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Author Topic: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?  (Read 8089 times)

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Offline rkevins

  • Member
  • Posts: 20
Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« on: May 07, 2016, 11:20:18 am »
Hi,

I should be starting on a 12-week treatment with Harvoni next Friday, the 13th. :) I have a colonoscopy scheduled for the 21st.

Knowing the prep for the colonoscopy includes fasting and drinking vast amounts of a prescription solution to, I assume, clean out the intestinal tract, I was wondering if maybe I should delay it till after the Harvoni treatment.

The doctor didn't mention it, he might have forgotten since a GI is performing it, and tho I'll call my Dr and the GI guy about it, I was just curious what others think.

best
rkevins
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Offline brie41

  • Member
  • Posts: 191
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #1 on: May 07, 2016, 02:31:38 pm »
Hi again,

  I absolutely would wait until at least 2 weeks after treatment ends.  Even if my Doctor said it was okay I wouldn't do it until after.   Or wait to start treatment?  Just my thoughts!  Brie
Logged
Diagnosed  HCV, 1A 2006
Viral load 6 million
Ast/Alt always in the 20's
F0-F1, never changed
Treatment naive, started 8 week Harvoni 3/15/16
4 and 8 week labs undetected
6 week eot labs undetected
13 week eot UNDETECTED!

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,544
  • Get tested, get treated, get cured, fight Hep c!
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #2 on: May 07, 2016, 06:44:18 pm »
I suggest you ask the doctor who prescribed the Harvoni hate to see you miss a dose
Logged
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline FutureThinker

  • Member
  • Posts: 711
  • Onward and upward!
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #3 on: May 08, 2016, 02:41:51 pm »
I'd talk to the Harvoni doctor, but I'd wait unless there is some urgency to do it now. You'll also have to go under anesthesia, so how does that work with an antiviral? Discuss with your doctors! FT
Logged
Treatment naive
Likely contracted mid-70s
Diagnosed 1a, 2011
F1-2
Harvoni X 12 weeks, completed 5/17/16
Pre-treatment: VL 3 mil, AST 64, ALT 84
4 week labs: VL 30, AST 21, ALT 14
8 week labs: VL UD!!!, AST 22, ALT 16
12 week labs: VL UD, AST 23, ALT 14
2 wk EOT: VL UD
12 wk EOT: VL UD, AST 22, ALT 13 =  SVR 12! Yay! 
Last hep appointment: VL UD, AST 19, ALT 12 = SVR 39! I AM DONE!

Offline Turtle

  • Member
  • Posts: 6
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #4 on: May 08, 2016, 02:43:27 pm »
If it's a routine screening colonoscopy I would consider postponing it. Or check with the GI and see if you could do the colonoscopy sooner (before the 13th).

If the colonoscopy is not routine and should not be put off - there are other ways to do a bowel prep such as fleets enemas or old fashioned soap suds/warm water till clear.
Logged
GT 1b
Likely contracted in 1984
Dx 1990 (declined IF at that time)
Tx naive from 1990-2016
F2-F3 via biopsy in 2009
Fibrocscan 3/7/07 16.6
Sof/Vel/GS-9857 screen visit 3/10/2016 showed VL
of 1,030,000 ALT 74  AST 49
4/6/16 - Randomized to 8 weeks tx Sof/Vel/GS-9857. VL 1,630,000. ALT 63, AST 40.
4/12/16 VL 22. ALT 26, AST 21
4/19/16 VL undetected, ALT 16, ALT 17

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,544
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Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #5 on: May 08, 2016, 08:03:48 pm »
I did have a upper endoscopy while I was on treatment took my dose after I was clear headed and I was taking my Harvoni in the evening anyway so anesthesia isn't a problem. I think if you take your pill the day before as normal then start your cleanse then the next day after the procedure take your meds I would guess that should work but best to ask your doctor how to proceed or just put off the colonoscopy for now if it is not urgent.
Logged
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline rkevins

  • Member
  • Posts: 20
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #6 on: May 11, 2016, 11:31:20 pm »
Hi Everybody,
And thank you for your replies!
I postponed.
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Offline FutureThinker

  • Member
  • Posts: 711
  • Onward and upward!
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #7 on: May 12, 2016, 12:05:44 pm »
Thanks for the update and let us know how you're doing! FT
Logged
Treatment naive
Likely contracted mid-70s
Diagnosed 1a, 2011
F1-2
Harvoni X 12 weeks, completed 5/17/16
Pre-treatment: VL 3 mil, AST 64, ALT 84
4 week labs: VL 30, AST 21, ALT 14
8 week labs: VL UD!!!, AST 22, ALT 16
12 week labs: VL UD, AST 23, ALT 14
2 wk EOT: VL UD
12 wk EOT: VL UD, AST 22, ALT 13 =  SVR 12! Yay! 
Last hep appointment: VL UD, AST 19, ALT 12 = SVR 39! I AM DONE!

Offline rkevins

  • Member
  • Posts: 20
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #8 on: May 12, 2016, 12:46:43 pm »
Hi and Thanks,

Delivery scheduled for Thurs now Sat. Will start Sun.

Am freelancer, working Tu-Th, 10 hr days. Can easily change to 8 hr days.

Was wondering what others' work experiences have been.

best
rkevins
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Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,544
  • Get tested, get treated, get cured, fight Hep c!
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #9 on: May 12, 2016, 05:10:44 pm »
Worked my full time 40 hour a week job and took a college class  at the local community college campus while on my 24 week Harvoni and 15 weeks of Ribavirin treatment.

Missed no work due to treatment
Logged
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline rkevins

  • Member
  • Posts: 20
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #10 on: May 14, 2016, 08:58:27 am »
Hi Lynn K and all Responders,

Thank you, everyone, for your replies.

When I first joined this forum, I posted 2 different threads. I see now I should have contained myself to one thread. Since the other is more generally titled, "Starting 12-week course of Harvoni next week; some questions", I think going forward I will concentrate on posting there.

Of course, if anyone posts here with tips, etc. I will respond, and thanks again for taking the time to offer your help!

@Lynn K – What a trooper! And thanks for the reply. I hope to have a quiet course, my body seems pretty tolerant of medications.

regards
rkevins
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Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,544
  • Get tested, get treated, get cured, fight Hep c!
Re: Starting Harvoni, colonoscopy scheduled in a couple weeks—delay?
« Reply #11 on: May 14, 2016, 12:39:49 pm »
Same with me as far as tolerating medications but your mileage may vary ;)
Logged
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!
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