Patients in most developed nations self-inject the interferon. It’s a subcutaneous injection; the process is similar to injecting insulin. Physicians or nurses aren’t typically involved with injection procedure itself.
These medications are relatively expensive; here in the States, the cost for 24 weeks pegylated interferon/ribavirin, if purchased by cash out of pocket would cost (roughly) USD $14,000. (AUD $13,675).
The interferon requires refrigeration; it is shipped overnight in cold-pack cooler containers.
Welcome to the discussion group, by the way-
Bill, I don't know if this will help or not, but www.canadadrugs.com sells both the Inteferon/Ribavirin. I've done business with them on other meds and was happy with service and their prices saved a good amount of $, but savings depends on the drug.
I self inject in my abdomen... no problem at all. The first couple of shots made me kind of nervous but now that I'm on shot 37, it's a piece of cake.
Remember in shipping the interferon must remain refrigerated. Usually it's shipped surrounded by ice packs and insulation. In the US it's shipped overnight. Is the mail that good in your part of Malay? Just bringing out another consideration.
Bill1954: - $14k -aaaghh! Bill1950!
Spoon5665: Thanks - I also checked PharmacyEscrow who I have done work for previously as a copywriter. I written reports on various problem illnesses and solution medications. www.billoliver.net/SME.html
Diane12855 - Thanks. Nice to know.
"Isn't someone going to tell me 'welcome to the world of druggies that shoot up?" :-)
hcvJames: BIG thanks. We'll take an ice pack to the hospital 4 hrs away.
As a husband of ex-government servant, I've been getting free health care to now.
I'll try and convince them I'm not going to sell the stuff!
(With asthma puffers, we have to return the empty puffers. They are concerned we will sell it.)
I am new here, but was in almost identical circumstances in India, living almost 5 hours travel by bus from Calcutta. The injection is the least of your worries. The combination of Interferon and ribavirin does a variety of different things to your body, particularly in my case the platelet count and white blood cell count. You may need to check these regularly and take additional meds (neopogen) if they drop too much. Anemia may also be an issue.
I found it good to go in to Calcutta, take a shot there, and carry two with me in a cooler, keep them in a fridge,(watch out for power cuts of longer than 6 hours), do them, one each week and then go back in for the next etc, and get a blood check done.
I found it best to have some paracetamol, and then take the shot just when I was ready to leave, that way I could be home before it really kicked in. I seem to remember Malaysia in general is not as chaotic as India, but it's no fun travelling in crowded buses or trains while full of INF/riba especially in the middle of summer.
If your liver is not seriously threatened, it would be worth considering delaying treatment if you are likely to be better located later.
Whatever you decide there is a wealth of knowledge here, so take advantage of it, as it may be a rough 24 weeks.