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Speed
You sound like a very caring man and she is lucky to have you. My best to you and your wife.
Seabean
Many thanks for the time you take to reply and comment. Encouragment are so important, even after 8 years. We realize that she is not alone in this case, contrary to what doctors used to say, explaining that it was impossible to have IFN side effects many years after the end of the treatment. It is for her like a recognition that, no, it is no a psychological symptom or an absence of will (those who really know her have never had doubts as she has an exceptional mindset). We really understand what you can feel and what you have been through. We will keep you posted with news (hope the best ones),
Warm regards from France
Froghunter, we really sympathize with what happened to you, all the testimonies from you and others people are so closed from what my wife is living. Before she was diagnosed at 38, after a period of tiredness, she was an incredibily dynamic person, flying planes, riding motorbike and race cars. The treatment, six months, was like hell, but she was sure to recover her health and had a lot of project. During that period, she wrote a book that was published after. We she got the results that proved she was clear of virus, side effects were installed (hypotension, exhaustion, faintings, headaches, kidney infections and so on). She thought it was a question of time and was patient. From that moment, she did all efforts to recover, with the same bravery that she has always had in her life. She became a model for photographs, even if some photo sessions were exhausting for her, falling in fainting, and tried to have a "normal" life, but today, eight years after, symptoms are still there and physicians and specialists she met have given up, refusing to link her actual state of health with her previous treatment and failing in searching deeper. She goes on fighting and we will never give up. But today medical research on this real pathology (I mean side-effects from IFN treatment) is peanuts. Yes, she is clear of virus and alive, which is a wonderful news for her and me, but she has another fight to give against her body, administration (which does not recognize this case as due to treatment) and sometimes against the medical people who do not realize the level of suffering she daily bears. I continue to search in scientific papers teams that are working on this topic and all medecines, plants or molecules that could bring an improve for this state and I will let you know all news I will find.
I really agree with you Froghunter when you writte that "it is hard to realy understand what is going on if you haven't been there". We hope to have good news from you and I will post news soon,
Warm regards from France
We wish you to recover as soon as possible, having someone strong besides you is something very important. Froghunter wrote that "it is hard to realy understand what is going on if you haven't been there", but love and empathy from a wife or husband is essential, not sufficient, but mandatory to face all these hurdles : fight against suffering, fight againts doctors and administration, fight to keep a job.
Our best to you and your wife.
Warm regards from France
Dear all,
Thank you for your testimonies and answers. Probably medical community is embarrassed because they know or they have doubts about these long term effects, but pharma companies are powerful in this community and, most of all, they have today nothing to propose to recover from this. As they don't want to loose money, they turn a deaf ear to reality. Believe me, the day where these companies will have identified a treatment for side effects of IFN, they will recognize the long term effects as a reality and propose the way to recover from it. This is a cynical attitude we have to face.
I tried to find scientific papers that deal with this subject and they are really not numerous. Just few recent articles claim that there is probably a risk of deleterious effects of IFN on brain, especially in an area named basal ganglia, as IFN will promote pro-inflammatory cytokines likeTNF alpha, which can alter basal ganglia function (Raison et al, Mol Psychiatry. 2008 Jun 3; Majer et al, Brain Behav Immun. 2008 Aug;22(6):870-80). Briefly, there is a significant flattening of the diurnal ACTH and cortisol slope and increased evening plasma ACTH and cortisol concentrations. Flattening of the cortisol slope and increases in evening cortisol were correlated with increases in depression and fatigue. But these scientists made these observations on subjects during the treatment, which was stopped early and the effects were reversible. I found no study on the long term effect, if they could be reversible and how.
We are alone facing doctors and drugs companies insincerity, but we are not alone in our fight, as all of us can bring a "stone to the building" as we say in France, contributing with his own experience and that is a lot. I will go on keeping you informed of all we will find as tracks for cause or treatment of this pathology (because it is a iatrogenic pathology) which is so deleterious for those who are victims of it.
