Co Prescribing Hepatitis C Medications
With the availability of new Hepatitis C medications on the Pharmaceutical Benefits Scheme (PBS), affordable treatment possibilities have opened up for those living with Hepatitis C.
If you have patients with Hepatitis C please contact me so I can offer consultative assistance and a co-prescribing service for these patients.
Hepatitis C Referral Pathway
The Royal Hobart Hospital (RHH)
Hepatitis C page:
To review the Hepatitis C referral pathway through the Tasmanian Health Service:
Estimated duration of HCV infection
Previous HCV treatment experience e.g. date, regimen and response
Co factors for liver disease progression:
virological cofactors (HIV, HBV)
Current and past renal disease
Ischaemic heart disease or cardiovascular risk factors
Vaccinations history especially for Hepatitis A and B
Physical and psychiatric comorbidities
Ongoing risk factors for viral transmission and reinfection
Social issues such as potential barriers to medication adherence
Concomitant medications including prescription, over-the-counter and illicit drug use
Features of cirrhosis such as hard liver edge, spider naevi, leukonychia
Features of decompensation or portal hypertension, e.g. jaundice, ascites, oedema, bruising, muscle wasting, encephalopathy
Weight and BMI
For Patients with Irritable Bowel Syndrome (IBS) Symptoms
e.g. alternating diarrhoea and constipation, abdominal bloating and/or pain, flatus
You may like to consider a low FODMAP diet for your patients with suspected IBS as this has shown to be effective in the majority of IBS patients. Feel free to contact me to discuss or refer for review.
Clcik here to read more on the low FODMAP diet
EMERGENCY CONDITIONS / SYMPTOMS
- Upper gastrointestinal tract haemorrhage (e.g. haematemesis and/or melaena)
- Suspected bowel obstruction (vomiting and distension with constipation)
- Suspected acute, severe or fulminant hepatic failure.
For more information click here
For private patients requiring non-urgent review or management please liaise with me on (03) 6228 0291 or for public patients on (03) 6166 8308
Colonoscopy Referral for Public Patients
The current wait list times for those patients who wish to access services through the Royal Hobart Hospital (RHH) can be substantial. See here for the latest estimated wait times
All referrals are triaged and appointments are provided based on clinical priority. Some patients may be suitable for direct access endoscopy – if this is the case you will receive notification from the Endoscopy Booking Office that your patient has been placed on the Endoscopy Waiting List.
Endoscopy Waiting List
If you have a patient currently waiting on the Endoscopy Waiting List and you wish to discuss their current waiting time or have concerns re their clinical status please contact: Endoscopy Liaison Coordinator Phone: (03) 6222 8367 during business hours
For other endoscopy enquires please phone (03) 6222 8605 during business hours