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Can sovaldi and ribavirin be given to patients with 20000 platelet counts?

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Stephen Treloar 1 Jun 2014

The platelet count is incredibly low and is just one of many indicators of very severe liver disease or very poor liver function in those with HCV. As Ribavirin can affect liver function, you may have a real problem in a severely compromised organ (especially in this case where it looks like poorly compensated failure already). Platelet transfusions would be needed at the least. So while it represents a potential cure you have to be healthy enough still to tolerate it. A regime using pegylated interferon would definitely be out of the question.
I suspect it may be too late to commence treatment but would not say for sure without knowing INR or PT (blood clotting time), billirubin levels, albumin levels and to a lesser extent creatinine levels to determine the condition of the Liver. A red blood exam might be useful also but not really needed

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