Aa
sick and tired
60 year old man diagnosed in late 80s with hepC genotype1a. had treatment with interferon cocktail in the 90s. Didn't work. Now I have cirrhosis of the liver. Live in Canada. What new for treatment
Welcome to the forum.
Since you have Cirrhosis, you need to see a Hepatologist, not a Gastroenterologist. When a person has Cirrhosis, he/she needs to see a doctor who is very competent in recognizing and managing any and all complications and medical conditions associated with Cirrhosis. Only a Hepatologist is capable of managing the complexities of Cirrhosis.
Since you live in Toronto, the best facility for you to be seen at is the Liver Clinic at the Toronto General Hospital (Western Division ). You may need to have your primary care doctor refer you to the clinic, but once there, you will receive excellent treatment. You should be able to receive the most advanced treatment currently approved in Canada at that clinic.
If the clinic will prescribe the combination of Sofosbuvir and Simeprevir (Sovaldi and Olysio), that combination has excellent cure rates.
Best of luck.
Since you have Cirrhosis, you need to see a Hepatologist, not a Gastroenterologist. When a person has Cirrhosis, he/she needs to see a doctor who is very competent in recognizing and managing any and all complications and medical conditions associated with Cirrhosis. Only a Hepatologist is capable of managing the complexities of Cirrhosis.
Since you live in Toronto, the best facility for you to be seen at is the Liver Clinic at the Toronto General Hospital (Western Division ). You may need to have your primary care doctor refer you to the clinic, but once there, you will receive excellent treatment. You should be able to receive the most advanced treatment currently approved in Canada at that clinic.
If the clinic will prescribe the combination of Sofosbuvir and Simeprevir (Sovaldi and Olysio), that combination has excellent cure rates.
Best of luck.
New drugs that increase the SVR rates and no Inf for some. You really need to see a Gastroenterologist or hepatologist who specializes in Hepatitis C for evaluation and treatment recommendations.
Two new drugs approved in Canada to be used with previously approved drugs and not together.
Sovaldi - sofosbuvir
http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/sbd_smd_2014_sovaldi_165043-eng.php
Olysio Galexos(canadian brand name) simprevir
http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/sbd_smd_2014_galexos_164021-eng.php
Some doctors are prescribing these Off-Label per recommendation listed here
http://www.hcvguidelines.org/full-report/retreatment-persons-whom-prior-therapy-has-failed
Changes made on this page on March 21, 2014.
NOTICE: Guidance for hepatitis C treatment is changing constantly with the advent of new therapies and other developments. A static version of this guidance, such as printout of this website material, booklet, slides, and other materials, may be outdated by the time you read this. We urge you to review this guidance on this website (www.hcvguidelines.org) for the latest recommendations.
Two new drugs approved in Canada to be used with previously approved drugs and not together.
Sovaldi - sofosbuvir
http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/sbd_smd_2014_sovaldi_165043-eng.php
Olysio Galexos(canadian brand name) simprevir
http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/sbd_smd_2014_galexos_164021-eng.php
Some doctors are prescribing these Off-Label per recommendation listed here
http://www.hcvguidelines.org/full-report/retreatment-persons-whom-prior-therapy-has-failed
Changes made on this page on March 21, 2014.
NOTICE: Guidance for hepatitis C treatment is changing constantly with the advent of new therapies and other developments. A static version of this guidance, such as printout of this website material, booklet, slides, and other materials, may be outdated by the time you read this. We urge you to review this guidance on this website (www.hcvguidelines.org) for the latest recommendations.
Have an Answer?
You are reading content posted in the Hepatitis C Community
Learn about this treatable virus.
Getting tested for this viral infection.
3 key steps to getting on treatment.
4 steps to getting on therapy.
What you need to know about Hep C drugs.
How the drugs might affect you.
These tips may up your chances of a cure.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
