Maine Hepatitis Resources

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Maine


Contacts

  • Hepatitis C: Mary Kate Appicelli
    Phone: 207-287-3817

  • Immunizations: Jiancheng Huang
    Phone: 207-287-5716

  • Hepatitis B: Jiancheng Huang or Alexander Dragatsi
    Phone: 207-287-4466

  • Vaccinations for Children: Karen Damren
    Phone: 207-287-3746

Hepatitis Treatment


Hepatitis/HIV Treatment Information


The links to the top left are for Maine agencies that provide hepatitis vaccinations, track hepatitis infections and coordinate statewide activities in their state. Other links provide information, educational resources and referrals for people who are both HIV and hepatitis co-infected as well. If you have any questions or updates or comments please e-mail The Network at network@atdn.org or theaccessproject@atdn.org

  • State and National Resources - Maine specific contact information for different programs through which you can access a variety of services. This page also includes national resources, and links to other sources.

  • Treatment and Care Networks Providers : Maine has agencies and organizations that can either provide or refer you to a case manager or a health care provider. The participating agencies are listed, as are some other resources.

  • Accessing Treatments and other Resources : Maine has a list or formulary of drugs and other services they cover through ADAP and other programs.Other potential sources of treatments for people with HIV or Hepatitis are also listed.

  • Hepatitis Resources : Maine has statewide Hepatitis vaccination programs, and covers some treatments for hepatitis B and Hepatitis C through their program.

Hepatitis - Preventive Vaccines and Treatments

The good news is that you can and should get vaccinated against hepatitis A (HAV) and hepatitis B (HBV). There are programs that offer these vaccines for free, or at a very low price. They are covered by most health care plans and government programs.

If you have hepatitis that did not go away when you first contracted it (that's called chronic hepatitis), the good news is that the number of existing and new treatments being tested for the treatment of hepatitis and its complications (such as diabetes or cancer) has really increased just in the last few years. Pretty much everyone agrees that getting treated before your liver becomes damaged is better than waiting until later. But getting Hepatitis A and B vaccinations - if you already haven't had those diseases - and connecting with a doctor or health care team with experience is the first thing you need to do after getting tested. This may be the same doctor who tested you for hepatitis, in some cases, but a specialist called a hepatologist or GI doc (gastroenterologist) is usually brought in as well.

Every case of hepatitis is different depending on many factors. Your age, sex, weight, the condition of your liver (including fibrosis, cirrhosis or fatty liver), the type of hepatitis you have, the number of CD4 cells you have, your race, if you also have HIV or another type of Hepatitis, and even the genotype of hepatitis you have could all affect whether you start treatment now or later, and what you take. Find a doctor or health care team who will make recommendations on what to do based on your personal health and history. Plan out your treatment support team with the help of your health care and support providers, as well as any friends and family who might want to be involved.

The ways that Hepatitis B (HBV) and Hepatitis C (HCV) are treated can be similar or very different, but one of the very exciting signs that your treatment has worked is if you have an improvement in the actual physical condition of your liver (histology). Reducing your hepatitis viral load below detection and improving your liver enzymes are also both very big accomplishments. We'll keep you informed of both approved and experimental treatments, including which ones have been tested and approved for people who are co-infected with HIV.

We urge you to at least start thinking about the condition of your liver, and whether you should start treatment.

Approved Hepatitis B Treatments

  • entecavir (Baraclude)
  • lamivudine (Epivir-HBV)
  • interferon alfa-2b (Intron A)
  • adefovir dipivoxil (Hepsera)
  • peginterferon alfa-2a (Pegasys)
  • telbivudine (Tyzeka)

Approved Hepatitis C Treatments

  • interferon alfa-2b (Intron A)
  • recombinant interferon alfa-2a (Roferon)
  • consensus interferon or interferon alfacon-1 (Infergen)
  • peginterferon alfa-2a (Pegasys)
  • peginterferon alfa-2b (PEG-Intron)
  • peginterferon alfa-2a (Pegasys) + ribavirin (Copegus)
  • peginterferon alfa-2b (PEG-Intron) + ribavirin (Rebetol)
  • interferon alfa-2b (Intron A) + ribavirin (Rebetol)
  • recombinant interferon alfa-2a (Roferon A) + ribavirin
There are many factors involved in your decisions and we recommend you find out everything you can about your liver and hepatitis, then contact The Network or another organization or your doctor and start asking questions. You could even prevent liver cancer and avoid a lot of complications in the near or distant future. Not knowing you have chronic hepatitis or another liver condition works against you in many ways.

The links to the top left are for Maine agencies that provide hepatitis vaccinations, track hepatitis infections and coordinate statewide activities in their state. Other links provide information, educational resources and referrals for people who are both HIV and hepatitis co-infected as well. If you have any questions or updates or comments please e-mail The Network at network@atdn.org or theaccessproject@atdn.org

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Last modified: 5/19/07
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