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Suggest treatment for hepatitis-C

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Posted on Mon, 25 May 2015
Question: I have been treated by a HEPC Doctor before and I asked questions if I could be treated again, with the ratio of being cured, and I received a good answer, but I still need some more information. Please find out if I can take Lamictal-seizure control, and Risperdol-mood stability while being treated with a 95 percent of being cured? I need to ask my guardian, I have brain damage and need her permission to become cured with this new meds.-what was the percentage of being cured 2 years ago? Is there still white blood cell counts still a problem with this new approach into curing me?

I was replied to about the percentage rate of having been treated before--the answer was great! 95%. Would it be lower now since I'm using Lamictol-seizure control, kept them away for 9 years! And I also take Risperdol-Mood Stability, both now, after getting brain damage. I failed the last test set of meds.-the blue pill only, which I still was being treated for 5 months. The blue pill was taken off of me because of an increase in white blood cells. With this new set of meds., still raise the white cells?

I don't know if you've received my previous questions, they are: I take 2 kind of pills daily, Lamictol-to keep seizures away-I haven't had one, thank goodness for 9 years, and Risperdol for my mood stability. Will the new meds. work with 95% plus curing, and also I was taken off my blue pill early with the last treatment because of a large (or lower) count of white cells in blood. Will the odds be better instead now with the white cell count? And pills I take? I took those pills 2 years ago. What were the odds, in general of being cured back then?

Please now, don't forget what I'd like to know about HEP C treatment: Will the curing rate of 95% plus deplete while taking Lamictol-seizure control, and Risperdol-mood stability pills regularly? Has the problem of white cell problems gone away with this new med?
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Answered by Dr. Dr. Prasad (12 hours later)
Brief Answer:
No known effects on hepatits C treatment.

Detailed Answer:
Hi,

Apologies for the late reply. But my reply is a positive one. There are new medicines approved in the treatment of Hepatitis C which are very effective. I concur with the previous doctor's statement. The latest antiviral drugs are effective in controlling hepatitis C virus and provide cure to 95% of hepatitis C infection.

However since these drugs are relatively new addition, there are no enough data to comment about the effects of lamictal and risperidol on these drugs. But as per the latest records, neither lamictal or risperidol will interfere with results of cure.
On the other hand, the antiviral drug may reduce or increase effects of lamictal / risperidol. Therefore while on hepatitis C treatment, your doctor should carefully monitor effects of lamictal and risperidol and titrate the doses as per needs.

Hope this answered your question. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Prasad (5 hours later)
Hi There! I have only a couple of questions left, sorry-I hope you don't mind. My guardianship thinks that the percentages of being treated are the same with the new meds.-in the 90's. What was the level of being treated 2 years ago? Is there any posibilities left in having white blood cell counts-enough to have to go through less millograms that might cure you, or being taken off the new meds? I hope the new meds. don't have the possiblities. Please let me know
doctor
Answered by Dr. Dr. Prasad (41 hours later)
Brief Answer:
New medicines have far less side effects...

Detailed Answer:
Hi,

Hepatitis C treatment has changed quickly over the last decade. The current list of new antiviral drugs acts quicker and has less side effects including less chances of lowering white blood count.

As a physician, my experience is not as vast as an infectious disease specialist. Therefore I will not be able to comment about the precise rates of cure with earlier used treatment. However curbside consultation with a few infectious disease specialist revealed that interferons used to work equally better if patients could tolerate them well. Further the rates of cure was / is dependent on the current liver status. Generally, the cure rates are very good with both interferon (earlier treatment) and the current new medications.

And about your last question, yes, if blood count cells are compromised significantly, it is important to lower antiviral / interferon doses. The doses can be increased as blood counts improve. Regular follow ups and monitoring therefore is the key towards successful hepatitis treatment.

Hope I was able to answer your questions. Let me know if you need clarifications.
And I am sorry for the late reply. I was out of town this weekend with poor connectivity.

Good luck!!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3659 Questions

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Suggest treatment for hepatitis-C

Brief Answer: No known effects on hepatits C treatment. Detailed Answer: Hi, Apologies for the late reply. But my reply is a positive one. There are new medicines approved in the treatment of Hepatitis C which are very effective. I concur with the previous doctor's statement. The latest antiviral drugs are effective in controlling hepatitis C virus and provide cure to 95% of hepatitis C infection. However since these drugs are relatively new addition, there are no enough data to comment about the effects of lamictal and risperidol on these drugs. But as per the latest records, neither lamictal or risperidol will interfere with results of cure. On the other hand, the antiviral drug may reduce or increase effects of lamictal / risperidol. Therefore while on hepatitis C treatment, your doctor should carefully monitor effects of lamictal and risperidol and titrate the doses as per needs. Hope this answered your question. Let me know if you need clarifications. Regards