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I only had a couple of bad headaches during the first few weeks of Tx but have had a dull “pressure” effect on my forehead often thoughout. I find this improves when I up my water intake and get enough sleep.
Headaches are the equal most common side along with fatigue at 14% each according to BMS
http://packageinserts.bms.com/pi/pi_daklinza.pdf
Advil is Ibuprofen so no interactions with Sof/Dac according to the charts and apparently is mostly metabolised outside the liver (but can be toxic in high or extended doses) and as you say, anything that adds load is best avoided where possible. So maybe increase your water intake and only use Advil when you really need to? Unless someone can suggest a more suitable headache medication?
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Jaz wrote:I am feeling relieved. In the last couple of weeks I started imagining all kinds of things, that I hadn’t responded at all and started feeling more tired and down than I had in the beginning. I think the intial uplift was more from the sense of relief and hope for the future. It really is an overwhelming rush after so much time spent waiting. It really is amazing what power the mind has over our wellbeing!
^^^^ This!
I felt exactly the same way until I got my <15 result. Since then I've been quite content to wait for 12wk test, which is due to be taken next week....time flies! (I am on 24wks Tx though)
I agree about the uplift and would also include finally having a feeling of being in control of my destiny again.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Chapel wrote:Hi Gaj, no it was Sofosbuvir which had the approval anomaly:
http://fixhepc.com/forum/end-of-treatment-eot/317-treatment-over-waiting-for-svr.html?start=12#2775
Thanks Chapel, I have modified my post to reflect that.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
I’m wondering if you got conflicting results for the two tests or just qualitative detected for the first which looked only at whether there was any presence and then an undetected at levels higher than 12 for the second result but they didn’t bother to look for dectection below 12 because they already knew you had a detected qualitative result?
I think the issue at the moment is that we are at the forefront of what is happening with DAAs particularly in Australia so best practice still needs development and fine tuning. As more people go through the treatment process I don’t doubt that we will see changes to the type and timing of these tests. I was even reading a Hepatology paper the other day where the comment was made that with time we will probably move to DAA treatments where the standard of care is to only test qualitative both pre treatment and then at SRV12 or 24 for most non cirrhosis patients. When you think about it this makes sense in the long term, after all when our GP prescribes antibiotic Tx he doesn’t arrange blood tests before prescribing then tell us to come back in 3 days for further tests to see if they are working. Obviously this is a fair way off for HCV Tx but maybe in 5 or 10 years time?
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Congratulations Jaz!
Not totally sure what your 4 week result meant but possibly that the quantitative was undetected for levels greater than 12 but they didn’t run testing to below that level?
Something I was planning on bringing up with my specialist next week is the anxiety patients feel when they don’t get a clear explanation of the meaning of these tests from the nurses, who may well not be totally sure themselves? I think the communication needs improvement given the changes to PBS coming in from 1st March.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hey Life, congratulations on reaching EOT!
Don’t forget to keep your friends updated when you reach your SVR goals.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Ahh….okay.
Keep up the fluids, helps flush out all those slaughtered viruses.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi Chapel,
Chapel wrote:On the other hand, the Chinese Ledipasvir I consumed was not 100 per cent identical to Gilead Ledipasvir, Dr Freeman told me.
I can’t find the relevant post (maybe you can?) but from memory Dr Freeman noted that Gilead had in fact used a slightly different form of
Ledipasvir(#NOTE: my error, the differing DAA was Sofosbuvir per Chapel’s post below) in their production Harvoni to what they had trialled and the Mesochem product was the same as was used during their approval trials.But really, the quote from Ed is a few sentences of caution in a 10 min or so chat and is mostly directed at “They could be fake, they could be diluted so not as effective, they could be contaminated…….” so talking about sourcing outside of reliable supply chain. He also comments on the non licensed generics but very generally (without pointing fingers other than at countries that didn’t accept the patents) as I would expect someone who works in the field of clinical trials researcher with a number of patent holding pharma companies to do. There is nothing untoward in this nor any implications against him in my mentioning it. It is simply a fact of research/commercial reality if we want wonderful new drugs like these DAAs developed and trialled. I find his caution in that regard entirely understandable, he can be confident in the efficacy of patent drugs for his patients.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi Wilko,
Couple of threads about things to avoid on Daclatasvir, just be aware in the second one that only the first four fruits are really a problem and garlic is probably since disproved but just don’t eat several raw cloves at the same time as the Dac.
