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Allen's Sovaldi + Ribavirin Treatment Log

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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/14/2014 6:36 PM (GMT -8)
All day yesterday I had a headache and finally at around 6:00 p.m I decided I had to take Advil, I didn't want to but the headache was fricken driving me crazy and though I am self employed and work from home I still need to work.

Friday I woke up and felt great all day, later in the afternoon I got another headache and still have it now but will try to just roll with it and hopefully it will go away tonight, I'll try to do some work tonight I need to catch up on.

I *think* the headaches I'm getting may be from the Ribavirin, I did not have the headache until about 30 minutes after taking the Ribavirin but I did notice in the morning though I felt great I still had a mild headache not long after taking the Sovaldi and Ribavirin.

No exhausted or sick feeling today and head feels clear except for persistent headache on left side. As I mentioned before side effects like this I would tolerate for 90 days straight because I know the odd's of me beating this are excellent...I won't give up!
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MamaLama
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Joined : Oct 2010
Posts : 4907
Posted 2/14/2014 7:05 PM (GMT -8)
When we were at clinic yesterday they told us most common sides were

Nausea
Headache
Fatigue

But not horrible.

Good luck.

Carol
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/14/2014 7:07 PM (GMT -8)
Yeah I'll be ok, its annoying but I'd rather have a few side effects than suffer a life with hepatitis C
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ppm guy
Veteran Member
Joined : Apr 2010
Posts : 1261
Posted 2/15/2014 11:43 AM (GMT -8)
hi Allen and others treating with sovaldi. i did treatment 3 times and remember the dr ordering the pill that dissoves under your tongue. it is called zofran(odansetron is generic name) and is used for severe nausea from chemo therapy and related txs. it comes in 2 sizes (4 & 8mg). ask your dr, it can make things easier for you. ribavirin causes breakdown of red blood cells and can cause fatigue and shortness of breathe. just part of the tx. good luck to all. cant wait to see all of you cross the finish line, with SVR.
barry
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/15/2014 11:52 AM (GMT -8)
Thank you ppm guy I will check into this, I can't believe how many headaches I am having the last three days..its almost constant and if I go to bed with the headache I wake up with it or have another shortly after I take my meds.

Pain is all sort just slightly left of centre in the front and on top of my head, makes it hard to concentrate and sleep last night was not good at all...slept 4 hours or so.
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ppm guy
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Joined : Apr 2010
Posts : 1261
Posted 2/15/2014 12:43 PM (GMT -8)
hey Allen, drinking 3 liters of water and gatorade(electrolytes) daily has always been part of treatments past. hydration and otc pain relievers help side effects. between you and your dr staying on top of sides, you can eliminate the chances of stopping tx. side effects with DAAs(direct acting antivirals) usually subside to some degree after the virus becomess undetectable.

i had to use tylenol everyday of treatment for a year x3, and still made it to svr. As always we are not drs, so run everything by your dr.
barry
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/15/2014 2:05 PM (GMT -8)
No matter what I won't quit the treatment, I am drinking lots of water and do drink sports drinks also but usually only one a day as they have about 240mg of sodium. I plan to talk to my doctor possibly Monday to see what he has to say but the headaches have really been bothering me the last couple of days.

Thanks!
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music
Regular Member
Joined : Jan 2014
Posts : 273
Posted 2/16/2014 8:11 PM (GMT -8)
Hi Allen, just wondering how you are doing and if you'd care to share any lab results.

music
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steve-ca
Regular Member
Joined : Feb 2014
Posts : 213
Posted 2/17/2014 1:19 AM (GMT -8)

music said...
Hi Allen, just wondering how you are doing and if you'd care to share any lab results.

music

Same here- hope to hear from you soon, buddy.
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/17/2014 3:38 AM (GMT -8)
I actually don't go for another blood test until this Thursday and the only lab results I have asked for since then was my ALT as it was around 689 and recently it went down to 291 and that blood was taken February 6th the day I began my treatment. I'm not sure what other results to ask for that might tell me I am doing better?

