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Post Info TOPIC: Thinking about treatment


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RE: Thinking about treatment
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Thanks Brenden, i have chosen to go ahead with tx and what will be is what will be. Thanks to you and all that have replyed to my post. Next step is scan and biopsy.smile



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BJ


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Gidday Nimbus,

I understand your concerns about the possible side effects (sx) that treatment (tx) can possibly bring on, but you have to realise that the list of sx are those experienced by many thousands of people all over the world collectively.  What I mean is most people experience a few sx, nobody experiences all of them let alone very many of them.  The majority of people experience a few sx, and at the same time others experience none at all.  While that all sounds promising, I wouldn't be honest if I didn't also say a small number of people also suffer quite a few sx, but they are in the minority.

I suffered qute a few sx and some were serious, but my case WAS unusual and I also had problems with handling the drugs, but chose to go ahead with tx when I did, and face the consequences, so I can't really complain.

While you are having trouble deciding whether to start tx or not, perhaps it would be easier if you had no choice and just had to do tx, or even worse, were not allowed to or able to start tx.  The reason why I chose to do tx and then continue when I experienced problems with the drugs and my body, was because the HepC had started to affect me in my daily life, and although symptoms were unnoticeable at first, after a few years it got worse and things began to progress fairly rapidly.

Many people that get infected with HepC will eventually go through similar problems, and in my case, the prognosis was for things to eventuate with probably the need for a transplant, if one was available.  Needless to say, because I was in the process of having been fully diagnosed etc; I chose to do tx, regardless of what would happen.  Once I started tx I encountered the difficulties I would have with the medication available, and was able to continue tx on a reduced dose, but for it to be successful, I had to do tx for 72 weeks.

To cut a long story short I went through the ups and downs of tx and only just managed to be able to stay on tx, by testng clear of the virus (UND or undetectable) at 24 weeks.  Since that test, I remained on tx for the full 72 weeks and continued to test UND at weeks 36, 48 and 72 weeks.   Since finishing tx I have remained UND and go for my 6 months post-tx test in a matter of days, to see if I'll be clear of the virus forever.

I tell you all this, to show you what might happen, possibly sooner than you anticipate.  This story is not about me, rather it is about you.  HepC tx has now got to the point that even someone like myself could have possibly only have had to do 24 weeks tx instead of 3 times that, like I did.  The results that  people are returning from this new generation of tx drugs are simply outstanding, and the stories you hear about all the sx are the worse case scenarios.  You never hear the stories about the heaps of people that fly through tx, sx-free. That's just not news-worthy and doesn't make good reporting, people are only interested in the worst cases unfortunately, unless they are people like yourself tearing your hair out about doing tx.

As Kirstin tells you, sure the sx exist, but all the bull about how bad it is, is an exaggeration.  Tx isn't a walk in the park, as I say, and yeh' you have bad days as well, but you only have to read through the heaps of pages of stuff here about people overcoming their fears and doing tx, and they have no regrets.

In my own case, if I were to fail after finishing tx, I said it and I would have no hesitation doing it again.  I've seen what the alternative is and instead I did tx and now I'm free of the virus and have pretty well recovered from tx.  I feel terrific and haven't felt this good in years.

I wish you all the best in making a well-informed decision about starting tx, and that it is in the affirmative.  Good luck.

Cheers,

Brendan.



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Geno 1b 72wk tx (Sept '09- Feb '11) Tx sucks, Sx's suck, but no one quits on my watch.   Pre-tx VL - 7.6 Million - Wk 4 - 480,000 - Wk 12 - 19,000....Wks 24, 36, 48 and 72 PCRs were all - negative :-))))Achieved SVR August 2011 



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Totally agree with what James, Kirstin and others have said, tx IS doable especially if you`ve got genotype 3a, which responds well to the current tx and has a high success rate (80-90 %).  I don`t think I`ve seen anyone on this forum with 3a who hasn`t had a successful outcome.  (Correct me if I`m wrong anyone).  24 weeks sounds like a long time and yes, the sx can get hard going, but take it as it comes, and accept any help you need from AD`s and sleeping pills, get extra rest, etc and you`ll get through it

I was worried too beforehand, it`s natural, but I don`t regret it for a moment. 

All the best to you, Jill xx



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Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 



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Doable for sure ! Ambien for sleep, and AD's for the mental side effects, which can be huge. Drink half your body weight ounces wise in water each day. My liver was stage 3, HCV treatment is much more doable than end stgage liver disease...imho.

Some people you will see post don't understand the role of "sleepers" and "ADs" in treatment don't listen to them. It's the equivalent of saying procrit shouldn't be used to raise HgB should it drop
Good luck,

James

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Diagnosed 4/13/10; Started Tx 8/13/10; SVR 7/27/11


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smile good to hear



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Honestly, the first few weeks werent that bad. The past few have been worse, mostly because of the insomnia but I have that pretty much under control now. Its doable, truly. I heard & read about all the horror stories as well, thought the worst but we manage. It's hard at times, but I manage



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Genotype 3a Started tx 11 May 2011 for 24 weeks. With scarring. VL before tx= 4 million.. UND@4 weeks. UND@12 



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thanks for your reply how were the side effects for you. i am also geneotype 3a  



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I can just tell you how I felt about starting Tx & that was this...

