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How is hepatitis C treated?
Acute hepatitis C treatment is largely nonexistent since acute hepatitis is often undetected. Some hepatitis C information suggests that interferon therapy may reduce the chance of progression to the chronic phase. The aim of hepatitis C medication is control of liver disease symptoms, improvement of liver function, prevention of cirrhosis of the liver and liver cancer, and optimally, cure. Hepatitis C medication is administered to willing patients abstaining from drug and alcohol use with elevated ALT levels (for at least 6 months), detected serum hepatitis C viral RNA, and liver disease.
Interferon alfa (Intron A®, Roferon-A®, Infergen®) is a marginally effective (10 to 30% response rate) immune modulator administered to chronic hepatitis C patients. Ribavirin (Copegus®, Rebetol®, Virazole®), an antiviral administered with interferon alfa, improves the response rate to 40%. The new treatment for hepatitis C is the combined therapy (Rebetron®) of pegylated interferon (longer acting interferon sold under the trade names Pegintron® and Pegasys®) and ribavirin, which generates positive response in 50 to over 80% of hepatitis C patients, and is administered for 24 weeks in HCV patients with genotype 2 or 3 and for 48 weeks in patients with genotype 1. Lack of detection of hepatitis C virus by PCR 6 months after therapy may indicate cure.
Liver transplantation is performed in some patients with chronic hepatitis C; however, hepatitis C infection commonly recurs in the transplanted liver.
A new generation of hepatitis C medication targeting viral replication or other essential viral processes is in development. In addition, development of drugs to prevent fibrosis and cirrhosis is underway. A vaccine has not yet been developed for hepatitis C, possibly because research on the hepatitis C virus is constrained by the inability to culture the virus and because the chimpanzee is the only available animal model.
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