http://fixhepc.com/forum/drug-interactions/108-daclatasvir-warning-interactions-cyp3a4.html
http://www.ganfyd.org/index.php?title=Inhibitors_of_CYP3A4
Regarding fats, there are some warnings about that going around but the only research I’ve seen involved taking it directly after a meal containing very high fat (from memory +30-40g?) in which case not as much was absorbed by your body. They suggested it wouldn’t be a problem on normal diets. You can take Sof & Dac with or without food so if with then just make it a low fat meal. OTOH Ribavirin should be taken with some fat, in which case you may want to take It at a different time to the other meds.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi Gerges,
This may also give you additional confidence in Monkmed. It is the U.S. govt’s NIH listing of the Redemption trials.
https://www.clinicaltrials.gov/ct2/show/NCT02657694?term=redemption&rank=1
FixHepC is the sponsor and Monkmed is effectively the international coordinator.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi Anna,
No expert but the Ledipasvir requires acid digestion to work so Gaviscon will to some extend have similar effects to PPIs. However, the three hours before you used it will have been enough to have got the Led into your blood stream so this dose should be okay. Here is a link to a post on PPIs with comments by Dr James:
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi Josie,
I’m also in Vic. You have come to the right place for advice about seeking quick treatment and have already been given some good advice about HCV treatment options. The treatment itself can occur where you are currently living and blood tests etc during treatment should be able to be taken by your local pathology lab and processed via their normal channels with only one type that requires sending off to external labs.
However, like Jimmy I’m also concerned about your gastric issues so soon after contracting the virus and wonder if you are still in the acute phase of infection which could result in you either naturally clearing the virus or progressing to the chronic stage which will require medication. This requires further investigation to determine the HCV status and why you are experiencing these problems.
I’m guessing here that your GP has run tests that confirm HCV and then referred you to the public clinic at Monash? As you have health insurance go back to him and request an urgent referral to a private gastroenterologist or hepatologist to investigate further. Once you have done that and determined your HCV status and why you are experiencing the gastro problems you will be in a position to make decisions about treatment. This part of the process will likely require travel to a major centre for appointment(s) with greater Melbourne area including Dandenong and Franston being the most likely area.
If due to the smallish town you live in you were not comfortable with talking to your GP and have gone elsewhere for your diagnosis and referral then either return to that source or consider a virtual (Skype or similar) consultation with a service like GP2U.com.au at least as an initial step to seek expert advice as to who you should consult.
Please only use Phenergan or Stemetil on medical advice of someone who is aware of your HCV status particularly as you say they do not seem effective. When I had gastro problems I found gingerbeer or candied ginger gave some small relief.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi Tommy,
You may want to enquire about the Redemption trials too. Listed by NIH in U.S. http://fixhepc.com/forum/media-news/625-redemption-is-official-in-the-u-s.html
It is organised by FixHepC and coordinated worldwide by Monkmed who I understand have a list of U.S. doctors by state who will prescribe. Sorry can’t find the post about that at the moment but mgalbrai (Mike) who started that thread is Curehcvnow@gmail.com and a very helpful guy to talk to about the U.S. situation.
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi Chester, please check your PMs
……for the rest of you: No, I’m not planning on removing my shades and staring at the spotlights
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
Hi everyone, I like to think this site is about support for people with HCV and an information space to allow them to access cures.
…..and this thread about Gilead strategy.
(Hint, there is an edit button that allows people to reconsider their posts)
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
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