hepatitis b chronic

[Msd0801]

Good day, iwant to know  your opinion and suggestions

Here is my condition, im diagnosed with chronic hepatitis B,  
Then i went to a doctor 6 months ago and he prescribe revovir (clevudine) , so i took revovir for 6 months , but then a tragic incident came, i un knowingly skipped a dose more than a day n a hour, then i ask my doctor what to do,  then he said we will changed to a another drug, called lamivudine. i hesitant to take because it might not help, im wondering if tenofovir is the best next step, coz ive read its good.

By the way im in Philippines.

Thank u so much i hope ull help me im worried, coz i can feel the after shock of stopping revovir, i feel my stomach(liver area i gues)  is inflammed

[Msd0801]

HBV viral load

< 20 IU/mL
< 116 copies/mL

The detectable range with this method is 20 - 170,000,000 IU/mL
(116 - 989,400,000 Copies/mL)
The method used for HBV Viral Load PCR is COBAS® AmpliPrep/COBAS® TaqMan®
HBV DNA Test, Version 2.0
A viral load lower than 20 IU/mL may be detected, but not accurately
quantified.
The quantification is homogeneous for all HBV genotypes tested.
The COBAS® AmpliPrep/COBAS® TaqMan® HBV DNA Test is not intended for use
as a screening test for blood or blood products for the presence of HBV
or as a diagnostic test to confirm the presence of HBV infection.
Test results are best interpreted by Clinician or a qualified health care
provider.

[Msd0801]

sorry im just curious, but i will get in touch with my hepatologist asap. but again, how do u interpret this?

[Msd0801]

thats my latest HBV Viral Load test

[Msd0801]

SGPT / ALT (KINETIC)     22.24 U/L
SGOT / AST (KINETIC)    21.27 U/L
HBsAg w/Titer (CMIA)       3567.54     REACTIVE
Anti HBs (CMIA)                  0.12       NONREACTIVE
HBeAg (CMIA)                     0.31        NONREACTIVE
Anti HBe (CMIA)                  0.02        REACTIVE
Anti HBc IgM (CMIA)            0.17        NONREACTIVE
Anti HBc Total (CMIA)           8.46       REACTIVE


HBV VIRAL LOAD

< 20 IU/mL
< 116 copies/mL


The detectable range with this method is 20 - 170,000,000 IU/mL
(116 - 989,400,000 Copies/mL)
The method used for HBV Viral Load PCR is COBAS® AmpliPrep/COBAS® TaqMan®
HBV DNA Test, Version 2.0
A viral load lower than 20 IU/mL may be detected, but not accurately
quantified.
The quantification is homogeneous for all HBV genotypes tested.
The COBAS® AmpliPrep/COBAS® TaqMan® HBV DNA Test is not intended for use
as a screening test for blood or blood products for the presence of HBV
or as a diagnostic test to confirm the presence of HBV infection.
Test results are best interpreted by Clinician or a qualified health care
provider.


THATS MY LATEST TESTS PO

[Msd0801]

Thank you for all the comments :)

[Msd0801]

Guys do u have an idea where to buy tenofovir here in philippines ? Like mercury, Watsons.  And do u think it will be still effective after i recently stopped clevudine (i took clevudine for 24 weeks).

[Alihoop]

Before taking another antiviral drug its better if you consult another doctor preferably a hepatologist.  you may want to try dr. jose solano or dra eternity labio.  with regard to hi precision clinic, you can just google it because it has a lot of branches already even outside manila.  call them to inquire about the cost of their labtest ( its affordable)

[Msd0801]

Thanks ent1682, i will visit that , is there specific branch in manila? And do u have idea howmuch will it cost for a whole hepa profile? Thanks again.  Very very much

[en1682]

If you are here in Philippines you can go to Hi Precision Diagnostic Laboratory here in metro manila...they have test for HBsAg in titer ui/ml you can have also a complete hepa b profile...hope this will help you Godbless....

[Alihoop]

There's a hi precision clinic in bulacan.  Address: Benigno Aquino Sr. Ave., Brgy. Bagong Nayon, Baliuag Bulacan
Cellphone: 0932- 8908922
Tel. No: [phone] / [phone]

Office Hours:  6:00am to 5:00pm Mon to Sat                                                             6:00am to 12:00nn Sundays

[Msd0801]

Good day stephen, ok im on appoint with one here in pampanga phils.,  are u also from philippines? Do u know any med lab who administer testing hbsag in ui/ml? And where to buy tenofovir n price? Thank you for answering thank you

[StephenCastlecrag]

You know more than your doctor. Clevudine has well-known side effects and only approved for use in very few countries. Lamivudine has high rate of drug resistance and is no longer recommended. Use Tenofovir or Entecavir, get rid of your doctor, find another one from the Yellow Warriors Society of Philippines.