Anemia and Fatigue : Handling Hep - by Liz Highleyman

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Back to home » HIV 101 » POZ Focus » Anemia and Fatigue

Table of Contents

Up, Up and Away

Tiredness Test

Tips To Turbocharge

Acing Anemia

Beating The Blues

Hormone Hoo-ha

Handling Hep

Lifestyle Lift

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The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV


Handling Hep

by Liz Highleyman

One of the most common bugs affecting people with HIV can be a real drag

Fatigue is one of the characteristic symptoms of viral hepatitis, a disease that is no minor matter to people with HIV: As many as 30% of HIV positive people also have chronic hep C, known as coinfection (about 10% have hep B). Among certain groups, such as injection drug users, the coinfection rate can be as high as 90%.

Ironically, getting treatment for hepatitis can also bring on extreme tiredness. People taking the drugs that treat it—interferon and ribavarin—are at risk for developing depression and/or anemia, both of which, can cause fatigue.

So what’s the best way out of this treatment catch-22? Your doc can lower your interferon or ribavirin doses, but doing so lowers your chances of being cured. A better way is to take antidepressants along with interferon or ribavirin (see “Beating the Blues”) or even before you start. If your hep treatment is causing anemia, a drug called Procrit can boost your red blood cells (see “Acing Anemia”).

If you’re not sure you have been tested for hep C, see your doctor: Every person with HIV should get tested for this debilitating bug—if it’s not treated hep C can cause serious damage to your liver and even cause liver failure. And if you’ve been treated for hep C and successfully “cleared” the virus, don’t forget: You can get it again. (Injection drug use is the most common way.) For more info on hep C, check out these sites: and

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