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Published on: May 10, 2022
Complementary and alternative medications in hepatitis C infection
Dina L Halegoua-De Marzio1, Jonathan M Fenkel1
1Dina L Halegoua-De Marzio, Jonathan M Fenkel, Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, United States.
Insights
Complementary and alternative medications show potential for treating chronic hepatitis C (CHC) but require careful safety evaluation due to possible drug-induced liver injury and interactions with conventional therapies.
Area of Science:
- Hepatology
- Virology
- Pharmacology
Background:
- Chronic hepatitis C (CHC) affects nearly 3% of the global population, potentially leading to severe liver conditions like cirrhosis and cancer.
- Traditional treatments (pegylated interferon and ribavirin) have limited efficacy and significant side effects, driving interest in alternative therapies.
- Complementary and alternative medications (CAM) are being explored for hepatitis C management, with some showing therapeutic promise.
Purpose of the Study:
- To review and evaluate natural molecules that impact the hepatitis C virus (HCV) life cycle.
- To discuss the potential therapeutic use and safety profiles of these natural molecules in HCV therapy.
- To highlight critical interactions between conventional medical treatments and CAM for hepatitis C.
Main Methods:
- Literature review of natural molecules targeting the HCV life cycle.
- Evaluation of published data on the efficacy and safety of CAM in CHC.
- Analysis of drug-drug interactions between CAM and standard hepatitis C treatments.
Main Results:
- Certain natural molecules demonstrate interaction with the hepatitis C virus (HCV) life cycle, suggesting therapeutic potential.
- Some CAM may offer benefits in managing chronic hepatitis C (CHC).
- A subset of CAM carries a risk of causing drug-induced liver injury and may interact with conventional treatments.
Conclusions:
- Natural molecules present a potential avenue for novel hepatitis C therapies.
- Careful consideration of safety, efficacy, and drug interactions is crucial when integrating CAM into CHC management.
- Further research is warranted to fully understand the role and risks of CAM in hepatitis C treatment.
Abstract:
Chronic hepatitis C (CHC) infection affects almost 3% of the global population and can lead to cirrhosis, liver failure, and hepatocellular carcinoma in a significant number of those infected. Until recently, the only treatments available were pegylated interferon and ribavirin, which traditionally were not very effective and have considerable side effects. For this reason, interest in complementary and alternative medications (CAM) in the management of hepatitis C has been investigated. Some CAM has demonstrated therapeutic potential in chronic hepatitis C treatment. Unfortunately, some CAM has been shown to have the potential to cause drug-induced liver injury. This article will review and evaluate many of the natural molecules that interact with the hepatitis C virus (HCV) life cycle and discuss their potential use and safety in HCV therapy, as well as highlight some important interactions between medical and complementary treatments.
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