03.03.2017 Views

Management of DAAs Failure

If you have failure of plan A in treating a patient with chronic hepatitis C. What's your plan B

If you have failure of plan A in treating a patient with chronic hepatitis C. What's your plan B

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Guidelines <strong>of</strong> the National Treatment Program in Egypt<br />

• Patients who failed previous S<strong>of</strong>osbuvir containing regimen<br />

• Treatment will be with S<strong>of</strong>osbuvir + Daclatasvir + Ribavirin<br />

Or<br />

S<strong>of</strong>osbuvir + ledipasvir +ribavirin<br />

• for 24 weeks.<br />

• The dose <strong>of</strong> ribavirin is 600 mg/day in cirrhotics, A trial should be done to<br />

reach a dose <strong>of</strong> 1000 mg/day based on the patient tolerability

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