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Medical Forum / Diseases and Disorders / Hepatitis / October 2005

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First shot

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Rock - 01 Oct 2005 12:45 GMT
   Well I took my first shot Thursday night. I was prepared for the worst
and was happy it wasn't too bad overall. I did go through bad chills like I
was outside in the winter freezing followed by periods of sweating. I had a
nasty headache on and off that night and the next day. Friday I was able to
make it through a day of work and every few hours or so I would feel ill and
then it would go away for the most part. I'm going to do my shots on Friday
nights from now on and only did it this Thursday because the Doc wanted me
to do the first one in the office and he wasn't going to be available
Friday.

   All in all it wasn't as bad as I though it may be and was nervous about
starting the treatment. I know it may get worse. One thing my Doctor said
that seems to go against what some here say is that if I have bad side
effects he will cut the dose down if needed. He claims he has only had one
patient go on meds for blood disorders and I will discuss it with him at my
next visit. My guess is because he cuts the meds when things start to go
bad. If I can afford meds for blood cell problems wouldn't it make sense to
continue full strength on pegasys and ribavarin? 47 to go.
elmoemerson@webtv.net - 01 Oct 2005 13:33 GMT
You are correct....avoid reducing the dosages, particularly for the
first 6 months.  It has a decidedly negative effect on your chances for
SVR.  This dragon requires a BIG ball bat.  
Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
maha - 02 Oct 2005 01:29 GMT
Again, pardon a seeming dumb question from a "noob":

What is "SVR"

Graham

>You are correct....avoid reducing the dosages, particularly for the
>first 6 months.  It has a decidedly negative effect on your chances for
[quoted text clipped - 4 lines]
>
>http://community.webtv.net/elmoemerson/TheFamilyAlbum
greyhackles - 02 Oct 2005 01:57 GMT
>Again, pardon a seeming dumb question from a "noob":
>
>What is "SVR"

SVR is "Sustained Viral Response". This is a post-therapy outcome where HCV
virus is not detectable via blood testing. It is the gold ring.

EVR is "Early Viral Response". This is an on-therapy indicator showing
profound reduction in viral load, eventually all the way down to zero. If you
don't get EVR, SVR is highly unlikely.

Cheers

/greyhackles
Dwight - 02 Oct 2005 02:11 GMT
> Again, pardon a seeming dumb question from a "noob":
>
[quoted text clipped - 10 lines]
>>
>>http://community.webtv.net/elmoemerson/TheFamilyAlbum

SVR is the Holy Grail for heppers. I've only heard of it, never been
close to it though. Maybe one day. I have read the other post so I know
you have meaning of acronym already, but just in case it stands for
Sustained Viral Response and it means that tx has probably worked for you.

Dwight
Jim Klein - 01 Oct 2005 13:52 GMT
> All in all it wasn't as bad as I though it may be

Cool.  Stop thinking and that'll be your last thought about it!  [If only it
were so easy, eh?]

> and was nervous

See?  That's what thinking will get you!

> about starting the treatment. I know it may get worse.

"Knowing" that something "may" doesn't say much.  I'm tellin' ya, it's about
how you choose to use your brain time.

I hope you can keep working; it sounds like you will.

> One thing my Doctor said that seems to go against what some here say

All other things being equal, I'd advise a tendency toward what's said here,
keeping a close eye on who says it and who agrees.  That's my opinion
anyway, because I usually rate experience higher than expertise.

> is that if I have bad side effects he will cut the dose down if needed.

Yeah well, that all depends on His definition of bad and need.  This one I
can easily advise---go with YOUR judgment.  You're feelin' it and you're
slayin' it, and it's your life you're saving.

That's not to say go by feelings alone.  There are numbers and there are
judgments to be made, based on those numbers.  You're getting the
consequences so you should be the one making the final judgments.  And
really you're that, even if you don't want to be.  Choosing not to judge,
or leaving it to someone else, is itself a judgment of course.

> He claims he has only had one
> patient go on meds for blood disorders and I will discuss it with him at
> my next visit. My guess is because he cuts the meds when things start to
> go bad. If I can afford meds for blood cell problems wouldn't it make
> sense to continue full strength on pegasys and ribavarin? 47 to go.

You the man.  You'll get knocked for a loop but I'm sure you've been knocked
for a loop before.  Just another rough step in life, that's all.

You know, a lot of heppers are going to get a reward for the nightmare of it
all.  It's a very rare blessing to have better health at 60 than you do at
50.  Zillions of heppers are going to be healthier at 70 than they were at
50.  My best advice (generally, since I don't know your age) is to hold on
to that, and know that you're doing this for a purpose.

Here's hoping you can stay busy and distracted, as much as possible.  Knock
the f.cker out and know that lots of thoughts are with you.

jk
mags - 01 Oct 2005 14:47 GMT
Well I guess we are shooting buddies - you will have to be my Rock!

