Doctor insights on:
Grapefruit Juice: Grapefruit juice blocks special enzymes in the wall of the small intestine that actually destroys many medications and prevents their absorption into the body. Thus, smaller amounts of the drugs get into the body than are ingested. When the action of this enzyme is blocked, more of the drugs get into the body and the blood levels of these medications increase. This can lead to toxic side effects. ...Read more
Yes: They are different family of medications. Sovaldi is what is called an ns5b inhibitor (suppresses viral replication), and interferon is an "immunomodulator", it enhances your own body cells to attack certain cells. Sovaldi is a very potent and effective new medication against hepatitis c. ...Read more
Father has hepatitis b his alpha feto protein increase from11767 to26434 iu/ml while taking medicines sorafenib200 , entacavir, daflon500, udiliv300 why?
Can HIV meds-combivir and sustiva (efavirenz) affect ones blood sugar levels? Viral load undet., t-cell 800+. Thanks.
34 weeks pregnant.Elevated liver enzymes,AST-33, ALT-52; HepB and Hep C negative. Any concern? Will my baby be fine?
It is important: to evaluate increases in transaminases that become elevated in pregnancy. Liver disease can develop and progress when a woman is pregnant.Your values are not extraordinarily concerning, but they should be followed up with retesting within a week or two. If there is a problem, it is more likely to be related to your health than your baby's. Make sure you/your doctor stay on top of this. Good wishes ...Read more
Advia hep. C antibody +,HCV RNA -. 3 months later Architect hep. C antibody -, HCV RNA -. 2 hep C Ab Verification tests-.Can above person donate blood?
May be: You ought to disclose these results to the blood bank so that they may make a determination on your eligibility to donate along with other health factors. I commend you for considering doing your civic duty. ...Read more
My hepatitis C antibody reactive(151.7).But in quantitative Hcv PCR test HCV RNA is less than 30 Iu/ml.Doctor said i have no hepatitis C infection.
Can we take cherries if taking coumadin, (warfarin) hving gall bladder stone, hepc, liver cirohsis, mvr done 2006?
Ok to have cherries: The average amount of vitamin k in 3 oz of cherries, is less than 2 micrograms of vitamin k. In contrast, green leafy vegetables, such as spinach have 444 micrograms in less than 2 oz. So you should be able to have cherries without much impact on the Coumadin (warfarin) dose and inr levels. ...Read moreSee 1 more doctor answer
Hiv+, undet.Combivir, (lamivudine and zidovudine) sustiva.Glucose fasting 128.A1c <5.Take tricor 200mg.Eat well, exercise, 5'9 166. Don't eat sweets, drink.No history for dia.Whats happen?
Yes you can: Statin (short for a class cholesterol drug with generic/medical name ending with statin such as Atorvastatin (lipitor) or Simvastatin (zocor) or Rosuvastatin (crestor). Zocor (simvastatin) has significant interaction with grapefruit/juice but fortunately Crestor should be fine. So, drink on. Eat well, exercise regularly, and follow-up wit doc for periodic lab testing/monitoring. Good luck. ...Read more
Many side effects: Combivir (lamivudine and zidovudine) has many side effects and some side effects like headache and neuropathy, anemia, neutropenia and thrombocytopenia, hepatic toxicity and lactic acidosis and loss of appetite and loss of weight to list a few can make you stop the cmbivir compond. ...Read more
Yes.: Grapefuit and grapefruit juice have the potential to interact with numerous drugs. They interfere with hepatic and intestinal enzyme cytochrome p450 isoform cyp3a4 and are believed to be primarily responsible for the effects of grapefruit on the enzyme. Omeprazole (prilosec) is one of the drugs that is affected. ...Read moreSee 1 more doctor answer
HIV med/liver damage: Yes; different regimens/medications carry different risks/side effects, but in general there is an association with these classes of medications and liver/renal dysfunction. They should be taken only as directed and their use should be monitored with the ppropriate lab tests recommended. ...Read moreSee 1 more doctor answer
I know grapefruit juice is prohibited when taking buspar, (buspirone) so I'd be fine drinking regular grape juice? And other fruit juices?
No: There is no interaction between the two. ...Read more