Most Read Articles
01 Oct 2013

Heart disease is still New Zealand’s biggest killer, with one Kiwi dying from coronary heart disease every 90 minutes. Pharmacy Today New Zealand looks at how pharmacists can help

Dr. James Salisi, 01 Jul 2014

The recent spike in the number of new cases of human immunodeficiency virus (HIV) infection in the Philippines means that clinicians and pharmacists alike may need to increase their awareness and competency in prescribing and monitoring HIV treatment. Although taught in medical and pharmacy schools, the scarcity in exposure to clinical cases before highlights the need to for physicians and pharmacist to review HIV pharmacotherapy in order to cater to the increasing HIV patient population.

01 Sep 2017
Complementary medicines can play an important part in maintaining wellness, preventing deficiencies and optimizing health outcomes, says Dr Lesley Braun PhD, Director of the Blackmores Institute. 
Audrey Abella, 6 days ago
The use of angiotensin converting enzyme (ACE) inhibitors may prevent repeat revascularization in patients who underwent percutaneous transluminal angioplasty (PTA) for peripheral artery disease (PAD) compared with angiotensin receptor blockers (ARB), according to a presentation at APCH 2017.

Direct-acting antivirals with ribavirin safe, effective in certain genotype 1 HCV patients

12 Oct 2017

Retreatment with ledipasvir (LDV) and sofosbuvir (SOF) with add-on ribavirin (RBV) appears to be effective and well tolerated in genotype 1 hepatitis C virus (HCV)-infected patients who have failed to respond to daclatasvir (DCV)/asunaprevir (ASV) combination therapy, according to a study.

The multicentre, prospective study included 15 patients who were retreated with SOF, LDV and RBV for 12 weeks. All patients underwent physical examinations and blood tests at baseline, during treatment and after therapy.

Additionally, NS3/NS5A and NS5B resistance-associated variants (RAVs) were evaluated at baseline and relapse. Resulting data revealed RAVs in NS3 D168A/V/T/E in 11 patients (73.3 percent), NS5A L31I/M/F/V plus Y93H in 13 patients (86.7 percent), and NS5B S282T in none.

Sustained viral response was achieved by 13 patients (86.7 percent) overall, and all 15 patients completed therapy. The two patients who failed SOF, LDV and RBV combination therapy were elderly women, had the IL28B non-TT genotype, and had NS5A RAVs in L31I/Y93H or NS5A A92 K at baseline.

There were no reports of severe adverse events.

The findings suggest that adding RBV to interferon-free direct-acting antiviral (DAA) therapy may improve treatment outcomes in difficult-to-treat patients with genotype 1 HCV infection.

The development of DAAs has enabled dramatic improvements in anti-HCV treatment efficacy, with about 85 to 95 percent of patients achieving SVR. Patients who fail to respond to DAA-containing regimens, on the other hand, have a high rate of emerging RAVs, and an effective retreatment regimen for these patients has yet to be established. [Lancet Infect Dis 2015;15:645–53; Hepatology 2014;59:2083–91; Hepatol Res 2016;doi:10.1111/hepr.12851; J Hepatol 2017;66:153–94]

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Most Read Articles
01 Oct 2013

Heart disease is still New Zealand’s biggest killer, with one Kiwi dying from coronary heart disease every 90 minutes. Pharmacy Today New Zealand looks at how pharmacists can help

Dr. James Salisi, 01 Jul 2014

The recent spike in the number of new cases of human immunodeficiency virus (HIV) infection in the Philippines means that clinicians and pharmacists alike may need to increase their awareness and competency in prescribing and monitoring HIV treatment. Although taught in medical and pharmacy schools, the scarcity in exposure to clinical cases before highlights the need to for physicians and pharmacist to review HIV pharmacotherapy in order to cater to the increasing HIV patient population.

01 Sep 2017
Complementary medicines can play an important part in maintaining wellness, preventing deficiencies and optimizing health outcomes, says Dr Lesley Braun PhD, Director of the Blackmores Institute. 
Audrey Abella, 6 days ago
The use of angiotensin converting enzyme (ACE) inhibitors may prevent repeat revascularization in patients who underwent percutaneous transluminal angioplasty (PTA) for peripheral artery disease (PAD) compared with angiotensin receptor blockers (ARB), according to a presentation at APCH 2017.