Oh, and as Pooh said, based on response to therapy as well.
Length of treatment is not determined based on viral load so far as I know. It is based on degree of liver damage. What is your stage of liver damage?
hi grantt. just recently found out I was genotype 1a and will also be starting triple therapy within the next 2-3 weeks. My viral load was only 13000 so my doc also said I will probably only be doing 24 weeks of therapy. Let me know how it goes and vice versa! Good luck to you!
Thanks pooh that did help a lot my viral load is only 116,000 so its fairly low I hop I'm undetectable at week 4
Excellent and informative advice, as usual Pooh. You're wonderful.
I did Incivek, Interferon, and Ribavirin. I was still detectable (but less than 43) at week 4 which is why I did 48 weeks instead of 24. I finished Tx in Aug and will do my 24 week post end of treatment test in February. My 12 week post end of treatment VL test was UND.
I never had severe flu symptoms like fever or chills after the injection, but I did feel wiped out for a couple of days afterwards.
I did get the severe rectal pain from the Incivek (not to be confused with Hemorrhoids or burning butt) but I found the key to avoiding the severe rectal pain was to keep the stools very firm. Once I figured that out, I never had it again. I used Loperimide as needed to keep the stools firm.
I did get the rash and my suggestion for the rash is get on top of it immediately if you get. It can and will catapult out of control if not managed aggressively and immediately. Once I got the appropriate medications for the rash and it was under control, I did fine. I used Hydroxyzine 50 mg every 6 hours, Clobetesol Soln., and Fluocinonide Ointment, all prescription.
I also got the nausea and some vomiting. I used Zofran 8 mg every 8 hours and this kept the nausea, vomiting, bloating, and everything that went with it, under control.
Those were the worst side effects that I got. Of course I was very fatigued, had no motivation or energy, had brain fog, had aches and malaise, got weak and dizzy at times, and so on, but those were not major problems.
I did get anemic but not severely. The lowest I went was 10.2 (Hemoglobin). I stayed clear of crowds so as not to get any colds or flu.
Important things are taking the Incivek every 8 hours within 30 minutes AFTER eating a meal with a least 20 grams of fat. I set alarms and had a timer I carried with me. This way I never missed a dose. It is helpful to have a pill organizer. I had one that I could fill up for a week. Most of us need some help with remembering to take the pills on time and to remember if we took them or not, LOL. Many of us could not remember 5 minutes after taking the pills if we had taken them or not, so some sort of organization/system is usually needed. I had alarms all over the house and that is also important. Plus, the one in the bedroom should be across the room. It is too easy to fall back asleep after reaching over and turning off the alarm if the alarm is right next to the bed.
Another thing I did to help was to lower expectations of what I would get done (basically nothing, LOL). That helped with the frustration at not getting anything done. I did not make any unnecessary appointments or book any unnecessary activities. I never knew what I would feel like and it was easier to just leave the calendar blank. Basically, the activities I did for those 48 weeks were these: I went to MD appts., lab draws, tests, and the symphony (because I had season tickets). I timed my injections for Monday nights because I saw the doc on Mondays (before the injections) and the symphony was on Sunday, my best day. A person can always add more activities if a person feels good and I did do that on occasion.
Treatment was no picnic, but it was doable and, if I had to, I would do it again.
If you get side effects, post about them. Someone will have a remedy.
Best of luck.
re: Fridays:
I would suggest you take the pegasys shots (and thus start treatment) when you feel you can be least functional for the following 2 days.
Depending on your activity schedule, Friday injections enable you to chill out over the weekend. So if you work M-F, that would be ideal to inject Friday eves.
1st nite of tablets and injection was rough ,hot and cold chills. Lasted overnight. Next injection hardly at all, then that was it for chills, fever.
Biggest problem was insane itching at times but all but gone since finished incivek wk 12.
Started on a Friday, Fridays nites some insomnia, then a lot of sleeping on Saturday. Better every week though.
Make sure you eat plenty of fat with Incivek.
Thanks how was the side effects from it and congrats
granttg:
Incivek Tx here. Week 25.
UNDETECTABLE at weeks 4, 12 and 24 (SVR achieved).
Best of luck.