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Viral Hepatitis

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Hepatitis C Quicknotes: Follow-Up Lab Monitoring

for Health Care Providers

Antiviral TX Strategy

Follow-Up Lab Monitoring

  1. Hgb, Hct, and WBC with differential and platelet count, creatinine
    • At week 1 or 2, at week 4, then every 1-2 months
  2. Serum ALT
    • At month 1, then every 1-2 months
  3. Pregnancy test
    • Monthly during therapy and for 6 months after completing therapy
  4. TSH
    • At least every 12 weeks during therapy
  5. Blood glucose
    • At least every 12 weeks during therapy
  6. HCV RNA by quantitative and/or qualitative assay
    • At week 4, 12, and 24 during therapy, at end of therapy, and 6 months after completion of therapy

Next: Rules for Adjusting Therapy for CBC Changes