I am pretty sure they will not do a viral load test here until the end of the 3 months, it seems when they do them you go in and take blood and then they do in batches and when I initially got it done it took about 2 weeks for results and they said my viral load was 4.7 million.

As for how I'm feeling? I have a huge amount of headaches in the same spot for days now...I am drinking plenty of water and eating well, sleeping as well as I can also but last night and tonight again these fricken headaches woke me up and then I can't go back to bed. Other than the headaches I am doing ok...a few times I still get the mild sickness feeling.

I'd be able to last three months with these headaches if I absolutely have too but have to say this isn't fun, first day or two their was no sign of this and then one day after working out it seemed I had a headache and it got worse and worse...would go to sleep and wake up and still have the headache?

Just for reference I rarely ever have headaches, honestly the only time I really would get them would be if I drank to much alcohol or something but I rarely drink that much the last few years so headaches are rare for me so I am pretty sure this is a side effect of the medications, I actually think its the Ribavirin because I get the headaches in the morning after waking up and if they go away at all during the day they end up returning it seems after I take my two Ribavirin pills at dinner.

I notice sometimes the headache just disappears for like 20 minutes and then all of a sudden its back and constant for hours on end, I plan to try to get in to see my family doctor today to see if he can help but its a holiday. It seems occasionally my pain killers will get rid of the headaches for a short bit but....the last guy that filled in for my doctor didn't realize I take 30 mg in the morning and 20 mg in the afternoon and he changed to 20mg and 20mg so I called the pharmacy yesterday for a refill and guess what? She tells me that she's really sorry I can't get my refill until Thursday as the numbers don't match up and because the doctor has a note on only giving so many at once!!

I didn't sleep well tonight, I napped on the couch last night for about an hour and then slept for just over four hours and woke up with a fricken headache, took my pills and think its gotten a bit worse but can already tell its gonna be one of those full day headaches!

Any specific lab results I should ask for? I know I had asked him to make sure all my liver tests are being done as well as platelet counts and stuff, things someone mentioned in another thread but honestly all I have been monitoring is the ALT levels personally.

Not happy I have the headaches but even so if I have to go 90 days with headaches to get rid of the hepatitis I will, thankfully I am self employed and will try not to take any extra work outside the home until this is over. I only took Advil twice now until I speak with my doctor to see if he thinks its ok..personally I'd rather not if its gonna cause my liver any stress right now.

Thanks for the support guys, the headaches are the only really bothersome thing right now and it sorta caught me off guard because when I read that as a side effect I think "yeah whatever" and I'm more worried about hair loss or heart attacks or anything weird but headaches? You never think their a problem until you have them days on end...
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music
Regular Member
Joined : Jan 2014
Posts : 273
Posted 2/17/2014 5:12 AM (GMT -8)
Good morning, hopefully your Dr will have some good suggestions for headaches. My hepatologist asked me not to go to pcp re sides unless he approves it, as he needs to approve any new rx and otc to make sure of any reactions between them and new meds. some other meds, as you know, some can even reduce the effectiveness of sovaldi, Because of cirrhosis, my Dr does not allow nsaids as Advil, ibuprofen or narcotics. For headaches if get bad, I am allowed to take one 500 mg Tylenol and a Benadryl. Helps alot but leaves me a little "med-head" from the Benadryl. As far as labs go, my Dr does cbc and cmp every 2 weeks...would do viral load today, but I financially had to ask him to wait till next time. He said it will be after the first of March. Glad we have this support group. I am trying my best to only follow my drs orders and I am excited to watch your progress!

music
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steve-ca
Regular Member
Joined : Feb 2014
Posts : 213
Posted 2/17/2014 2:08 PM (GMT -8)
Heart attack and hair loss were at the top of my "worried about" list, too :) Heart attack was definitely leading the way, though.
Since your headache came so soon after after working out, I wonder if the 2 could possibly be related?
Also, I came across this so wanted to pass it on. See second paragraph under "Blood Count".

www.fountia.com/ribavirin-side-effects/

p.s. I don't personally know what kind of tests to ask for, as I'm pretty much a noob. Hopefully one of the many experts here can help answer that.

