18. Treating HCV in People Who Inject Drugs

Addiction Medicine Journal Club

In episode 18 we discuss the Hepatitis C Real Option (HERO) Study about two different models of HCV treatment in people who inject drugs.

Litwin AH, Lum PJ, Taylor LE, Mehta SH, Tsui JI, Feinberg J, Kim AY, Norton BL, Heo M, Arnsten J, Meissner P, Karasz A, Mckee MD, Ward JW, Johnson N, Pericot-Valverde I, Agyemang L, Stein ES, Thomas A, Borsuk C, Blalock KL, Wilkinson S, Wagner K, Roche J, Murray-Krezan C, Anderson J, Jacobsohn V, Luetkemeyer AF, Falade-Nwulia O, Page K; HERO Study Group. Patient-centred models of hepatitis C treatment for people who inject drugs: a multicentre, pragmatic randomised trial. Lancet Gastroenterol Hepatol. 2022 Dec;7(12):1112-1127. https://doi.org/10.1016/S2468-1253(22)00275-8.

Want to learn how to treat HCV?

• HEPCONNECT
• AASLD/ISDA Guidelines
• National Harm Reduction Coalition
• Hepatitis C Online

We also discuss making naloxone nasal spray over the counter, and the increasing number of poisonings from cannabis products.

We also want to share some links relevant to episode 16, about in-jail treatment of opioid use disorder. The research was from an organization called JCOIN, which provides resources for those who study opioid use disorder in justice-involved settings. There will also be a new paper coming out by the authors, from the NIH-HEAL Initiative.

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Episode 18 Credits:

• Original theme music: composed and performed by Benjamin Kennedy
• Audio production: Erin McCue
• Video production: Paul Kennedy
• Executive Producer: Patrick Beeman
• A podcast from Ars Longa Media

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This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.

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Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities.