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Treatment for HCV - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3143 Questions
Doctor :   hi
Doctor :   how can I help you?
Doctor :   are you with me?
Doctor :   I have to close this window since there is no response from your side, we are available 24/7 please get back to us if you need further medical advice.
User :   Hi
Doctor :   hi
Doctor :   please proceed
User :   10 days back i have discussed
User :   regarding HCV+ case
Doctor :   yes
Doctor :   please proceed
User :   I got report of my aunty
User :   and it is
User :   HCV Quantitative Real Time RT PCR Report
Name of the assay:HCV Quantitative Real Time PCR
Type of sample :Serum
Result : Below Detection limit
Linear range of detection :50-100000 HCv RNS copies/ml
Doctor :   ok
User :   is it confirms HCV+
Doctor :   yes you are right
User :   is it completely curable
User :   hi
Doctor :   let me explain to yu
User :   k
Doctor :   with treatment with
Doctor :   1. antiviral drugs to clear the virus
Doctor :   2. Interferons alpha
Doctor :   with these
Doctor :   2 treatment
Doctor :   the hepatitis virus can be eradicated to 85-90 %
Doctor :   she can lead her life with out any danger
Doctor :   ith out jaundice or any liver problem
Doctor :   hi are yu there
User :   yeah
User :   am here
Doctor :   ok
Doctor :   please proceed
User :   Now they discharged from hospital and they asked us to go after 15 days
Doctor :   yes
User :   isthat virus wont go 100% from her body?
Doctor :   if its cleared to 90 - 95 % its best
Doctor :   once its positive its always positive
Doctor :   our main aim is to reduce the viral load to almost nill
Doctor :   so she leads normal life
Doctor :   and with out complications
User :   isshe able to do daily activities like cooking and goes o office for work as she is teacher
Doctor :yes she can do that
Doctor :not a problem
Doctor :but sex to be done with condoms
Doctor :   avoid blood transfusion
User :   ok
Doctor :   or donating the blood
User :   k
Doctor :   also need to be care full about needle pricks
Doctor :   and injections
User :   ok
Doctor :   and to keep a watch on liver fucntion tests
Doctor :   evert months
Doctor :   every
User :   k
Doctor :   diet rich in proetins, and vitamins
User :   is she has to take tablets daily for long period
Doctor :   reduce fattty foods
User :   k
Doctor :   yes interferon injections are only for a short course
Doctor :   1- 2 months
Doctor :   but antivirals to be taken for atleast 6-8 months
User :   k
Doctor :   and then repeat the HCV RNA load
Doctor :   Liver function test
User :   every 6-8 months HCV RNS and Liver fuction test
Doctor :   based on that
Doctor :   if the viral load is less
Doctor :   then take medication 1-2 months and then stop it
Doctor :   if viral load is high then to take for anothere 4 months
Doctor :   but its very important for her
User :   k
Doctor :   to take this antivial medications
Doctor :   and interferons
User :   k
Doctor :   this 2 treatment have changed the lifestyle of hepaatitis C
Doctor :   treatement is very good enough
Doctor :   for a patient to live a healthy life style
User :   k
Doctor :   do yu have any more queries
User :   for these treatment anually how much it will become approximate cost
Doctor :   i will help u in this
Doctor :   for interferons 2-3 settings of treatment is required
User :   k
Doctor :   it costs 4-5 lakhs
Doctor :   for antiviral medications 40- 50, 000
Doctor :   During treatment, patients must be monitored carefully for side effects including viral -like symptoms
Doctor :   depression
Doctor :   rashes
Doctor :   other unusual reactions and abnormal blood counts.
User :   k
Doctor :   she also need a counselling regarding her condition
User :   for this sittings how many days she has to be in hospital for every year
Doctor :   its only for 1-3 days for one setting
Doctor :   so its 2-3 settings of tretemnt only
Doctor :   so its some 10 - 15 days
Doctor :   tablets are taken in home only
User :   ok
Doctor :   only interferons in hospital setup
User :   k
Doctor :   that too only 2-3 setups
User :   for every year treatment cost will come around 6.5 lakhs for this if we make some insurance now is she covered under this
User :   because at present she dont have insurance or cashless
Doctor :   its not every year it costs around 6 lacs
Doctor :   for whlole interferons treatment its 5-6 lacs
Doctor :   for tablets of 6- 8 months its another 50, 000rs
Doctor :   usally after 6-8 months we stop the tablets
Doctor :   because the virus load reduces
Doctor :   for interferon treatment insurance can be covered
Doctor :   because its hospital admission
Doctor :   but not for tablets
User :   k
Doctor :   In summary, the best available current treatment for hepatitis C of peginterferon alpha plus ribavirin
Doctor :   not to worry roopesh
Doctor :   its better to start the treatment
Doctor :   early
Doctor :   she will show good response to treatment
User :   next week we r visiting the hospital now itself doctor will start treatment
User :   ?
Doctor :   thats great
Doctor :   good to hear
User :   software engineer
Doctor :   ok
Doctor :   where do yu stay
User :   bangalore
Doctor :   ok
Doctor :   thats fine
Doctor :   to which hospital are yu taking your aunt
Doctor :   ok
User :   my aunty it is manipal hospital
User :   in Manipal
Doctor :   ok
User :   not bangalore
Doctor :   manglore
User :   how is that hospital
User :   yeah mangalore
Doctor :   its very good instute
Doctor :   most of my juniors are working there
User :   oh
Doctor :   they give a good treatment
Doctor :   its affordable compared to other private hospitals
User :   yes
Doctor :   please fill the feed back form
User :   if i need any assist shall i call you
Doctor :   please yu cna do that
Doctor :   i will help u in each and every aspect
User :   Do you have contact no to touch with you
Doctor :   or yu can come for chat when ever yu want and ask for me
User :   ok
Doctor :   please fill the comment box its helpful for us
User :   Yeah sure Thank you for your support
User :   Bye
Doctor :   its my pleasure
Doctor :   ok
Doctor :   take care
Doctor :   bye for now
User :   Thank you
Doctor :   Thanks for consulting HealthcareMagic. refer your friends to our service.
User :   sure
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