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Medical Forum / Diseases and Disorders / Hepatitis / October 2005

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The First Shot

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Frank - 15 Oct 2005 01:16 GMT
Hello all.  Let me first say you are a great support group here. You guys
really stick together.

Well,  I just took my first shot about an hour ago. Less painful than
intramuscular injections so all in all it wasn't that bad. I used to give my mom
insulin injections so I had a little experience. So we'll see what happens as
far as tolerating this stuff. Right now I feel a little constipated but that's
probably from nerves as I was shaking like a leaf.  ;}  

So wish me luck.  I'll be back and good luck to you all still going through it
and congrats to those who beat it's a.s.
greyhackles - 15 Oct 2005 01:36 GMT
>Hello all.  Let me first say you are a great support group here. You guys
>really stick together.
[quoted text clipped - 7 lines]
>So wish me luck.  I'll be back and good luck to you all still going through it
>and congrats to those who beat it's a.s.

Hello, Frank, and welcome to the group. If you've been lurking for more than
few weeks, you know there's a whole bunch of folks recently gone on to
therapy, so you should have plenty of company on your trek.

Cheers - and good luck to you.

/greyhackles
Frank - 15 Oct 2005 01:56 GMT
>>Hello all.  Let me first say you are a great support group here. You guys
>>really stick together.
[quoted text clipped - 16 lines]
>
>/greyhackles

Thanks GH. I do have a question that you or others might be able to answer.
Does the Interferon injection remain sub-cutaneously throughout the week
until its ultimately absorbed or is it all absorbed and has a blood stream
time-release aspect to it?
burningdaylight - 15 Oct 2005 02:06 GMT
Hi Frank,
Welcome to C-club.
Don't forget to drink your gallon of water a day.
Sleep near the bathroom:-)
Sue
Frank - 15 Oct 2005 02:51 GMT
In article
<cb1dda6be0f1ee01d5a80011ee19cbd1@localhost.talkaboutsupport.com>,
burningdaylight@nospam.com says...

>Hi Frank,
>Welcome to C-club.
>Don't forget to drink your gallon of water a day.
>Sleep near the bathroom:-)
>Sue

Thanks Sue, but I'm afraid my kids might walk over me in the middle of the
night.  
maha - 18 Oct 2005 01:34 GMT
>Don't forget to drink your gallon of water a day.
>Sleep near the bathroom:-)

Does this mean you are up at odd times from the water intake?

Graham
greyhackles - 18 Oct 2005 02:15 GMT
>>Don't forget to drink your gallon of water a day.
>>Sleep near the bathroom:-)
>
>Does this mean you are up at odd times from the water intake?
>
>Graham

HECK YEAH that's what it means!
Michael Cody - 18 Oct 2005 02:25 GMT
>>>Don't forget to drink your gallon of water a day.
>>>Sleep near the bathroom:-)
[quoted text clipped - 4 lines]
>
> HECK YEAH that's what it means!

LOL! Or keep a bottle in the bedroom ... not to drink, of course ;-)

Cody
greyhackles - 18 Oct 2005 02:55 GMT
>>>>Don't forget to drink your gallon of water a day.
>>>>Sleep near the bathroom:-)
[quoted text clipped - 8 lines]
>
>Cody

The therapy version of Russian Roulette? ;-)

/greyhackles
Dwight - 18 Oct 2005 05:34 GMT
>>>>Don't forget to drink your gallon of water a day.
>>>>Sleep near the bathroom:-)
[quoted text clipped - 8 lines]
>
> Cody

Just do both, drink and then refill. Hopefully the riba won't confuse
you on which order.

Dwight
Gordo Mondragon - 18 Oct 2005 03:07 GMT
> >>Don't forget to drink your gallon of water a day.
> >>Sleep near the bathroom:-)
[quoted text clipped - 4 lines]
>
> HECK YEAH that's what it means!

I learned to always keep a clear path to the bathroom and I got a little
nightlight so I wouldn't have to remember where the lightswitch was.
Russ - 18 Oct 2005 03:45 GMT
If I was running for the potty it wasn't to pee!!!!!!!!!!!!!!

