1-a 34 year old man with hepatitis C attended for review after treatment for 12 weeks with peginterferon and ribavirin co-therapy. He complained of lethargy and SOB on exertion. I vestigation prior to treatment confirmed genotype 1 and a viral load of 1.3 x 10 to 6 with no evidence of cirrhosis.
Investigations:
Hb 10
Plt 65
neutrophils 0.8
LFT normal
U&E normal
what is most approperiate next step in management?
1-continue same treatment
2-Blood transfusion
3-reduce peginterferon
4-reduce ribavirin
5-stop treatment
During the treatment of HCV infection, assess for side effects at week 1,2,4 and then 4-8 weekly.
Ribavirin can cause anaemia.
Action: reduce dose, consider transfusion if Hb less than 10
Peg-interferon alfa can cause:
flu-like symptoms,usually subside in few weeks
neutropenia nad thrombocytopenia
consider dose reduction if neutrophills less than 0.75, Plts less than 50
other side effects includes: depression, irritability, sleeping disorders
stop treatment if hepatitis flare up ALT > 10 time ULN or severe bacterial infection.
Investigations:
Hb 10
Plt 65
neutrophils 0.8
LFT normal
U&E normal
what is most approperiate next step in management?
1-continue same treatment
2-Blood transfusion
3-reduce peginterferon
4-reduce ribavirin
5-stop treatment
During the treatment of HCV infection, assess for side effects at week 1,2,4 and then 4-8 weekly.
Ribavirin can cause anaemia.
Action: reduce dose, consider transfusion if Hb less than 10
Peg-interferon alfa can cause:
flu-like symptoms,usually subside in few weeks
neutropenia nad thrombocytopenia
consider dose reduction if neutrophills less than 0.75, Plts less than 50
other side effects includes: depression, irritability, sleeping disorders
stop treatment if hepatitis flare up ALT > 10 time ULN or severe bacterial infection.
I high appreciate this post. It’s hard to find the good from the bad sometimes, but I think you’ve nailed it! would you mind updating your blog with more information? GASTRO
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There are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome life style Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and over all well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2010. Was at work feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescription like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but brink back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email drrealakhigbe@gmail.com or his Number +2348142454860 He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION, DIABETICS,HERPES,HIV/AIDS, ;ALS, CANCER , MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING LOSSDr Akhigbe is a good man and he heal any body that come to him. here is email drrealakhigbe@gmail.com and his Number +2349010754824
ReplyDeleteI got tested of hepatitis B early this year, I experienced dark urine and ribs pain so I went to the hospital for treatment and I was diagnosed of HEP B. The doctor gave me anti-retroviral drugs to slowdown the viral load which later worsens the ailment because the drugs weren’t effective and I was so scared because they say it has no cure, out of frustration I told my friend about it and luckily he told me he ones battled same problem in the past but he was saved by Dr. Iyabiye. He gave me his contact and reached him and I became well and tested negative after the treatment. Here is his contact if you have such case. contact: +234-815-857-7300, (iyabiyehealinghome@gmail.com)
ReplyDelete
ReplyDeleteGet consultation for liver diseases and disorders from Dr. Sandeep Kumar Jha
liver specialist doctor in delhi
I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.
That was an appreciable post. Get consulted with a Liver Specialist Coimbatore for a better results
ReplyDeleteThanks for sharing such informative content with us... Keep posting! If anyone wants to know about Gastrointestinal Disorders , you can check out our blog post on our site.
ReplyDelete