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Welcome

Welcome to the Hep Forums, a round-the-clock discussion area for people who have Hepatitis B, C or a co-infection, their friends and family and others with questions about hepatitis and liver health. Check in frequently to read what others have to say, post your comments, and hopefully learn more about how you can reach your own health goals.

Privacy Warning: Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.
  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.
  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.
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Recent Posts

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1
Thanks a lot Lynn for your reply and painstaking Internet search
2
There are no medical professionals here this is a community of patients coming together for moral support for those living with liver disease or hepatitis related conditions. As such we are unable to offer medical advice specific to the effectiveness to the treatment you have undergone beyond what a google search would provide.

You best resource for a medically informed answer to your question is your treating physician.

I did a quick google search and found this information from the US CDC

“After exposure to hepatitis B virus (HBV), appropriate and timely prophylaxis can prevent HBV infection and subsequent development of chronic infection or liver disease. The mainstay of postexposure prophylaxis (PEP) is hepatitis B vaccine, but, in certain circumstances, hepatitis B immune globulin is recommended in addition to vaccine for added protection.”

https://www.cdc.gov/hepatitis/hbv/pep.htm

Also this from another source

“ Hepatitis B vaccine is highly effective in preventing acute infection after exposure if given within 7 days and preferably within 48 hours.”

https://www.hpsc.ie/a-z/EMIToolkit/appendices/app8.pdf

Beyond what I as a layperson found with an internet search for more information speak with your doctor and follow your doctors guidance. 

Best of luck.
3
I am new to this great forum and really thanks the team behind this helpful initiative to save lives. I had a very high risk encounter and want to know if am infected and my options


On 20th Jan 2020, I had sex using condom with Hepatitis B positive lady in acute stage, newly infected. Unfortunately the condom pulled during sex and I continued for like 5 minutes without knowing.

Am not vaccinated. I did baseline tests and it's negative with no prior immunity.

The next day (14 hours later) I took a short of hepatitis B vaccine and a short of hepatitis B immuneglobulin (5.4ml)

How effective is this emergency intervention?


Am I still at risk or will the PEP take care of the situation.

A doctor recommended I repeat the vaccine in 2 weeks time from first shot since my exposure was very high risk. I am thinking of repeating the vaccine shot in a week after the first shot since I work offshore and wont be able to take a shot in two weeks. Will there be any side effect doing  this . Do I need to do anything  more.
thanks a lot for your helps
4
After receiving a liver transplant, women with a history of hepatocellular carcinoma (HCC, the most common form of liver cancer) not only have a lower risk of recurrence of the cancer than their male counterparts, they also tend to survive longer, according to a new study.

Previous research has indicated that among people with cirrhosis, men have a two to four times higher risk of developing liver cancer. Among Asians with hepatitis B virus (HBV)—Asians have a disproportionately high rate of the virus—women age 50 and older have the same diagnosis rate of liver cancer as men age 40 and older.

Other research has found that after adjusting the data for diagnosis, symptoms and tumor-related factors, women with liver cancer have a 16% lower risk of death than their male counterparts.

Read more...
https://www.hepmag.com/article/postliver-transplant-women-lower-risk-liver-cancer-recurrence
5
What has your doctor recommended. My suggestion is to follow your doctors advice. They are medical experts and know your complete medical picture. We here are patients and as such cannot offer any medical advice. These online forums are more for support for those undergoing treatment or dwindling with a medical condition to offer our individual experiences and moral support. Your own experience with treatment will likely be different from what others have experienced.

If your doctor recommends treatment I urge you to follow your doctors expert medical advice.

You surely do not want to develop chronic liver disease with the associated effects of liver disease including reduced quality of life and shortened life expectancy.

For medical guidance ask your own personal physician especially a doctor experienced in treating a patient with hepatitis B
6
Hepatitis B / Re: anyone one vemlidy ? how long? any side effects?
« Last post by Lynn K on January 22, 2020, 04:46:03 pm »
The best person to ask about potential side effects is your personal physician. Some people have sides most people don’t have many. Why will be your experience will have little to do with what happens to others.