All our warm wishes from France
I am just coming in from a 13 hr. work day and saw this. I have much to add to this, just too exhausted to make sense! Even in reading replies. I do think this subject should be discussed here as well as all pro's, con's of treating. I am 14 mths post tx and life is no where near 'normal', mentally or physically. I'll go into more in the AM. I wanted to ask anyone posting here to please state their Geno type, tx time, doses.
Altaroy, hello also!.....were you Geno 2? As I started that trial in Oct. 07, the last day allowed to start. I drew the SOC tho and did Interferon w/ Riba. Was reduced at week 5, then again at week 11. Remained on reduced doses through the 24 wks. I am dealing with the same issues as you are and also concerned I can not continue with the work I do. I'll post more tomorrow. I wanted to ask all to post their stats in their replies.
Back tomorrow, good to 'meet' you and hello to all!
LL
I think we just have to accept that this is how it is and as good as it gets.The virus did a lot of the damage and the tx did some more,some folk suffer long term side effects that the pharm companies would rather not know about.
I hope the weather is good in France,it's damp here on the Welsh side of the border xxx
I am a post txer, this site saved my sanity and possibly life! I'd have never made it thru tx if not here. All you can read, research, be told by your Dr. can still not compare to words, experience from someone that HAS felt the sides, lived them. My excellent Dr. has NO idea how bad I felt as he never did these drugs. Cancer has it's stages, 1,2, 3, 4....one can go into it knowing the odds better. Our only odd's are geno types. For some reason, not one cancer patient I have been around, and it is many, has had the post tx issues I have seen here, with hep C. Interferon is sometimes used in cancer (but not this type??) but Riba is not. My gut has always felt Riba is the culprit in our post tx problems.Yes, I, as many , researched my little fingers off but these drugs, this tx is a total roll of the dice....there are NO exacts in this illness, the drugs, tx, or the outcome.
1. works for some, some not. Geno 1's have the worst odds with no explanation of why it works for some Geno 1's, some not.
2. tx sides debilitate some, some not.
3. post tx is wonderful or hell for some!
4. Permanent damage for some, some not and so on.
5. Liver damage progression can not be 'rated'. One can have it 30 yrs, and have stage 1, while another can have it 10 yrs. and have cirrhosis.
One can be stage 1 for 10 yrs, yet the other go from stage 1 to stage 4 in 2 yrs.
That said, each person does make that choice to treat or not. Not one of us here can say to another ...'you will be sick, your body will throb, your hair will fall out' ...or ..."post tx you'll feel great, back to normal in no time' etc. We can only tell our individual experience and help another make their choice. I did 'only' 24 weeks, am 17 mths post tx and still have issues, do not feel 'normal'. My 1st yr, post tx was very rough. even the symptoms of Hep C were not as bad as I felt post tx. BUT.....I am SVR and will learn to live with any issues as I choose tx, even with risk, it was the lesser of 2 evils for me and my odds were so great. (To SVR, Geno 2b). I would make that same choice today. But I DO want to learn how to cure or handle or counter effect the issues I still have now.
None of what anyone here said or anything I said takes away any persons suffering now, from post tx issues. Thats why we/all are here, to listen, learn, support, comfort. YAHHHHHHHHH to all post tx with SVR and feeling great and...... 'we're listening' to any that have post tx issues and need to talk, get advise. If none of us come here and tell our stories post tx, anyone new will not have that knowledge to make their choice. Many here feel anyone with hep C should immediately tx, I do not. Each of our opinions matter to anyone coming here to make that choice.
In no mean spirited way at all......anyone's comments concerning post tx problems should not be dismissed by 'you knew the risk going into it'. We also knew it could have went the other way, no post issues, no bad sides, etc. Most with post tx issues wish there was more research, follow up in this as with myself, and many, we are 'dismissed' upon EOT and any issues are blown off, not followed up, not taken seriously when we suggest it was caused by tx and so on. I did not have these issues before tx, the odds that I developed all these things while on tx 'naturally' are pretty small, yet still I get all negative replies when I suggest that (to a Dr.)
It is the risk we all take upon treating, we need to be there for anyone that does get the down side of these risk post.
