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Post Info TOPIC: Interferon and work


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RE: Interferon and work
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Thanks mallani!

I did assume their would be a lot of variance, particularly with different treatments and what not. 

 

Well day one down! Tired but ok. I have a very physical work week coming up. Lots of telephone poles to climb should be an interesting week! Going to just keep plugging.

 Thanks everyone for all the responses has really helped me to feel part of the group striving to beat this thing. Good luck to all of us!!



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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Hi Tim,

As you can see, people vary enormously in how Rx affects them.  For Peg and Riba, the fatigue due to anaemia and the rash are the main problems.  Younger people ( such as yourself) cope better along with those with minimal liver damage.  It obviously depends on the type of work- those doing heavy manual labour will be affected more than someone who sits at a desk. The new DAA's also are better tolerated.  Victrelis in particular compounded the Riba anaemia. You need a degree of anaemia to be sure the Riba is working, and some tolerate a Hb of 9-10 better than others.

Adequate rest and a supportive home environment are particularly important. Stress plays a part in all Sx, particularly for those doing long Rx protocols. It is a fine line between doing enough physical activity to prevent the muscle wasting and wearing yourself out. Being retired, I just sat at home and vegetated.  I am sure that those who are able to work would not have the same mental exhaustion. You'll find out what you can manage, and you'll do well with such a short Rx duration. All the best.



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm



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Tim

I think that I would have gone crazy keeping my head straight on Interferon and with all the alarms and the extremes in ICU would probably have been carted off somewhere with secure doors biggrinbiggrin

The Incivek was the toughest thing and hope Solvaldi is a lot easier on the body re side effects, .....I have an excellent support network who understand my anti social tendencies and tearful episodes that have come out of the blue...I was also warned by my nurse "to remove myself from the room if I felt the Riba rage"...the look on my husbands face said it all as I am not an angry person normally..think he thought that  he should sleep with one eye open, however it hasn't really happened ..more irritability at times if I don't get my own way which we laugh at now!

I have found taking each day at a time is the best approach 

 

Sally



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51 year old Geno type 1A,  possibly 30 years HCV. HBV detected but currently dormant. viral load over 1,000,000. Started triple with Telaprevir Nov 2013 for 48 weeks.

VL week 4 -179,

VL week 12 -50. 

VL WEEK 24 -UND



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Hi Sally,

 

 It seems the Incivek was pretty rough. Hoping the Solvaldi goes a little smoother. Brain Fog+ICU nurse= could have definitely ended in some issues! I am concerned about the fog and fatigue but I'll just take each day as  it comes. I have a great support team with my wife, family and friends. So just going to keep chugging and see where it goes!

 

Tim



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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I found that about 6 weeks in out of 48 weeks on Triple with Incivek I hit a wall of fatigue due to a sudden drop in Hb at week four from 15 - 9 that didn't pick up a great deal (is the psychological aspect of the fact that Im now on 48 weeks making me tired also??) and couldn't have worked especially as I was an Intensive care nurse, the brain fog and zombie like state would have been a dangerous combination!!

I am now week 14 and feel so much brighter but still plagued with fatigue, poor appetite and if I have an active sort of day I certainly pay for it over the next few days...reading some of the troopers who carry on with a normal routine is amazing and hats off to you all.

I hope your journey is smooth and certainly 12 weeks in retrospect flew by and is very doable

 

Sally



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51 year old Geno type 1A,  possibly 30 years HCV. HBV detected but currently dormant. viral load over 1,000,000. Started triple with Telaprevir Nov 2013 for 48 weeks.

VL week 4 -179,

VL week 12 -50. 

VL WEEK 24 -UND



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Thanks Tim, I do agree that working does sound better for me personally. Just wanted to get a post out to see what others experienced and start talking with some folks about what they went through. I really appreciate you and everyone taking moment to respond. Really helps to feel all the support! Tim

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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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Hang in there Tim, 12 weeks will only seem like an eternity while you're doing it, but when you're done you'll look back and say- "ah, piece o' cake!"

Seriously, best of luck- If I could have a life "do-over" I would have stayed on the job.

Tim



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"hrsetrdr"=Tim

Treatment halted on Aug.8,2012 due to vision problem.  6 month post tx labs

Aug.2013 SVR

Be strong when you are weak, brave when you are scared, and humble when you are victorious.
- Unknown

 

 



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Wow libgirl! That's amazing! If I make it through half as well as you have, I'll very pleased! Thanks for being a power of example of what can be done!

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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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I was on triple therapy and worked 12 hour days 3 days a week and I also had a second job I picked up at.   Also a 5 year old.       I was extremely tired but I made it.  Just keep swimming! 



