relapsed hep c treatment
Jul 23, 2012
back in 2002 i had a liver biopsy which indicated i was at stage 2 grade 2. i did the interferon and ribavirin treatment 48 wks. 6 mos after treatment, i had a viral load test and it showed i relapsed. i had a second biopsy in 2006 and it went to grade 1 stage 1. liver enzymes are normal. i am genotype 1 and am 51 year old male. is it wise for me to undertake this new treatment-combination of 3 drugs (incivik included) now or wait until a new treatment comes out that may exclude interferon and/or ribavirin? i have borderline hypertension and am on blood pressure med, i look forward to hearing from you.
Response from Dr. McGovern
Disease from HCV doesn't usually revert backwards unless you have been cured from your liver disease. So I am not sure I trust the second biopsy result.
The normal liver tests are mildy reassuring. However, I would probably get a non-invasive test for scarring of the liver to see if this blood test backs up the liver biopsy tests which suggest mild-moderate scarring - if you are thinking of waiting.
However, I would like to point out that you are one of the best candidates for re-treatment. Those who relapsed off PEG/RBV are the ones that do best with these triple therapy cocktails with really high cure rates. If you tolerated your PEGRBV okay the first time, it may be a great idea to try again now with triple therapy since you will probably be cured in about 6 months. I would lean towards cure now.
Get Email Notifications When This Forum Updates or Subscribe With RSS
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.