Treating Your Hepatitis C
"Today’s pills have double the viral cure rates—90% to 100%—in just in 12 weeks’ time. Reducing the treatment from a year to three months is a huge advantage for people with hepatitis C, especially because it’s easier to swallow a pill than to get an injection." - Jeffrey S. Murray, M.D., Deputy Director of the Division of Antiviral Products, FDA’s Center for Drug Evaluation and Research
(Source: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm405642.htm)
These are the important steps of your treatment:
- We confirm you have active ongoing Hepatitis C. This is done using a viral load test on your blood that shows that the virus is active.
- We identify the genotype of your Hepatitis C virus so we can pick the best drug regimen for you.
- Looking thoroughly at your medical history and certain blood tests, we ensure there are no other conditions - especially diseases in your liver - that could affect response to treatment.
- Before we start your treatment, we must establish the health condition of your liver:
- We measure the stiffness of the liver using Fibroscan and the results of certain blood tests.
- Advanced stiffness is called “cirrhosis.” People with cirrhosis may need different drugs or a longer treatment course.
- People with cirrhosis must be monitored after the virus has been cured because of the residual risk of cancer.
What happens on your 1st Visit:
- Dr. Ruane will review your medical history and do a focused examination - to get the most from this visit, bring with you results of any blood work or medical records you have!
- Review of all medications and supplements you are taking, and that may interfere with successful treatment
- Fibroscan examination - fast for 3 hours before coming in!
- At this point some additional testing may be needed (ultrasound, other liver blood tests)
- Once Dr. Ruane knows your genotype, and liver condition, he can write you a prescription and send it to a specialty pharmacy that works with your insurance
What happens on your 2nd Visit:
- We review all your tests again to make sure all is in order
- Review of all medication
- Education about the therapy
- We plan out the start of treatment and treatment course
How long does treatment take?
Depending on:
- the genotype of your virus
- the amount of virus in your blood
- the condition of your liver
- response to attempted treatment before
treatment could be 8 weeks, 3 months or six months.