LL
I didn't draw the Albumin Interferon in that trial, did the 'regular' interferon and I also still suffer with muscle issues a lot. My job is very hard these days also. I'm 17mths post so about to start getting into more testing to see if they can explain this. Without going into another thread here, it is mentioned here that interferon can bring on underlying auto immune diseases, so possibly you have also developed one? I'll be sure to keep you up on anything I determine, come up with, so you please do the same.
Be well, LL
Altaroy....I said h*ll no to celebrex, my dad ended up in the hospital on it and I research every med I am ever given, even antibiotics, which isn't always a good thing. Bit of a drug phobia I guess. Upon news of Hep C and having to do these drugs, my family was sure I'd never be able to. Two went with on 1st does day to hold me down and the door closed , lol, but I said 'gotta do it' and slammed them!
Yes we rolled the dice, and won, actually, but I still feel SOME answer to pain is needed. Just give me a reason for it! Pretty much like my years of going to Dr.'s before Hep C dx and stressing over and over saying 'SOMETHING' is wrong and being told 'your depressed' (NOT) or it's in your head! Getting the dx was a relief, just knowing, while going 'oh sh*t' too, of course :)
P.S. I don't see on your profile where in the Rockies you are, but I would trade Fla.to go back there in a heartbeat! Lived in Colorado for yrs. Love the rockies.
Good luck in all this, truly, LL
1. Raison CL et al. Interferon-alpha effects on diurnal hypothalamic-pituitary-adrenal axis activity: relationship with proinflammatory cytokines and behavior.Mol Psychiatry. 2008 Jun 3
2. Majer M et al. IFN-alpha-induced motor slowing is associated with increased depression and fatigue in patients with chronic hepatitis C. Brain Behav Immun. 2008 Aug;22(6):870-80.
3. Capuron L et al. Basal ganglia hypermetabolism and symptoms of fatigue during interferon-alpha therapy. Neuropsychopharmacology. 2007 Nov;32(11):2384-92.
To resume these 3 papers, it seems that treatment wth IFN (plus ribavirine) for hepC was associated with significant flattening of the diurnal ACTH and cortisol slope and increased evening plasma ACTH and cortisol concentrations. This disbalance in cortisol daily cycle can be the cause of depression and fatigue. According to the authors, the mechanism underlying are not today fully understood. What we can presume is that changes could be induced in a specific area of the brain, named the basal ganglia. Altered basal ganglia function may contribute to IFN induced neuropsychological and behavioural changes like fatigue-related symptoms. All these observations were done during the treatment, never months or years after.
Do some of you have done blood measurement of cortisol daily cycle (at least measurement at 8-9am and 8-9pm), and, if so, did you observed inversion of the levels, as they observed in these studies ? We intend to do it with my wife, but it takes time to convince doctors, even with strong science based proofs like these papers. I make a survey on this topic and each time I will find new results by researchers, I will share them with you. I hope all of you feel as well as possible,
Kind regards from France
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Are you talking about if you decide to go on a biologic or immune modulating drug? I can tell you that studies do not conclusively show that this can happen (the hcv recur just due to those meds) and even IF it can, it is exceedingly rare. So rare that there are few cases of this for them to even write up and speculate about.
I have some ai issues and I'm waiting for diagnosis. I would take a biologic in five minutes without worrying about recurrence of hcv. Probably, I have some type of seronegative arthritis such as a.s. I also have an ai blood disorder. I'm glad I'm SVR and I'll do what I need to do to treat these autoimmune issues as well. In my view, the ai problems are still better than the alternative.
Kinds regards from France
regards karen
along with a great physiotherapist who said my muscles jept spasming rather than arthritis as diagnosed by doc: i am in much less pain and can get up and move more freely again:
though i still have days when it feels like i cant function mentally, i am detrmined that i improve as i dont give up:even when i don't feel like it!!!!
That was 5 years ago, I am pushing 67 years old, and I'm having lots more weak periods, stomach problems and right upper chest aches now. So, I've been considering tx but have been, well, scared of long term after affects. After all, I'm no spring chicken anymore anyway. But I'm tired of not being able to eat everything that I want to eat because my liver is doing less than a competent job in the digestive system.
