Medical Forum / Diseases and Disorders / Hepatitis / November 2008
Second time around...
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Alexandra - 31 Oct 2008 21:23 GMT Hi, just wanted to introduce myself in hopes to get some support from perhaps people who might understand what I am going through because god knows, no one in my life does. Anyway, I did 18 months of treatment awhile back without success. I mean, the treatment was a success while I was on it. I ended in Aug of 2007, waited 6 months and that blood test came back very positive so I immediately went back on treatment.
My doc said that I needed to clear within 4 weeks for any chance for this to be successful but it took 16 weeks to clear, sigh, so we both know that my chances aren't high. She wants me to do two full years this time so that means I will be on treatment till March of 2010 since I start this year last March. My only consolation is that while I am actually on treatment, the virus will be held at bay so to speak.
I have type 1A so I am not fooling myself but it would be nice to have some hope especially as the treatment is so hard. I find myself wanting to withdraw from everyone because I am tired of explaining why I am the way I am because I am on treatment. I mean, how many times do you have to tell people for them to have a clue that maybe life isn't what it seems? Okay, perhaps my irritability has got the best of me but I am working on it.
I don't know what else to say. I hope that two years on this stuff does the trick for me but its hard to be positive about any of it right now, know what I mean? Or perhaps not.
Alexandra
Sara - 31 Oct 2008 21:44 GMT >Hi, just wanted to introduce myself in hopes to get some support from >perhaps people who might understand what I am going through because [quoted text clipped - 25 lines] > >Alexandra Hi Alexandra
Sorry you have to be here with us, but welcome to the group! You picked the right place for your questions, many of us understand very well what you are saying!
I have some questions about your treatment -- which drugs are you on and what strength? Are you taking anti-depressants? an anti-anxiety med perhaps? Drinking lots and lots of water? anti-depressants are really important while you are on treatment.
I hate the idea of you being on the meds for 2 years when you've had such a slow start... is it the same meds as the first time? Did they add anything this time like Infergen or can you get into a study with one of the new meds? Other folks here will have better medical advice for you than I do, but I surely hope that your doctor is trying something different this time around!
The things you are feeling are normal, I know I got so tired of people asking me how I feel all the time even after I told them I'll feel like crap for the whole year! Withdrawal is pretty normal, you need to spend so much time resting anyway that you don't need a very active social life :) But it's good to have a couple of people you can count on to be a support system for you-- I hope you have someone like that to help you out with the everyday things like food, laundry, errands, etc.
Is there a support group locally you could look into? I hope this group will be helpful to you when you need to vent or want to have others share their experiences with HepC and TX.
Best of luck to you -- It's a tough battle but worth it if you can kill that dragon.
Sara
Alexandra - 01 Nov 2008 16:40 GMT > I have some questions about your treatment -- which drugs are you on > and what strength? Are you taking anti-depressants? an anti-anxiety > med perhaps? Drinking lots and lots of water? anti-depressants are > really important while you are on treatment. Hi Sara,
Yes, I am on an anti-D. The problem is that I was on it before I started treatment and can't increase it so it really doesn't help. I am dealing with the depression though as best I can. It is hard but doable. I am not on any anti-anxiety meds, but don't seem to have as much anxiety that would require it. And no, on the water question. I know I should be drinking a lot but I don't... I don't know why. I really ought to get better about it. Laziness I suppose. I do though workout at the gym 5 days a week and that seems to help a lot. I mean, I have good days and bad days but if I don't workout, I see a big difference.
> I hate the idea of you being on the meds for 2 years when you've had > such a slow start... is it the same meds as the first time? Did they > add anything this time like Infergen or can you get into a study with > one of the new meds? I am taking the Peg-interferon with the ribavirin. Last time I took the same thing except not as much ribavirin. The first treatment I was on I took 5 pills a day (1000mg?) and this time I am taking 6 pills a day. We were hoping that it would knock it out faster but it didn't. But thenn who knows, it might have taken even longer had I been taking less. I did ask about trials if this doesn't work but my doctor says that the success rate isn't very good with the new drugs when it comes to non-reponders so I don't know. She is looking into herbal avenues if I fail this time. I guess we'll just have to see what happens. I did ask her also about if it fails going on maintainance interferon but she says that doesn't work and they are no longer putting people on it. Interferon by itself doesn't work, has to be in the combo in order to be effective. She is really concerned right now with possible long term effects for me because when I am done, I will have been on for 3 1/2 years with only a 6 month break in between. Hmmmm.
