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317787 tn?1473358451

Feds to Medicaid, stop restrictions

Hi there, I was looking for help for a friend who has been in a car accident, two operations, lost his job, has HCV with ascites, no varices, very swollen, child hood friend and a stubborn old cuss. Geno1

Well Hrsepwer came to my rescue with links that told me that the State of MD, under certain restrictions, is paying for Harvoni. My friend is ineligible for interferon, he already tried it.

The point of this is that while searching I found that the Federal Govt is telling the States Medicaid to stop the restrictions.  I hope this will help someone on here. I hope you can just click on it.  If not high light it and click open.  I had heard that the States were trying to make deals with the manufacturers but had not heard of this.  It came out yesterday

http://hcvadvocate.org/news/NewsUpdates_pdf/Advocate_2015/advocate1115_mid.pdf
1 Responses
317787 tn?1473358451
Hi I found this in a place called HCV Advocate just like the above article telling the FEDS to stop the restrictions for people with HCV.  It is good news about a trial that was done.  Trying to find the news story now.

There was a news story on October 30, 2015, about
a study that will be presented at the upcoming Liver
Conference this month in San Francisco, CA about
curing hepatitis C in as little as three weeks! It
sounds too good to be true, but, in this case, it just
might be true. The study included 18 genotype 1b
patients treated with a combination of drugs—ev
-
eryone received sofosbuvir (HCV polymerase) as the
backbone of therapy. Sofosbuvir was either com
-
bined with ledipasvir or daclatasvir—both NS5A
Inhibitors. The third drug was either simeprevir or
asunaprevir—both protease inhibitors. The result is
that you are inhibiting the virus at muliple viral entry
sites. Also, the patients enrolled in the study had the
lowest viral loads. Originally 26 patients were en
-
rolled in the study. After two weeks, those patients
who had the steepest decline in viral load—HCV
RNA—were allowed to stay in the 3-week trial. The
others were treated for 12 weeks. Taken together
this was actually a response-guided therapy trial
on steroids. Still, it is pretty impressive, and all 18
patients achieved a cure.
More studies are needed to understand if this ap
-
proach can be used in a larger population of people
with hepatitis C. There are also questions regarding
this approach about harder to treat genotypes such
as genotype 3 and genotype 1a.
As far-fetched as a 3-week treatment to cure
sounds I believe this will come to pass. Soon many
drugs will be available to pick and choose from to
create a drug cocktail to treat patients based on
a patient’s characteristics. The only roadblock will
be the business practice by some pharmaceutical
companies that combines two drugs into one pill.
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