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Medical Forum / Diseases and Disorders / Hepatitis / July 2006

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Ribavirin

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Ally - 04 Jul 2006 05:14 GMT
What exactly does it do? I've had a look around and everywhere is tons
of info on the side effects and how it is used, all thisngs I am
personally familiar with already but I was curious about what exactly
it does. After scoping thru many articles the only thing I came up with
is that it assists the Interferon with suppressing viral replication.
Is that it? If that is all it does then why is it a weight based
dosage?

Anyway, just curious. If I'm going to be sucking these down for another
11 months, I'd just kinda like to know what I am taking them for, you
know, so I can deal with the emotional side of it all with logic if you
know what I mean.

Thanks, Ally
Waterspider - 04 Jul 2006 06:38 GMT
> What exactly does it do? I've had a look around and everywhere is tons
> of info on the side effects and how it is used, all thisngs I am
[quoted text clipped - 10 lines]
>
> Thanks, Ally

Riba kills the virus by suppressing replication. Interferon twiddles your
immune system to facilitate the magic.
elmoemerson@webtv.net - 04 Jul 2006 14:08 GMT
Think of it like this, Ally.   The hcv virii are these big, mean guys
dressed in black, type 1 meanies being the worst.  Interferon and riba
are specially trained midgets wearing white and red leotards,
respectively.  It takes a whole bunch of both types of midgets to beat
up one of bad guys.  
elmo      

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
elmoemerson@webtv.net - 04 Jul 2006 17:26 GMT
Here's an even more accurate description...think of it this way:

The hcv virii are like especially horny little midgets, all they ever do
is lay around and screw.  And because of that, they multiply like crazy.
Along comes the dynamic duo of 'Interferon' and 'Ribavirin' to keep them
from multiplying any way they can.  Intereron works on the female
midget's menstrual cycle turning them into bleeding, nasty little
bitches while Ribavirin concentrates on the male midgets, kicking them
in the balls each time they mount the females.  

Doc Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
dt12 - 04 Jul 2006 17:46 GMT
> Here's an even more accurate description...think of it this way:
>
[quoted text clipped - 7 lines]
>
> Doc Elmo

OMG!  Whew!  Finally!   An explanation that makes sense!      Thanks,   I've
been edified.    Doug
elmoemerson@webtv.net - 04 Jul 2006 18:17 GMT

Re: Ribavirin  

Group: alt.support.hepatitis-c Date: Tue, Jul 4, 2006, 12:46pm (CDT+1)
From: dt12@adelphia.net (dt12)
<elmoemerson@webtv.net> wrote in message
news:28636-44AA96BA-94@storefull-3257.bay.webtv.net...
Here's an even more accurate description...think of it this way:
The hcv virii are like especially horny little midgets, all they ever do
is lay around and screw. And because of that, they multiply like crazy.
Along comes the dynamic duo of 'Interferon' and 'Ribavirin' to keep them
from multiplying any way they can. Intereron works on the female
midget's menstrual cycle turning them into bleeding, nasty little
bitches while Ribavirin concentrates on the male midgets, kicking them
in the balls each time they mount the females.
Doc Elmo
OMG! Whew! Finally!   An explanation that makes sense!     Thanks,
  I've
been edified.   Doug
//////////
You're welcome , Doogie.  Just remember to keep it simple.  
elmo
simple is better

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Paul - 05 Jul 2006 00:07 GMT
On Tue, 4 Jul 2006 11:26:34 -0500, elmoemerson@webtv.net, in message
ID <28636-44AA96BA-94@storefull-3257.bay.webtv.net>, in the newsgroup
alt.support.hepatitis-c wrote:

>Here's an even more accurate description...think of it this way:
>
[quoted text clipped - 7 lines]
>
>Doc Elmo