The only way to know how things will be for you is to start treatment.

Asking essentially the same questions several times on this and other forums won’t change your answers.

Best of luck
7
Hepatitis B / Re: entectavir or vemlidy ? which one better and less side effects?
« Last post by Lynn K on January 22, 2020, 04:36:32 pm »
The best person to ask about potential side effects is your personal physician. Some people have sides most people don’t have many. Why will be your experience will have little to do with what happens to others.

The only way to know how things will be for you is to start treatment.

Best of luck
8
On Hepatitis C Treatment / Re: Lancet use on homeless patient risk
« Last post by Lynn K on January 22, 2020, 04:33:53 pm »
While the test will provide the answer there is no reason to take the test at this point and I believe the cost is around $400.00. The test will not change your situation you will just know sooner that you might need treatment.

Even if the test was detected you would still have to wait at least 6 months to see if the infection resolved on its own meaning you don’t need treatment. If you wait the 6 months for the conclusive antibody test and if positive, then you would have the HCV RNA test and get set up to start treatment. If you have the HCV RNA now you would still wait six months and retest the HCV RNA test and if still detected then you would get set up to start treatment.

Having the HCV RNA test now would not change your possible treatment time line would not provide significant medical information and would not change anything in your life beyond making your wallet $400.00 lighter.

Your risk is relatively low, you have a negative antibody test. They is nothing to be gained in testing right now with the HCV RNA test. I understand it is hard to wait those six months but there is nothing to be done until it is known you are infected for at least six months. And that won’t be known until six months after this incident.

Hang in there best of luck. I’m reasonable confident you won’t end up becoming infected from this just try to keep your mind off of this for the time being. Worst case you do need to be treated. Treatment could be as simple as one pill a day for possibly as few as 8 weeks and you would be cured. Less than a year from now this will be entirely in your life’s rear view mirror.
9
On Hepatitis C Treatment / Re: Lancet use on homeless patient risk
« Last post by Mugwump on January 22, 2020, 03:23:05 pm »
I think your doctor is being as cautious as need be given the circumstances of a possible exposure. The antibody tests are more accurate than they were in the past. If you do not develop antibodies to HCV then the possibility of having been exposed is almost zero.


The full rna by pcr tests are best used to ascertain the need for treatment not necessarily the exposure to HCV. However there is a level of rna testing that either confirms the presence of HCV or precludes it. The problem is that if the level of infection is at a stage that is not chronic and the virus is below the level of quantification then the test is not necessarily accurate and still leaves the question as to whether or not the individual will progress to a full blown infection. If the test is positive or negative.


So the test for just the presence of the virus are no longer commonly used in the diagnosis process.


When I was first infected the process was to first re-run the antibody test and if it confirmed the presence of antibodies then the test for the presence of the virus was then done. This did not indicate the level of virus present in the blood but only confirmed that the virus was present. Then when I decided to try interferon treatment the full expensive viral load tests were done and my treatment was based upon that data along with a genotype test.


Things have progressed greatly since the 2003 when I first went for interferon treatment. And the tests are more accurate than in the past.



All here on this forum certainly do understand your heightened concerns. Keep up the great work you are doing, if more people dedicated their time to the care of those less fortunate then the problems with diseases like HCV would no doubt be much less of a concern.


All my best.
Eric
10
On Hepatitis C Treatment / Re: Lancet use on homeless patient risk
« Last post by bass on January 22, 2020, 11:19:29 am »
HI again,

Any reason (besides cost) that you can think of why I should not just get the early HCV PCR test? The qualitative one that gives a "detected" or "not detected"?

My doctor said she would not recommend it, and just has me on the "watchful waiting" schedule of 3.6. months. I was negative post exposure with the antibody test.

I may just pay for it myself. I know I am being impatient, but....

Thanks and sorry I didn't start a new thread. I thought I should just add to this one.

--Sara

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