> The things you are feeling are normal, I know I got so tired of people > asking me how I feel all the time even after I told them I'll feel [quoted text clipped - 4 lines] > to help you out with the everyday things like food, laundry, errands, > etc. Yeah, I also get tired of people asking me how I feel when they know that I feel like crap. I mean what do they want me to say???? I do though have some good friends who are supportive as far as that goes but I think it is as frustrating for them as it is for me because they are always asking what they can do and there really isn't anything they can do except maybe sleep for me so I can get some things done, lol. But anyway...
> Is there a support group locally you could look into? I hope this > group will be helpful to you when you need to vent or want to have > others share their experiences with HepC and TX. > > Best of luck to you -- It's a tough battle but worth it if you can > kill that dragon. Thank you!!! I hope that it is worth it in the end! There is supposedly a local group but they are impossible to find. The number doesn't work and the location posted is different depending on who I talk to so I have given up looking for it. I am a Vet and wish the VA would have some sort of group for us but alas, my doctor says that the only person who would run it is her and she is so overbooked with things to do that she can't. So that is why I have looked to here for some support. :)
Alexandra
Waterspider - 02 Nov 2008 02:12 GMT On Oct 31, 4:44 pm, Sara <b...@wowway.com> wrote:
> I have some questions about your treatment -- which drugs are you on > and what strength? Are you taking anti-depressants? an anti-anxiety > med perhaps? Drinking lots and lots of water? anti-depressants are > really important while you are on treatment. Hi Sara,
Yes, I am on an anti-D. The problem is that I was on it before I started treatment and can't increase it so it really doesn't help.
I do not understand why you cannot have the strength of your antidepressants increased for tx. It makes sense to me, considering you've been on them for a while. The other option is trying a different type, and your doctor really should be discussing these options with you.
I am dealing with the depression though as best I can. It is hard but doable. I am not on any anti-anxiety meds, but don't seem to have as much anxiety that would require it. And no, on the water question. I know I should be drinking a lot but I don't... I don't know why. I really ought to get better about it. Laziness I suppose. I do though workout at the gym 5 days a week and that seems to help a lot. I mean, I have good days and bad days but if I don't workout, I see a big difference.
You're too lazy to drink water but you work out at the gym five days a week? Huh? The drugs you are taking, treatment, causes dehydration, and dehydration makes you feel like crap. Drink water. This is not a "laziness" issue; you are making yourself sicker if you don't drink water, and lots of it.
Sara - 02 Nov 2008 04:02 GMT >On Oct 31, 4:44 pm, Sara <b...@wowway.com> wrote: >> I have some questions about your treatment -- which drugs are you on [quoted text clipped - 27 lines] >issue; you are making yourself sicker if you don't drink water, and lots of >it. yep. gotta drink that water -- my dr insisted I drink half of my body weight in water, over and above any other liquids I would drink. So if you weigh say 150 lbs you'd want to drink AT LEAST 75 ounces of water every day. Make it a habit, it's important. It'll help your sides more than anything else you do.
I agree about the anti-d's too, insist that your doc increase your dose or finds one that works better -- you have enough to cope with without dealing with depression and anger too.
Sara
Alexandra - 06 Nov 2008 11:05 GMT > I agree about the anti-d's too, insist that your doc increase your > dose or finds one that works better -- you have enough to cope with > without dealing with depression and anger too. > > Sara Oh my gosh, speaking of anger... I feel like I am getting frustrated over the littlest things all the time which is so NOT me. It's playing havoc on my relationship which, because of treatment, is probably going to end real soon. I just don't see how it is possible to have one while doing all this. I either feel like I can't feel anything at all or when I do, it is depression and frustrations. Oh well, I am sorry to sound like I am complaining but it is finally a relief to know someone understands and that maybe it isn't "me" but rather the treatment. Okay, reality check, this isn't going to last forever, just 16 more months...
Alexandra
Alexandra - 06 Nov 2008 10:58 GMT > You're too lazy to drink water but you work out at the gym five days a week? > Huh? The drugs you are taking, treatment, causes dehydration, and > dehydration makes you feel like crap. Drink water. This is not a "laziness" > issue; you are making yourself sicker if you don't drink water, and lots of > it. Ummm, I see your point. It made me laugh actually at how ridiculous I sounded. I have been trying to get more in since posting here so hopefully that will help.
