DOCTOR'S VIEWS ARCHIVE
Dr. Edward Block:
Absolutely people who are drinking alcohol are not candidates for treatment. Excess alcohol consumption reduces the response rate. (Alcohol also aggravates liver damage). Furthermore, there are problems with depression, and problems with compliance. We are not optimistic that this group of patients are going to be able to follow this difficult course of treatment.
We have also learned that people with renal (kidney) insufficiency or advanced kidney disease may have problems with treatment. These people have to be considered individually and carefully as they can have very serious side effects to treatment, particularly to the ribavirin pill.
There are some relative contraindications because certain people would have possible problems with treatment. They are: