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Medical Forum / Diseases and Disorders / Hepatitis / September 2005

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Just wondering

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Scot - 29 Sep 2005 15:22 GMT
Hello folks. I have  mest up 2 injections in the past 27 weeks. The first
one the dam barrel came off the Needle and I lost all of the Interferon and
just today I had a leak in the needle cap and I got at least half of it in
me I think. I was wondering how mush damage I have done to the treament
program?

Thank you
Scott

greyhackles - 29 Sep 2005 15:44 GMT
>Hello folks. I have  mest up 2 injections in the past 27 weeks. The first
>one the dam barrel came off the Needle and I lost all of the Interferon and
>just today I had a leak in the needle cap and I got at least half of it in
>me I think. I was wondering how mush damage I have done to the treament
>program?

I doubt anyone would venture a guess based on that limited data. If you've
been having trouble achieving EVR, missing doses probably isn't helpful. Otoh,
if you cleared early and remained clear at week 24, a missed dose might not be
as problematic.

fwiw, when you dumped the entire load the first time, you should have used
another dose right then and there, and gotten the dumped one replaced later.
When you blew the half-load, you should have used half a second dose and
gotten that replaced later...

/greyhackles
Scot - 29 Sep 2005 15:59 GMT
>>Hello folks. I have  mest up 2 injections in the past 27 weeks. The first
>>one the dam barrel came off the Needle and I lost all of the Interferon
[quoted text clipped - 17 lines]
>
> /greyhackles

Thank you  greyhackles and jeeb for the replies. I tried to get the first
one replaced and they would not give me another. It realy upsets me when
shot day goes bad. The nurse told me it's no biggie. She is very nice, but I
am not sure I belive her. I just missed a whole day of the pills because of
Hurrican Rita. I was to go get new meds on Monday, but they had me wait till
Wendsday. I did not show neg till week 23 I think. I am on the research
trial by Roche "Peginterferon alfa-2a" and the pills are "Copegus
(Ribavirin"
greyhackles - 29 Sep 2005 23:20 GMT
>>>Hello folks. I have  mest up 2 injections in the past 27 weeks. The first
>>>one the dam barrel came off the Needle and I lost all of the Interferon
[quoted text clipped - 26 lines]
>trial by Roche "Peginterferon alfa-2a" and the pills are "Copegus
>(Ribavirin"

Well, I can see why you might not want to rock the boat, but next time you see
the nurse, ask her how valid the study results will be if the cohort is
missing doses...

Even Pegylated forms of IFN are eventually cleared by the body, and by the
seventh day after a shot, the "trough" for weekly Peg-IFN is down to nearly
immeasurable levels (found in a Product Information Sheet for either Pegasys
or PegIntron - can't remember which).

Thus, missing a weekly dose may well leave one with no meaningful level of IFN
on board for an entire week. I'm no doctor, but for the slow-to-clear, I can't
believe that's a good thing.

Hopefully there won't be any repercussions, but it sure strikes me as a
ridiculous response by that nurse. Compliance is about the *only* thing we can
control during tx, but she doesn't think it's important?

/greyhackles
elmoemerson@webtv.net - 30 Sep 2005 12:55 GMT

Re: Just wondering  

Group: alt.support.hepatitis-c Date: Thu, Sep 29, 2005, 2:59pm (CDT+5)
From: ok@httmail.com (Scot)
"greyhackles" <greyhackles@NOSPAMyahoo.com> wrote in message
news:dsunj1dspketivg47j29gthpcr0vj1fal8@4ax.com...
Hello folks. I have mest up 2 injections in the past 27 weeks. The first
one the dam barrel came off the Needle and I lost all of the Interferon
and
just today I had a leak in the needle cap and I got at least half of it
in me I think. I was wondering how mush damage I have done to the
treament program?
I doubt anyone would venture a guess based on that limited data. If
you've been having trouble achieving EVR, missing doses probably isn't
helpful. Otoh,
if you cleared early and remained clear at week 24, a missed dose might
not be
as problematic.
fwiw, when you dumped the entire load the first time, you should have
used another dose right then and there, and gotten the dumped one
replaced later.
When you blew the half-load, you should have used half a second dose and
gotten that replaced later...
/greyhackles
Thank you greyhackles and jeeb for the replies. I tried to get the first
one replaced and they would not give me another. It realy upsets me when
shot day goes bad. The nurse told me it's no biggie. She is very nice,
but I am not sure I belive her. I just missed a whole day of the pills
because of Hurrican Rita. I was to go get new meds on Monday, but they
had me wait till Wendsday. I did not show neg till week 23 I think. I am
on the research trial by Roche "Peginterferon alfa-2a" and the pills are
"Copegus (Ribavirin"
/////////
If you call Roche and tell them about the defective injectibles, they'll
make sure you get replacements.  
Elmo

http://community.webtv.net/elmoemerson/DocElmosHepFile

http://community.webtv.net/elmoemerson/TheFamilyAlbum
ghibelno - 29 Sep 2005 15:45 GMT
Scot ha scritto:
> Hello folks. I have  mest up 2 injections in the past 27 weeks. The first
> one the dam barrel came off the Needle and I lost all of the Interferon and
[quoted text clipped - 5 lines]
> Scott
>  

As far as the today shot is concerned, if you are sure that you injected
just half the dose, then why don't you give yourself another shot with
an half dose of interferon?
Then you will ask them for another vial, explaining that you messed up
with the last one while preparing the medicine (which is just the truth).
I think you would have the dose replaced.

As far as the previous injection, instead, it has gone now and you can't
do anything about it, you just missed one dose of Interferon and this is
not good.
Anyway "damage" could vary: which week of treatment were you in when you
missed the first dose?

Cheers,
jeeb.
elmoemerson@webtv.net - 30 Sep 2005 12:52 GMT
You could always live life in the fast lane and do the full dose of
interferon.  I would. Hell, I always felt like I was wasting the stuff
if I didn't do it all.  Don't let the dragon think it's getting off easy
this week.
Elmo

http://community.webtv.net/elmoemerson/DocElmosHepFile

http://community.webtv.net/elmoemerson/TheFamilyAlbum
 
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