Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: TheBodyPRO.com Covers AIDS 2014
   
Ask the Experts About

Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Please respond
Nov 27, 2004

My husband is HIV pos. and has been on peg-intron and rebetol for 48 weeks. Hep C returned within 3 months and his doctor put him on low-dose pegasus for maintainance. However, my husband wanted to take the copegus with it in order to clear the virus eventually. The doctor agreed, but he wasn't optimistic about clearing. My question is, he has been on maintenance for 5 months and then he started copegus with it for 5 months. Next month the doctor wants to take him off everything. I talked to other professionals and they said that is not long enough. He needs to be on combination treatment longer for best chance of sustained reponse. What is your opinion? Thank you so very much.

Response from Dr. McGovern

There are two different issues which you present in this difficult problem. 1. Your husband underwent 48 weeks of treatment with PEG and Copegus and achieved viral suppression but unfortunately HCV came back when the treatment was stopped. The fact that he did suppress the virus though is excellent news and I suspect he did get "histologic benefit" - in other words, his liver probably looks a lot healthier now if we could take a look under the microscope.

2. Your husband is now undergoing "maintenance" treatment. Maintenance refers to using low dose PEG without Copegus for a long-time to hopefully slow down any chance of complications of HCV infection. It must be emphasized that there is no data yet to support this approach although there is great rationale for using it.

Hopefully we will have more information in the next few years about maintenance. I would not expect your husband to clear the virus at this point. However, I want to emphasize again that I suspect his liver is healthier after this therapy and that is the whole reason why your physician was interested in maintenance therapy. "Maintenance" though refers to PEG alone as defined by the large trials currently underway in patients with HCV alone.

Dr. McGovern



Previous
Twinrix schedule
Next
Hepsera Termination Spike

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

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.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement