Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / Diseases and Disorders / Hepatitis / October 2006

Tip: Looking for answers? Try searching our database.

Hep C Genotype 1 folks

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
MugZee - 21 Oct 2006 18:49 GMT
Hi this is only my second post, I am a Hep C genotype 1 in my 6th week
of treatment.  I understand that us genotype 1s have a longer treatment
period of 48 weeks compared to genotype 2s and 3s who have a 24 week
treatment period.  Genotype 1 treatment also has a lower chance of
success, I believe its 50% or so.  So I would like to see how many of
us here are genotype 1s maybe hear from both those that the treatment
is or has worked, and those for whom it hasn't.  I had my 1 month
appointment already but my lab results were not ready at that time, so
unfortunately I don't know what is happening with my viral load yet.
Steve - 21 Oct 2006 20:29 GMT
> Hi this is only my second post, I am a Hep C genotype 1 in my 6th week
> of treatment.  I understand that us genotype 1s have a longer treatment
> period of 48 weeks compared to genotype 2s and 3s who have a 24 week
> treatment period.

Some people talk about 72 weeks. Personally I can't imagine it.

 Genotype 1 treatment also has a lower chance of
> success, I believe its 50% or so.

I thought it was more like 35-40% but if you achieve SVR then it really
doesn't matter.

 So I would like to see how many of
> us here are genotype 1s maybe hear from both those that the treatment
> is or has worked, and those for whom it hasn't.  I had my 1 month
> appointment already but my lab results were not ready at that time, so
> unfortunately I don't know what is happening with my viral load yet.

I have been through tx twice. I am geno 1a. The first was 48 weeks.
That was in the pre-peg days, the regimen was Interferon every 48 hours
and 800 mg Riba. The seconded round of tx (daily Infergen & 1200 mg
Riba) ended in December 2005 after 30 weeks. I was scheduled for 48 but
after an initial response, I experienced what was called a viral
breakthrough. Just as well, all the nasty drugs made me crazy. I  am
just now starting to feel OK (with the help of a good psychiatrist).

I can't imagine doing it again.

May geno 1 folks do achieve SVR, so hang in there.
Burke Gilman - 21 Oct 2006 20:54 GMT
> > Hi this is only my second post, I am a Hep C genotype 1 in my 6th week
> > of treatment.  I understand that us genotype 1s have a longer treatment
[quoted text clipped - 26 lines]
>
> May geno 1 folks do achieve SVR, so hang in there.

My care provider at the hepatology clinic where I was treated told me
last January that the initial chance of cure for genotype-1 is 50 -
60%. I turned out to be genotype-3, but there are plenty of genotype-1
patients who have attained SVR and who have posted here in ash-c. Also,
several went through Tx more than once and sometimes more than the
standard 48 weeks before attaining SVR.  -bg
anonymousone - 21 Oct 2006 23:51 GMT
> > Hi this is only my second post, I am a Hep C genotype 1 in my 6th week
> > of treatment.  I understand that us genotype 1s have a longer treatment
[quoted text clipped - 26 lines]
>
> May geno 1 folks do achieve SVR, so hang in there.

My BCLD said 40% for genotype 1
greyhackles - 21 Oct 2006 21:44 GMT
>Hi this is only my second post, I am a Hep C genotype 1 in my 6th week
>of treatment.  I understand that us genotype 1s have a longer treatment
[quoted text clipped - 5 lines]
>appointment already but my lab results were not ready at that time, so
>unfortunately I don't know what is happening with my viral load yet.

I was g1b, started with a VL over 7 Million, did the standard 48 weeks on
weekly PegIntron 1.5ug/kg, and 1400mg of Ribavirin daily. Had a fantastic if
undocumented early response - tx really kicked both the virus and my a.s in
the first five weeks, by the end of week 5 my ALT had dropped from 166 down to
29. At week 12 I was undetectable (below 10 copies/ml), at end of therapy I
was still undetectable, and remained undetectable a year later. I'll have my
last VL check in March.

I was 100% compliant with the meds, always took the Ribavirin with high-fat
foods, always did the shot the same day, same time, same place. Getting
solidly into a routine is key, I think, especially when you're out around week
36 and the end still seems to be somewhere over the horizon...

Hang in there. Therapy may get rough, it could test your resolve, but you just
need to turn your inner Hercules loose and kick those sides squarely in the
nuts :-)

Cheers

/greyhackles
MugZee - 22 Oct 2006 01:46 GMT
Thank you for all the replies, this one in praticular was very helpful
do to all the detail, the viral load of over 7 milion is twice mine, so
that comforts me a little.  I never heard of taking the medicine with
fatty foods, I will probobly run that by my hepatology nurse at the
next appointment, keep the advice comming, and thank you very much!
Firestar - 22 Oct 2006 06:18 GMT
> Thank you for all the replies, this one in praticular was very helpful
> do to all the detail, the viral load of over 7 milion is twice mine, so
> that comforts me a little.  I never heard of taking the medicine with
> fatty foods, I will probobly run that by my hepatology nurse at the
> next appointment, keep the advice comming, and thank you very much!

