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Viewing 15 posts - 1,306 through 1,320 (of 1,968 total)
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  • in reply to: Post Treatment GT 3a #15168
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Without knowing your full history, and based on what’s in your signature you should be ok on 12 but the odds of SVR are improved significantly by longer treatment. If extending out to 16-18-24 weeks would not overburden your finances it is worth doing with GT3.


    YMMV

    in reply to: ALT/AST ratio #15154
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    If I was G3 I would do at least 16-18 weeks and 24 weeks if rules/finances permitted.

    With G3 having either past treatment failure or F4 == 24 weeks.


    YMMV

    in reply to: My Viet. Vet. on tx at last! #15128
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hi Cindi That’s great news for your friend……glad to hear he is now on treatment and kudos for yourself and your husband for getting him this far.

    What awesome news about J….and a girlfriend too…….he couldn’t go wrong with a Mum like you that’s for sure!!

    I’m having my blood test for SVR12 done in three weeks……so not far behind J. Here’s to undetected!!


    YMMV

    in reply to: #Latest NZHF magazine (Generic Ledipasvir) #15127
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    What happened to my post? Why was it deleted?

    The whole thread was accidentally deleted trying to rearrange it. I thought I’d restored everything but there was one from you I missed.

    Is it back now?


    YMMV

    in reply to: Viral Load – Quantitative vs Qualitative #15107
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    I do the 4 week as a quantitative so if it is still there we see a nice small number.

    As soon as it is <15 there is no point doing more that qualitative.


    YMMV

    in reply to: Dan’s Twinvir story #15106
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Yes, magnesium is great for night cramps


    YMMV

    in reply to: Generics Late Breaker Accepted for EASL in April #15104
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Wonderful new Joy. Congratulations. All my results were faxed to James from diagnoses to SVR4…….I hope they are helpful. :)


    YMMV

    in reply to: Hyponatraemia #15090
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Your Sodium is not worryingly low. Your urea is low (which is harmless) but indicates you have been drinking a lot. Dehydrated, high urea. Lots of fluid, low urea.

    Gaj’s suggestion about having a bit of salt will work, or drink a bit less.


    YMMV

    in reply to: Ariel takes the Plunge #14975
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Congratulations Ariel :+1: :) ……ahhh the Palais Theatre …..saw Moody Blues there and the late great Joe Cocker……what a magical place you live in……beautiful ocean and beaches and green grass!! I’ve forgotten what green looks like here in Bendigo….28 acres of barren land, skippies eating anything they can find to stay alive….. :( Enjoy your UND!!!! So glad you are feeling better.


    YMMV

    in reply to: New Member from California!! #14943
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    You will be better using Sof + Dac rather than Sof + Led and a PPI.


    YMMV

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

    The half life of Riba is 12 days so we would need 6 times as long as the Ledipasvir – about 36 months

    The rule of thumb would be 3 months per day of half life.


    YMMV

    in reply to: New Member from California!! #14890
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Yes, stomach acid is highest 2200-0600 so this is the best time to take Ledipasvir to maximise absorption with APIs.

    Most people are more than adequately dosed so the mild reductions with food make no difference. Our new member from California is 1.5% short of requirements – almost certainly irrelevant – but dose absorption can be optimised with night time dosing.


    YMMV

    in reply to: New Member from California!! #14885
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Sofosbuvir 40g 520usd totally include shipping cost by express
    Ledispavir 8g 400usd totally include shipping cost by express

    You have too much sofosbuvir and not enough ledipasvir for 12 weeks treatment,

    You need 400 mg per day of sofosbuvir (that is 34 g for 12 weeks)
    You need 96 mg per day of ledipasvir acetone to deliver 90 mg of free base (that is 8.1 g for 12 weeks)

    You should take it at night, without food, particularly if you are going to under-dose the ledipasvir, which you are, given you don’t have enough.


    YMMV

    in reply to: Any Post-Treatment Reflections? #14863
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    I will be making like a king tonight, getting some quality “throne time”…

    Although “Pico prep” is now the commonly used product, the one I had for my scope was called “Golytly”

    If ever a product was mis-named “Go-lightly” has to be it!


    YMMV

    in reply to: First Genotype 6 – Subtype 6a on this forum #14859
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Proton pump inhibitors should not be taken before ledipasvir/sofosbuvir.” Shoud I skip it ?

    Yes, if you can skip it, absorption of ledipasvir needs stomach acid. You only get about 1/2 as much in if you don’t have stomach acid (at least if you were a dog taking famotidine (which is not a PPI but works like one)).

    With Amlodipine:

    Coadministration has not studied but may increase concentrations of amlodipine or ledipasvir due to P-gp inhibition. Although a clinically significant effect of ledipasvir is considered unlikely, monitor heart rate, blood pressure and for increased side effects of amlodipine.

    So it will probably be OK. Keep an eye on your BP, and if you seem to be getting sides past the first week we should consider if you are getting higher levels of Ledipasvir (and no using a PPI to reduce them is not a good idea!)


    YMMV

Viewing 15 posts - 1,306 through 1,320 (of 1,968 total)