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Author Topic: Recommended follow-up for patients who do not respond to HCV treatment  (Read 8391 times)

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Offline lporterrn

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  • Posts: 1,969
  • LucindaPorterRN
    • LucindaPorterRN
These recommendations are for those who weren't cured by HCV treatment: http://hcvguidelines.org/full-report/monitoring-patients-who-are-starting-hepatitis-c-treatment-are-treatment-or-have

Disease progression assessment every 6 months to 12 months with a hepatic function panel, CBC count, and INR is recommended.

Surveillance for hepatocellular carcinoma with ultrasound testing every 6 months is recommended for patients with more advanced fibrosis (ie, Metavir F3 or F4).

Endoscopic surveillance for esophageal varices is recommended if cirrhosis is present.

Evaluation for retreatment is recommended as effective alternative treatments become available.

Monitoring for HCV drug resistance-associated variants (RAVs) on and after therapy is NOT recommended.
Lucinda Porter, RN
1988 Contracted HCV
1997 Interferon nonresponder
2003 PEG + ribavirin responder-relapser
2013 Cured (Harvoni + ribavirin clinical trial)
https://www.hepmag.com/blogger/lucindakporter

Offline Tess1971

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  • Posts: 198
  • G2b, 12wk Sov/Riba, End 11/15/14 UD, SVR-5,14 & 32-UD
Re: Recommended follow-up for patients who do not respond to HCV treatment
« Reply #1 on: September 29, 2014, 09:28:21 pm »
What is the new treatment that is supposed to be coming?  I have seen a new treatment being mentioned in the forums but not by name.

Offline lporterrn

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  • Posts: 1,969
  • LucindaPorterRN
    • LucindaPorterRN
Re: Recommended follow-up for patients who do not respond to HCV treatment
« Reply #2 on: September 30, 2014, 12:25:58 am »
No later than Oct 10, Tess - we think it'll be called Harvoni.
Lucinda Porter, RN
1988 Contracted HCV
1997 Interferon nonresponder
2003 PEG + ribavirin responder-relapser
2013 Cured (Harvoni + ribavirin clinical trial)
https://www.hepmag.com/blogger/lucindakporter

Offline Tess1971

  • Member
  • Posts: 198
  • G2b, 12wk Sov/Riba, End 11/15/14 UD, SVR-5,14 & 32-UD
Re: Recommended follow-up for patients who do not respond to HCV treatment
« Reply #3 on: September 30, 2014, 12:09:17 pm »
Aren't the new drugs all meant for Type 1 only at this time?  As a type 2 I seem to be stuck with ribavirin unless I can medically show intolerance etc..

Offline lporterrn

  • Member
  • Posts: 1,969
  • LucindaPorterRN
    • LucindaPorterRN
Re: Recommended follow-up for patients who do not respond to HCV treatment
« Reply #4 on: September 30, 2014, 05:32:18 pm »
Yes Tess, but not for long. Hang tight - there appear to be a few things coming out soon. I promise - we won't forget to let the genotypes 2 and 3 know when these are out.
Lucinda Porter, RN
1988 Contracted HCV
1997 Interferon nonresponder
2003 PEG + ribavirin responder-relapser
2013 Cured (Harvoni + ribavirin clinical trial)
https://www.hepmag.com/blogger/lucindakporter

 


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