And as music said, I am also very grateful for this group. It's been my go-to for support and info and it seems to have not only the most, but also the most organized real-time info for this treatment anywhere on the web. I've scoured the entire internet in the last few weeks, too :)
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/19/2014 5:02 AM (GMT -8)
Thank you for that info Steve, yesterday afternoon I ended up going to see my doctor as I had the headaches for 5 days straight. My doctor prescribed my Naproxen 250mg x 2 and when I left his office I got the prescription and took them right away and within two hours my headache was gone!

An hour after the headache was gone I felt like walking the dog and then even decided to try my daily workout, no headaches! I am not sure why the hell my headache would last a full five days and a single dose of Naproxen would take it away but it did so anybody in the future that gets headaches try Naproxen because I can guarantee it worked for me. I also woke up this morning headache free and feel great after feeling crappy all those days!

I also asked for a prescription of the "Zofran" that someone else had mentioned, doctor warned me it was very expensive but prescribed anyways...my insurance premium has totally been paid for the year because of the $3000 Sovaldi+Ribavirin purchase a couple of weeks ago so the rest of the year I have 100% coverage.

Cost for the Zofran was about $226.97 CDN for 60 tabs , I have not taken one yet and won't unless I start getting that really sick feeling again.

I'm still sleeping alot but I guess thats not a bad thing as long as things are working, I have a blood test scheduled for tomorrow(Thursday) and that will be two week since starting and I will try to get a few numbers...typically I usually have just been asking for my ALT numbers.

Tomorrow is the start of my second week, despite the headaches all is well. Thanks again everyone for all your support as my specialist is so busy she never really contacts me and its very hard for me to contact her so my only point of contact is my family doctor and the users of this forum.

My doctor straight out admits he isn't and expert when it comes to Hepatitis *but* said he will make every effort to educate himself more...believe it or not I am his *first* hepatitis patient and he is probably in his mid 30's. In just the past couple months I have noticed he knows alot more about Sovaldi+Ribavirin as well as the side effects and it's probably a good thing for him to have me as a patient so he can learn from.

Al
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steve-ca
Regular Member
Joined : Feb 2014
Posts : 213
Posted 2/19/2014 9:20 AM (GMT -8)
That's awesome to hear the silver bullet was naproxen :) And that you're back to your daily activities that you love to do!
Those headaches sounded pretty horrible, especially to continue for that long.
It's so hard to tell if something is a side or not, or if you should be worried about something or not, etc.
Looking forward to hearing good news from you soon!
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music
Regular Member
Joined : Jan 2014
Posts : 273
Posted 2/20/2014 5:32 PM (GMT -8)
Hi Allen, just checking on you. Thankful your headaches are under control. Look forward to your posts and your progress. I thought I'd mention my ins co provides nurse line free 24/7 and I asked for and got a nurse who was on the liver transplant team over 17 yrs and also er. She researches any questions and calls and checks on me weekly. Don't know if you have that available, but it has been a good source of additional info and support. Have a good night. We are headed towards the goal!

music
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/20/2014 6:07 PM (GMT -8)
I have something like that also from the local Hepatitis Support Center but my nurse is on holidays and my fricken specialist hasn't called once since I started the medications! Her secretary called the other day to offer me a requisition to get blood taken every two weeks and I let her know I already asked my family doctor to do that on February 6th.

I sorta find my specialist useless and as I mentioned in the beginning on January 8th she told me I would have to wait 2-3 years to get Sovaldi before it was approved...some fricken specialist she is when she doesn't even have a clue whats going on in her field. My wife and I have basically done everything and all she did was schedule a biopsy and then the followup she claimed I couldn't get solvaldi and to prepare in 3 months for Peg+Rib treatment...had we not found the DIN# ourselves then we would have been going down that path.

