if you have acute hbv (hbcab igm positive) you must take no drugs, they might interfere with immune system and make acute hbv cronic
the only case to use drugs is if you have fulminant hbv and to avoid liver failure entecavir can be used
hbv drugs are only to stop liver damage not to eradicate hbv so you have to wait years before starting treatment because most of hbv cronic forms make no damge the problem is it is not easy to see which ones.close monitor by hbsag quantitative, hbvdna quantitative and fibroscan can say
also donot use fibroscan during acute hbv it cannot measure liver damage during this phase
is tenofovir safe to use for a patient with acute hbv like me which is not worse?
making hbsag negative is not possible you can only prevent cirrhosis and liver cancer, these 2 are silent killers so do not expect any synthoms except when you are close to death.you'll always feel good but the liver might be complitely damaged and cirrhotic
the cheapest and most potent hbv treatment is tenofovir by its generic drug tenvir or tavin but this can be a life time therapy so you must check if you can afford it and also blood tests are necessary.this therapy prevents liver cancer and cirrhosis.combination with nizonide500 might make hbsag negative in years of treatment
first of all you should make a biopsy to understand how much damaged your liver is and if treatment is necessary because if you have no damage you can wait before starting therapy.again do not expect any synthoms, cirrhosis usually has no synthoms and even normal blood tests
Hi sir stefano! Y0ur p0sts are very inf0rmati0nal and helpful. Pls help me als0. In 2005 i was screened f0r hepa b and d result was reactive. I did n0t take it seri0usly because im y0ung then and d0nt feel anything wr0ng with my b0dy. just Last week i was screened again f0r hepa b for my pre-employment requirement and was reactive. I was was n0t hired because of that. Im 24. I had my lab test this aftern0on, the results were sgpt = 54 (n0rmal 0-47), hbeag = reactive, rate n0te 147.26 (cut-off 1.00), anti-hbe = n0n reactive, rate n0te 0.549 (cut0ff rate 1.00), anti-hbc IgG = reactive, rate n0te 0.074 (cutoff rate 1.00). I did n0t underg0ne hbv dna quantitative exam because i can n0t af0rd it c0z it c0sts a l0t. I just want to kn0w what treatment sh0uld i get into? Y0ur res p0nse will be highly appreciated. Godbless!
you read wrong things, tenofovir is the best and cheapest drug for hbv and it is the most potent and firstline drug for hbv
hiv and hbv share the same drugs, almost all drug for hiv are active on hbv and the opposite, they are very similar viruses dispite different family
the sides of tenofovir are only kidneys damage on less than 1% patients, you just have to follow the protocol for its use, that's to say weekly blood checks on creatinine at start to see f you are in that 1% if creatinine stays the same you can use it
the only other option is entecavir, it has no sides but it is useless on patients that used lam and make resistance very fast and also useless on those who have lam mutants even without use of this drug
since you used lam there is no other drug that work for you apart tenofovir, do not use entecavir or other drugs because they all make muattions making virus much worst and aggressive
thanks stefano...ive learned a lot from you....
regarding tenofovir i did a few research about this medicine..they say it is a medicine for hiv and it is also use for hbv but need doctor prescription due to its side effects and it my harm the liver of the patient if the drug is not compatible with my body..... can you give me a medicine that is i can find here in the phil and not that expensive please.....
do you have hbv also stefano?
it seems like you have a lot of knowledge regarding hbv
thanks for helping me
actually lam is the cheapest since it has no market anymore, it failed both for hiv and hbv, maybe they still use it in hiv cocktails
tenofovir is viread brand name and tenvir generic from cipla or tavin from emcure, it is the most potent drug for hbv with zero hbv mutations.it is also an old hiv drug approved in 2000 so the price should be low too.the other drugs entecavir and interferon are very expensive everywhere.so the cheapest option is to get tavin from emcure from india, if it is not available in your country i can tell you charity aids websites where the price is very low
as to vitamins they are all useless if you eat fresh foods and vegetables you don t need vitamins, also consider than chemical vitamins from drugs are not pure and they are not good food is the best source for vitamins.
only in rare cases of low blood levels it might be useful to use them but if levels in the blood are normal they decrease immune system.
vitamin D might be helpfull but you can get it by 20 minutes daily sun exposure in the philippines
i already take lemivuadine for almost 3weeks i always following my doctors advice but honestly i really dont trust my doctor because i dont feel any difference and lemivuadine is very expensive medicine here in our country i cannot afford to buy everyday thanks for your reply stefano i want to here more from you because i didnt know a lot about hbv.....
what is tenofovir?and what is the best vitamin you can advice me to take?
check also hbvdna if it is less than 10iu/ml it is very probable you didn t develop mutants, if it is high you might have mutants.the only paramter for maximum security of no lam mutants is hbvdna undetactable by 4 weeks or very very low by 12 weeks after this period the mutant can be already present although it will take years to become detactable to assays
how long did you take lemivuadine?it makes all hbv drugs useless, stop it immediately and find a real doctor, your country is a mess on hbv go to the best one of the country
if you took lemivuadine more than a couple of weeks you should take tenofovir to kill the hbv mutants if they developped already (they might develop from day one you take lam...)
essentiall forte, this is rubbish that has nothing to do with hbv
check hbcab igm if positive you are acute if negtive cronic.
as to lam drug, if you used it for more than a couple of weeks it is safer to use tenofoivr instead of discontinue drug.tenofovir is the only antiviral active on all lam mutants
lemivuadine is the worse medicine due to its resistance.....
my doctor told me that my hbs is acute and she advice me to take lemivuadine and essentiall forte how bout you guys are you also taking medications and how lng do you have the virus?
you should get tested to know whether you are achronic carrier or not?
--Prepare years if at all.
after hbv is cronic you cannot eradicate it except very few cases, only block hbv from making damage by antivirals to take for life in most cases