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Genotype 1a

1/18/13 -  VL 1.5mil triple therapy with boceprevir

2/3/14 - relapsed. 1.7ml

 

6/28/14 - started solvadi interferon and ribavirin for 12 weeks

7/28/14 - week 4 undetected dosage reduction of rib and peg

 

11/2/14 und 4 weeks post eot

 

g

 



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Thanks JoAnne,

 

 From what I've read from a lot of posters on here seems the invicek  was a pretty tough treatment. I am only on Day 3 so far but sx have been pretty minimal. Hopefully I'll stay ahead of it for a bit. I am not sure I could get the time off work, thus limiting my options a bit. So I am hopeful that I can just get through this 12 weeks and come out the other side UND!



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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I stopped working the 1st three months on
Triple tx with Invicek....well except
I negotiated a sale of a business, did payroll
And kept books and paid taxes for my sons business.
But I stopped cutting hair, I could do all
Other duties with pajamas on at home.
My 2nd and 3rd month I could NOT had worked.
Symptons were popping up unexpectantly
All the time! Miserable rash, fire in the hole
And exhaustion. Around 5 months I went to
Salon two days a week with only about
3 clients a day. I looked like death warmed over
But it helped me most days to get out of the house.
Some days it wasn't so easy. It got to where
Going to grocery store wasn't easy.
Exhaustion and brain fog was awful,
I used sleeping aid and took small dose of
Lexapro while on treatment just to be safe.
I achieved SVR! It was worth it all!
Hang in there Hep C friends!
Thinking of you and keeping eye on your
Progress.

xxoo



-- Edited by JoAnneh on Sunday 9th of February 2014 07:15:58 PM

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JoAnne

Genotype 1a, Triple therapy w/Invicek started May 19, 2012

DET 4 wk. UND 2,6,12,24 48 treatment. Achieved SVR 2013!



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Thanks Jim!

 I agree with you that is best to keep moving if possible. Thanks for sharing your experience, always good to hear others that have been through it. Your friend is a inspiration as are all you who have gone through this before me. Always good to see such positive people getting better and making their lives better for themselves and their loved ones. Refreshing change here on this board from some of the horror stories of the treatment circulating the net!



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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Thanks John!

 

 I grabbed some pain relief PM medicine I suspect they'll work the same.



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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Thanks Tig,

This sounds like me pre tx! I have a standing date with a bowl ice cream pretty much every night! I got clean and sober 10 years ago and sugar, ice cream in particular, is my remaining vice! Being fairly active at work I have managed to keep a balance for gaining too much weight. (although I could stand lose a few as many us could! Lol) If its going to affect my energy though I'll have to reconsider at least back off a bit.



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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TimS44 wrote:

Sorry to hear that, though at the end of the 48 weeks, I'm sure it will be worth it! I'm hoping this pass quickly and with little sx for you!

 I usually work till 330 so with any luck the same will work for me and I'll get through most the day ok. I have not heard og GRAVOL before, but like you I have never required a sleep aid before. Is it OTC? I think I will pick something up today to have on hand, just in case

Thanks Gracie!

 

Tim

 


gravol is sold in US as Dramamine Tim, and yes its otc

 



-- Edited by newmex on Sunday 9th of February 2014 06:25:35 PM

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John


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Hey Tim, Welcome!!!!

I worked 6 days a week for 2 months on triple tx and 6 months on 7977 ( sofosbuvir ) and Riba tx. I drank a lot of water and had my banana with coffee every morning. :)

I also worked out a little but as tx went on I could not continue. Damn ribavirin.....lol.

I took my naps on the triple tx just about every day after work but I found that for me, the best way to handle it was to keep moving. It's harder to hit a moving target so I didn't want to stay still too much. I did have a great friend who was on interferon for almost 2 years and he went to work every day. He was my inspiration.

 

Good luck and you can do this! The reward is well worth it.

 



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jim

GT1a, St2 Lv2 last biopsy 2002, VL  11.4m,  start triple tx 9/30/11

VL 470 @4wks.....VL 22,000 @8wks  stopped tx

Round 2-  Started 3/16/12   PSI-7977, BMS-790052, Riba Undetectable day 14

Did 24 weeks Still UND 12 weeks post tx, SVR24!!!!!!! 2/14/13

 

 

 

 

 

Tig


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Beware Tim, something in this treatment has fueled a terrible sweet tooth post Tx! Being aware of it hasn't helped much, separating myself from the refrigerator is my only hope! That and avoiding the candy aisle in the store, lol! Ice Cream is my weakness...

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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Thanks smccune,

 I do drink a lot of water normally (76-80 oz per day) and I'm going to push that up a bit. I did not know about the sugar though. I do have a real sweet tooth so that's pretty bad news. Ill try to moderate it some and be more mindful of it. At this point I'm still feeling so positive from just starting tx and beginning to deal with this as opposed to waiting, that I feel pretty good. Just trying to stay positive while being aware that will be some ups and downs naturally throughout tx.



-- Edited by TimS44 on Sunday 9th of February 2014 05:55:18 PM

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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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Thanks John,

 I know my Dr has said the same, that the worst of the side effects typically start around the time I'll be finishing up. I'm glad to hear that seemed to be the case for you as well. Hopefully will work that way for me too! 

