Welcome, Guest
Username: Password: Remember me

TOPIC: 12 week or 24 treatment

12 week or 24 treatment 10 months 3 weeks ago #25492

  • HCV2B
  • HCV2B's Avatar
  • Offline
  • New Member
  • Posts: 13
  • Thank you received: 13
  • Karma: 0
I was wondering. I am taking the generic for Epclusa when it arrives. My personal hepatologist prescribed a 12 week treatment through
Fixhepc
I noticed people saying they have to have 24 weeks because of cirrhosis. I have cirrhosis , so wondering if I should have been prescribed 24 weeks?
And I still have to do that stupid 'captcha code... arg
The administrator has disabled public write access.
The following user(s) said Thank You: DrJames

12 week or 24 treatment 10 months 3 weeks ago #25493

  • DrJames
  • DrJames's Avatar
  • Offline
  • Platinum Member
  • Posts: 1658
  • Thank you received: 6235
  • Karma: 98
Hello HCV2B,

If you were in Australia and I prescribed you Epclusa all I could prescribe would be 12 weeks, regardless of genotype, regardless of cirrhosis.

If you have a look at the EASL guidelines here: fixhepc.com/genotype-specific-hepc-treaments.html

You will notice that the only patients where 24 weeks is suggested are GT3 cirrhotic patients.

You have GT2. Knock on wood it's either the easiest or second easiest (after GT1b) to treat.

12 weeks should be fine.

Anything more than this is probably not required, but some patients elect to take out a little insurance.

Cure rates look something like this:

8 weeks 90%
12 weeks 95% (+5%)
16 weeks 97% (+2%)
20 weeks 98% (+1%)
24 weeks 98.5% (+0.5%)

So what you should notice is that the +5% for the 4 extra weeks after 8 weeks is probably worth it, but that each extra bit of duration delivers less and less extra cure. You might get something like 3.5% extra cure rate for double the duration (and cost).

For a government, this does not make sense. For some patients it does and if the treatment is not causing side effects the only real harm done with overtreatment is to the hip pocket.

With the stupid captcha code can you explain how you login and post and where it appears?

If you just go to fixhepc.com/forum and login from there it does not appear for me.
YMMV
The administrator has disabled public write access.

12 week or 24 treatment 10 months 3 weeks ago #25494

  • HCV2B
  • HCV2B's Avatar
  • Offline
  • New Member
  • Posts: 13
  • Thank you received: 13
  • Karma: 0
Thank you for the info. It makes me feel a lot better.
I mainly have been just clicking the larger link that appears in my email to get here.. I wasn't sure how any other way.
So far I do t see the code!
Thanks!
The administrator has disabled public write access.
The following user(s) said Thank You: DrJames
Time to create page: 0.112 seconds

Copyright © 2015-2017 FixHepC

Back to Top