This forum has allowed me to made the decision to keep on keeping on without tx. I see others my age who do not have hcv in a lot worse shape than I. Plus, I'm a single woman with grown children and relatives living miles and miles away. I've always been highly independent and tx would impact my life when I have no real moral support.
So, to make a long message short. THANKS TO ALL FOR YOUR COMMENTS.
I too no longer work due to the sides - but am on disability. There are a few things that have been helping me - I take the Biogenetic Rituxan infusions every 6 months (Enbrel use to work) I take a gambet of vitamins and brain food (Q-10, amenio acids, enzymes, omegas, lipids etc) They seem to help...but the best thing for the fatigue by far is Consortea (an ADHD drug) I split a 36 mg 4 ways and take every 4 hrs. I also take 1/2 darvacet several times a day and 5mg prednisone. And champage seems to really help with the depression (thank god I am SVR) - but yes I do feel worse then pre-tx physically but not mentally...I am so glad it is gone!
I'd like to know more about the needles (Karen) - where do you get them? how much etc.
I had a great job and really miss it but have my horses and a loving family by my side - attitude really is everything.
I am writing my autobiography and live life from day to day. Celebrating even the small stuff which now seems so big (like walking through a store)
Keep us informed on how she is doing OK,
Mikmoe
failing that you can buy them often capsule form from a health shop:
pick them before they flower, when they are a nice light green rather than old dark green wear a pair of gloves: i dry mine so i have a years supply, just laying them out and covering with newspaper so air can get at them but not light a tablespoon of them to one one and half litre boiling water; i put in flask and drink throughout the day, or put a few leaves fresh or dried into a cuo pour on boiling water leave for 5 mins flavour if need to and drink: hope this is what you meant!!! and me you were addressing: but if its needles you want id say try your local pharmacy ;)
karen
Thank you for your mail. There are so many common points between all your testimonies and what happened to my wife. She, like you, no longer work, as today every common task is like climbing the Everest and needs so many energy from her part. She has written a book, which was edited 2 years ago in France, with pictures and short poetic texts, about her treatment period, to explain her feeling during this long tunnel.
The drugs that you take seems to give you some improvement, but it must be so hard considering side effects (like stomac pain) to take such amount everyday. She is obliged to take antibiotics everyday due to chronic kidney lithiasis and antalgics for headache or kidney stones. Fibromyalgia is not the dominant symptom, but her arterial pressure dropped to 7-8 with txt and never came back, fainting is recurent, exhaustion is daily present, brain fog, and sometimes she experiences breathing apnea and giddiness. But she is extraordinary and has a steel mind, even if we take life day by day.
We hope you a nice week and your body to be less and less like your ennemy,
Best regards,
Melvil
With every challenge life has thrown at us - some of us take them as opportunities...sounds like she is gifted in that way. Very special the love you have - cherish it.
Thank you for your advice for vitamin D. We will check. I know that this vitamin can be linked to cognitive functions impairement if deficit. This is a track to follow.
Kind regards from France
Another supplement I've recently come across is called CerefolinNAC. It is a prescription form of B vitamin and the glutathione precursor n-acetylcysteine. With this I have noticed improvement in my post-tx symptoms.
Good Luck.
I chose not to continue after 16 weeks, but I am SVR. Tx made me feel like my brain was frozen and physically it was very difficult. But I was able to work and I'm so thankful that I'm through with tx and hep c. It's such a relief to not worry about my liver, or contaminating some one else by accident.
Not everyone has long-term side effects post treatment, and I feel horrible for those that are going through such a rough time.
I wonder if they had a genetic predisposition for an auto-immune disease and if the hep c or treatment exacerbated the condition.
I agree, it would be nice to have some answers.
Bug
Fibromyalgia is what I have 'self diagnosed' myself with since lack of insurance has hindered much further medical exams, testing. I know whatever I have it is surely stress triggered as the past mth, my muscle pain, issues have been in high, intense mode! I have the Q10 given to me by my acupuncturist and going to start it today!
I have always believed (Bug) that the length of exposure to these drugs is so important in damage to us/some. You did 16 wks ( where I often wish I would have stopped, BTW)
so that shorter exposure may have been why you haven't suffered so much post.
