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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can One Continue Taking Pegasys In The Peri-op Period?

this is for a Hepatologist
i have a patient on pegasys for Hep C who has been having recurrent attacks of galls tone colics and needs a lap cholecystectomy. the patient has a Child A cirrhosis with portal hypertension. can I have the patient continue taking pegasys in the peri-op period?

aabha
Fri, 27 May 2016
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.

yes you can continue with pegasys in the periop or post op also. But three things you have to keep in mind:
1. He is having Cirrhosis, Child'S A, so avoid hepatotoxic drugs and tell the patient about the risk of surgery
2. Now oral medications (DAA-Directly acting antivirals) are available for treatment of Hepatitis c. You can switch him to that depending on the Genotype.
3. Universal precautions
I hope I have answered your query and this will help you . Wish you a good health
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Can One Continue Taking Pegasys In The Peri-op Period?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. yes you can continue with pegasys in the periop or post op also. But three things you have to keep in mind: 1. He is having Cirrhosis, Child S A, so avoid hepatotoxic drugs and tell the patient about the risk of surgery 2. Now oral medications (DAA-Directly acting antivirals) are available for treatment of Hepatitis c. You can switch him to that depending on the Genotype. 3. Universal precautions I hope I have answered your query and this will help you . Wish you a good health