Traitements complémentaires de l'hépatite chronique virale C - 29/02/08
Thierry Thevenot [1],
Vincent Di Martino [1],
Françoise Lunel-Fabiani [2],
Claire Vanlemmens [1],
Marie-Claude Becker [1],
Jean-Pierre Bronowicki [3],
Solange Bresson-Hadni [1],
Jean-Philippe Miguet [1]
Voir les affiliationsComplementary treatments of chronic viral hepatitis C |
Pegylated interferon and ribavirin combination therapy represent the standard-of-care treatment for chronic hepatitis C, that allows to cure more than half of the patients. However, the success of this bitherapy is in balance with numerous side effects, especially hematologic and psychiatric. This review is focused on complementary treatments (erythropoietin, G-CSF, vitamin E, glutathion, ursodeoxycholic acid and antidepressants) likely to bring a benefit in maintaining adequate interferon and ribavirin dosages and in improving quality of life. This analysis has been performed by using the Medline® data base and with data from laboratories which commercialized these molecules. Erythropoietin, G-CSF and antidepressants are the best tools to optimize the bitherapy in its dose and its duration while privileging the quality of life of HCV-infected patients.
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© 2006 Elsevier Masson SAS. Tous droits réservés.
Vol 30 - N° 2
P. 197-214 - février 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.