(thats almost a 'duh' , huh? :) But it still never makes sense, adds up as I did 24 wks, yet some with 48 wks are fine, etc.
I am betting many of us had ...... "a genetic predisposition for an auto-immune disease and if the hep c or treatment exacerbated the condition" , YET....supposedly my Dr., others, do testing beforehand for autoimmune diseases and through out my tx and reductions, he kept saying my blood work wasn't suggesting any?!
Anyone else up there seeing that stress intensifies their symptoms?
LL
I feel relieved not to be the only one after I found this thread. I experience kidney pain, exhaustion, teeth falling .thyroid upset. A result from,11 months high dose INF riba tx, (gen C1) ; even though tx over 2 years ago .now virus free.
apparently low blood pressure n exhaustion corelated. Thus if one could rise blood pressure exhaustion may disappear. I know that, on rare occasions , my blood pressure goes up n I feel much better.
No need talking doctors n specialists, without any measurable results from anlysis, (other than blood pressure) they think kidney pains all in my head. God be with us, whatever our faith, cause who else will be? pharma corps weigh on the health system and brainwash all to deny reallity of long term side effects . remember your liver will not heal scars from fibrosis n cirrosis. it will only stop getting worse if you cleared the virus.
keep on searching perhaps the link between hormonal mess up and liver regeneration at the root of all this.
much love to you all
dennis the menace, france
When you say your Dr tested you for auto-immune diseases before and during treatment, what kind of tests did he perform? I wasn't lucky enough to have a Dr that involved with my treatment.
I have taken Adderall (adderrall) for my ADHD since 05, and I'm sure that it helps with my ability to stay awake and focused, after all it's a stimulant, but I wonder sometimes if it "hides" fatigue. I forgot to take it last Saturday and ended up taking a 41/2 hour nap in the middle of the day.
hope your all having a good day, as much as possible,
ive been re reading through the posts and some older ones on other boards/topics and because i feel so difficult to address my own doctor to get useful help, with side effects and not really knowing what i should ask him to look or test for: always feels like a brick wall, "yes dear just get on with it" i had a penny drop, of remembering that having these post sides, wether pre disposed or not, that to start trying to treat ewch symptom seperately, isnt really fixing the problem, some how the whole system needs overhauling and i guess for that i need to return to other types of treatment such as homeopathy, to somehow try to rebalance the whole system: rather than lots of medications to treat depression, muscle aches, brain fog, headaches lethargy and fatigue; i am clueless as to the state of my liver, because apart from a fibrotest done in 2004: which was stage one: i do not know the present state of my health: aprt from what i experience : so i guess thats going to be my next line of approach:
(just to actually get myself to the doctors or homeopath, is so difficult, its like i really dont want to face them its mad)
till the next rambling moment of thought, i send you all good thoughts
karen
Not necessarily a true statment. Many people, maybe the majority, are able to work and play while on treatment and lead life close to normally. On the other hand, and as you've witnessed, the spiral of liver disease is an awful way to pass. People are free to choose the options available.
I took treatment in 2001, cleared the virus, and am very disabled still from the Peg-Intron. The doctor's only response is take anti-depressants, anti-anxiety, sleeping pills, etc. Take more pills and don't bother me. Before treatment I was healthy and very active. Now I struggle through every day
It's true that first response of doctors is to add drugs to relieve or attenuate symptoms (sleeping pills, anti-depressants, antalgics, anti acids, and so on) which, in long term add other side effects to the previous ones. It is like a vicious circle. But it is like a consent of their powerlessness to face this situation. All pharmacologist tell you that, when taking more than 3 or 4 drugs together, can have unexpected effets (due to the drugs interactions or metabolites of these drugs interactions). I know that actually some research teams are working to decrease the drugs dosage by using synergies in a cocktail of them at much lower levels (really low levels) in order to avoid all side effects, but this is very new and will not be applied before years. What can we do meanwhile when the person you love suffers day to day from pain, vertigo and insomnia ? Taking pills, always, with the risk of increasing dosage (an side effects) and even the risk of addiction.
