Hep C and Dental work?

[Fischnet]

I am going to need a root canal or tooth removed.
Is there any issues while I am taking Harvoni?
Thanks in advance for any information.
Tom

[Lynn K]

No issues with Harvoni and dental work

I had an upper endoscopy while on Harvoni 

Good luck

[mario555]

I was on Harvoni for 24 weeks. Approximately 15 weeks into my treatment, I developed a really bad  toothache under an existing bridge. I had the canal treatment done. A week after, I started hurting at another location close to the bridge! It went away a couple of weeks after but I always wondered if the hep c treatment could have caused the first toothache! Did the tooth problem begin after the start of your treatment? I'm just curious...

[prston]

I am in the same boat as the poster of "Hep C & Dental Work".   

Having developed a severe gum and tooth infection in Week 4 of Harvoni ... it is causing all sorts of complications...especially with driving my white blood count to the moon.

I just posted a post entitled "Do DENTAL Work BEFORE Harvoni & Dental Issues Side Effect" at Hep Forum page:  https://forums.hepmag.com/index.php?topic=5365.0

MY ADVICE TO ALL IS:  Fix all dental issues before taking Harvoni.  Then pray you don't develop any new dental issues while taking Harvoni. 

[Lynn K]

See your dentist for help they may have a dental rinse that can help alleviate the infection or order some antibiotics if appropriate.

[prston]

Lynn K,  Thank you for sharing your thoughts on this issue. 

In answer to your reply at my 'Dental' post, I asked these questions:

1.  Have you ever heard of anyone taking antibiotics along with Harvoni?  (My dentist prescribed the antibiotic CLINDAMYCIN 150mg, 2 pills per dose, 3 doses per day.)
2.  If so, did you hear whether they suffered any side effects by taking antibiotics with Harvoni?

Sorry for my redundant questions...but I am experiencing a gut ache after taking 8 antibiotic pills.  Now I am little spooked on taking more.

With my deepest appreciation, Preston

[Lynn K]

Gastrointestinal distress is a common side effect of some antibiotics. Most people don’t routinely  take antibiotics with dental work unless they have a heart valve problem or other similar concern. However, since you have had an infection that would make sense to possibly need to take an antibiotic.

Harvoni and antibiotics have no known contraindication. But as I said antibiotics are know to cause stomach distress for many all on their own.

The antibiotic you are taking Clindamycin has been associated with nausea in some patients.

https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0009650/?report=details#side_effects

I would strongly recommend you talk to your doctor about wanting to discontinue this medicine early you don’t want to cause your infection to become antibiotic resistant and all the more difficult to treat. You doctor should be able to prescribe a different medicine that you can tolerate better.


Found this about reducing nausea symptoms from antibiotics:

“5 ways to reduce the symptoms

If you feel that your nausea is not going away anytime soon, consider giving these a try:

Take some probiotics

Because antibiotics may harm the "good" bacteria in your stomach, which may be the root cause of your discomfort, when taken in the form of a supplement or dairy products (like yogurt) probiotics are helpful because they serve to "replace" the good bacteria that have died off.

Drink ginger tea

In some instances, ginger-based drinks have shown their effectiveness in soothing the stomach. In fact, ginger also has a reputation in traditional medicine for relieving pain.

Eat small portions frequently

Eating a number of small meals, rather than three main ones, throughout the day may prove helpful.

Sip liquids

Drink liquids slowly rather than in gulps. Gulping may cause you to ingest air in the process, which has a tendency to add to your bloated feeling.

Limit sensory input

Stay away from stimuli that can make nausea worse, such as long car drives or pungent food smells that provoke it further.

If your nausea persists for more than 24 hours and causes vomiting, keep taking fluids to stay hydrated. Above all, see a doctor without delay to determine if your symptoms signify an allergic reaction to the medication, or if there is a more serious underlying condition that merits immediate medical attention.”