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Mebendazole given as a single dose of 500 mg every 2 hours for a total of 10 weeks (5). Hepatitis C virus is most often transmitted via sexual contact. Risky behaviors include male homosexual or bisexual contact, heterosexual contact with partners known to be infected with the virus (e.g., high school or work classmates cohabitors), and male sexual partners of women with the virus. However, many Where can i buy clomid australia infected persons are asymptomatic, have asymptomatic viral titers, or a low level of virus (i.e., undetectable), making it difficult to determine the specific risk factors that increase (i.e., of canada drug store pharmacy infection). These factors include the person's prior exposure to virus (e.g., a sexual partner, injection-drug user, or person recently in contact with a person the virus) and their immune status (e.g., immunosuppressive medications, chemotherapy, or a recent transfusion). Treatment In the United States, approximately 1 in 3 new infections are caused by HCV (6, 7). With the use of new-generation therapy and new diagnostic tests in the United States and Europe, new treatment options are available for treating people with chronic disease. The recommended treatment regimen consists of 1 or more antiviral agent that inhibits HCV replication. Most antiviral drugs have specific antiretroviral therapy activity and are categorized based on this activity. Antivirals are also classified according to whether they block HCV replication directly, inhibit by indirect means, or HCV in part, primarily by blocking viral binding to HCV receptors (8, 9). Table 2 lists antiviral agents approved by the U.S. Food and Drug Administration (FDA) as first-line treatment for HCV infection in healthy persons and as possible options for treating patients with chronic hepatitis C ( ). Table 2 Therapeutic Agent/Class Agent/Class(s) First-Line Treatment (IM) Recommended (IM/PRN) for HCV patients with chronic (IM/PRN 1): 1 or 2 courses of 2-drug therapy: Crixivan, Harvoni, Viekira Pak 2nd-Line Treatment (NLL) Crixivan, Harvoni, Viekira Pak, or Ritonavir 1st-Line Treatment (ALT) Crixivan, Harvoni, or Viekira Pak 1st-Line Treatment (NML/NMLP) Cipro, Harvoni, Viekira Pak, or Ritonavir for the treatment of HCV infection in patients with chronic HCV infection (NML1), if NML/nMLP has no activity against HCV; if NML/nMLP has activity against HCV but is less than 100% active against HCV RNA or TCID 50 values > 10 IU/mL; and Crixivan has a negative predictive value of < 60% 1st-Line Treatment (NRTI) Ciplight, Ciprofloxacin, Doxycycline, or Zepatier for patients with chronic HCV infection, especially in persons of any race who are taking HIV protease inhibitors, if NRTI has no activity against HCV or if NRTI activity has decreased >40% from 1 year before treatment (NRTI NCL/NRL/NCLP < 100 IU/mL or NRTI for HIV protease inhibitors; < 100 IU/mL and 70 for nNRTIs) NRL/NCLP > 40 IU/mL 1st-Line Treatment (NBI) Azithromycin, Erythromycin, Moxifloxacin, Norfloxacin, Motrin, or Vibramycin if NBI has no activity against HCV 1st-Line Treatment (BII) Lamivudine, Fosamprenavir, or Rebif if < 30% of total HCV RNA in serum is <10,000 Copy/mL 1st-Line Treatment for Adults (LTI) Ciprofloxacin, Doxycycline or Aztreonam Ritonavir 1. If LTI, use as first-line treatment if NCL or NCLP < 150 IU/mL; if ≤ IU/mL, use as 1st-line treatment long NCL/nCLP < 100 IU/mL; if ≥ IU/mL, treat with 1st-line treatment only if NCL/nCLP < 50 IU/mL or HCV TCID < 70 mg/mL or the patient: was on NBI or initiated < 6 months.

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