Treating hepatitis C

 (Telaprevir factsheet & Boceprevir factsheet)

For many people there is effective treatment for hepatitis C that can result in hepatitis C being cleared from your body. Research continues to improve the effectiveness of treatment but it is important to note this may not be suitable for all people with hepatitis C.

The only treatment which results in a cure for hepatitis C is a combination of pegylated interferon and ribavirin. Some people cannot tolerate ribavirin and are treated with interferon only but this is not as effective. Treatments have improved markedly in recent years. Side effects can be significant and may need specialist management.

Treatment length will vary depending on the genotype (strain) of hepatitis C a person has. It usually lasts between 24-48 weeks. The hepatitis genotype is detected by a PCR test (see FAQ) and this test should be done before visiting your specialist.

Eligibility for treatment:

• a positive hepatitis C antibody test;
• documented chronic hepatitis C infection (tested with PCR);
• not be pregnant or breastfeeding, or for men—your partner must not become pregnant while you are on treatment and 6 months after treatment has ceased; and
• use contraception, with both partners taking precautions to prevent pregnancy

Before deciding to undertake treatment a number of things need to be considered. It is a good idea to have someone to talk to about your decision. The effects of treatment drugs can vary widely. Some people experience debilitating side effects and others very few minor side effects. It helps to know what the side effects may be and how to manage them. Get as much information as you can before hand. If possible speak to others who have been on treatment. It can feel like you are the only person living with hepatitis C but there estimated to be 3,500 Tasmanians living with the virus.

Things to take into consideration before starting treatment:-

• The duration of treatment to be taken.
• What support will be available to you while on treatment?
• If you can’t work, study or look after your family what will happen?
• Is this the best time to start treatment?
• What do you know about possible side effects and how best to manage them?

On line internet community offers online support www.hepcaustralasia.org, or talk to a worker on the Hep in Tas Info line 1300 437 222.