Welcome to HCV Advocate’s hepatitis blog. The intent of this blog is to keep our website audience up-to-date on information about hepatitis and to answer some of our web site and training audience questions. People are encouraged to submit questions and post comments.
For more information on how to use this blog click here, the HCV drug pipeline click here, and for more information on HCV clinical trials click here
Monday, July 27, 2015
NASHVILLE (WATE) – The Tennessee Department of Health is issuing a public health advisory urging residents to increase their awareness about hepatitis C, a life-threatening disease spread by direct contact with blood from an infected person.
The Knox County Health Department says it’s important to know all the risk factors. Within the last year there’s been an increase of testing for the virus at the health department. Director Dr. Martha Buchanan says her staff will be looking at that data and determining what can be done.
“The best protection you have is knowledge and knowing what behaviors and what things put you at risk,” said Buchanan.
400 MILLION PEOPLE IS 400 MILLION TOO MANY
HCV Lab Tracker
Genotype 1: Harvoni (sofosbuvir/ledipasvir) and Viekira Pak with and without ribavirin
Genotype 2 and 3: Sovaldi (sofosbuvir) plus ribavirin
Genotype 4: Sovaldi (sofosbuvir) plus pegylated interferon and ribavirin
Proton Pump Inhibitors are drugs that work by reducing the amount of stomach acid made by glands in the lining of your stomach. The package label specifically lists omeprazole (Priolsec)—talk with your medical provider if you take this type of medication.
Check with your medical provider if you take any acid reducing agents (antacids). There are specific times you can and can not take them.
Harvoni/Sovaldi/Viekira Pak: Do not take St. John’s wort.
Harvoni, Sovaldi and Viekira Pak are classified as Pregnancy B drugs. This means that there have been no studies in humans and that they should only be used during pregnancy if the potential benefit justifies the potential risk to the fetus or if needed.
Source: Clin Infect Dis. 2015 May 17. pii: civ396. [Epub ahead of print]
Source: The Lancet DOI: http://dx.doi.org/10.1016/S0140-6736(14)62338-2
The 114 participants in the methadone maintenance group were randomized to receive methadone at their regular dose.
The 109 forced-withdrawal group followed standard guidelines forforced withdrawal.
Methadone groups: one death, one non-fatal overdose, one hospital admission and 11 emergency-room visits
Forced-withdrawal groups: no deaths, two non-fatal overdoses, four admissions to hospitals, 16 emergency-room visits
Marijuana (Cannabis sativa) is slowly emerging from its status as the cause of “reefer madness” to a more reputable one showing potential medical benefits. However, before running out and buying some weed and a bag of Cheese Doodles, let’s explore these questions:
Is marijuana effective for reducing pain?
What is marijuana’s affect on the liver and hepatitis C?
Ideally, relieving pain without drugs is the safest approach. The trick is to work with a specialist who is trained in the art of introducing drug-free pain measures while slowly reducing pain medication. All sorts of drug-free techniques are used, such as acupuncture, massage, hypnosis. Below are three drug-free techniques worth considering.
I have tried to simplify a very complicated subject. Pain management deserves more than I gave it here. In nursing, I learned that pain is the fifth vital sign. In short, pain should be taken seriously. However, the tragic reality is that pain is understudied and poorly misunderstood. Some physicians over-prescribe painkillers; some under-prescribe them. The bottom line is that if your pain is not well controlled, ask to see a pain specialist.
- American Chronic Pain Association – Check out the “Pain Management Tools” tab
- International Association for the Study of Pain
- Pain Connection
- Treating Chronic Pain with Meditation, Brian Steiner The Atlantic April 2014