I am doing ok today and no headaches for two days, I just felt sorta nauseous when eating dinner and notice certain textures or smells make me feel sick when eating but other than that I am feeling positive today and its the start of WEEK 3 for me and I am happy for that!

The headaches part last week worried me if I would of had to deal with that for another 10 weeks that would suck but now that they are gone I am feeling really positive!

Also, when I got my prescription the Ribavirin could not be purchased alone and came with the Peg-Interferon and so they told me to throw it out, then they decided to just depackage and dispose of it instead of even sending it to me which I agreed to for my first batch then sent it but then I had a thought one night....

I thought instead of wasting that Peg-Interferon I asked Bioscript to donate my prescription to the Hepatitis Support Center in the hopes that maybe they have patients that need it and aren't covered in some way etc. , I just didn't think it was right my insurance paying for it and I know its not cheap so I ask that it be donated to someone that could use it locally.

I wish it was extra Sovaldi because I know the Peg-Interferon has bad side effects but unfortunately I have no extra Sovaldi or I would for sure be helping someone on this forum that is less fortunate and doesn't yet have coverage :-(

Al
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/21/2014 6:35 AM (GMT -8)
Woke up again today feeling great, glad the headache I had is gone and I only have taken the Naproxen my doctor prescribed twice..once to get rid of the headache I had for about 5 days and then again two days ago(Wednesday) because I felt a slight headache in the same spot and didn't want it to get worse.

I have not taken the sickness medication Zofran I asked him to provide as I haven't been that sick so no sense in taking it if not needed.

I have worked out in the late afternoon all this week and even the day I got the medication to get rid of my headaches, I can say the *only* thing I have noticed is I seem a bit more tired than usual during my cardio workout on some days but not others however I push on and don't give up and complete the 25 minute workout.

I strongly believe in daily walks with my dog as well as daily exercise for a persons health and just because I am treating myself for Hepatitis C doesn't mean I sit back for 3 months and do nothing...I have to keep training my body to get better so we can fight this off!

Mentally I'm in a great mood, true happiness knowing things are gonna get better and as well each day I see new users join this forum and give their details and tell their stories and then they also mention they are taking Sovaldi+Ribavirin like myself or another combo close to what I am taking for another genotype.

I can't explain but it just makes me feel great inside knowing I am amongst others afflicted with the same virus as me and some who have had knowingly had it 20+ years and we are all taking the same medications and looking forward to being cured within the next 3-6 months...truly an awesome feeling!

Together we can and will beat Hepatitis C, thanks again everyone for the support!

Al
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A.Ziffle
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Joined : May 2011
Posts : 2092
Posted 2/22/2014 11:03 AM (GMT -8)
Bump
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/22/2014 11:16 AM (GMT -8)
I'm doing good today, feel great and basically feel normal with no headache or sickness like I felt last week and hopefully now my body has adjusted.

I'm still continuing to do short 25 minute cardio workouts 5 days a week along with walking the dog for 30 minutes each day. I have avoided all supplements, vitamins etc as asked by my doctor when I was diagnosed in October 2013.

I'm feeling really good the last few days and absolutely no complaints, sometimes I feel a bit tired but thats really nothing at all.
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steve-ca
Regular Member
Joined : Feb 2014
Posts : 213
Posted 2/22/2014 11:30 AM (GMT -8)
Hopefully it continues- a bit tired is a blessing as far as being the only symptom to report!
That's really about all I've experienced so far.
Keep up the routine and hope to hear more good news soon!
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ppm guy
Veteran Member
Joined : Apr 2010
Posts : 1261
Posted 2/22/2014 12:55 PM (GMT -8)
      hi allen,  hope your doing well.  i wanted to reply to a couple things you posted.  viral loads should be done at 2 weeks.  Early tx response is critical to your tx success.  its part of tx protocol, that you and your dr must familiarise yourselves with( you said your dr has no hep c experience). 

      you didnt give your biopsy results in your posts.  your level of liver damage is helpful to analyze your side effects. and your liver damage is critical in making decisions about analgesics. 

barry

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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/22/2014 1:01 PM (GMT -8)
ppm guy , basically the ONLY results I was given from my biopsy in Dcember was I was told the damage was caused by Hepatitis and the specialist offered nothing more but I will request it soon.