LOL.  You been smoking again?  :-)
elmoemerson@webtv.net - 05 Jul 2006 02:53 GMT

Re: Ribavirin  

Group: alt.support.hepatitis-c Date: Wed, Jul 5, 2006, 12:07am (CDT+6)
From: dontspamme@westgreen.freeserve.co.uk (Paul)
On Tue, 4 Jul 2006 11:26:34 -0500, elmoemerson@webtv.net, in message ID
<28636-44AA96BA-94@storefull-3257.bay.webtv.net>, in the newsgroup
alt.support.hepatitis-c wrote:
Here's an even more accurate description...think of it this way:
The hcv virii are like especially horny little midgets, all they ever do
is lay around and screw. And because of that, they multiply like crazy.
Along comes the dynamic duo of 'Interferon' and 'Ribavirin' to keep them
from multiplying any way they can. Intereron works on the female
midget's menstrual cycle turning them into bleeding, nasty little
bitches while Ribavirin concentrates on the male midgets, kicking them
in the balls each time they mount the females.
Doc Elmo
/////////
LOL. You been smoking again? :-)  
/////////
How did you know?
elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
greyhackles - 04 Jul 2006 20:30 GMT
>What exactly does it do? I've had a look around and everywhere is tons
>of info on the side effects and how it is used, all thisngs I am
[quoted text clipped - 10 lines]
>
>Thanks, Ally

Well, you've read some of the theories ;-) but the one that makes the most
sense is that Ribavirin inhibits viral replication, while Interferon jolts the
immune system to kill any virions it encounters. Between stopping production
of new virions (Ribavirin) and killing existing virions (Interferon)
eventually there aren't any virions left to infect virgin cells. Hence "the
cure"...

Cheers

/greyhackles
Ally - 05 Jul 2006 03:35 GMT
Wow, well, I've been both informed and entertained. I couldn't have
asked for anything better as I sit here impatiently waiting for my 12
week results. My Dr went on vacation so won't be getting them till
(hopefully) next week (week 14 for me). Another thing I read was how to
take it. Apparently many articles say you take more at night then in
the morning whereas I take 3 in the morning and 2 at night. Wonder if
that is why I am so blasted tired all day and wide awake at night.

Ally
greyhackles - 05 Jul 2006 04:09 GMT
>Wow, well, I've been both informed and entertained. I couldn't have
>asked for anything better as I sit here impatiently waiting for my 12
[quoted text clipped - 5 lines]
>
>Ally

I don't think it makes any difference how you split your five Riba pills
between AM and PM, other than to minimize digestive system disorders by not
taking them all at once. I took 4 in the AM and 3 in the PM, fwiw.

What really does make a difference is taking your Ribavirin with some kind of
fatty meal, as it increases uptake by around 60%.

And maximizing effectivity is a good thing...

Cheers

/greyhackles
Ally - 05 Jul 2006 10:07 GMT
> What really does make a difference is taking your Ribavirin with some kind of
> fatty meal, as it increases uptake by around 60%.
[quoted text clipped - 4 lines]
>
> /greyhackles

OMG, really???? Oh dear... I swallow mine down with a shot of espresso
then head to the gym then have a dry bagel afterward. Why don't they
tell you these things, grrrrrrr.

Ally
greyhackles - 05 Jul 2006 16:54 GMT
>> What really does make a difference is taking your Ribavirin with some kind of
>> fatty meal, as it increases uptake by around 60%.
[quoted text clipped - 10 lines]
>
>Ally

Good question, to which I have no good answer.
I have a lot of *bad* answers, though, which indict the medical community's
lack of knowledge in such matters...

You should have received a Product Information sheet with the Riba and/or the
Peg. You'll find the above noted therein.

Cheers

/greyhackles
Cactus Jammies - 05 Jul 2006 21:17 GMT
Ally, I know it sounds odd, but try a jigger of extra virgin olive oil mixed
with a bit of balsamic vinegar.  It gives you a jolt and it maximizes the
riba.  i kid you not.  Alternately, I used that or Silk chocolate drink if
there was any around.  that stuff is toooooo good tasting though.

cactus jammies

> OMG, really???? Oh dear... I swallow mine down with a shot of espresso
> then head to the gym then have a dry bagel afterward. Why don't they
> tell you these things, grrrrrrr.
>
> Ally
Waterspider - 06 Jul 2006 22:52 GMT
>> What really does make a difference is taking your Ribavirin with some
>> kind of
[quoted text clipped - 11 lines]
>
> Ally

Don't worry, Ally, I did my entire tx thinking that any fat was evil for
liver disease and so I virtually eliminated it from my diet.
Oh yeah, the tx worked anyway :-)
Waterspider
greyhackles - 07 Jul 2006 01:50 GMT
>>> What really does make a difference is taking your Ribavirin with some
>>> kind of
[quoted text clipped - 16 lines]
>Oh yeah, the tx worked anyway :-)
>Waterspider

Um....well, ok, but I don't think it's prudent to suggest folks follow the
same course. The Product Information sheets are pretty clear on the heightened
effects of taking Ribavirin with a high fat content meal.