Sara - 06 Nov 2008 17:45 GMT >> You're too lazy to drink water but you work out at the gym five days a week? >> Huh? The drugs you are taking, treatment, causes dehydration, and [quoted text clipped - 5 lines] >sounded. I have been trying to get more in since posting here so >hopefully that will help. It might help to get a quart sized water bottle and always have it with you, filled with water (or iced water if you are me!)
or maybe start out your day by putting bottles of water on the kitchen counter, and knowing that's your daily allotment and making yourself drink them throughout the day.
remember -- half your body weight (or more!) in water each and every day. It really does help -- I promise.
Sara
Dwight - 06 Nov 2008 21:41 GMT >>> You're too lazy to drink water but you work out at the gym five days a week? >>> Huh? The drugs you are taking, treatment, causes dehydration, and [quoted text clipped - 16 lines] > > Sara I just don't think I could drink 100 lbs. of water in a day. Maybe I should lose a lot more weight. :) I know what you mean, just having a little fun. Maybe drink one oz. for every 2 lbs. of body weight.
Dwight (feeling pretty good today)
Sara - 06 Nov 2008 22:39 GMT >>>> You're too lazy to drink water but you work out at the gym five days a week? >>>> Huh? The drugs you are taking, treatment, causes dehydration, and [quoted text clipped - 22 lines] > >Dwight (feeling pretty good today) you're right, I sure botched that one! getting lazy here but was a GORGEOUS day in Michigan and I was in a hurry to be out there in the 75 degree weather :))
hope everyone was feeling pretty good today
Sara
topcat - 01 Nov 2008 06:15 GMT > Hi, just wanted to introduce myself in hopes to get some support from > perhaps people who might understand what I am going through because > > Alexandra Hi Alexandra, glad you're here, but sorry to hear you have to keep on tx. I am also curious like Sarah, what was your treatment? did you use both Interferon and Ribavirin together? What stage sclerosis if any did you have prior to tx? Do you know what your viral load was? I too am type 1a and prior to tx. my viral load was 6mil. at 12 weeks it was down to 0, how about you? . I can't imagine how hard it must be for you to face 2 more years. I'm at the 7th month of tx, and have to do a year and sometimes life just sucks. Keep us posted TC
dBo - 01 Nov 2008 14:02 GMT Hi Alexandra Sorry to hear how things are working out for you. I too was 1a with a pretty hefty viral load going into tx. I had good drop by four weeks and was not quite clear by 12 weeks, but more than a 2 log drop so on I went. However I did clear, and remain virus free now two years later so there IS hope. I have no idea what makes the difference between one person and another. I was on I think it was 180 mc Pegasys and 1200 daily ribavirin, antidepressants, eventually Epogen injections as well for seriously low white cell counts, and eventually antianxiety meds as well. But I made it.
Hopefully you will answer the questions above to give us a better idea. I too got "tired" of loved ones who understood what I was doing, going thru, constantly asking How are you feeling and eventually just responded tiredly, "the same way I felt yesterday and the same way I will continue to feel until this is over." There just wasn't any other way to explain it. I was weak, exhausted, brain dead, body aching from head to toe, bones aching so bad they felt like they were melting sometimes, and so on. How do you put that into words? Like many things in life "How do you explain to someone who never has?"
I just had to pass my two year post tx testing and was fearful once again, always thinking what would I do if I found myself confronted with the prospect of having to go thru treatment, could I make the decision...sigh! I just can't imagine facing it again, tho the anguish has faded with the passing of time.
Please stay in touch. We here DO understand what you are going thru, what you are feeling etc. We can relate. I'll remember you in my prayer. Hang in there ~Deb
Alexandra - 01 Nov 2008 16:53 GMT Hi Deb,
Congrats on staying clear!!!!! I hope that someday I could be the one typing that to someone else!. Yes, you are right, it is all those things you mentioned and no one does get it. One thing that does help is that I am also taking Neupogen for the wbc and Aranesp for rbc and they gave me something called Provigil which is a godsend for getting to the gym and being able to work out! It doesn't last long against the fatigue but I am grateful for it.
I can't wait to get off treatment! I remember when I got off last time how much energy I got back and how everything cleared up (brainwise) and life was so much better. But c'est la vie, the memory keeps me going when I think this is going to last forever.
