

I was previously with a different miscarriage consultant who prescribed intralipids and 40mcg Prednisolone. Having had four donor IVF pregnancies (and miscarriages) in row (without steroids), I then did not get pregnant with further donor IVF pregnancies when I was taking steroids.

I am a bit nervous about taking both Neuogpen and Intralipids because I personally believe that the steroids (and intralipids) over-supressed me.

Is there any danger of Neupogen in combination with intralipids over-supressing?

Would appreciate any thoughts or information.

Fiona
Me Age 45 DH 44 - MF and LOR
ICSI#1 ARGC Nov08
7 eggs
6 emb
3 blasts - BFP! Chem Preg
ICSI#2 ARGC May09  2 emb BFN
ICSI#3
4
5 Lister -  I missed miscarriage from 3 cycles
DEIVF#1  Jul- 15 egg  2xB blasts
chem
DEIVF#2 Sep- 17 egg
2 B Blast
m/c
DEICSI#3 Mar- 16 Emb D4- 3xgrade A BFP hcg 1240(15dpo) m/c
DDIVF#4Jun 2xAblasts.HCG 78 14 dpo.m/c
Aug 2011 - High NKC
FET#1 Sept BFN
DICSI#5 jan 2012 +imms 3 blasts.  BFN
Serum
Feb 2012 + hidden C and hysto
DEIVF#6
7 BFN
Reprogenesis
DEIVF#8 PICSI & embryoscope
ET. 1st Sep 2012
4XHB
2xEB
1Xblast
PUPO 2xHB
BFN  ... Why oh why oh why???

Dr. Braverman

2024 Posts
RE: Neupogen and Intrallipids Posted on: Jun 14, 2013 at 7:26am
I dont know your case well so I cant comment on your treatment, but we use both the neupogen and IL without over suppression being an issue. I think it is more important hwoever to understand the diagnosis as to the need for these medicaitons so they can be prescribed correctly . You should know both the HLA status of you and your husband and would recommend this prior to another transfer.
Prednisone however is a storng immunosuppressant , still safe, but in combination with IL and over long periods of time this can suppress, your immune parameters should be carefully monitored and as long as all within normal this therapy is also safe.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.