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  • #27422
    SHarmon
    • Topics: 4
    • Replies: 37
    • Total: 41
    • Recovery Champion
    • ★★★★
    @sharmon

    Received my Visa card today and ordered the Harvoni generic for 12 weeks. Not the wait for it begins :) . If the 12 weeks needs an extension would it be better to take a broader based generic such as Epclusa for the second 12 weeks ? I have be diagnosed with GT 1a but several types can coexist with the dominant GT showing up on the RNA so I am not sure that attacking the known dominant type without ruling out all others is such a good idea.

    #27423
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Sof/Dac is as good as Sof/Vel and more reliably absorbed.

    While there is nothing really wrong with doing a bit extra for insurance you are looking at a baseline 95-96% cure rate with 12 weeks.

    If you are undetected at 4 weeks after starting the tablets then you are on track and should probably just sit tight.

    If mentally it’s going to bug you severely then it’s not completely insane to do a bit longer, either with the same medication, or a pangenotypic like Sof/Dac or Sof/Vel.


    YMMV

    #27425
    SHarmon
    • Topics: 4
    • Replies: 37
    • Total: 41
    • Recovery Champion
    • ★★★★
    @sharmon

    You prescribed Sofosbuvir + Ledipasvir not the other two though. The Harvoni generic is just as effective as the other two for GT 1a ?

    #27426
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Harvoni has the best track record of any drug in GT1 with multiple sources of independent validation.

    Sof/Vel is new and there are absorption issues around the velpatasvir in some patients. Because it’s new, most of the data is company data and the Harvoni data (from the company) was a little on the optimistic side.

    We have used quite a lot of Sof/Dac in GT1 and I am aware of a large independent study about to be published about it, but because of the originator price being north of $100k there is less in the public domain.

    Any of these are good, and the number of failures so small it’s hard to pick a clear winner.


    YMMV

    #27431
    Avatar photoAriel
    • Guardian Angel
    • ★★★★★
    @ariel

    Hi Sharmon
    I was once HCV Positive gen 1a
    My Sof/led from FHC cured me
    My signature here has the timeline and stats. Harvoni Sof/led is a miracle.
    Wishing you well for tx
    Happy Splashes
    Ariel

    #27437
    SHarmon
    • Topics: 4
    • Replies: 37
    • Total: 41
    • Recovery Champion
    • ★★★★
    @sharmon

    The shipment was cleared by US customs in Cincinnati and is now with Canada customs since this morning.

    Update : Cleared Canada Customs and a duty of 56.93$ CAD was charged and paid online. Clearance time from arrival in Canada , 44 minutes :)

    Out for delivery , I can’t believe that shipping from India to Canada took almost 2 whole days , I thought it would never arrive lol.

    #27438
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    We say 2 weeks because it can take that long, and sometimes longer. 2 days does sometimes happen…. Clearly the stars are coming into alignment for you.


    YMMV

    #28666
    808cruiser
    • Topics: 0
    • Replies: 1
    • Total: 1
    • Novice
    @808cruiser

    I just found out that I have a viral load of almost 4 million……I haven’t spoken to my doctor yet, just saw lab results and my mind is spinning…..is 4 million really bad?

    #28667
    Avatar photosplitdog
    • Guardian Angel
    • ★★★★★
    @splitdog

    No.
    Mine was 3 times that.


    splitdog@roadrunner.com

    Genotype 3
    VL 4,100,000
    ALT 101 AST 71
    Treatment Naive
    Started Sof/Dac Jan 12, 2016
    VL= <15 4 weeks in. AST/ALT normal.
    VL=UNDETECTED 8 weeks in.
    SVR4= Virus back. 3,300,000

    Started generic Epclusa Sep. 23, 2017

    4 weeks in <15 *Detected.
    12 weeks in <15 *Not Detected.
    16 weeks in <15 *Not Detected.
    Finished 24 weeks treatment 3-17-18
    SVR5 <15 Not Detected.
    SVR 20 <15 Not Detected.
    SVR 44 <15 Not Detected.

    Thank you Jesus.
    Thank you Dr. James

    #28668
    Avatar photosabrecat
    • Guardian Angel
    • ★★★★★
    @sabrecat

    Can’t remember what mine was.

