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Hello wrightjw198034,
Sadly, yes, there have been patients who have failed the treatment. If you treat over 3000 patients, and we have, and the cure rate is 95% that dictates there are 150+ patients who failed the first round.
To make matters worse cure rates for GT3 are lower than for GT1 or GT2. That said, the odds are still very good – > 90% where exactly how much better depends on level of fibrosis, ribavirin and duration of treatment.
An easy way to put your mind at rest is to test your viral load – chances are this will be undetectable after 4 weeks. See https://fixhepc.com/link2labs for a < $100 source of PCR testing. It's not unusual to have very few side effects. The usual major "side effect" is feeling better rather than worse.
YMMV
Doing the test at 28 days shows undetected in most 80% of patients taking Sofosbuvir.
Maviret has a protease inhibitor which gives aslightly faster response so 22 days is fine.
Oral B12 and IM work the same.
Routine sleepers like temazepam and diazepam are 100% fine.
Topical medications are fine.
YMMV
Hi Paul,
Yes it is possible to be cirrhotic with few symptoms.
With GT3 and cirrhosis you must have ribavirin with the Sof/Dac. You should also have 24 weeks treatment.
For GT3 cirrhotics Sof/Vel for 12+ weeks (and preferably with riba) is the best 1st line option.
YMMV
Hi Paul2018,
Welcome to the forum!
There are no interactions between Sofosbuvir and Daclatasvir and Sildenafil. Here’s the report from the Liverpool Hep C Drug Interactions Site.
YMMV
Hello tototo,
Sorry to hear you seem to be having a bit of a hard time with the medication. While it’s unusual it does happen. You may find increasing your fluid intake and trying some vitamin B12 help matters.
Usually, we see thing settle down during the course of treatment as the virus is removed.
It does sound like side effects related to the Maviret, so it might be best to take it just before bed, that way you will (hopefully) sleep through them (and the tiredness you get 3 hours after will be hidden during sleep).
YMMV
Hello wrightjw198034,
For a treatment naive GT3 patient with low fibrosis 12 weeks of Epclusa will deliver a 95% cure rate.
Yes, being undetected at 4 weeks is a good sign.
While ~22% of people will still be detected at 4 weeks these patients go on to form ~44% of the relapse cases. Note that most of the relapse patients were undetected at 4 weeks, but the odds of relapse are higher if you are still detected. If still detected at 4 weeks, adding 4 weeks extra treatment as a from of insurance is not an insane idea.
YMMV
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
Hello kaju,
Your most recent results
7/10/18 Glucose 83 Creatinine .88 UreaNitrogen(bun) 9
Seem to show things have settled down nicely. I’d suggest you just keep an eye on it from time to time over the next year, and if nothing much changes – keep less of an eye on it!
YMMV
Welcome Robert,
It’s great to have you here. On the good news front, GT2 is the pick of the bunch in terms of cure rates. Even the old Sovaldi+Ribavirin managed 97% but Sovaldi+Daklinza (the cheapest generic), Epclusa (also available as a generic) and Maviret (no generic) all do an even better job of getting rid of it.
You should definitely chase insurance funded medication, but if you can’t get that generics that do the same job can easily be sourced and delivered into most countries around the world.
Good luck with the CT, hopefully that will show your liver is still in pretty good shape so once we get rid of the virus you can expect some significant health improvements.
YMMV
Thanks for sharing your story EC2
No magic will happen unless you commit to get treated
Except for this!
YMMV
Hello Kaju,
It does sound as though you have borderline diabetes. Patients with Hep C get diabetes at 2-3 times the rate of people without Hep C – as to why, nobody really knows.
It’s probably related to the Hep C and or the treatment, but probably would have happened without treatment.
We do see it more commonly in people who are overweight and notice that people who shed excess weight often have their blood sugar improve. It also occurs (less commonly) in adults in the normal range.
At the moment, it’s probably just something to keep an eye on. How tall are you and what do you weigh?
YMMV
27 October 2018 at 3:52 am in reply to: after treatment ends how long till i feel normal and have energy #28639Hello christop88,
Can you tell me more about you, what you were like before and during treatment, and what you took? Blood results are useful as well.
The average age of HCV patients is around 55 so something I remind people of is that Hep C treatment provides 0% protection from every other disease that afflicts the human condition.
Diabetes, thyroid issues, neurological issues, a range of cancers and all substantially more common in people with Hep C so where people don’t feel significantly better after treatment we need to look for other causes. Here’s some of the extrahepatic manifestations known to be associated with Hep C
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735500/
You are welcome to post more information here, but you should get checked out. That could be online with me on https://gp2u.com.au/ or with your local doctor. The only reason not to do this soon would be if the trend seems to be that you are getting better day by day. In that case, waiting a while to see would not be unreasonable.
YMMV
Hello michael13,
In Australia Baclofen 10mg x 100 is $14.39 AUD which is $10.20 USD. To access that you would need an Australian prescription which can be gotten online from https://gp2u.com.au/
So, really, the major cost is going to be the prescription ($50-70) and the freight ($50). You are stuck with the freight regardless of where it comes from.
What does it cost in the US?
YMMV
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