Treatment for hepatitis C is available. The course of treatment depends
on whether the infection is acute or chronic, the strain (genotype) of
the virus, how much virus is in the body (viral load), the degree of
liver damage, response to previous treatment, and the health of the
patient. Hepatitis C treatment is highly individualized, so it's
important to be under the care of a doctor with expertise in this area.
Medications used to treat hepatitis C include interferon (Infergen,
Roferon, Intron A), peglyated interferon (Pegasys, Pegintron), ribavirin
(CoPegus, Rebetol), boceprevir (Victrelis), telaprevir (Incivek),
simprevir (Olysio), and sofosbuvir (Sovaldi). The goal of treatment is
to achieve sustained virologic response (SVR), which means there is no
detectable virus in the blood 6 months after treatment. While it's not a
cure, achieving SVR is the next best thing. Many people with hepatitis C
infection can achieve SVR with treatment.
Liver Transplantation
Some people with advanced hepatitis C infection and severe liver
damage undergo a liver transplant, but that doesn't eradicate the
infection. Patients with active infection at the time of the transplant
will develop hepatitis C in the new liver. Sometimes the infection
recurs even when patients are on antiviral treatment. Those who have
achieved sustained virologic response (SVR) - meaning no detectable
virus in the blood 6 months after treatment - have a very low risk of
developing hepatitis C infection in the new liver.
Is Hepatitis C Curable?
About 15% to 25% of people who are infected with the hepatitis C
infection clear the virus on their own. Scientists are still trying to
determine why some people clear hepatitis C infection and others go on
to develop symptoms. There is no cure for an active or chronic hepatitis
C infection, but sustained virologic response (SVR) - which means there
is no detectable virus in the blood 6 months after treatment - is the
next best thing. Hepatitis C infection rarely recurs in those who have
achieved SVR.
Is There a Vaccine for Hepatitis C?
There is currently no vaccine for hepatitis C. Research is ongoing
to develop a vaccine against the virus. There are vaccines for hepatitis
A and hepatitis B.
Can Hepatitis C Be Prevented?
Hepatitis C is a blood-borne infection. To reduce the risk of
infection, avoid sharing personal items (toothbrushes and razors) with
others. Do not use injected drugs. If you do use injected drugs, never
share needles and equipment with others. Getting tattoos and body
piercings can put you at risk. Use condoms during sex. Health care
workers should take precautions to avoid needlesticks and properly
dispose of needles and other materials that come into contact with
blood. Speak to your doctor about your risk factors and follow
recommended screening standards for hepatitis C.
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