Effect of Silymarin (Milk Thistle) on Liver Disease in Patients With Chronic Hepatitis C Unsuccessfully Treated With Interferon Therapy

Abstract
Chronic hepatitis C virus (HCV) infection affects almost 3% of the global population and may lead to cirrhosis, hepatic failure, and hepatocellular carcinoma.1 Sustained virological response can be achieved in patients treated with peginterferon and ribavirin, often combined with an HCV protease inhibitor.2-4 Nevertheless, a large proportion of patients do not respond to these therapies, and many others cannot be treated because of medical comorbidities.5 Thus, alternative medications with disease-modifying activity may be of benefit.