1986-1990 HEPATITIS C CLAIMS CENTRE
HCV MEDICATION LIST FOR MEDICAL CONDITIONS ASSOCIATED
WITH DISEASE LEVEL 6*
Listed below are medications currently available and generally accepted by the medical community for the treatment of the seven (7) medical conditions associated with disease level 6. This list was compiled in consultation with a number of HCV medical specialists and reflects medications that may be recommended or prescribed for persons infected with HCV.
*This list shall be periodically updated in consultation with HCV medical specialists, at the Administrator's discretion.
Disease Level 6 Medication List |
|||
LIVER
|
THERAPEUTIC CLASS |
GENERIC NAME
|
BRAND NAME |
Immunosuppressive Therapy |
Azathioprine |
Imuran Neoral/Sandimmune CellCept Apo-Prednisone Prograf |
|
Antifungals | Caspofungin Fluconazole Itraconazole Ketoconazole Nystatin Voraconazole |
Cancidas |
|
Antivirals | Acyclovir Famciclovir Ganciclovir Oseltamivir Phosphate Pegylated Interferon alfa-2b-Ribavirin Ribavirin, Interferon, alfa 2bValacyclovir Hydrochloride Zanamivir |
Zovirax Famvir Cytovene Tamiflu Pegetron Rebetron Valtrex Relenza |
|
Sulfonamides and Trimethoprim | Sulfamethoxazole | Bactrim DS | |
Gastroduodenal Cytoprotective Agents | Aluminum Hydroxide Cimetidine Famotidine Lansoprazole Magnesium Hydroxide Nizatidine Omeprazole Magnesium Pantoprazole Sodium Ranitidine Hydrochloride Sucralfate |
Gaviscon |
|
Supplements | Calcium Carbonate Calcium Gluconate Iron Dextran Ferrous Fumarate Magnesium Magnesium Chloride Multi-Vitamins Potassium Chloride |
Caltrate Calcium Gluconate Dexiran/Infufer Ferrous Sulphate/Palafer Magnesium-Rougier/ Slow-Mag Centrum Slow-K |
|
Pain Medications | Acetaminophen/Caffeine/
Codeine Phosphate Acetaminophen Hydromorphone Hydrochloride Morphine Sulphate Pentazocine Hydrochloride |
Tylenol with Codeine Tylenol Dilaudid Morphine Talwin |
|
DECOMPENSATION
|
ASCITES | DIURETICS Furosemide Hydrodiuril Spironolactone |
Lasix Hydrochlorothiazide Aldactone |
HEPATIC ENCEPHALOPATHY |
Lactulose | Laxilose | |
VARICEAL BLEEDINGAS A RESULT OF PORTAL HYPERTENSION | Phytonadione Somatostatin ANTIHYPERTENSIVE Acebutolol Hydrochloride Atenolol Carvedilol Esmolol Hydrochloride Hydrodiuril Metoprolol Tartrate Nadolol Pindolol Propranolol Hydrochloride Terazosin Hydrochloride Timolol Maleate |
Vitamin K Injections Stilamin Sectral Tenormin Coreg Brevibloc Hydrochlorothiazide Lopresor Corgard Visken Inderal Hytrin Timolide |
|
Chemotherapy Treatment | EXAMPLES Cyclophosphamide Dexamethasone Doxorubicin Hydrochloride Methotrexate Prednisone Vincristine Sulfate |
Cytoxan Maxitrol Adriamycin Methotrexate Apo-Prednisone Oncotice |
|
Medications Related to Treatment | Calcium Folinate Chlorambucil Dolasetron Mesylate Epoetin alfa Filgrastim Granisetron Hydrochloride Ondansetron Hydrochloride |
Leucovorin Leukeran Anzemet Eprex Neupogen Kytril Zofran |
|
Immunosuppressive Agents | Azathioprine Chlorambucil CORTICOSTERIODS Betamethasone Cortisone Cyclophosphamide Hydrocortisone Interferon alfa 2B Methylprednisolone Triamcinolone |
Imuran |
|
Nonsteroidal Anti-Inflammatory Agents | Celecoxib Diclofenac Sodium Ibuprofen Indomethacin Ketoprofen Ketorolac Naproxen Piroxicam Rofecoxib Tolmetin Sodium |
Celebrex Voltaren Motrin Indocid Orudis Toradol Naprosyn Feldene Vioxx Tolectin |
|
Dietary Supplements | Calcium Carbonate Calcitriol Iron Dextran |
Caltrate Rocaltrol Dexiron |
|
Erythropoiesis Regulating Hormone | MEDICATIONS Epoetin Alfa |
Eprex |