This Is How Hepatitis C Is Treated (and Even Cured for Good) - Article Health

Hepatitis C is a serious liver disease that can lead to liver cancer, liver failure, or even death. But luckily, not only is hepatitis C treatable, it can be cured. These days, people with hepatitis C have options when it comes to their treatment, including pills that are easier to take and much more effective than injections of the past.

The hepatitis C virus (HCV) is spread through contact with infected blood, such as from shared needles or syringes (you cannot get it from casual contact with an infected person). Up to 25% of people who get the virus have an acute, or short-lived, infection that is cleared by the body without treatment. The remaining 75% to 85% of cases—up to 4 million people in the U.S.—develop chronic hepatitis C, meaning the virus lingers for six months or longer. For people with chronic hepatitis C, getting treatment as soon as possible can help shorten the lifespan of the condition and hopefully clear the infection in a matter of weeks.

"With the regimens that are out there now, there can be just one pill with few side effects and cure rates over 95%, closing in on 98% to 99%," says Eugene Schiff, MD, professor of medicine and director of the Schiff Center for Liver Diseases at the University of Miami Miller School of Medicine.

The number of drugs that treat hepatitis C have increased in recent years. The first treatment options for hepatitis C were a combination of pegylated interferon and ribavirin. However, they were accompanied by nasty side effects and were effective less than half the time, says Ryan Westergaard, MD, assistant professor of medicine at the University of Wisconsin School of Medicine and Public Health in Madison. Interferon also had to be injected.

So with all these advances, why are so many people still developing hepatitis C? Experts say diagnosis continues to be an issue.

"People just aren't screening," says Dr. Schiff. "They're not being diagnosed, therefore they're not getting treated."

One reason for this is that hepatitis C can be a "silent" disease. While some people have symptoms like fever, fatigue, nausea, or jaundice (a yellowish tinge to the skin and whites of the eyes), many others don't have any symptoms at all.

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