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Post Info TOPIC: First bad side effects of treatment


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RE: First bad side effects of treatment
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I had lots of stomach pains until someone said to eat greek yogourt with lots of fat in it.

If I ate something every couple of hours I had no problem.

And a ton of water also!



__________________

Geno 1A, since 1981. SOT 1/2013   TX stopped 11/2013 in week 45/48 due to Myositis & Interstitial Lung Disease. Completed 94% of Peg-Inter dbl TX, UND since week 4.  SVR 4/2014!  Still SVR after 4+ yrs!

"Day by day, step by step, breath by breath"



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Hang in there mindovermatter

 I was eating out a lot also. I take care of my Mom she's 83 and "out there". Her last place of power was the kitchen. She wouldn't cook cause she forgot how but would not let in there. Finally She gave up the kitchen to me. Yesterday we had crabmeat stuffed lobster tails. Cooking isn't hard. Maybe this is time for you to learn its fun. Your hb is still looking good IMO.

Best to you 



__________________

Geno 1a null responder 2004 inter/riba   finished incivek,peg/riba 48 weeks May 17th 2014. undetect weeks 4-12-32.  EOT+7 undetect. EOT+24 SVR!!!!! EOT+!YEAR SVR!!!!



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Thank you all. 

I went to office today, experienced vertigo and was sent back home.

As long as I was on leave, the sx were more of a nuisance than a problem. I figured that I was unnecessarily on  leave for a period that was longer than required.

So I resumed work. Just a couple of day into work and I am riddled with gas, constipation, stomach ache and fatigue of the order that I have never experience earlier.

My labs are more or less okay. HGB is 12.7 and platelets are 292000. sgpt is 16

The report says I have mild heamocratia. I forget the exact term. But I googled it and it was some sort of anaemia)

The city where I work and the one where I was during my leaves, which is also the city where my parents live, are 1000 miles apart. I was with my mother for the last 4 months and she was very careful about my meal timings. I do not know how to cook. In the city where I work, I have to eat in resataurants. I think eating out too often has really upset my stomach.

 

The fatigue is really debilitating. I guess, my body is so used to rest, that sitting in the office for 8 hours looks like mission impossible for me.

 

I am lucky that I have a boss who is understanding. My parents are super supportive too. Its just that some of the friends who I thought were very close to me, opted to bail out. But that is okay, I guess. It is times like these that help one in separating the wheat from the chaff.

 

Thank you every one for your inputs. Its good to have a virtual place where one can vent out one's mind without feeling like a weakling.

 



-- Edited by mindovermatter on Monday 10th of February 2014 03:52:14 PM



-- Edited by mindovermatter on Monday 10th of February 2014 03:53:24 PM

__________________

31 year old Indian

Starting viral load 2.3 million

Started treatment: 31/12/2013 with pegylated interferon and Ribavarin.

Fibroscan score : 5.3 kpa

GT : 3

EOT: 16th June 2014



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Back again, Mindovermatter:

As for your stomach, I started to get an ulcer just before I retired last year, did my internet research and decided on  two remedies to try.  1) Baking soda in a small glass of water, "Dosing is typically 1-2 teaspoons in a full glass of water", seen on this site about half-way down the page: http://articles.mercola.com/sites/articles/archive/2012/08/27/baking-soda-natural-remedy.aspx  I only drank this 1 or 2 times a day, but it was enough to make things tolerable while I waited for 2) cayenne pepper, yes, I had to make myself take the first capsule because it seemed to be the opposite of what would help.  However, so many Links were saying it works, I had to give it a try, and I have been taking it in capsule form since.  I do make sure that the capsules do not have additional ingredients such as magnesium stearate or silica. As soon as I felt the first capsule dissolve, I felt the 'timbre' of the burning sensation change.  I have been taking it once a day since then-I get them on eBay.  If you prefer, you can also take this in a glass of water "1/4 teaspoon in 1 cup of hot water per day is all it takes" says this link: http://health.howstuffworks.com/wellness/natural-medicine/herbal-remedies/herbal-remedies-for-ulcers.htm  Stress is something to avoid, so try to get as much rest as possible, and do things like read a book or watch a TV Series (like Merlin) to focus your mind on something other than the present circumstances.  Remember that this is just a passing phase, whatever decision you make with the Hep C, and it is your decision to make whenever you wish to make it.  If you decide to stay with the Treatment you have started, some people like to make that decision one-day-at-a-time, to decide that for today I am going to stay on this treatment. And, of course, you have the freedom to change your mind whenever you want; it is your life, and your choice.

