Safety of direct antiviral agents in the management of hepatitis C.

Abstract:

INTRODUCTION:Hepatitis C virus is a hepatotropic virus that generally leads to chronic hepatitis and various harmful sequelae. The lone standard of treatment has been pegylated interferon and ribavirin, which produces a modest response and many side effects. However, a new era of management was declared with the introduction of various directly acting antiviral agents. Areas covered: Recent direct antiviral agents (DAAs) primarily target the non-structural proteins of the virus and affect its replication. These agents successfully achieve a sustained virologic response. However, some serious side effects were reported, which may or may not be drug-related effects. Important drug-drug interactions were also reported. The treating physician should be reasonably familiar with these effects. We review the safety profile of these agents in the management of HCV. Expert opinion: Cautious concomitant drug intake is necessary for the new HCV therapies. Future HCV management will depend on interferon-free and likely ribavirin-free regimens. The co-administration of direct antiviral agents of different classes increases the probability of side effects and drug-drug interactions.

journal_name

Expert Opin Drug Saf

authors

El Kassas M,Elbaz T,Hafez E,Esmat G

doi

10.1080/14740338.2017.1240781

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1643-1652

issue

12

eissn

1474-0338

issn

1744-764X

journal_volume

15

pub_type

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