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Post Interferon Syndrome

Infectious Diseases | Last Active: 30 minutes ago | Replies (515)

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@mar2a

[Correction: I had interferon alpha 2b, not 2a, and yes, it was daily Rebetol.]

Hi,
I was treated for Hep C (genotype 2A) in 2001 with weekly 80 mcg Peg-Intron (interferon alpha 2b) and 400 mg daily Rebetol. (I know I had the ribavirin, I just don't remember the frequency.) The treatment lasted 8 months after which I had SVR.

In 2013 I injured my neck by moving it the wrong way. In 2016 I couldn't work anymore because I couldn't sit behind a computer more than an hour a day. I tried to get better with physical therapy and yoga. In 2010 I had severe exercise intolerance. My doctor said I might be going hypoglycemic, so I tracked my blood sugar. It would go low at the beginning of walking, then spike by the end. After five years, I figured out how to manage that: lower carb diet, protein snack immediately after exercise, and putting my feet up for at least 15 minutes a day.

I also had brain fog. I couldn't go back to my technical job. I tried freelancing, but it took too much effort to do it efficiently. I couldn't remember anything. I still can't remember anything and have to write EVERYTHING down. I attributed it to stress and post-menopausal menobrain.

Nothing improved and eventually I ended up with full-body pain, which is where I am now. My muscles cramp and my bones ache. I tried more exercise (which is what everyone suggested) and that made it worse, so I took two months off from that and just did physical therapy. It still got worse. The doctor ordered an MRI, which showed facet joint arthritis, in addition to knee and hand osteoarthritis that we knew about.

My doctor said to just take Tylenol (acetaminophen). After I picked my jaw up from the floor, I started wondering how something so life-changing would be judged as innocent enough as to be helped by acetaminophen. (I also wondered if acetaminophen was even safe for someone who had had Hep C.)

It wasn't until then that the words "post-interferon syndrome" popped up in my brain. I had read about it before, but didn't think it applied to me. My 8 months of treatment weren't that bad. Yes, I just went to work and slept and had to put my whole life on hold, but the doctor prescribed medicine for the nausea and any other side effects that I mentioned.

But here I am, almost 20 years past treatment, and I'm beginning to wonder. I am thankful that I have a liver left, and I realize that it might have been impossible to forecast such long-term effects, so I'm not angry. But I *am* frustrated by this chronic pain. I also worry that my doctors think I'm a big baby since they can't see reasons for the amount of pain I'm in.

I use a topical CBD cream, which seems to help, and sometimes also CBD drops. The problem with that is that is doesn't last. Every 3-4 hours the pain returns. I recently bought a CBD patch, which I'll be trying soon. CBD, of course, isn't covered by insurance, and I'm not working. The other less-expensive options (ice, heat, TENS unit, menthol rub, lidocaine rub) don't work as well or last as long, but they do help my medical expenses. Prescription lidocaine patches also help, but this is an off-label usage, so it's hard to get them prescribed. My doctor had me try Cymbalta, but stopped the trial because it wasn't showing any effect.

I'm curious to see how many others are around 20 years post-treatment and if you have chronic muscle, bone, and nerve pain -- I think I saw a few posts here -- and how you're dealing with it.

Mar2a

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Replies to "[Correction: I had interferon alpha 2b, not 2a, and yes, it was daily Rebetol.] Hi, I..."

Hi Mar2a,
Although my symptoms are different than ours I wanted to reach out. My illness was caused by an test interferon, ribaviron, bocevivir experimental HepC treatment I underwent in 2007. It was a terribly toxic treatment and I finally dropped out of the study after 11 months. I was clear of the virus in 60 days and remain clear. However, I have been severely symptomatic (see above message) since June of 2014.

It is my understanding that "post interferon syndrome" is in the basket of disorders often designated as ME/CFS and fibromyalgia. I have treated my disease accordingly with mixed results. I suffer severe relapses after exceeding my limited exertional capacity. Because of the progressive nature of the illness and my increasingly weakening state, my relapses now last as long a 5-6 weeks. PEM or "Post Exertional Malaise" is the overriding, unifying diagnostic that all ME´s share. It sounds as though you too suffer from this. It is unfortunate that even some higher authorities in the medical profession still recommend exercise to treat our disease - the one thing that conclusively makes us sicker!

You have probably realized that there are very few doctors that have any understanding of disorders like ours. We have to be our own advocates which requires effort that few of us have the capacity for. Nevertheless, we carry on... combing the internet for new information, experimenting with supplements to support our compromised systems, trying out different pharmaceuticals to aid sleeping and mitigate our discomfort.

I support your efforts to better understand and treat your disease and am happy to share my experience if it can be at all helpful.

C.K

PS If you haven´t already discovered healthrising.org please take a look. Founder, Cort Johnson, does an amazing job keeping us current with developments in the ME Fibro world.