Tig56: Thank you for the kind comment. As irritated as I am with big pharma, (I am right along with you on that), I think it is also important to get approval of the new meds to be used in any combination that supports best results- in our case (USa)- get the FDA to cooperate, and the health insurance, and pharma.  I will plan to post the Petition in a new post and hopefully those who don't live here in USa may pass it along to someone who does.

Dragon Slayer, those results are incredible!  I will plan to discuss the New Medicines with my New Gastroenterologist on my appointment in the middle of March.  My former gastroenterologist had wanted me to "wait until they are approved".



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Genotype 1a - Take Everything With a Grain of Salt -  Never Say Never -  Make Love Your Aim



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Hello Mindovermatter,

  Been on new tx about same time as you.  Sx have been very minimal for me.  I am not on the Interferon so it is hard for me to comment on your stiffness. 

I am on the Sovaldi / Olysio and Riba.  Had some small amounts of fatigue but started a little exercise routine,nothing big about 20 minutes each evening. Walking on tradmill, using very light weights.  This has helped remove the fatigue feeling and it makes me sleep better.

The other advice I have is spread out your morining meds.  I take them an hour apart all with small amounts of food like a muffin or biscuits. I take the Olysio first, Riba second and Sovaldi third (8, 9 and 10 oclock everyday). I did not have pain in my stomach but I did have that rough bad feeling when I took them at the same time.

Sherryl,

By the way, I am Genotype 1A and on day 20 of new tx I was less then 15 VL.  Down from just 4,695,000. 

From everyone I know in all my blogs that have been diagnosed with Hep C 1A and on the new tx, with or without Interferon has been given a 12 week period and the success rate has been very good.

This new off label tx has been available since 12/13/13 and most people started them around the last 10 days of December or the beginning of the new year and two and 4 week results have been coming back positive.

 

 



__________________

GT 1A:  VL: 4,695,000, started treatment 1/6/13 with off label Sovaldi/Olysio/Riba     No Interferon due to Sarcoid  in liver and lungs.  Recent biopsy shows Cirrhosis level 5/6.  EOT 3/30/14. SVR 8 on 5/30/14



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Hi M-O-M.

I think you should most definitely continue on. You were undetected at week 4 and that is huge.

You also should get your stomach checked out. It could be an ulcer or something unrelated to the hep c that was made worse by the treatment and can be treated on its own. It's worth investigating so you can put your mind at ease and perhaps get some relief if it's treatable.

As for water, the first 3 weeks it was my constant companion. Now I always have it near but don't seem to need it as much. It's the only drink I drink all day besides one cup of coffee in the morning if I'm up for it.

And energy for me comes and goes and is related I'm sure to the blood counts. Nasty platelets are at 54 last week, but surprisingly this week my energy is good so perhaps they are back up.

You've got this! One day at a time!

Gracie.

__________________
  1. Gracie

1A. Previously treated non responder Rebetron in 2000 And Incevik in 2014 with a breakthrough at week 12. Fibroscan 15.5. VL 6,000,000. Finished 24 weeks harvoni on Dec. 19, 2015. SVR. Latest Fibroscan 8.8.

