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Viral Hepatitis

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Hepatitis C Quicknotes: Pretreatment Counseling

for Health Care Providers

Antiviral Treatment Eligibility

Pretreatment Counseling

  1. Cessation of alcohol use
  2. Likelihood of achieving SVR
  3. Side effects of therapy
  4. Interferon
    • Flulike symptoms
    • Bone marrow suppression (greater with peginterferon)
    • Aggravation of autoimmune disorders
    • Neuropsychiatric symptoms
    • Seizures
    • Acute cardiac and renal failure
    • Retinopathy
    • Interstitial pulmonary fibrosis
  5. Ribavirin
    • Hemolytic anemia
    • Significant teratogen
    • Rashes
    • Headaches
    • Shortness of breath
    • GI effects
  6. Contraception
    • Adequate contraception needed during treatment and for 6 months after completion of treatment
  7. Importance of adherence

Next: Antiretroviral Treatment Strategy