Hep C Discussion Forum

Members Login
Username 
 
Password 
    Remember Me  
Chatbox
Please log in to join the chat!
Post Info TOPIC: Treatment while on methadone


Moderator

Status: Offline
Posts: 1506
Date:
RE: Treatment while on methadone
Permalink  
 


In 2014 when cirrhosis was causing me multiple problems, my doctor prescribed lactulose to lessen the amount of ammonia in my blood which causes hepatic encephalopathy. A positive side effect of lactulose is that it promotes good bowel movements and prevents constipation. Today my liver, although still cirrhotic, is compensating very well with no fear of encephalopathy but I still take low dose lactulose to avoid constipation caused more-so now by the HIV medications I take. You might ask your doctor if this would be a good option for you. The only negative side effect I've experienced is an increase in gas (flatulence) but that's really only a problem for others around me. lol



__________________

57 yo, geno 1a, Dx 1994 HCV-HIV co-inf, Dx 2013 decompensated cirrhosis
Tx #1 - 24wks Sov+Riba /SOT 7-24-2014/UND@EOT/DETECTED@EOT+16 wks
Tx #2 - 24wks Harvoni /SOT 7-25-2015/UND@EOT,+12,+24,+52,+115wks = SVR-115

Mike

How To Create Your Signature / Forum Abbreviation Definitions

Support This Forum



Senior Member

Status: Offline
Posts: 375
Date:
Permalink  
 

Iris Dragonfly wrote:
we talk about all kids of stuff here, huh

We have a phrase for this in software development. We say "it's a feature not a bug"

Good times  



__________________

F, 51, GT3, HCV since 1989, no alcohol since 1999, Fibrosis score F0-1 (.36), VL 216,000, ALT 23, AST 26, Epclusa SOT 7/26/18 EOT 10/18/18. Thank you God. 



Guru

Status: Offline
Posts: 1032
Date:
Permalink  
 

I have heard others on Epclusa complain about that, extra water consumption should help with your prunes! Yae, we talk about all kids of stuff here, huh. it's ok, BB, Iris



__________________

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)



Veteran Member

Status: Offline
Posts: 96
Date:
Permalink  
 

Thanks Hoodietree ,im trying pruns juice plus coloxyl pills and bit of yoga ,methadone has always been a problem ans im pretty sure i read somewhere epcluse can cause bit of constipation i think,anyway not too long to go now 3 mths goes fast .hope you are feeling ok thanks for your reply seems more i worry bout going to toilet worse i get lol take care great forum to talk about things..

__________________
D writer


Veteran Member

Status: Offline
Posts: 96
Date:
Permalink  
 

Thanks Hoodietree

__________________
D writer


Senior Member

Status: Offline
Posts: 375
Date:
Permalink  
 

I was allowed to take a stool softener (docusate sodium) while on Epclusa. It was a god send.  I was not on methodone just have suffered from constipation for years. Thank God for docusate sodium  

Good luck Harry!



__________________

F, 51, GT3, HCV since 1989, no alcohol since 1999, Fibrosis score F0-1 (.36), VL 216,000, ALT 23, AST 26, Epclusa SOT 7/26/18 EOT 10/18/18. Thank you God. 



Veteran Member

Status: Offline
Posts: 96
Date:
Permalink  
 

Hi currently doing epclusa treatment 21 days to go im 65 yrs old geno 3 ,i have been on methadone 4yrs and get constipation iv noticed the epclusa seems to have made constipation worse any body else noticed this.thanks.

__________________
D writer


Senior Member

Status: Offline
Posts: 482
Date:
Permalink  
 

Ditto on whats been said already. He should do it now so when he decides to kick the methadone he's in good health. When that day comes he will need to have everything in his favor.

Best wished for your friend 



__________________

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!!!!



Senior Member

Status: Offline
Posts: 363
Date:
Permalink  
 

Like the guys say, it's no problem at all.  In fact, he's an ideal candidate for treatment - if HCV positive - as it would lower the risk of spreading the virus.

I'm so glad services have moved forward these days and are treating IVDUs.  I'm pretty sure one of the reasons I was refused treatment 15 years ago are so was because of how I got HCV.  



__________________

44 y.o. male, HCV G4 since 1996, F-scan score 9, F2, Failed prior I/R, finished sof/vel/vox 8 weeks 5/16, pre-treatment VL 2 million, EOT UND, EOT+4 UND, EOT+12 UND.



Veteran Member

Status: Offline
Posts: 58
Date:
Permalink  
 

Thanks all. Will relay the info.



__________________

Miriam

 

68 years old....Genotype  1a....did interferon/ ribaviron in 2002 (unsuccessful )....viral load before Harvoni 234,003.  Alt 30..fibrosis stage F2..  fibrosis score 0.48  ...started 12 week Harvoni 6/24/16. 

4 week bloodwork -undetected.  ALT 18, AST 20.

12 week bloodwork -undetected. 

Tig


Admin

Status: Offline
Posts: 8816
Date:
Permalink  
 

Hi Miriam,

I was on Methadone throughout treatment, albeit on different drugs than we see now. I experienced no problems and everyone involved were all on board with it. I wouldn't expect any problems.

I checked the interactions betweem Harvoni, Epclusa and Methadone just for comparisons and there were none. Each patient may be different, so his doctor will do a full workup before considering a treatment regimen. It's all part of the process and I encourage your friend to get in and get started. 



__________________

Tig

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

Hep C FAQ   Lab Ref. Ranges  HCV Resistance

Signature Line Set Up/Abbreviations   Payment Assistance

 



Guru

Status: Offline
Posts: 1839
Date:
Permalink  
 

Greetings.

 

The short answer is yes your friend can be treated while on Methadone. Just have to get with the Doctor to determine the treatment plan. All the same criteria applies. GenoType, VL, Fscore etc.

I was on Methadone about 30 years or so ago. It does not hurt the Liver which is a good thing. Treatments with RBV are becoming more scarce so first things first is getting with the Doctor.

Best of luck!

 

JimmyK

 



__________________

Harvoni TX 2 12 weeks. UND weeks 4, 12 and now EOT + 4 Weeks. SVR-12 09/29/16. All Glory, Honor and Thanks be to God.

"I go to war with the brothers I trust."



Veteran Member

Status: Offline
Posts: 58
Date:
Permalink  
 

I usually post for myself  but this is for a friend  who does not have a computer. I know that this group has so many answers. 

Q

He has hep c and is on methadone.  He says his program  wants him to go for testing.  How do I guide him?  He is on medicaid.  Is there a drug  that works well with  methadone?  I am on Harvoni and it seems to be working for me.  I don't think that mentally he could handle the sides of ribaviron. 



__________________

Miriam

 

68 years old....Genotype  1a....did interferon/ ribaviron in 2002 (unsuccessful )....viral load before Harvoni 234,003.  Alt 30..fibrosis stage F2..  fibrosis score 0.48  ...started 12 week Harvoni 6/24/16. 

4 week bloodwork -undetected.  ALT 18, AST 20.

12 week bloodwork -undetected. 

Page 1 of 1  sorted by
 
Quick Reply

Please log in to post quick replies.

Legal Disclaimer:

THIS FORUM, IT'S OWNERS, ADMINISTRATORS, MODERATORS AND MEMBERS DO NOT AT ANY TIME GIVE MEDICAL ADVICE AND IN ALL CASES REFER ANYONE HERE TO SEEK APPROPRIATE MEDICAL ADVICE FROM THEIR DOCTOR.