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Thanks Doc,
I’m not on my backside financially, so I’m not looking to cut any corners on this. But I have to work for a living, so I don’t want to waste hundreds of pounds on unnecessary tests.
Would it be advisable to get another test done during or at the completion of treatment?
My NHS Consultant not only chose not to exercise his discretion, I’m pretty sure he chose to lie to me about available treatments for me (see the attached letter further up the thread).
On a purely anecdotal and hearsay note (and it shall remain that way), I used to work with a guy who told me his son worked in NHS admin, and had obtained his job with a fake CV. My former colleague was gloating about his son having recently been promoted into a fairly senior management position with the greeting “Welcome to the club” by his boss. It was quite the gravy train according to my former colleague. Which all concurred with the stuff my dad used to tell me about his business dealings with NHS middle and senior management: He loved all the business he got (and boy did they know how to throw money around), but hated most of the people.
Anyway, ranting over. Contrary to how it appears, I’m actually quite elated today for some reason, and I’ve only just started to ‘come down’ and feel tired.
Maybe if all of us going down the generics route in the UK play dumb on our return to NHS clinics, the rash of unexplained miracle cures will become newsworthy. Then we could spring the lowdown on them, and make the NHS clinics publicly look like the bunch of Big Pharma-addicted ****s and medical dinosaurs that a lot of them are
Hi Archer,
I spent weeks and weeks researching this because I was having all the same worries and doubts that you are. I found the (highly informative) report I’ve attached. Section 2.2.3 set me on the right path.
I researched all the excipients, and the only one that concerned me was Croscarmellose Sodium, which is a ‘superdisintigrant’. I suspected that it’s only use was to ensure the hard Daklinza pills broke up quickly and became bioavailable in the stomach.But if you’re using an API in a gelatin capsule, that’s going to happen anyway.
I had been corresponding with a HepC infected Doctor here in the UK who was basically saying all the things you are. He wanted to send his APIs to Aus to get them compounded, but I thought that was a bad idea. He contacted compounding chemists in Aus and told me this:
“I’ve spoken to Oz pharmacists as well and they confirmed what you say. Just put the stuff into capsule and swallow. My sof/dac is winging over here. Will start when I get it and hope for the best.”
Anyway, I’m on Indian Sof pills and Mesochem Dac API I put straight into gelatin caps. The Sof doesn’t work on it’s own, and after 15 days I’m virus undetected.
Thanks Chester & Emilio.
My GP wrote to my NHS Hepatology Consultant explaining my course of action and requesting a prescription for my generics (declined), and for the Hepatology Clinic to monitor my bloods (declined).
So my GP offered to to all the blood tests going forward apart from the viral load tests, which are tested at said Hepatology Clinic. They also asked to be kept in the loop with my private treatment and tests (I’d given the private clinic permission to contact my GP anyway), so I dropped off copies of the letters from the clinic and the extensive set of baseline blood tests I’d had done at the clinic a few weeks ago.
I’m due an annual appointment at my NHS Hepatology Clinic next April. If I achieve SVR, I’m tempted to go along and play dumb for a while (assuming that my GP hasn’t bothered to keep them in the loop) and let them scratch their heads, before informing the Consultant that some fake third world generics have cured me no thanks to him and for him to go and try the anatomically impossible.
This is what I did, which I originally posted on another forum:
“I spent days googling different variations and combinations of words, and making phone calls to try finding a compounding pharmacist who would make the API up into a useable form. Most of them couldn’t get me off the phone fast enough when they realised I wasn’t a doctor/clinic/hospital/pharma. One was quite helpful, and explained to me that their insurance doesn’t cover them for this type of thing.
I ended up buying some small digital scales, which I first calibrated. Then I put the Dac into the big end of pharmaceutical grade gelatin capsules (size 3, which I had check weighed at 40mg), then weighed them with the capsule cap loosely fitted. It was trial and error, but I soon got a feel for aproximately the correct amount without having to re-weigh several times. I weighed each batch of 20 filled capsules to check that the total weight was 20×1 dose + capsule, which they were. After a couple of hours, and all the caps tightly pressed on, voila! my Dac in swallowable form. ”
I can’t see the point in putting medically inert substances into the caps. It makes the job an awful lot more complicated.
Got my (now 15 day) viral load test back by email this morning. Opening these files is like being a teenager again going on my first date : Stomach churning, hands trembling slightly, I opened the file: Virus not detected . No mistake with the test this time too.
First couple of days on the meds had been uneventful, followed by about 8 or 9 days feeling like I had a mild dose of the flu, with lots of headaches (odd considering how much Naproxen and Paracetamol I take). All that cleared up about half-way through the second week, And I started to feel more clear-of-mind than I had done in years. A couple of work colleagues commented that I looked different in some way. I think my eyes looked brighter, and my face didn’t look fatigued all the time.
