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
   
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


treatment options regarding h.i.v./h.c.v. psoriatic arthritis ankling spondiolitis
Aug 14, 2014

Doc, I have the abovementioned health issues and have had steroidal injections, ablasions in my lower back bilaterally and most recently sclerosing injections in my sacroiliac joints bilaterally. I am medicated w/ truvada, isentress, meloxicam, oxycontin, soma. I have been hoping w/each treatment for relief. The rheumatologist I see says that there isn't anything he can treat me with due to my other health issues. I had a bad reaction to prednisone and he has deferred me back to my g.p. who has sent me to a pain clinic. They (pain management clinic) put me on the narcotics, soma, meloxicam which I thought would be a short term solution until my ablasions were approved, then done. And when that was a bust the sclerosing injections. Is there in your opinion something we/they have not considered. I don't want to be on the narcotics long term. I still have bad pain on 80mg of oxycontin and am on the max dose of meloxicam. I live in Hawaii and am able to do aqua therapy year round which is great. However I feel everytime I am referred to a specialist they look at the laundry list of medical conditions and medications and punt me off to another practitioner hoping I won't return. Any advice would be greatly appreciated. Thanks, Eric

Response from Dr. Taylor

Dear Eric, Up until recent times, it has been challenging to have an autoimmune-type condition such as psoriatic arthritis and ankylosing spondylitis (AS) in the setting of hep C, because the treatment for each disease could worsen the others. For example prednisone and other steroids for the arthritis could bother the hep C, and inteferon for hep C could exacerbate the arthritis and AS.

However there is very good news for you. There are new pills for hep C that may be given without interferon injections. These are safe for people living with HIV, AS and psoriatic arthritis, as long as your doctors check for any possible drug-drug interactions.

I would talk with your HIV doc about accessing hep C treatment through your HIV doc or via a hep C specialist. You have an excellent chance of being cured of your hep C. Then your 'laundry list' of medical conditions would not include this liver disease. This will permit more choices over time for your arthritis and AS, as some meds for these conditions, such as NSAIDS (a class of anti-inflamatories) over time may not be ideal as the liver gets more scarred. So talk with your doctors about seeing a hep C specialist and getting cured of this infection with pills alone. All best to you.



Previous
antihbsag titre value.......vaccinated....suspicious exposure..
Next
Hepa B

  
  • 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