There are effective treatments for hepatitis C nowadays

Photo of a support group

Joseph, 79 years old

“After one year’s treatment with the new medications, the acute liver infection had cleared up. And it hasn't come back since. But my liver is still damaged because the hepatitis C was treated so late.”

It took over ten years for me to find out that I had hepatitis C. Over 40 years ago, I had a major bowel operation and was also given blood transfusions. It's very likely that I was infected with a hepatitis then.

Straight after the surgery, one liver reading in my blood (the GGT level), was more than one hundred times higher than normal. The doctors assumed it was a liver . The tests for hepatitis A and B were negative, though, and hepatitis C was still unknown at the time. So they called it “non-A/non-B hepatitis,” but there was no treatment for it back then.

I didn’t have any symptoms other than the high GGT levels in my blood. The main focus was on the chronic bowel disease that I had, which needed a lot of treatment and care. My GGT levels were always just checked alongside that.

I had to stop the first treatment

I was only diagnosed with hepatitis C later. I was taking part in a medication study at the time and my blood was routinely tested for various germs.

After the I was referred to a hepatologist, which is a liver specialist, and started treatment with alpha-interferon. Unfortunately, the treatment didn't work. It didn't have any effect and it was stopped after six months.

Part of me was frustrated, but another part of me was happy because it had been causing side effects. I mainly suffered from trouble concentrating. My wife always said that she could barely watch me tying my tie in front of the mirror in the mornings because it took me so long. I also had memory problems. I forgot lots of things and wasn’t very reliable. I was actually working full time but it was a real struggle to get everything done.

The combination treatment finally worked

About eight years later there was a new treatment – a combination of interferon and ribavirin, which is an antiviral drug. It caused strong side effects as well, but the chances of it helping were better, and it was a promising treatment for people who had already tried interferon on its own without success.

And it worked for me. The acute had cleared up after one year and there were no longer any traces of the hepatitis C in my blood. And it hasn't come back since.

Early retirement because of the side effects

The treatment was very distressing. I had to take the medication for one year, and the side effects got worse and worse over time. My blood count in particular was a problem, I had to go to the hospital for check-ups every week. I had problems with my skin and the lining of my mouth, too. The physical weakness was worst. Just walking slightly uphill felt like climbing Mount Everest. I was really just a shadow of my former self back then.

Because of that, I had to retire from work in my early 60s. I had been the Commercial Director of a hospital with 600 staff and could no longer do the job. It took me one-and-a-half years to recover after finishing the treatment.

Many people think liver disease comes from alcohol problems

Even though the hepatitis C had cleared up, my liver was still damaged because it was treated so late. I was actually diagnosed with hepatitis at an early stage, but the hepatitis C wasn’t discovered until the early 1990s. And then it took a while for an effective treatment to be developed.

The damage to my liver caused the beginnings of liver cirrhosis, as well as varicose veins in my food pipe due to the built-up blood from the liver. Unfortunately that couldn't be stopped.

Because of the liver damage, I still take care of what I eat and don’t drink any alcohol. And I’m often confronted with stereotypical attitudes. When I drink my non-alcoholic beer at parties, very often people ask, “do you have an alcohol problem? Did you used to be an alcoholic?”

That's why I didn’t really talk about my illness, and only told my closest friends and colleagues. And at some stage I also stopped having the check-ups at the hospital where I worked. I didn't want others to know, and preferred to have a clear separation between my private life and work.

Helping others in the support group helps me too

Luckily, I'm a very optimistic and positive person. Although I know I’m ill, I’m grateful for what I have in life and what I can influence myself.

And I’m active in the liver disease support group deutsche Leberhilfe e.V. in Cologne. I can help other people there, and always encourage them to keep their chin up.

High number of undiscovered infections

In the more than ten years that I’ve been involved in the support group, I've seen the truly revolutionary development of new medications first-hand. Modern treatment with direct-acting antivirals starts to work within just a few weeks, has very good chances of success, and now only has minimal side effects. There are very effective treatments for hepatitis C nowadays – if it's discovered.

Unfortunately, a lot of people have hepatitis C without knowing it. But if these infections are detected and treated early, you can avoid severe complications like cirrhosis of the liver and liver cancer.

It's really important to increase awareness here. Lots more people need to know about it and get tested. That’s important from an economic point of view too. If everyone with a hepatitis C develops cirrhosis of the liver, that'll be a burden on the healthcare system.

That’s why it’s so important to me to share my story. I want to give a face to the disease. And pass on the message that it’s not a fate that you simply have to resign yourself to.

Acknowledgment

Our real-life stories summarize interviews with people who are affected by the medical condition. Our interview partners have given us permission to publish their stories. We would like to express our sincere thanks to them.

The real-life stories give an insight into how other people cope and live with a medical condition. Their opinions and comments are not recommendations by IQWiG.

Please note: The names of our interview partners have been changed to protect their identity. The photos are of models.

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Please note that we do not provide individual advice on matters of health. You can read about where to find help and support in Germany in our information “How can I find self-help groups and information centers?

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Created on April 28, 2025

Next planned update: 2028

Publisher:

Institute for Quality and Efficiency in Health Care (IQWiG, Germany)

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