As for viral loads, perhaps its different in the U.S but in Canada it seems like they make it seem like big deal as far as I have been told they will only be doing Viral Loads at the end of treatment thought a new blood requisition is being sent by the specialists office so perhaps she has changed things and requested that.

I think they said on a scale of 1-5 my damage was a 3 but I also recall the specialist saying something about moderate scarring. As mentioned before my specialist has not done a very good job of staying in touch and asking me how things are going, she is impossible to contact and her secretary is not a nurse and only works mornings however the time she does work she doesn't answer the phone and it all goes to voicemail which she returns days later.
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ppm guy
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Joined : Apr 2010
Posts : 1261
Posted 2/22/2014 2:06 PM (GMT -8)
it doesnt matter where you live.  viral load checks are expemsive.  they run about 6-7 hundred dollars in the US, but are absolutely necessary.  tx protocols say you must be undetectable at a certain week of  tx or should be stopped.
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JohnSmith90210
New Member
Joined : Feb 2014
Posts : 11
Posted 2/22/2014 5:12 PM (GMT -8)
For Sovaldi based treatment viral loads are not as important as they were with Incivek or Victrelis as they were response guided therapies (I.e., frequent viral loads required). Almost everyone goes negative by week 4 on Sovaldi.
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AllenM
Regular Member
Joined : Dec 2013
Posts : 223
Posted 2/25/2014 7:50 AM (GMT -8)
As promised here are my blood results after two weeks, I began treatment February 6th 20014 and I have results taken February 7th and the 20th. I have been told my red blood counts are low and you can see this in the posted capture..feel free to comment on all this info if you know what it all means. My doctor's secretary told me the doctor will monitor this closely and contact me within 24 hours to discuss.


February 7th results - imgur.com/GQdt5rx

February 20th results - imgur.com/BasQUBL

As you can see I my ALT and AST have dropped substantially, I'm impressed! My ALT when I first started was around 680 when they noticed my liver problem in October 2013.

**Also, the results near the end of the sheet may be a bit harder to read..I scanned the docs with my iPhone and the CamScanner Pro app and then merged two pages into one for each result..just click each image when you follow the link and you will get a larger version to view.

---------------------------------
ALT February 7 2014 = 291

ALT February 20 2014 = 29

---------------------------------

AST February 7 2014 = 215

AST February 20 2014 = 29
---------------------------------

Remember these results are for *ONLY* two week since I began treatment on February, refer to the first post of this thread for medication amounts I take.

As for my feelings this past week, I feel ok though I am more tired than normal and sleep 8 hours each night but also could nap every day no problem and still sleep...many times while watching TV I just sorta fall asleep either sitting up or lying down.

I haven't really had headaches since last week but do feel sick occasionally, a couple of times a day I just have a sick feeling and while I do feel hungry earlier in the day by dinner I feel somewhat sick and can't always finish my dinner. The smell of certain foods makes me feel nauseous even though I usually like these foods...no idea why.

Other than that I am doing ok, week 3 is almost over and I will be ordering my meds for the next month today.

**I have not yet found out about when I will be tested for viral loads and will call my specialist shortly to inquire, as far as I was told it wasn't until treatment ends but perhaps they have they will do it sooner..the newest blood requisition I received does not seem to mention this unless it has some acronym I am not familiar with?

Al

Post Edited (AllenM) : 2/25/2014 8:57:20 AM (GMT-7)

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