Filgrastim and Pegfilgrastim interaction

Filgrastim and Pegfilgrastim: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Filgrastim (NYPOZI txid) label · effective 2026-01-15

Major

NYPOZI is contraindicated in patients with a history of serious allergic reactions to human granulocyte colony-stimulating factors such as filgrastim products or pegfilgrastim products [see Warnings and Precautions (5.3) ].

Contraindicationsnames PegfilgrastimView label on DailyMed
Major

Patients with a history of serious allergic reactions to human granulocyte colony-stimulating factors such as filgrastim products or pegfilgrastim products ( 4 )

Contraindicationsnames PegfilgrastimView label on DailyMed

From the Pegfilgrastim (ZIEXTENZO) label · effective 2026-05-14

Major

ZIEXTENZO is contraindicated in patients with a history of a serious hypersensitivity reaction to pegfilgrastim products or filgrastim products.

Contraindicationsnames FilgrastimView label on DailyMed
Major

In patients with a history of serious hypersensitivity reaction to pegfilgrastim products or filgrastim products.

Contraindicationsnames FilgrastimView label on DailyMed
Minor

Potential for Tumor Growth Stimulatory Effects on Malignant Cells The granulocyte colony-stimulating factor (G-CSF) receptor through which pegfilgrastim products and filgrastim products act has been found on tumor cell lines.

Warnings and precautionsnames FilgrastimView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.