Signature

Russ

Visit Alaska @ http://www.tannersacre.com

> > >>Don't forget to drink your gallon of water a day.
> > >>Sleep near the bathroom:-)
[quoted text clipped - 7 lines]
> I learned to always keep a clear path to the bathroom and I got a little
> nightlight so I wouldn't have to remember where the lightswitch was.
greyhackles - 15 Oct 2005 02:13 GMT
>>>Hello all.  Let me first say you are a great support group here. You guys
>>>really stick together.
[quoted text clipped - 23 lines]
>until its ultimately absorbed or is it all absorbed and has a blood stream
>time-release aspect to it?

Both. Injecting the IFN into the fat layer slows absorption, while the
Pegylated form slows clearance. This flattens the peak and delays the trough,
keeping the level of IFN in the body longer, so you don't hit the trough until
6 or even 7 days after a properly administered injection.

Most of that is in the Product Information sheet that should accompany your
meds. It's worth reading - if you can focus on the damned tiny type ;-)

Cheers

/greyhackles
kjoh - 15 Oct 2005 02:16 GMT
Ho Frank, Welcome. Good question. First glance at a CDC website glossary
implies that it is time- released in the bloodstream rather than from a
subcutaneous blob:
"Pegylated interferon: ... pegylated interferon remains active in the
bloodstream longer and at a more constant level than standard interferon
and can be given less often than standard interferon..."

Not really a definite answer though. I'll look again.
Kathy
Week 34/48  
Sittin here in Limbo...
Waitin for the tide to roll...
kjoh - 15 Oct 2005 02:37 GMT
Here are a couple more random factoids that seems to say pegylation causes
the big molecule to persist in the bloodstream, rather than at the
injection site. kj

The process of PEGylation is used to increase drug circulation time in the
bloodstream, to improve drug solubility and stability, and to reduce
immunogenicity.

The greater polymer size of pegylated IFN alfa-2a acts to reduce
glomerular filtration, markedly prolonging its serum half-life (72-96
hours) compared with standard IFN alfa-2a (6-9 hours).

Pegylation refers to the attachment of a molecule of polyethylene glycol
(PEG) to a large protein such as IFN. The PEG molecule shields IFN from
enzymatic degradation and lowers clearance from the body. This enhances
the duration that IFN resides in the systemic circulation and may improve
its distribution as well as help target IFN to its site of action in the
liver.
Frank - 15 Oct 2005 02:58 GMT
In article
<b4bd1fc4dbd714c1cc5db9d11b67718e@localhost.talkaboutsupport.com>,
kjohyayhoo@nospamyahoo.com says...

>Here are a couple more random factoids that seems to say pegylation causes
>the big molecule to persist in the bloodstream, rather than at the
[quoted text clipped - 14 lines]
>its distribution as well as help target IFN to its site of action in the
>liver.

Kath. I read your first response and thanks. This one explains it much better.
I have a BS in Bio-Med which will make Hell a little more tolerable and more
importantly, understandable.
kjoh - 15 Oct 2005 03:04 GMT
Hey that's great Frank, we could use a BS in Biomed here.  My PhD in
forestry isn't entirely useful to me at this point in time...  :)

kj
elmoemerson@webtv.net - 15 Oct 2005 14:40 GMT
Welcome to the group!  Don't worry about your constipation too much,
it'll turn to diarrhea soon enough.  LOL.
elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Russ - 15 Oct 2005 17:31 GMT
amen.......

Signature

Russ

Visit Alaska @ http://www.tannersacre.com

> Welcome to the group!  Don't worry about your constipation too much,
> it'll turn to diarrhea soon enough.  LOL.
[quoted text clipped - 3 lines]
>
> http://community.webtv.net/elmoemerson/TheFamilyAlbum
mags - 16 Oct 2005 00:13 GMT
I wish you all the luck in the world Frank.  We seem to have quite a few
newbies starting up and lots of experienced shooters in here.

Mags
week 3 - 45 to go
> Hello all.  Let me first say you are a great support group here. You guys
> really stick together.
[quoted text clipped - 11 lines]
> through it
> and congrats to those who beat it's a.s.
randy - 18 Oct 2005 09:16 GMT
I tried this Torecan injection and my doctor told me that thi
medication is injected into a muscle (intramuscular) as prescribed. D
not use this more often or increase your dose without consulting you
doctor. Your condition will not improve any faster but the risk of sid
effects will be increased

--
rand
 
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