Hepatitis is a viral infection that affects your liver. Some types – hepatitis B and C – can cause long-term, serious health problems. Many people with HIV also have hepatitis B or C, known as co-infection.

If you have co-infection, there are particular advantages to taking HIV treatment. This is because having well-controlled HIV and a strong immune system reduces the risk of liver disease progression.

Treatments are also available for hepatitis B, some of which also work against HIV. Treatments are available for hepatitis C, and the newest therapies are well-tolerated and can cure most people. You can find out more about HIV and hepatitis co-infection and treatment in NAM’s booklet HIV & hepatitis.

Ribavirin is an important drug in the treatment of hepatitis C. It must not be taken if you are pregnant as it is possible that this could lead to the loss of the baby, or the birth of a baby with deformities or other problems.

Ribavirin can enter the sperm. It is important that sperm from a man on ribavirin treatment is prevented from starting a pregnancy and that ribavirin is not allowed to reach an unborn child. Couples where one or both partners have been treated with ribavirin should avoid pregnancy (and unprotected sex) for at least six months after the completion of treatment.