Can I have renal transplant when I am on medication for HCV infection ?
Patient: i am a diabitic type two patient. I am in dyalisys patient from one year and planned to transplant bo the kidneys. at the time of bood testing i found hcv rna positive GNA TYPE 1, even thouhgh i had under gone syngle use dialiazer through the period of dialisys. I had bood trnsfusion once during the month of march 2009. I under took treatment for hcvrna . I took PEgasysy interferon 180mcg treatment . After 8 injections my level of hcv rna become negative. i took further two inejction already. Now gastronics dr. says , i have to take further 12 injections to completely eradicate the hcv rna virus frommy blood . But the nephrologysts is assuring us to go head for kidney transplantation. HOW TO GO HEAD SIR. I AM AGED ABOUR 46 YEARS. kindly suggest the case and oblige thanking you shrinivas Doctor: Hi Shrenivas > i am a diabitic type two patient. I am in dyalisys   patient from one year and planned to transplant bo   the kidneys. at the time of bood testing i found hcv   rna positive ----------------------------------- Dialysis has become a predominant mode of hcv   transmission in world inspite of best dialysis   practices. --------------------------------------------------  > GNA TYPE 1: This is difficult to treat genotype and is   associated with poorer outcome. -------------------------------------------------- >I under took treatment for hcvrna . I took PEgasysy   interferon 180mcg treatment . After 8 injections my   level of hcv rna become negative. i took further two   inejction already. Now gastronics dr. says , i have   to take further 12 injections to completely   eradicate the hcv rna virus frommy blood.  Atleast 48 weeks of treatment is recommended for   genotype 1. Shorter duration is associated with   lower response rate and higher relapse (recurrence).  ------------------------------------------ > But the nephrologysts is assuring us to go head   for kidney transplantation.   If you are maintaining a good health on dialysis,   completion of 48 weeks of treatment will be   advisable. But if you are rapidly deteriorating, and   not able to tolerate dialysis, your doctor may   suggest early kidney transplant with following   caveats      1. HCV may recur      2. It is not possible to treat HCV   posttransplant      3. Your liver may suffer rapid damage in   posttransplant period.      4. You may develop HCV related problems like   cryoglobulinemia  Talk to your nephrologist  DR VAIBHAV BANAIT, MD, DNB, DM Consultant gastroenterologist