    In the end I got treated and got rid of the virus.

    Can’t remember now if the viral load is/was that significant for treatment in my case – GT3??

    Made a difference though when it become undetected!

    It’s funny that this is all a distant memory now I am free of Hep C.

    All the best with your treatment,

    Jeff

    #28669
    Avatar photoMar
    • Guardian Angel
    • ★★★★★
    @mar

    Hello 808cruiser, welcome to the forum! Strange as it may seem, your viral load has very little correlation to cure rate. Patients with high viral loads have the same excellent cure chances as anyone else, 95% for Genotypes 1,2,4,5,6 and 90% for Genotype 3, when treated with the modern direct-acting antiviral medications, or DAAs (e.g. Harvoni®, Epclusa®, etc). Besides, 4 million is not very high, I know FixHepC patients who started treatment with about 30 million viral load and got cured easily. It’s common to see a patient with a 16 million viral load go to 1,600 in the first week of treatment, these drugs are remarkably effective. Please this thread of the forum for more on this topic https://fixhepc.com/forum/fixhepc-admin/1930-viral-load.html#26786 Best of luck to you.


    Making the world a better place – one patient at a time.

    #28670
    Songbird
    • Topics: 2
    • Replies: 63
    • Total: 65
    • Recovery Champion
    • ★★★★
    @songbird

    Hi 808 cruiser and welcome.

    As the others have mentioned,amount of viral load is of really no consequence. When I was first diagnosed mine was 9 mill. and then when I started my first treatment years later it was 6.5 mill.

    It flucuates up and down on a regular basis. It is a war between them replicating and your immune system fighting them.

    Hopfully you will be treating soon with these excellent drugs that stop that replicating process in its tracks.


    Diagnosed: 2001 GT1a , HCV since mid-70’s.
    Biopsy 2010 F1
    Fibroscan and Fibrosure 2018 F2

    Treated in trial 2010 with Dac/Peg/ Riba and Relapsed.

    Resistance test 2017. Have Ns5a Rav Q30r/H58d enhanced from doing Dac.

    Start Tx. Jan 18th/18 w/ Vosevi /Riba 12wks. plus 6 wks.Viekira Pak +Sof/Riba(From Dr Freeman @GP2U)

    VL start: 1.6mill.ALT 125 AST 88
    Wk. 4 Det @LLOQ <15.
    VL Wk.8 UND Alt &Ast 22
    Wk. 12 UND
    EOT:UND

    EOT+12 >>>UND (SVR12)! ALT11 AST13
    Nov6/18 SVR 24!

    #28674
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hello 808cruiser,

    2-3 million is the average.

    People have higher levels when their immune systems are not doing much. While this might sound bad, the damage from Hep C is driven by the immune response. The little critters don’t eat much, so, curious as it may seem, people with a viral load of 10 million are often a lot healthier and less damaged by the Hep C than people with a viral load of 10 thousand where there immune systems are working hard to get rid of the virus and killing lots of liver cells in the process.

    Anyway 4 weeks after you start treatment you will have < 15 ...


    YMMV

    #28685
    Avatar photocoral
    • Guardian Angel
    • ★★★★★
    @coral

    Hi 808cruiser,

    I know those figures can seem crazy high and worrying but like others my viral load was all over the place before treatment. Anywhere between 1 million and 5+ million and beyond. It doesn’t matter much where it is when you start treatment – the most important thing is that those little critters are undetectable at the end.

    Good luck with your treatment.

    #28893
    SHarmon
    • Topics: 4
    • Replies: 37
    • Total: 41
    • Recovery Champion
    • ★★★★
    @sharmon

    Finally got a final blood test done and am waiting for the results. A separate CBC showed a change in ALT from 35 to 13 7 months post treatment (Harvoni) and my platelet counts are slowly rising , 132 on the last test and 143 on the most recent. The Hep C results can take 3-4 weeks but they notify your doctor if you have any viral load so no call after 2 weeks is a good sign :)

    While on the treatment my WBC MONOCYTES were at 9.4 which my FD was concerned about but this test put them at 7.0 so I am chalking that up to the Harvoni.

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