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Dr Usman Javaid
Dr Usman Javaid
Gastroenterologist
Liver & Hepatology

Hepatitis C — treatment in Lahore

Also known as: HCV · Hepatitis C Infection · Chronic Hepatitis C

Hepatitis C is a viral infection of the liver caused by the Hepatitis C Virus (HCV). Modern direct-acting antiviral therapy now cures over 95% of patients within 8–12 weeks of treatment.

Dr Usman Javaid
Medically reviewed
Dr Usman Javaid · MPH, FRSPH (UK)
Last reviewed
Evidence-based

Dr Usman is certified in Hepatitis C Management by the Royal College of Physicians.

Overview

Modern direct-acting antivirals have transformed Hepatitis C from a chronic illness to a curable one. We test, stage, and treat — and follow up to confirm sustained virologic response.

Pakistan has one of the highest Hepatitis C prevalence rates globally (estimated 7%)
Most people with chronic Hep C have no symptoms until late-stage disease
Dr Usman is certified in Hepatitis C Management by the Royal College of Physicians (RCP), UK
Modern DAA cure rates are >95% — and treatment is far simpler than the old interferon regimens

Signs & symptoms of Hepatitis C

If you recognize one or more of these, it may be worth a consultation:

  • Most patients are asymptomatic until late
  • Fatigue, mild discomfort
  • Often detected during screening or for liver enzyme elevation

Causes & risk factors

Several factors can contribute to Hepatitis C. Identifying yours guides the treatment plan.

  • Unsafe medical injections — a leading cause in Pakistan
  • Reused or shared syringes
  • Blood transfusions before universal screening
  • Tattoos, piercings, dental work in unregulated settings
  • Sharing razors or toothbrushes
  • Less commonly: mother-to-child or sexual transmission

How Hepatitis C is diagnosed

We order tests selectively — only what changes the plan.

  • Anti-HCV antibody → HCV RNA
  • Liver enzymes, FibroScan
  • Genotyping in selected cases

Treatment options

Treatment for Hepatitis C is personalized — the right plan depends on your symptoms, test results, and life situation.

  1. 1 Direct-acting antivirals (DAAs) — sofosbuvir-based combinations, 8–12 weeks
  2. 2 Sustained virologic response (SVR12) confirms cure
  3. 3 FibroScan or APRI for fibrosis staging before treatment
  4. 4 Family and household member screening
Prognosis & outlook

Hepatitis C is now a curable disease. Cure rates exceed 95% with current direct-acting antivirals. Once cured, the virus is gone permanently, and liver healing begins immediately — though existing cirrhosis still requires ongoing surveillance.

Can Hepatitis C be prevented?

Simple, evidence-based steps that reduce your risk.

  • Insist on single-use, sealed needles for any injection
  • Sterilized barber and dental equipment
  • Avoid shared razors and toothbrushes
  • No vaccine yet exists — early treatment prevents transmission

When should you see a doctor about Hepatitis C?

Reach out without delay if you notice any of the following.

  • Positive anti-HCV test
  • Elevated liver enzymes on routine bloodwork
  • Family member newly diagnosed
  • Pakistan-resident with any prior medical or surgical exposure — testing is reasonable for everyone

Frequently asked questions about Hepatitis C

Is Hepatitis C really curable? +

Yes. Direct-acting antivirals cure over 95% of patients in 8–12 weeks. Cure means the virus is permanently eliminated from your body — confirmed by an undetectable HCV RNA 12 weeks after treatment ends.

How is Hepatitis C different from Hepatitis B? +

Both attack the liver but are different viruses. Hep B has a vaccine but no curative therapy; Hep C has no vaccine but is now curable with antivirals. Both can cause cirrhosis if untreated.

How did I get Hepatitis C in Pakistan? +

The most common routes are unsafe injections (re-used needles, contaminated dental equipment, shared razors at barbers). Many patients with Hep C in Pakistan cannot recall a single high-risk event because exposures are often medical and routine.

Can my family catch Hepatitis C from me? +

Hepatitis C is bloodborne, not casual-contact. Eating together, sharing a home, hugging — all safe. Risk comes only from blood-to-blood contact: shared razors, toothbrushes, needles, or unsterilized procedures.

Do I need a biopsy before treatment? +

No. Modern non-invasive tests (FibroScan, APRI, FIB-4) stage liver fibrosis well enough to plan treatment. Biopsy is rarely needed for routine Hep C management today.

Dr Usman Javaid
Author & medical reviewer

Dr Usman Javaid

Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.

This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.

Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Hepatitis C or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.

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