|to treat or not to treat! 2 biopsies
Oct 22, 2002
I have hep C. Have had most likely for at least 30 years. I am 56 year old female who stopped drinking 20 years ago. had 1 biopsy 2 years ago, stage 2-3 fibrosis, stage 2 on activity. Had 2nd biopsy 2 years later, showed no progression and inflamatioon had subsided some,probably because of Vit. E (800mg a day) plus milk thistle, alfa lopiac acid, selenium etc. Anyway have chosen not to treat. Am genotype 4. Am I nuts? Doctor wants to wait to see via Nov. Liver conference what's on the horizon regarding newer meds. Your view please.
Response from Dr. Frascino
Are you co-infected with HIV as well? Co-infection presents additional treatment challenges. Are you nuts? Well, I'm not a psychiatrist, but you don't seem nuts to me. Should you treat genotype 4 hepatitis C? Well typically HCV genotypes 1 and 4 are associated with the worst responses to treatment. However, there was an interesting medical report at the International AIDS Conference in Brazil this past summer presented by Christian Perronne. This French group showed that treatment of hepatitis C with pegylated interferon (IFN) alpha-2b plus ribavirin was associated with impressive response rates in co-infected patients, including those with genotypes 1 and 4. Side effects (leukopenia, anemia, etc.) remain a significant problem. Luckily, we have medications to help combat the side effects. Procrit, for instance, is extremely effective in treating the anemia associated with HCV combination therapy.
Hope that helps. The decision to treat or not is certainly yours to make. If you decide to treat, I'd suggest the newer pegylated interferon. Also, it's comforting to know the success rates of therapy for your genotype are improving.
Can Thirsty be a sympton of early infection?
- Using Cephalexin To Treat Hiv
- Hpv After Sucking Penis Sign Of HIV AIDS
- Itchy Red Spots After Sex With Stripper Sign Of HIV AIDS
- Itchy Skin After Deep Kissing Sign Of HIV AIDS
- Swollen Lymph Nodes After Performing Oral Sex Worried I Have HIV
- Can You Get Pubic Lice If You Have No Pubic Hair?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.