I started the pills (Riba and Incivek) on a Mon. am and took my first injection on Mon. pm. I started feeling spaced out and a little light headed not too long after I took the pills. That feeling lasted only 2-3 days. I think my body just had to adapt. With the injection, I felt like I had the flu for a couple of days, although I never got fever, chills, or pain with the injections. I mostly just felt completely dragged out, exhausted, had aches, and over all did not feel well.
The flu like symptoms lessened as the week wore on and my best days were Sunday and Monday (before I took the shot in the eve).
My sickest/worst feeling time was while I was on Incivek. After I got off Incivek I did feel better.
For me, the medications were cumulative. The longer I was on them, the sicker I got. At least until I was off Incivek.
However, many of the side effects come and go. I always felt worse the first couple of days after the injection. In addition, I would have some side effect for a day or two, or maybe a week, and then it would disappear and never come back. Some would come and go and then come again and go again.
The consistent side effects for me were the fatigue, exhaustion, light headedness, dry mouth, aches, mental fog/brain fog. The brain fog was really bad and that is a problem for many of us. I could not remember 5 minutes after I took the pills if I had taken them or not. I had alarms and notes all over the place. I went to pick up the cat at the vet, paid the bill, walked out and forgot the cat. People have tried to open their garage doors with their TV remotes or tried to make phone calls on their TV remotes. We try to make coffee with no coffee in the filter. I forgot how to turn on the windshield wipers, the cruise control, and the lights (in the car). I missed my turn-off twice and had to turn around and keep going back three times before finally getting it right. I could not calculate figures. The brain is not functioning properly and not all neurons are connecting properly. There is a thread some place of all of the things we have done. The mental/brain fog lasts as long as the Interferon is being taken and then even longer until it gets out of the body.
Some things people just have to adapt to and learn to live with while on treatment. People have to slow down and take it easy. They need to write notes and set alarms. They need to avoid doing things that they know they cannot do. Some people quit driving. I did not plan anything while I was on treatment except for doc appts., labs, and a monthly concert (for which I had season tickets). I had no company and did not want any company. I was way too tired to go anywhere or do anything in the eve.
Some side effects need immediate attention or they can very rapidly snow ball out of control:
Rash
Depression
Nausea/vomiting
Anal/rectal issues
Anemia (below 10 or especially a sudden drop in Hemoglobin)
Severe Neutropenia (very low absolute neutrophils)
These side effects can all be treated with prescription drugs.
Rash (Steroid creams, ointments, hydroxyzine, etc.)
Depression (Antidepressants)
Nausea/vomiting (Zofran or another anti-emetic)
Anal/rectal issues (post about this if he gets them)
Anemia (below 10 or especially a sudden drop in Hemoglobin) (Procrit)
Severe Neutropenia (very low absolute neutrophils) (Neupogent)
Here is a post that I wrote when I attained SVR. In it I listed all of my side effects (that I could remember, LOL). It gives you an idea of the array of side effects (although I listed only what I had, and other people had other side effects as well). Like I said, they come and go. Most don't last the entire treatment time.
http://www.medhelp.org/posts/Hepatitis-Social/The-Prize--SVR--plus-side-effect-note/show/1903447#post_8868273