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Author Topic: When is Hep C Treatment NOT Recommended?  (Read 6476 times)

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Offline Hep Editors

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  • Posts: 784
    • Hep Mag
When is Hep C Treatment NOT Recommended?
« on: May 29, 2015, 12:33:21 pm »
We’re going to reference recommendations from the Academy for the Study of Liver Diseases (AASLD) and the Infectious Disease Society of America (IDSA):

 They say HCV treatment should be offered to nearly all chronically infected people 18 years or older--regardless of their presence or absence of symptoms, the route of their HCV infection, their genotype or their HCV viral load.

There are actually only two major reasons why someone wouldn’t be offered hep C treatment under these guidelines:

1) If a patient has known allergies to HCV drugs
2) They have a non-liver-related terminal illness with a life expectancy of less than a year.

Unfortunately, we all know that immediate priority for treatment right now is going to people with cirrhosis (stage 4 liver disease) or severe fibrosis (stage 3). But the official guidelines say new drugs should go to *nearly everyone.

For more info: http://www.hepmag.com/articles/2512_18754.shtml

Offline dragonslayer

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Re: When is Hep C Treatment NOT Recommended?
« Reply #1 on: May 29, 2015, 02:41:10 pm »
Interesting, in that I believe it was the very same AASLD who's previous guidelines were the basis for  insurance companies denying coverage for all but F3 and F4 cases!  Glad they finally came around.   
Paul

DX 2008
Started Harvoni 11/26/14 for 8 wks
Completed 8 wks Harvoni 01/20/15
EOT RNA Quant result:  Detected 29
7.5 wk post tx: Detected < LLOQ(12)
11 wk post tx: UNDETECTED SVR12
24 wk post tx: UNDETECTED SVR24; AST 26; ALT 22; ALP 73
48 wk post tx: UNDETECTED SVR48; AST 18; ALT 18; ALP 70
GT 1a
vl 2.4mil
2008 bpx: Stage&Grade 0
2013 bpx: Stage&Grade: 0-1
IL28B: TT
likely infected early '70s

 


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