Tig


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Hi Sherryl,

Interesting report for sure. The fight between Gilead over patent infringement has been hot in the news for a while now. The Indian and Chinese governments have indicated their plan to develop their own generic form of Sofosbuvir and the cost report I read indicated the possibility of drug prices substantially lower than even the $2500 price tag listed in your article. I've been more than vocal about the outrageous prices Big Pharma places on these drugs. Now we are witness to a statement by Gilead themselves, that they already have a plan, drug and price structure developed for their own generic substitute. I believe that this is less of a concern by Gilead for the patient's well being, but a financial one to minimize loss potential to a competing manufacturer. The current price of $1000/pill vs a total treatment cost (12 weeks) of a fraction of that, should have Gilead very nervous over their bottom line. They realize of course that if they do nothing and these various governments go ahead with their own development programs, the threats of patent infringement litigation mean very little. So better to give in than lose it all. It's all about the money$$. I would also point out that while a price of $2500 does sound better, the truth is that many of these countries have a per capita income of less than $500 per year. If these companies want to do something noble, how about they draw a line where profit ends and compassion begins? When the value of profit outweighs the value of life, my concern for them ends.

Tig



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Tig

68yo GT1A - 5 Mil - A2/F3 - (1996) Intron A - Non Responder, (2013) Peg/Riba/Vic SOT:05/23/13 EOT:12/04/13 SVR 9+ years!

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I apologize to  mindovermatter for somehow missing that he is from India, but in my hours of research to locate the Links, I came across this good news for India, and fortunately bookmarked it; the New Meds. are just around the corner for India, too:

http://www.thehindubusinessline.com/companies/gilead-local-generic-players-in-talks-to-bring-hepatitis-c-drug-into-india/article5649841.ece

I must congratulate you, mindovermatter, for your excellent command of the English language.  Your writing is so good (exemplary {anukaraNiy}  I would say), that I did not suspect that you were from other than an English speaking country.  By the way, my Viral Load is over 3 million, and my gastroenterologist recommended that I wait on 1/27/2014 8:45 PM PST in his email to me. However, I have Hep 1a, and from my understanding, 1a not only has a longer time to remain on the treatment you have started, but also a lower success rate.  You asked if you should contact a doctor.  Here is a fairly recent experience I had with two doctors:

I had the same doctor for over a decade (10 years), when she decided she was going to take several years off to be with her very young children in 2009.In the interim, I had to see another doctor,who tried to insist that I had high blood pressure and put me on diuretics. I discussed with her that since I have a serious family history of allergies (myself included), I needed to try any new medicine first to make sure of no allergic reaction. I had a reaction to the first diuretic, so she put me on a different one. The 2nd diuretic caused such severe leg cramps that I called the on-call doctor two evenings in a row. The first evening, the on-call doctor was from the office of doctor #2, and I was told essentially "too bad, just do exercises". The second evening I reached my former doctor's office, (doctor #1), and was told that I was having a "severe reaction to the diuretic and to stop taking it immediately". Two doctor's offices, two OPPOSITE opinions. I stopped the diuretic. In the meantime, I discussed with a pharmacist which was the most reliable blood-pressure cuff, and I bought my own, took my own blood pressure, making a three day recommended chart, and did not have high blood pressure.  Doctors are human, too, and we all make mistakes-including doctors.  I am not trying to discourage you, but I am trying to point out that you do have a choice.

 



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Genotype 1a - Take Everything With a Grain of Salt -  Never Say Never -  Make Love Your Aim



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Hi Sherryl, please excuse me replying to you but, as mindovermatter has already mentioned, he is in fact located in India, and so this is the only treatment currently available to him.

I actually don`t think it would be very helpful or encouraging to give him links to people who haven`t been successful with the Peg/Riba combo, thanks!!  We can all find horror stories around the internet, but we are all here to support each other, whatever treatment anyone happens to be doing.  ~ Jill 

 

 



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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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Interferon and Ribavarin are now being replaced by other drugs, probably because so many are refusing to take them (especially Interferon) because of their dangers, and the drug companies are probably aware of this (see - by voting - the poll results about half way down on the right hand side):
http://www.hepmag.com/articles/sofosbuvir_ledipasvir_2501_23631.shtml

The new treatments are generally much shorter duration, too; most are at 12 weeks, although a few are 24 weeks. Here is a beneficial Link to the New Meds., pay particular attention to the BMS & Gilead, it's SVR/Cure Rates and the European Medicines Agency (if you are in Europe).
http://www.hcvadvocate.org/news/newsLetter/2014/advocate0214.html
This particularly focuses on Genotype 3 and the New Drug treatments:
http://hepc-cured.com/shunned-gileadbristol-myers-hep-c-combo-may-be-too-good-for-docs-to-ignore/
Daclatasvir Marketing Authorization Application for Treatment of Chronic Hepatitis C Validated for Accelerated Regulatory Review by the European Medicines Agency
http://hepatitiscnewdrugs.blogspot.com/2014/01/bristol-myers-daclatasvir-hepatitis-c.html

