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Cure with ledipasvir/sofosbuvir for chronic hepatitis C virus in an individual with gastric bypass
S W Johnson1,2, A L Teachey1, S M Valanejad2
1Department of Pharmacy, Novant Health Forsyth Medical Center, Winston-Salem, NC, USA.
Insights
Ledipasvir/sofosbuvir (LDV/SOF) effectively cured chronic hepatitis C in a patient with a history of gastric bypass surgery. This suggests LDV/SOF may be a viable treatment option for such patients.
Area of Science:
- Hepatology
- Gastroenterology
- Pharmacokinetics
Background:
- Gastric bypass surgery alters medication pharmacokinetics.
- Limited data exist on ledipasvir/sofosbuvir (LDV/SOF) treatment in patients with prior gastric bypass.
Observation:
- A case report details a patient with a history of gastric bypass who underwent treatment for chronic hepatitis C.
- The patient received LDV/SOF and experienced a successful cure.
- Treatment was well-tolerated, with only a minor headache reported.
Findings:
- Ledipasvir/sofosbuvir (LDV/SOF) achieved a sustained virologic response in a patient with a history of gastric bypass.
- The patient tolerated the medication regimen without significant adverse events.
Implications:
- Ledipasvir/sofosbuvir treatment appears effective and safe in patients with a history of gastric bypass.
- These findings support the use of LDV/SOF in this specific patient population.
- Further research may be warranted to confirm efficacy and safety in a larger cohort.
What Is Known And Objective:
The impact of gastric bypass surgery on the pharmacokinetics of various medications has been reported. Presently, no data exist for the treatment of chronic hepatitis C virus with ledipasvir/sofosbuvir (LDV/SOF) in an individual with a history of gastric bypass.
Case Description:
We report the successful cure of an individual who was treated with LDV/SOF who had a history of gastric bypass. The patient tolerated LDV/SOF well while only experiencing a minor headache.
What Is New And Conclusion:
Ledipasvir/sofosbuvir treatment may still be effective in those with a history of gastric bypass surgery.
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