I just started treatment and had to go into lab yesterday to get blood redrawn due to a bilirubin spike after one week. Common according to my doc but he wanted to make sure. Sure enough the RBC is starting to go low. He had to reduce my dosage due to low RBC (3.45), hgb 10.3, hct 30.3, RDW 14.5%. Bilirubin went retest came down to 1.9. It's getting better since it went up to 4 after one week of tx. I'm on triple tx and started with 1200 mg daily riba, but doc cancelled my evening dose yesterday so only took 600 mg yesterday. Today he has me on 300 mg (1/2 pill) until I get my 200 mg pills in the mail which he'll have me take 2 per day. I'm only on day 16. My viral load was:
12/5/2011 344933
7/13/2012 371829
7/30/2012 259914 (start of tx)
9/5/2012 284 (one week on tx)
He's hoping I was undetected end of week 2 which was Wed. I won't get the results for one week so we don't know for sure. I guess the reduction in riba is okay if I was undetected. If not, not sure what that means, but the doc said he couldn't take the chance of my blood getting too low.
Platelets are good so far at 229.
I just thought I'd give my results as I just started and am already disappointed on having to reduced meds, but understand the blood issue can get out of control quickly and he didn't want that. This is my second time on tx but first time was in 2005 and only the interferon/riba. I had to do procrit a lot last tx so I have had low RBC & WBC before. So far my WBC is okay. I was a responder but relapsed. Hoping for the best.
thanks to all for your support and advice.