Alexandra :)
> Hi Alexandra > Sorry to hear how things are working out for you. I too was 1a with a [quoted text clipped - 26 lines] > what you are feeling etc. We can relate. I'll remember you in my > prayer. Hang in there ~Deb Alexandra - 01 Nov 2008 16:45 GMT > Hi Alexandra, glad you're here, but sorry to hear you have to keep on > tx. I am also curious like Sarah, what was your treatment? did you [quoted text clipped - 5 lines] > to do a year and sometimes life just sucks. Keep us posted > TC Hi TC,
I am doing the combo therapy. When I first started my viral load was 2.25 million. It took 24 weeks to get down to nagative. But then after 6 months off treatment it came back and was a little over 900,000 so that is why I went back on. It took 16 weeks the second time to clear so who knows what that means. I mean it is good that it was less time but would have been optimal had it been a shorter time. The fact that yours cleared in 12 weeks is great! That is what my doc wanted for me and said that if it clears in 12 weeks the first time then the chance of success is greater so good luck! Did you start in March then? I am around 7 months too, going on 8 months (Nov).
Alexandra
Brian - 01 Nov 2008 19:32 GMT > Hi, just wanted to introduce myself in hopes to get some support from > perhaps people who might understand what I am going through because [quoted text clipped - 25 lines] > > Alexandra Alexandra, Welcome. You have come to a great place for support and information. Although we are all sorry that you have to be here. Judging from what you have said,you are probably not a non-responder. You are most likely a re-lapser. It may not sound like it, but there is a difference. You did slay most of the virus,but a tiny part of it survived someplace in your body. From what I understand you have a better chance of SVR than a non-responder . Also, did your Doc prescribe the same kind of Interferon ? Hopefully not. It doesn't make much since to use a drug for 2 years that you already know doesn't work for you. I have been told that Daily Infergen with Ribavirin does a better job for many re-lapser's. Upping the ribavirin is good,but it sure won't clear the virus any sooner. Also,you didn't mention your liver enzymes,liver biopsy,etc. Do you have any liver damage?
I have tried all of the available interferon med's and none worked for me. Three failed treatment attempts. The last being daily Infergen/1400mg Ribavirin. I had an early big log drop,but after 1 1/2 years the beast was back.
Good luck to you Brian
Alexandra - 06 Nov 2008 10:54 GMT > Alexandra, > Welcome. You have come to a great place for support and information. [quoted text clipped - 17 lines] > Good luck to you > Brian Hi Brian,
Thanks for the clarification between being a non-responder and re- lapser. You are right and I am trying to be grateful that I did clear at least while I am on treatment. Who knows what will happen after that. I don't know my current enzymes. If they were any concern I am sure my doc would have told me. I haven't taken the interest in the numbers this time like I did last time. I assume they are the same as before, in other words, higher while on treatment then off... I think I will ask next time I have an appt with her. I have not had a liver biopsy. I am being treated at the VA and because of their money issues I probably won't get one unless I fail treatment this time or somewhere down the road. She said I am young and healthy so she is not very concerned about that.
I had asked about infergen too but to be honest don't remember the reason she gave me why she chose not to do that. Sorry, brain fog I guess, my memory though decent from taking gingko, isn't up to par like when I am off treatment.
I am sorry to hear that treatment didn't work for you. What are you planning on doing? Are you looking into alternative methods of treatment?
Alexandra
john - 10 Nov 2008 19:17 GMT > Hi, just wanted to introduce myself in hopes to get some support from > perhaps people who might understand what I am going through because [quoted text clipped - 25 lines] > > Alexandra Hi Alexandra, I know exactly what you mean.The treatments suck.People don't understand what you are going thru.They don't understand that you probally think about it everyday.I finished 3 treatments and i deceided i am finished unless something earth shattering comes down the pike. 1)pegasys and ribavirin.Doctor didnt have a clue cut my doses down to halp after 16 weeks.Never responded. 2)Found a great doctor thru advice from this group. 1 month of nightly infergen and ribavirin.then pegasys for a total of 48 weeks. Cleared at week 12 but relapsed when i stoped the meds. 3)72 weeks of nightly infergen and ribavirin. Cleared the virus 2 monthes after stopping the meds.December will be 6 monthes and i will find out if it worked.
Last treatment was a killer.I am a very strong person but i was weak and depressed. The way i figured it was, i have cirrohsis and limited time.I was determined to fight to the very end.I hope i slayed the dragon but time will tell. After 3.5 years of treatment i am as strong as an ax again.Almost like i never went thru that hell.If your body can take it and your biopsy shows your liver is far along do the best you can.If you need someone to talk to about this feel free to email me anytime at otk355@hotmail.com john
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