Shanferon  [FAQS]
 
1 What is Interferon?
2 How It Works?
3 What is Interferon used for?
4 How Well It Works in Hepatitis B?
5 What is hepatitis C?
6 How is HCV spread from one person to another?
7 What is the treatment for chronic hepatitis C?
8 What are the side effects of combination (ribavirin + interferon) treatment?
9 Can anything be done to reduce symptoms or side effects due to antiviral treatment?
10 What is chronic leukaemia?
11 What are the symptoms of chronic leukaemia?
12 How is Interferon given?
13 What are the side effects of Interferon?
14 What happens if I miss a dose?
15 What happens if I overdose?
16 What other drugs will affect interferon alfa-2b?
   
1. What is Interferon?  
 

Interferon alfa is a protein, cytokine that belongs to a general class of synthetic substances called biological response modifiers. Interferon is a protein that is part of the body s Immune system that "inteferes" with the growth of viruses or cancer cells. It is used to treat several cancers including hairy cell leukemia and Kaposi’s sarcoma. Other forms of interferon, such as Interferon beta and gamma, are used for non-cancer conditions. Several forms of interferon are still being investigated.
 
     
2. How It Works?  
 
Interferon alfa-2b is an injection that slows the ability of the hepatitis B virus (HBV) to multiply in the body and boosts the body's natural immune system. Interferons are a complex family of proteins produced by the body that boost its ability to fight disease. Interferon alfa-2b is given by injection; treatment usually lasts 4 months.
 
 
 
     
3. What is Interferon used for?  
     
  Cancer of the blood, characterized by an increased number of granulocytes in the blood(Chronic Myeloid Leukemia-CML)  
  Cancer of the lymph nodes  
  Hairy cell leukemia  
  Hepatitis B or C  
  Kaposi’s sarcoma  
  Kidney cancer  
  Skin cancer  
     
4. How Well It Works in Hepatitis B?  
 


Treatment for HBV infection is considered successful if blood tests show that the virus is no longer multiplying in the body (measured by a loss of HBV DNA or a specific HBV antigen [HBeAg]), if liver enzyme levels return to normal, and if liver damage (such as inflammation and scarring) improves. In people with a specific HBV antigen (HBeAg-positive), taking interferon for 12 to 24 weeks resulted in:

 
  A loss of viral growth (undetectable HBV DNA levels) in 37% of those using it, compared to 17% of those using a placebo.  
  Loss of viral growth (undetectable HBeAg levels) in 33% of those using it, compared to 12% of those using a placebo.  
  A return to normal levels of liver enzymes in 23% more of those using it than those using a placebo.  
  In people without this HBV antigen (HBeAg-negative), taking interferon resulted in:  
  A loss of viral growth (undetectable HBV DNA levels) and normal liver enzymes in 38% to 90% of those using it, compared to 0% to 37% using a placebo.  
  It works best in individuals whose blood tests show high levels of liver enzymes (such as alanine aminotransferase) and in whom the virus is multiplying. Other factors help predict who is likely to respond to interferon. Interferon is more likely to be effective in people who have a strong immune system, who have had hepatitis for a short amount of time, and who acquired HBV infection after childhood.  
  Relapse (the virus starts to multiply again) is common in HBeAg-negative people. About half of HBeAg-negative people who use interferon have a relapse after medication is stopped, and relapses can occur up to 5 years after stopping.  
     
5. What is hepatitis C?  
 

Hepatitis C is a liver disease caused by the hepatitis C virus (HCV), which is found in the blood of persons who have this disease. HCV is spread by contact with the blood of an infected person.
 
     
6. How is HCV spread from one person to another?  
 

HCV is spread primarily by direct contact with human blood. For example, you may have gotten infected with HCV if:
 
 
You ever injected street drugs, as the needles and/or other drug "works" used to prepare or inject the drug(s) may have had someone else's blood that contained HCV on them.
 
 
You received blood, blood products, or solid organs from a donor whose blood contained HCV.
 
 
You were ever on long-term kidney dialysis as you may have unknowingly shared supplies/equipment that had someone else's blood on them.
 
 
You were ever a healthcare worker and had frequent contact with blood on the job, especially accidental needle sticks.
 