MZ,
I am genotype 1b - started out with a VL of 7 million, did 48 weeks combo tx
(Pegasys/Copeg).  Below detectable limit at 13 weeks.  Six month after tx my
VL was 21 million.  I am now 6+ months into my second round of tx with
PegIntron (210 mcg) weekly and 1600 mg Riba daily.  This time it's for 72
weeks.   It really sucks.  Sides don't really go away at all.  But I'm
determined to get through it.  However, I have promised myself that if it
doesn't work this time, I won't do a third round of tx.  Three plus years of
putting my life on hold is enough.
Thom
elmoemerson@webtv.net - 22 Oct 2006 14:20 GMT
Hi Mugzee.  I was a genotype 1a and beat the virus in my third round of
tx.  I've been 'undetectable' for more than 2 years now.  My third round
was anything but the 'standard therapy' using a mix of peglyated
interferon and daily Infergen along with 1400 mg/day of ribavirin and
Amantadine thrown in for good measure.
I was at least 100% compliant.....ahahahahaha.  Whenever I couldn't
remember whether I'd taken my riba or not, I'd toss down another dose.  

Anyway, it's a flip of the coin for genotype 1's....hope you're one of
the winners.  Break a leg!
elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
greyhackles - 22 Oct 2006 16:06 GMT
>Thank you for all the replies, this one in praticular was very helpful
>do to all the detail, the viral load of over 7 milion is twice mine, so
>that comforts me a little.  I never heard of taking the medicine with
>fatty foods, I will probobly run that by my hepatology nurse at the
>next appointment, keep the advice comming, and thank you very much!

If you read the Product Information Sheets delivered with your meds, you'll
find the uptake of Ribavirin is enhanced by 60 to 70% when taken with high-fat
foods...

Cheers

/greyhackles
Russian - 22 Oct 2006 20:39 GMT
> If you read the Product Information Sheets delivered with your meds, you'll
> find the uptake of Ribavirin is enhanced by 60 to 70% when taken with high-fat
> foods...

Now my wife will have to accept my Snickers habit as part of a healthy
diet... <g>
greyhackles - 23 Oct 2006 00:18 GMT
>> If you read the Product Information Sheets delivered with your meds, you'll
>> find the uptake of Ribavirin is enhanced by 60 to 70% when taken with high-fat
>> foods...
>
>Now my wife will have to accept my Snickers habit as part of a healthy
>diet... <g>

That'd work for me :-) especially once the toast with peanut butter gets
tiresome and you just can't face another banana in the morning...

Cheers

/greyhackles
Russian - 23 Oct 2006 02:02 GMT
> That'd work for me :-) especially once the toast with peanut butter gets
> tiresome and you just can't face another banana in the morning...

Now your ruined it for me <g>... so there are alternatives to Snickers? <g>.

Actually, I must have been a gorilla in a previous life - love to have a
banana every morning, which I usually do strangely enough!

My second favorite thing is peanut butter.

So in the am I could just have a banana just before my riba caps and in
the pm before bed have toast and peanut butter?  I guess cheese would
work in th pm too...

Thanks for the advice on the absorption... had missed that.
Cactus Jammies - 23 Oct 2006 03:45 GMT
Near the end of tx I was dashing my riba down with a shooter of EVOO and
Balsamic vinegar.  Those final days were quite a ride.  8-)

cactus jammies ============

>> That'd work for me :-) especially once the toast with peanut butter gets
>> tiresome and you just can't face another banana in the morning...
[quoted text clipped - 12 lines]
>
> Thanks for the advice on the absorption... had missed that.
Ally - 22 Oct 2006 11:29 GMT
I'm genotype 1A and in week 29 of treatment. I started with a viral
load of 2.25 million, after 4 weeks it went down to around 600,000 (I
don't remember the exact number at this point). After 12 weeks it was
below 600 and I finally got undetectable at week 20. Since it took so
long to become undetectable I am doing a full 72 weeks. The latest
recommendation is that you do an additional 48 weeks once you become
undetectable, better the chance to reach SVR. Even though it took so
long for me, I am happy with how my treatment is going because I
finally DID reach undetecable and I know that some never do. I also
heard that the chances for type 1s are 50-60%.

Good luck and keep your chin up! :)

Ally
Janet - 29 Oct 2006 21:20 GMT
>I'm genotype 1A and in week 29 of treatment. I started with a viral
>load of 2.25 million, after 4 weeks it went down to around 600,000 (I
[quoted text clipped - 6 lines]
>finally DID reach undetecable and I know that some never do. I also
>heard that the chances for type 1s are 50-60%.

It took me at least that long to become undetectable.... and I went
the original 48 weeks.  My chances were 12-14% because I had NOT
responded to previous interferion treatments.

That was in 2000.  i've been clear for 6 years since then.  Don't
worry so much about the odds.

Janet in sunny Dallas
Janet - 30 Oct 2006 00:12 GMT
>Hi this is only my second post, I am a Hep C genotype 1 in my 6th week
>of treatment.  I understand that us genotype 1s have a longer treatment
>period of 48 weeks compared to genotype 2s and 3s who have a 24 week
>treatment period.  Genotype 1 treatment also has a lower chance of
>success, I believe its 50% or so.

I'm genotype 1, and my "chance of success" was closer to 12-14%
because I had 'failed' two previous interferon treatments.

But any chance was better than none (and a second liver biopsy showed
that the damage to my liver was progressing far faster than my doctor
or I had expected).  So I went on Rebetron.

I didn't expect it to work.  But it did.  Slowly.  It took a lot time
for my viral load to go down to 'undetectable'. It took even longer
for my AST/ALT figures to go down to normal.  BUT... after 48 weeks, I
was clear.  AND, that was in 2000.  I've been clear now for 6 years.

Don't get hung up on statistics.  And good luck.

Janet in sunny Dallas, TX
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2010 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.