As soon as I found out about my hepc status I wanted it treated & gone.

Even though its been rough over the past few weeks for me (I am now in my 11th week out of 24) it's been a decision that I am glad that I have made. That day when I found out that I was UND@4  was the best.. I know I am slaying this dragon, I know that my life will be so much better without the virus hanging over my head, causing more damage. I wasnt going to wait till it got any worse.. It was a no-brainer for me but I also know everyone is different. I want to wish you luck with your decision. May it be the right one for you



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Genotype 3a Started tx 11 May 2011 for 24 weeks. With scarring. VL before tx= 4 million.. UND@4 weeks. UND@12 



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To decide treatment yes? or treatment no? Is a tuff one, hope all goes well for you... Iris 



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in the silence of the woods, you will not be alone- Chief Seattle

60 years on planet, Female, diagnosed 1978 as non-a non-b, VL 8mill+, Fibro f-1f-2, Genotype 1a, treatment naïve....UNTIL 7-01-18  !!!! started Harvoni 12 weeks. :)

4 weeks=UND, 8 weeks=UND, 12 weeks=UND (EOT= 09-23-2018)



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as my sig states, I was diagnosed in 1991, and just started tx last week - decision made by my doc and me based on no fibrosis, no symptoms, family with (at the time) small children to take care of, history of depression in the family and cure rate just wasn't high enough to make the sx worthwhile. But with all the new drugs coming out I just started trials last week, and so far have had no sx - hope that continues! But the trial I'm on may be giving me the new interferon, Lambda, which has fewer sx. I do have the Cc allele, so I guess I'm lucky.

But, what I wanted to say is that you may not have the side effects, or fewer anyway. Find out more about your genotype, and maybe a trial would be good for you. Maybe wait a bit till this new interferon comes out more. It seems like we always hear the horror stories, and never the boring ones where everything plods along OK. As Ron said, it's a personal decision, purely based upon your situation.

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Genotype 1b. Diagnosed 1991. Started treatment July 12, 2011, in clinical trials. Viral load greater than 1.5 mill. Don't want to be sick...



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While the cure may be rough, it's all we have. I consider the physical symptoms to be relatively mild but its effects on my psyche were rough. If Hep C progresses to end stage liver disease, it isn't going to be pretty, and there's no way to turn back the clock. Google end stage liver disease if you don't believe me....



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Diagnosed Geno 1a, 1992. Relapsed after riba-peg trmt in Aug 08. Oct 22 2011: Incivek 3rx @ 18 million VL.

Day 10: <15. --------------------->>>>>>12 OCT 2012: SVR!!! 



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I really should clarify that the quote I made about 75% of HCV cases, is from the CDC web site and it states that 75% "develop problems"

Dont ask me what that actually means because I have no idea.

As far as I'm concerned the CDC is owned and operated be the drug companies and they can say anything they want to say to promote the use of modern medicines.

Ron



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Genotype 1a Diagnosed in 1991. Started tx April 27 2011 for 48 wks. VL before tx  1.6 - 4.6 million. RVR-week 4, UND-week 8 

Vitamin D3 suppliments can increase chances of reaching SVR. See Nutrition section for links.



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Hey,

I wanted to reply your message because before I decided to start to the treatment I had written and watched people's stories, expriences including video blogs. Most of them was very scary. How many times I gave up to start to tx. 

I can say I wish I would started to tx earlier. It is not very very big deal as they told you. doctors tell us the worst cases. but when you start to tx you will see that it is not that much trouble. you will handle it some way. I never ever regret at all.



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38yrs old, contact with virus in 1995, diagnosed 2008, 1a, biopsy: stage I,started tx may 2011,Tegobuvir+interferon 2b+riba, UND @ week 2.
PJ


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For me it came down to being tired of feeling bad all of the time and just having the constant knowledge and worry to deal with. BUT, I was diagnosed 5 years before I made my decision. The good news is, depending on how long you want to wait, there may be treatment in the future that does not involve interferon at all.

Right now I'm going into my 8th week with interferon, ribavarin and teleprevir. While this is not fun, I have absolutely no regrets and feel sure that I will be able to beat this thing.

Best of luck with your decision and remember, this is not an emergency situation, you can do your research first and then decide.

pj

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Diagnosed in 2006. Probably infected in the late 70s or early 80s. Genotype 1B. Starting TX on 5/5/11 with the SOC and Teleprevir. 



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Hi Chesney,

That is a very valid question. All you can do is educate yourself and them make a personal decision as to going forward with tx or not.

Not everyone that has HCV devolopes liver disease but as many as 75% do.

EVERYONE should be on a 4000 unit Vitamin D3 regimen before and during tx. (especially dark skin people because they are known to have deficiencies in Vitamin D3)

I chose to treat at age 51 after 20+years of infection. Strictly a personal choice.

Ron 



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Genotype 1a Diagnosed in 1991. Started tx April 27 2011 for 48 wks. VL before tx  1.6 - 4.6 million. RVR-week 4, UND-week 8 

Vitamin D3 suppliments can increase chances of reaching SVR. See Nutrition section for links.



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Hey guys, i need help and advice on wheather or not i should start treatment with the interferon etc. I have heard nothing but horror stories about the side effects and the long term side effects. My fear is that i will be worse off with the treatment than if i dont do treatment at all. please help!



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