ICMR

1
The rational therapy of HCV infection and liver
diseaseDr BN TandonNoida

• ICMR
• Digestive Diseases Foundation
• Sponsored by LG Chemicals

2
Approach to management

• Rational, optimal and effective
• Highly scientific publication oriented
• Commercial oriented

3
Observed irrational approach in clinical practice
for HCV management in India

• Unwarranted investigations
• quantitative RNA
• genotyping
• iron, thyroid and autoantibodies
• Repeated investigations
• Unwarranted high cost therapy, specially in mild
  disease and established cirrhosis
• Repeated visits and no interaction with family
  consultants