Current treatment options for hepatitis C patients co-infected with HIV

Expert Review of Gastroenterology & Hepatology
Jürgen K Rockstroh, W David Hardy

Abstract

With the availability of all-oral, direct acting antivirals (DAAs), hepatitis C virus (HCV) therapy has been revolutionized for HIV/HCV co-infected patients. Indeed HCV cure rates are now no longer different between HCV mono and HIV/HCV co-infected persons and are both greater than 95%. Therefore, current treatment guidelines no longer separate these two groups. Indications for HCV treatment and choice of DAA combination are now the same for all HCV patients. In HIV/HCV co-infection however, drug interactions between HIV and HCV agents need be checked prior to starting HCV therapy. Finally, the higher risk of hepatic decompensation in HIV/HCV co-infected patients, including those receiving successful antiretroviral therapy, continues to make these patients a high priority group for receiving access to modern DAA combination therapy.

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Citations

Mar 13, 2018·Clinical Orthopaedics and Related Research·Siddharth A MahureRan Schwarzkopf
Jul 25, 2017·JB & JS Open Access·Siddharth A MahureRan Schwarzkopf

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