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  • #10646
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    I was wondering about this the other day when you posted the new Decision Support Tool.

    i.e. For genotypes 2/4/5/6 is there any advantage when making a decision on treatment for the new Australian guidelines that recommend Peg/Riba with Sofosbuvir? Eg “if the patient has TT and maybe CT then follow EASL guidelines and prescribe Sof/Dac”

    Or would using Sof with the Peg/Riba negate any advantage there?


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    #10650
    Avatar photoAriel
    • Guardian Angel
    • ★★★★★
    @ariel

    Ah yes and after the tx failed me and popped me into hospital and so on they did my Il28 and I was CT
    Hmmmmm
    Thanks to the FixHepC people for my Sof/Led it’s changed my life and I haven’t even had my first bloods done yet. You have given this liver clinic bench warmer hope and a brighter future

    #10717
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    The AUS rules are the expected PBS restrictions. The PEG/RIBA free ones are what I would want for my mum.


    YMMV

    #10729
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Hmmm, on further reflection peg/riba is sub optimum for everyone regardless of their genes. :angry:

    While it’s reasonably cost achievable to help our mums the best scenario is that PBS doesn’t end up discriminating against 9% of HCV infected people to save a few bucks.

    Anyone know when the final rules get announced?


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

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