Mags
>    Well I took my first shot Thursday night. I was prepared for the worst
> and was happy it wasn't too bad overall. I did go through bad chills like
[quoted text clipped - 21 lines]
> to
> continue full strength on pegasys and ribavarin? 47 to go.
pajaritaflora - 01 Oct 2005 15:33 GMT
> Well I took my first shot Thursday night. I was prepared for the worst
> and was happy it wasn't too bad overall. I did go through bad chills like I
[quoted text clipped - 14 lines]
> bad. If I can afford meds for blood cell problems wouldn't it make sense to
> continue full strength on pegasys and ribavarin? 47 to go.

You are on your way Rock.

Yes I wouldn't reduce my meds unless I was going to croak. My weight
went below the initial dosage range. But I am also using the big ball
bat (ELMO).
I've been know n to put lots of coins in my pockets before stepping on
the scale at the docs. Then go home and once again work on getting my
appetite up.

Please know that I am not offering suggestion, but just letting you
know how important I feel it is to give it all you can.

Mary Ann
elmoemerson@webtv.net - 01 Oct 2005 17:13 GMT

Re: First shot  

Group: alt.support.hepatitis-c Date: Sat, Oct 1, 2005, 7:33am (CDT-2)
From: birdspeak@gmail.com (pajaritaflora)
Rock wrote:
Well I took my first shot Thursday night. I was prepared for the worst
and was happy it wasn't too bad overall. I did go through bad chills
like I was outside in the winter freezing followed by periods of
sweating. I had a nasty headache on and off that night and the next day.
Friday I was able to make it through a day of work and every few hours
or so I would feel ill and then it would go away for the most part. I'm
going to do my shots on Friday nights from now on and only did it this
Thursday because the Doc wanted me to do the first one in the office and
he wasn't going to be available Friday.
        All in all it wasn't as bad as I though it may
be and was nervous about starting the treatment. I know it may get
worse. One thing my Doctor said that seems to go against what some here
say is that if I have bad side effects he will cut the dose down if
needed. He claims he has only had one patient go on meds for blood
disorders and I will discuss it with him at my next visit. My guess is
because he cuts the meds when things start to go bad. If I can afford
meds for blood cell problems wouldn't it make sense to continue full
strength on pegasys and ribavarin? 47 to go.
You are on your way Rock.
  Yes I wouldn't reduce my meds unless I was going to croak. My
weight went below the initial dosage range. But I am also using the big
ball bat (ELMO).
  I've been know n to put lots of coins in my pockets before
stepping on the scale at the docs. Then go home and once again work on
getting my appetite up.
Please know that I am not offering suggestion, but just letting you know
how important I feel it is to give it all you can.
Mary Ann
///////////
You sly little fox, you!  The doc DID mention you looked a little
'hippy' on your last visit.  Is that a Louisville Slugger I see you
swinging, MA?  :-)
Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
greyhackles - 01 Oct 2005 17:43 GMT
>    Well I took my first shot Thursday night. I was prepared for the worst
>and was happy it wasn't too bad overall. I did go through bad chills like I
[quoted text clipped - 14 lines]
>bad. If I can afford meds for blood cell problems wouldn't it make sense to
>continue full strength on pegasys and ribavarin? 47 to go.

Your best shot at SVR is with full meds for the full term. Cutting your meds
in the face of sides is going against what should be your goal - SVR.
Don't let it happen except as a *last* resort, particularly if you and/or
insurance will cover countermeasures against tanking blood work.

Imnsho, any doc that immediately opts for cutting back on meds instead of
treating the sides is probably the wrong doctor to be chaperoning foks through
therapy. I'd watch this guy like a hawk.

Keep an eye on your own interests,  do your due diligence, insist on copies of
all test results, chart your progress, and be prepared to take control.

You can do this. You're on your way.

Cheers

/greyhackles
Rock - 02 Oct 2005 23:45 GMT
> >    Well I took my first shot Thursday night. I was prepared for the worst
> >and was happy it wasn't too bad overall. I did go through bad chills like I
[quoted text clipped - 32 lines]
>
> /greyhackles

I plan to do as you wrote above. And will definitely do some serious
questioning and going to another Doc if needed to get the best end results I
can. I get armed with more information every time I come and read here from
the experienced. Thanks, Jim
coastalguy - 01 Oct 2005 22:36 GMT
My email offering you my wife's unused ribavarin was returned undeliverable.
Send me your address.  She has a month's supply left over.

>    Well I took my first shot Thursday night. I was prepared for the worst
> and was happy it wasn't too bad overall. I did go through bad chills like
[quoted text clipped - 21 lines]
> to
> continue full strength on pegasys and ribavarin? 47 to go.
anonymousone - 02 Oct 2005 01:18 GMT
Thanks for posting. Im going in for an eye exam next week. First shot
will probably not be too far away. Keep posting.
coastalguy - 02 Oct 2005 04:43 GMT
I attempted to email you and offer for free the Ribavarin my wife who just 2
weeks ago finished her 48 weeks had left.  My email returned undeliverable.
Email your address and I'll ship it to you.