 

Thanks,

 Tim



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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I am an Industrial Engineering Tech for and ATM Company which at times includes physical work.  The worst problem with me were the leg/muscle cramps but drinking alot of water and eating banana's seemed to help me. Have had few problems at work the last few months.  Eating anything with sugar is also a no-no.  Sweets seemed to make my sugar levels bottom out and fatigue set in.

Hang in there.  Time on tx seems to go really fast.



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55 yo female.  Diagnosed 9/2011 Geno 3A.  Treatment delayed because of 9 Month antibiotic tx because of TB Positive test. Began tx 9/20/2013 Interf/Riba 24 wks.  Week 4, 8 undet. 1 year.......UNDETECTED!



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TimS44 wrote:

Thanks Gracie,

 We get a half hour lunch so not sure if I'll be able to sneak in a nap. Maybe soon as I get home. Fortunately its 12 weeks as opposed to your friends 48 so hopefully won't be too bad. Thanks for the response!

 

Tim


 Tim don't know for sure how the sovaldi thrown in to the mix will do, but I tried the int, and riba before (8 or so yrs ago) and seems like it took about 3 months for the side effects to really start to kick in. Just try to stay ahead of your side effects and you should do fine, plenty water, plenty rest, etc. Its about like trying to work through the flu. Good Luck



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John


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It's an anti nausea medication. People use it when they fly or if you get car sick. It makes me very sleepy and my doctor said no problems with taking it. Does double duty. Makes me less queasy and puts me to sleep. I use it on shot night for sure, and any other night I can't sleep. Happens at least once a week for me, but maybe you won't have any problems and I hope you don't. I know how much better I feel after a good nights sleep. Makes a world of difference to how I feel the next day.



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  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.



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Sorry to hear that, though at the end of the 48 weeks, I'm sure it will be worth it! I'm hoping this pass quickly and with little sx for you!

 I usually work till 330 so with any luck the same will work for me and I'll get through most the day ok. I have not heard og GRAVOL before, but like you I have never required a sleep aid before. Is it OTC? I think I will pick something up today to have on hand, just in case

Thanks Gracie!

 

Tim

 



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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I work a job where I am active all day, on the 48 week triple treatment I had to bail from work a few times, but ultimately it was better working as I could keep my mind off the effects for a while each day.  My performance was diminished and looking back on it now, I was zombie-like for most of that time. 

A friend has a business as a tile setter and he could not work some days - took days off more than me, but everyone responds a bit differently to the meds.  As Gracie said, a good night's sleep is a godsend when going through treatment, but I feel like I mostly lived on 4-5 hours sleep per night for most of the 48 weeks,

It takes a while for the effects to build up and then to go away after treatment.  Find your rhythm and try to do the best you can.  Catch up on rest when you can, use and do what you can to assure yourself of adequate rest.  You only have so much energy and treatment is a big challenge, but you will make it through.



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1a, 35+ years; liver cancer survivor 7-2012 surgery; triple therapy 12-2012 (Interferon, riba, victrelis) - end 48-week treatment Nov. 29, 2013 - post tx 24 weeks undetected - SVR.



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Yes, I'm a lucky 48 week'er too. I haven't missed work yet, besides coming home early one day because of a headache. For me, I feel relatively good and normal until about 2 or 3 in the afternoon. Then I get tired and cranky...lol. Nights are spent resting for the most part. And I have learned that if I can't sleep, take something right away. A good nights rest makes all the difference in how I feel the next day. Took me until about the third week to give in to that as I've never had a sleep aid before. I use a regular strength GRAVOL and it works like a charm.



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  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.



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Thanks Gracie,

 We get a half hour lunch so not sure if I'll be able to sneak in a nap. Maybe soon as I get home. Fortunately its 12 weeks as opposed to your friends 48 so hopefully won't be too bad. Thanks for the response!

 

Tim



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 



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Not me specifically, but a friend of mine did the inter/RIBA combo for 48 weeks and still worked a mechanical job. He would take naps by crawling under a truck or something on a creeper. If you get a lunch hour, try and get away and catch a few winks if fatique is an issue. For some it's not so you could sail right through.

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  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.



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Hi All,

 First off thanks everyone for the warm welcome in the new member section! Much appreciated

I started inter/riba and solvaldi 3 days ago. I feel pretty good, a little tired but pretty good. It's back to work tomorrow. I guess I am just wondering if anyone has experience working a construction type job on interferon/riba? Seems fatigue is such a big issue among ppl on that tx. It's only 12 weeks for me and I know I'll get through it and beat this, just wondering if anyone had tips, advice or just some experience to share. 

Thanks!

Tim



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Genotype 1a. Triple therapy Interferon/Riba and Solvaldi. Initial VL 37.6 mil. Week 2 138. Biopsy 2/2. pre tx AST 37. ALT 60. 

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