Concerning stress, yes, we observed an interaction with it. But all kind of stress : heat or cold stress, noise, and so on. We observed that, in a stressfull environment like those I described just before, the risk of fainting was much increased, like if the body had a lower capacity to fight against "stress".
I dream of the day where authorities and pharma companies will recognize that what happened to all of you is due to their responsabilities (and not in your mind) and will do their best to find solution(s) for treatment and so big administrative hurdles. It is a question of respect regarding to what happened to you. This day is not for tomorrow, but if Roche and others would like to take only 1% of the benefits they are doing actually with influenza A to focus on this iatrogenic disease, the light at the end of the tunnel would be closer. My wife has a hard time actually and we will wait some time before making new investigations. But she will never give up.
I wish all of you a very good week end and send you our warmest thoughts
I have always eaten a very healthy diet before treatment, during, and after, and drink well water. I do use pain killers, sleeping pills, but no anti-depressants. I'm taking a bunch of supplements including Q10. It's always hard to say if supplements are really doing any good. I don't feel much different.
I just try to stay positive, eat well, exercise, think good thoughts, etc. and hope that eventually this "whatever" will subside.
officially diagnosed with fibro, recurrent stomach issues similar to autoimunne crohns, and was recently referred to mayo. serious fatigue (sleep 12 hours per day), documented multiple medical problems post tx.
but i'm still glad i treated.
it's tough.
Deb
Has anyone else had this issue?
Judi
love karen
I was supposed to go back tonight but I don't feel like I'm up to it. I know what will happen and I think all these fatigue episodes are making me worse.
Don't know if it's the hep c I've had for almost thirty years, the interferon, or a combination of the two.
I don't know what I'm going to do for money. I started the application process for disability today, but they say seventy percent of cases get denied. Got no insurance, either, so can't afford to retreat at this time.
bleh
It's smart to start working on the diability income as soon as you can. I know it's hard to get, but you got to have food and shelter. This treatment quickly reduces you to the basics of life in a way that probably never have had to deal with yet.
Hunker down, and when you've got the basics secured, then you start, like the rest of us, to see if anything helps, what causes fatigue, what can I do, etc.
It's a tough road, but it's still life which is a very good thing. There's still incredible amounts of beauty and loving available. We're all there together, you are not alone, and things will get better. Believe.
In my appointments self diagnosing myself : ) ..............I don't have certain things of fibromyalgia, I still have great muscle tone for having a lot of muscle pain and so on. The only criteria I match up to is that. So I'm taking my meds and seeing myself next week. LOL. (haha, from one that is in the cracks of no insurance ;)
I just hate seeing so many of us guess, daily. For me, and many, not knowing whats wrong is half the battle. TELL ME what 'it' is and I'll know how to deal with it, ya know? Like the Hep C.
That said.....I would still rather deal with this then Hep C, cirrhosis. My cup is full, I am thankful everyday that I beat Hep C. My heart goes out to those that have to deal with post issues and didn't SVR.
Postthepc ....(welcome:)......radio active iodine?? And I am getting labs, thyroid check soon, just to see. It didn't mess mine up during tx, but it could be now and know it does throw your body out of whack.
AKhepper....welcome :) Very sorry you didn't reach SVR :(
I'm in the process of figuring something else to do for work, as everything I do is very physical and I pay for it each day. With your issues, there is many things you can do at home, on the computer. Disability is hard to get, you'd be best getting a lawyer to handle it I think. (anyones else know better on this subject?)
Good luck to you.
dewert56......lovely post :) So true.
best to all, LP
All we want to know is what is the best thing for him to do or take, to get back a former part of himself, how can he sleep at night, how can he come out of this brain fog he is in, he used to have above IQ level, but now cant remember anything. He barely can work, and was almost let go after twenty years because his boss didnt understand why he couldnt work the way he used to, he looks the same. Thank God his boss gave him a reprive and suggested pay cut and working in less physical dept. Which is ok, because he needs to keep the insurance. I just want someone out there to find a cure for this treatment that was given to him. I want my best friend back.
Thanks for reading this, any suggestions will be appreciated. I read alot but didnt read it all because I got really sad. What can he do to get better.
Alta Roy in BC