Myalgia and arthralgia haven’t cleared up. Maybe that will come later, or maybe they’re unrelated to the HCV.
What’s the consensus on when I should get my next viral load test done? I’m paying for them myself and they aint cheap.
The clinic seems quite disorganised. But the Consultant I’m seeing is remarkably well-informed, a good listener and a nice guy.
Yeah, done Riba and Peg in 2004. I’m sure it was killing me. I hobbled into my Consultant’s office one day, he looked round at me and a look of horror spread across his face. His first words were “Do you want to stop the treatment?” No ‘good morning’, ‘how are you’, or any such niceties. He was spooked. Never again.
It’s just crack on with the meds now, keep having the blood tested, see where I end up. I couldn’t wait for cirrhosis/liver failure, as the NHS were expecting me to do. I have an 18 yo daughter who I took across the country to start uni last Sunday, and a son in junior school. I have to givie it my best shot for them.
Had my first NHS blood-drawing for the current treatment this morning.
Before I went into my GP’s I decided to give my treatment clinic a ring to see if they’d got my 10 day vl result through yet. Yes they had, and they’d email it to me straight away.
So I booked in at the GP’s and got onto the internet on my phone. Email with PDF attachment from the clinic arrived, so I opened the PDF, which was far too big for the phone screen. Scrolled straight down to the result to see ‘Not Detected’. Wow!!! Sheesh!!! After a few seconds I scrolled across and saw ‘Hepatitis B DNA Viral Load’. Huh? Must be a mis-print! Went in to have some blood drawn, routine blood pressure check higher reading than usual!
Back out to car, and on the phote to the clinic. “Yes, Mr ‘Alsdad’ it was a HBV vl test that was requested. Wasn’t that what you wanted?” Why on earth would I want one of those? I’m being treated for HCV. “Practice manager’s not in ’till 10.30. I’ll get her to phone you.” Practice manager phoned a 11.00, after reviewing what had gone on. Couldn’t apologise enough. “When can you get back in for another blood sample?” This afternoon.
So, feeling a bit like a dartboard , I’m about to head back down there.
My ‘treatment’ under the NHS had turned into a soap opera, and made me bite the bullet and go private. Hoping that this course isn’t going to go the same way!
It took me four or five attempts Emilio.
I’d had to convert a PDF to a JPEG in Microsoft Picture Manager in order to redact personal info, but it still wouldn’t upload. Lost all the accompanying post text the first time as well! So copied that before trying again.
I wondered if the file was too big, so I compressed it in in the Picture Viewer edit function down to about 140kb, and it uploaded no problem.
Yes, ultrasound, Emilio. The Consultant who is overseeing my current treatment privately was astonished when he found out I hadn’t had a fibroscan. We tried, unsuccessfully, betwwen us, to find a local private clinic that ofeers the service.
I’ve attached the letter (with all names and references redacted) that my GP practice and myself received from my NHS Consultant wrt this.
The last letter from said Consultant, which I was informed about by phone call from my GP practice, was his declining their request to monitor my bloods during the current treatment. My GP practice have agreed to do blood tests for liver and kidney function (first drawing on Tuesday). But their viral load tests are done at Dr Helpful’s clinic, so I will continue to have those done privately at £225 a go.
Like you said, I’ll find out where my liver is up to in a few weeks.
Hi Emilio,
I had an ultrasound scan a few months ago. Based on that and my bloods, the NHS consultant who has declined to get involved with my generic treatment assessed me as having no liver damage and therefore, not currently suitable for the latest treatments (only cirrhotics are currently being treated on the NHS with them). As an aside, he also showed his ignorance (or worse) in a letter to my GP in which he stated that I, being genotype 3 and intolerant of Interferon, couldn’t have the new meds anyway because my genotype requires interferon in the combination. Ignorant, or economical with the truth? This is a hepatology consultant in a centre of excellence btw!!!
Yeah, as I said, I’ll post updates as I find stuff out.
Ok, thanks for that.
I’m going to update this thread as my treatment progresses if that’s ok.
Never smoked, white ethnicity.
I’m on 500mg Naproxen BD, Paracetamol as required (usually 1000mg in the morning) for non-rheumatoid arthralgia and myalgia. 10mg Ramipril daily for raised BP.
For years I took high doses of curcumin and milk thistle, but stopped these a month before starting my Sof/Dac treatment.
I dab a bit of Dermovate occasionally on bits of psoriasis I get, but mostly use E45 on them.
Thanks for that info Dr Freeman.
I’m in the UK, and this set of tests are being done at a private lab because my NHS Consultant declined to get involved in this treatment in any way, shape or form. The clinic said up to five days for viral load result, but the Phlebotomist (sp?) said sometimes it’s much quicker.
I stopped drinking alcohol Easter 2014. Would it still be a factor?
My pre-treatment levels were:
ALT 28
AST 26
Biluribin 8
ALP 89Anxiously waiting for my viral load result now
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