| What
does conventional treatment for chronic hepatitis C consist of?
People who have a mild case of hepatitis C may only need to manage
it by visiting their doctor regularly and following their doctor's
recommendations--such as eating a nutritious diet, avoiding alcohol
(because of its impact on the liver), and getting regular exercise.
For people with more severe hepatitis C, however, drug therapy may
be needed. A drug called interferon is the mainstay of conventional
treatment. Interferon is often combined with an antiviral (virus-fighting)
drug called ribavirin.
Such combination therapies are usually taken for 6 months to 1 year.
Approximately 55 percent of patients treated with the combination
of interferon and ribavirin for 1 year will achieve a sustained response
(that is, a sustained benefit from treatment).1 If a patient does
not achieve a sustained response, his doctor may decide whether another
course of treatment (re-treatment) is appropriate.
Combination regimens benefit many patients. However,
their side effects can be difficult for some patients to tolerate.
These side effects can include flu-like symptoms (such as body aches,
fever, chills, and fatigue); nausea and other gastrointestinal problems;
hair loss; emotional changes; skin reactions; and, in more severe
cases, depression, organ damage, blood conditions, and other problems.
How commonly
do people with hepatitis C use CAM therapies, what do they use?
While there have been no surveys yet on the use of CAM by persons
with hepatitis C specifically, there is some data from a survey
published in 2002 on the use of CAM by persons who have chronic
liver diseases (such as hepatitis, liver cancer, alcoholic liver
disease, or cirrhosis).2 This survey of 989 patients being treated
for various liver diseases at six clinics in the United States found
that 39 percent used some form of "alternative therapy."
The therapy they used the most was herbals or botanicalsd (21 percent).
However, the herbals and botanicals were used for reasons besides
liver disease, such as depression. Thirteen percent of all survey
participants used herbals or botanicals specifically for their liver
disease, and they used only milk thistle (12 percent) or licorice
root (1 percent). The other most commonly used CAM therapies were
self-prayere (18 percent), and (from 6 to 9 percent each) relaxation,
megavitamins, massage, chiropractic, and spiritual healing.
Herbs are plants or plant parts valued
for their flavor, scent, and/or therapeutic properties. "Herbals"
and "botanicals" are synonyms and mean herbal and botanical
products.
Self-prayer is when an individual prays
for himself. It can be contrasted with intercessory prayer, in which
an individual prays for others. |