>    Well I took my first shot Thursday night. I was prepared for the worst
> and was happy it wasn't too bad overall. I did go through bad chills like
[quoted text clipped - 21 lines]
> to
> continue full strength on pegasys and ribavarin? 47 to go.
Paul - 02 Oct 2005 19:06 GMT
On Sun, 02 Oct 2005 03:43:59 GMT, "coastalguy"
<mauriceh@earthlink.net>, in message ID
<3II%e.7804$q1.5742@newsread3.news.atl.earthlink.net>, in the
newsgroup alt.support.hepatitis-c wrote:

>I attempted to email you and offer for free the Ribavarin my wife who just 2
>weeks ago finished her 48 weeks had left.  My email returned undeliverable.
>Email your address and I'll ship it to you.

I've got a few leftovers too.  Only 21 riba but every little helps.
They are over a year old now so hopefully they are still OK.
Signature

Paul

Use the reply by email facility in your
newsreader to send email

Rock - 02 Oct 2005 23:39 GMT
   Coastalguy and Paul, I sent emails. Coastalguy, yours came back to me
saying your mailbox was full and to try again later, I will. I'm am glad I
found this board. The support and generosity and help is something I didn't
realize I would get on a internet newsgroup. Thanks to every one.

 I still felt decent the rest of the weekend other than bad headaches in
the morning. Pretty much like a bad hangover I used to get once in a while
when I was younger. I have a good attitude about the treatments though and
actually feel better mentally knowing I'm doing something about it. I think
the key for me is to stay busy and keep occupied. Thanks to all, Jim
jgingas(takethisout)@wideopenwest.com

> On Sun, 02 Oct 2005 03:43:59 GMT, "coastalguy"
> <mauriceh@earthlink.net>, in message ID
[quoted text clipped - 7 lines]
> I've got a few leftovers too.  Only 21 riba but every little helps.
> They are over a year old now so hopefully they are still OK.
Paul - 03 Oct 2005 05:52 GMT
On Sun, 2 Oct 2005 18:39:01 -0400, "Rock" <rock@nospam.com>, in
message ID <Go-dnbjImOwd_N3eRVn-pA@wideopenwest.com>, in the newsgroup
alt.support.hepatitis-c wrote:

OK Rocky.
I've replied to the email you sent.  I'm in the UK so don't expect
them for at least a few days.

>    Coastalguy and Paul, I sent emails. Coastalguy, yours came back to me
>saying your mailbox was full and to try again later, I will. I'm am glad I
[quoted text clipped - 21 lines]
>> I've got a few leftovers too.  Only 21 riba but every little helps.
>> They are over a year old now so hopefully they are still OK.

Signature

Paul

Use the reply by email facility in your
newsreader to send email

elmoemerson@webtv.net - 04 Oct 2005 13:18 GMT
That's great, Jim!  Once I got past the uncertaintly of that very first
shot and realized it was 'doable', my mental outlook improved.
Hopefully, it'll keep going that way for you.
Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
AguaGirl - 02 Oct 2005 17:53 GMT
>     Well I took my first shot Thursday night. I was prepared for the worst
> and was happy it wasn't too bad overall. I did go through bad chills like I
[quoted text clipped - 14 lines]
> bad. If I can afford meds for blood cell problems wouldn't it make sense to
> continue full strength on pegasys and ribavarin? 47 to go.

I am going to side with the general consensus that reducing your dosage
should
be a last resort.  Those other drugs have sides of their own and I can see
why
a doctor wouldn't want to have to monitor all that but lots of people have
done
it so if that time ever comes for you make sure your doc is going to be a
help
and not a hinderance.

BTW...it isn't necessarily going to get worse.  Everyone differs.  It did
get
a little worse for me.  I thought it was going to be easy since the first
shot wasn't
bad at all.  Still, it was never the full on bone chilling hide under the
covers
with shakes kind of thing.  The Riba will eventually build up in your system
and
add it's own .02 worth of sides but again..everyone differs.  Prepare for
the worst
but expect the best.  Attitude isn't everything but its surely something.

AG
ghibelno - 03 Oct 2005 11:47 GMT
Rock ha scritto:
>     Well I took my first shot Thursday night. I was prepared for the worst
> and was happy it wasn't too bad overall. I did go through bad chills like I
[quoted text clipped - 14 lines]
> bad. If I can afford meds for blood cell problems wouldn't it make sense to
> continue full strength on pegasys and ribavarin? 47 to go.

Hi Rock,
  nice thing you didnt' suffer a lot on the first injection.
Seems anyway you had a standard "in-range" first shot reaction.

About dosage reduction: it is _not_ sure that you will show heavy side
effects so better if you get worried once you will have the problem.

In the meantime, keep yourself informed as thery're allowed to provide
meds to control HepC standard combo terapy induced side-effects in the
United States and in other countries.

Drink a lot, eat right and one more thing: I remember once somebody
posting a message about a study showing that Vitamin C supplements help
limiting the incidence of anemia during the first 12 weeks.

Try and look for it through Google, anyway talk about it with your
doctor as vitamin supplements are not always a good thing for people
with liver diseases.

Well, good luck from here.

Cheers,
jeeb.
 
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