 
Your mother had hepatitis C at the time she gave birth to you. During the birth her blood may have gotten into your body.
 
  You ever had sex with a person infected with HCV.  
 
You lived with someone who was infected with HCV and shared items such as razors or toothbrushes that might have had his/her blood on them
 
  His/her blood on them.  
       
7. What is the treatment for chronic hepatitis C?  
 
Antiviral drugs such as interferon used alone or in combination with ribavirin, are approved for the treatment of persons with chronic hepatitis C.
 
 
Interferon works in 10 to 20 persons out of 100 treated. Interferon combined with ribavirin works in about 30-40 persons out of 100.
 
  Ribavirin, when used alone, does not work.  
       
8. What are the side effects of combination (ribavirin + interferon) treatment?  
 
In addition to the side effects, ribavirin can cause serious anemia (low red blood cell count) and can be a serious problem for persons with conditions that cause anemia, such as kidney failure.
 
 
Anemia caused by ribavirin can be life threatening for persons with certain types of heart or blood vessel disease.
 
 
Ribavirin causes birth defects and pregnancy should be avoided during treatment. Patients and their healthcare providers should carefully review the product manufacturer information prior to treatment.
 
     
9. Can anything be done to reduce symptoms or side effects due to antiviral treatment?  
 
Giving interferon at night or lowering the dosage of the drug may reduce some side effects.  
  In addition, taking acetaminophen before treatment can reduce flu-like symptoms.  
     
10. What is chronic leukaemia?  
 

Leukaemia literally means ‘many white cells in the blood'. The white cells are part of the body’s immune system, and there are several sub-groups of white cells that have different sorts of roles in recognising and dealing with ‘invaders’ such as bacteria and viruses as well as other types of foreign protein. All of the blood cells originate in the bone marrow and leukaemia (blood cancer) is a disease where the bone marrow produces large numbers of abnormal white cells. This means that the normal marrow is pushed into smaller and smaller areas. This results in fewer normal cells being produced and gives rise to some of the symptoms. Chronic leukaemia is a slowly progressive form of leukaemia and tends to involve more mature cell types. It may not need treatment immediately, but if treatment is required it is usually chemotherapy, given in the form of tablets.
 
     
11. What are the symptoms of chronic leukaemia?  
 

It is possible to have chronic leukaemia for months or even years without knowing
 
  The symptoms are varied, but many people notice  
  tiredness ( due to anaemia)  
  bruising easily (often without having had any blow or fall)  
  repeated infections  
  enlarged lymph glands  
  weight loss  
  night sweats  
  fever.  
       
12. How is Interferon given?  
 

Interferon alfa is given by an injection under the skin, in a vein, or in a muscle. You or a family member can be taught how to give the medicine under the skin. The medicine should be kept in its original container in the refrigerator. The dose and the number of doses depend on your weight and the cancer being treated. Keep the syringes, needles, and supplies in a safe place, out of the reach of children and pets. Keep the used syringes and needles in a special sharps container. Ask your nurse or doctor about this, and when you should bring the filled container back to the office.
 
     
13. What are the side effects of Interferon?  
 

Interferon has a range of possible side effects.
 
  Common side effects include:  
  Flulike symptoms, including headaches.  
  Extreme weariness (fatigue).  
  Muscle aches.  
  Fever.  
  Hair loss.  
  Depression and other mood disorders.  
  Decreased number of platelets (cells that cause blood to clot).  
  Decreased white blood cell count  
  Rare side effects include:  
  Thyroid problems.  
  Confusion.  
  Excessive amounts of protein in the urine, indicating poor kidney function.  
  Heart problems.  
14. What happens if I miss a dose?  
 

Use the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and use only the next regularly scheduled dose. Do not use a double dose of this medication.
 
     
15. Who should get vaccinated?  
 

Seek emergency medical attention. Symptoms of an interferon alfa-2b overdose are not known.

 
     
16. What other drugs will affect interferon alfa-2b?  
 

Before using this medication, tell your doctor if you are taking theophylline. Interferon alfa-2b may increase theophylline levels in the body, which could become dangerous. Drugs other than those listed here may also interact with interferon alfa-2b. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.