And you were a G3, right? G1s should avail themselves of every opportunity to
slam the bastid virus, and that ought to mean doing whatever it takes to
increase the effectivity of the current drug regimen...

Cheers

/greyhackles
Ally - 07 Jul 2006 03:17 GMT
> Um....well, ok, but I don't think it's prudent to suggest folks follow the
> same course. The Product Information sheets are pretty clear on the heightened
[quoted text clipped - 7 lines]
>
> /greyhackles

Yep I'm G1 so did make the dietary change. I will do anything to help
make this a success. Apparently I didn't get any sheets on the
Ribavirin only on the Interferon, don't know why but that's the VA for
you. I'm just grateful they are allowing me to do this tx as apparently
they give a lot ppl a hard time.

Ally
greyhackles - 07 Jul 2006 03:32 GMT
>> Um....well, ok, but I don't think it's prudent to suggest folks follow the
>> same course. The Product Information sheets are pretty clear on the heightened
[quoted text clipped - 15 lines]
>
>Ally

You can grab your very own copy of the Rebetol (Schering-Plough's brand of
Ribavirin) Product Information sheet here:

http://www.spfiles.com/pirebetol.pdf

First page, bottom-left corner, notes a 70% increase in absolute
bioavailability when taken with high fat content food. That said, they also
note that insufficient study data exists to analyze exactly what that means.
*That* said, recent studies have shown higher levels of Ribavirin results in
higher rates of SVR. Logically, then, it follows that higher bioavailability
is a good thing - particularly when considering the still-rather-dreadful SVR
rates for G1s...

Cheers

/greyhackles
Richard Klein - 07 Jul 2006 03:42 GMT
Has anyone tried snorting their Ribavirin?  What a rush!!!!!!!!!

>>> Um....well, ok, but I don't think it's prudent to suggest folks follow
>>> the
[quoted text clipped - 40 lines]
>
> /greyhackles
Waterspider - 07 Jul 2006 08:55 GMT
> Has anyone tried snorting their Ribavirin?  What a rush!!!!!!!!!

Way better than snorting the 'feron... that just gives you the sniffles ;-)
Burke Gilman - 07 Jul 2006 09:17 GMT
> > Um....well, ok, but I don't think it's prudent to suggest folks follow the
> > same course. The Product Information sheets are pretty clear on the heightened
[quoted text clipped - 15 lines]
>
> Ally

Geno-3 and still taking the riba with oil.

After all.

-- BG
Waterspider - 07 Jul 2006 08:59 GMT
> On Thu, 6 Jul 2006 14:52:57 -0700, "Waterspider"
> <waterspider@moonlight.net>
[quoted text clipped - 30 lines]
> slam the bastid virus, and that ought to mean doing whatever it takes to
> increase the effectivity of the current drug regimen...

Of course you're right, Grey, and it never occurred to me that someone might
think I was suggesting that someone be as stupid as I was with my diet
(although, when I did tx, that information wasn't readily available). I was
attempting to reassure Ally that, if she didn't always consume fat with
riba, there was still hope for the SVR.

Thanks for clarifying it, though. Re-reading my post, I think it's possible
that someone could misunderstand.

Spidey
elmoemerson@webtv.net - 05 Jul 2006 12:34 GMT

Re: Ribavirin  

Group: alt.support.hepatitis-c Date: Tue, Jul 4, 2006, 7:35pm (CDT-2)
From: 4thMoon@gmail.com (Ally)
Wow, well, I've been both informed and entertained. I couldn't have
asked for anything better as I sit here impatiently waiting for my 12
week results. My Dr went on vacation so won't be getting them till
(hopefully) next week (week 14 for me). Another thing I read was how to
take it. Apparently many articles say you take more at night then in the
morning whereas I take 3 in the morning and 2 at night. Wonder if that
is why I am so blasted tired all day and wide awake at night.
Ally
//////////
I'm not sure what articles you read, but you're supposed to take the
larger dose of riba in the morning rather than in the evening.  The
reason for that is that the riba causes insomnia.  Also, if you ARE
taking the lower dose in the evening and still having trouble with
insomnia, take the riba with food no later than 6pm.  That might help.
If insomnia continues to be a problem, you might want your doc to give
you sleep meds.  Getting enough sleep is important, you need more during
tx, it affects your immune system.
elmo

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

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