I don't know what your situation is, but if you are able to work, it must be better than mine; and yet my Dr. advised me to "wait"; with the new meds. at the brink of being available (daclatasvir), or already approved (sofosbuvir). People have been known to stop, too. If you want some Links to people that have tried the regimen you are on (and not been successful, I am sad to say), let me know.



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Genotype 1a - Take Everything With a Grain of Salt -  Never Say Never -  Make Love Your Aim



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Hi mindovermatter

Six weeks in would have been right when my red blood cell count dropped.  Your Doc must be keeping an eye out for this. That might be the problem.

 

Best wishes for you!

 



__________________

Geno 1a null responder 2004 inter/riba   finished incivek,peg/riba 48 weeks May 17th 2014. undetect weeks 4-12-32.  EOT+7 undetect. EOT+24 SVR!!!!! EOT+!YEAR SVR!!!!



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Hi M-o-M,

I`ll try and answer your questions as best I can.

1. Well, first of all, fatigue is a common side effect from Peg/Riba treatment although having a light breakfast of just a couple of biscuits maybe wouldn`t have helped.  You need to take your Ribavirin with food anyway, or else it can irritate your stomach, and it also helps with absorption, but lack of appetite can also be a side effect.  But basically I would say that the fatigue you`re experiencing is most probably treatment related.

2.Difficult for us to say what`s causing the pain in your stomach.  Does it feel as though it`s muscular or internal?  As I`ve already mentioned, Ribavirin can cause stomach irritation so make sure you take it with food.  If the problem continues then it would be best to speak to your doctor about it.

3.There is no set amount of water that anyone needs to drink while on treatment.  How much you require depends on a lot of different factors, for example lifestyle, county where you live, season of the year, etc.  As long as you`re keeping yourself well hydrated and your urine isn`t dark then you`re probably drinking the right amount that you need, especially as it`s been cold in India recently.  Too much water is actually bad for you and is unnecessary.

Hope that helps!  smile

 



__________________

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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Hi All,

As you know I have been on treatment for 6 weeks. During the first few weeks, I had fever after every injection, slight stiffness in my knees and jaw and that was about it.

I was on leave from work for about 4 months.

1. I joined work on first Feb. The first two days were okay. On the third day, that is on 4th Feb, my stomach started aching as soon as I reached office.

And I felt I had zero energy in my body. I felt more fatigued than I have ever felt in my life. Even getting up from my chair looked was a herculean effort. The one thing that might have caused this, and its only a conjecture on my part, that  I had very light breakfast, (just a couple of biscuits) before having Ribavarin.

Can lack of one adequate meal cause that much of a problem?

2. Also, I am experiencing pain in the upper - middle part of the abdomen. The pain is in short bursts but intense. I am experiencing this pain for the last 3-4 days. I had kept my laptop on my abdomen and was surfing for some time.  Can that be a cause of the stomach pain?

3. Also, I am drinking around 1.5 litres of water every day. I know that the recommended amount on treatment is  around 4 litres. Unfortunately it has been quite cold in India this time around. And that has kind of limited my water intake.

 I am wondering if I need to see the doctor over this. Anyone have any advice?

 



-- Edited by mindovermatter on Thursday 6th of February 2014 07:59:43 AM



-- Edited by mindovermatter on Thursday 6th of February 2014 10:07:54 AM



-- Edited by mindovermatter on Thursday 6th of February 2014 10:40:51 AM



-- Edited by mindovermatter on Thursday 6th of February 2014 10:43:00 AM

__________________

31 year old Indian

Starting viral load 2.3 million

Started treatment: 31/12/2013 with pegylated interferon and Ribavarin.

Fibroscan score : 5.3 kpa

GT : 3

EOT: 16th June 2014

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