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Asking For Self, Male 60, Lahore
Aoa.sir I am patient of Hap B two months before my pcr quantitative report showings one crore viral load i start treatment one tablet tefod 25mg taking daily after two month my pcr quantitative showing 6 lac viral load please guide me that what is period of treatment and also advised other tips about fights of this disease. Thanks
Mono therapy is inferior in achieving suppression of vital load compared to interferon with antiviral.
minimum treatment is 2 to 3 years
and need monitoring of LFTS n Hbe ag/anti HBE
do not stop medicine
visit for further managment
this is complicated case better to check by a doctor physically by a new LFT report.
inclinic consultation needed.
continue with same treatment and repeat PCR for HBV quantitative after six months treatment and if negative continue same treatment for two years with periodic physical consultations and investigations
Assessing Treatment Response and Endpoints for Antiviral Discontinuation
After initiation of HBV antiviral, recheck HBV DNA every 3 months until undetectable, then every
6 months once undetectable. If the patient does not achieve undetectable HBV DNA after 1 year of antiviral therapy and the HBV DNA levels are not downtrending, obtain expert consultation or refer to a specialist.
> Persons with cirrhosis: Do not stop antiviral treatment, unless guided by expert consultation.
> Persons without cirrhosis and HBeAg(+) at baseline: Patients with persistent undetectable HBV
DNA, normal ALT, and persistent HBeAg(-) and anti-HBe(+) 1 year after HBeAg seroconversion
[from HBeAg(+)/anti-HBe(-) to HBeAg(-)/anti-HBe(+)] may trial off antiviral treatment.
> Persons without cirrhosis and HBeAg(-) at baseline: Continue antiviral treatment until HBsAg
clearan
MBBS, MD, Diplomate of American board of Internal Medicine | Lahore | Book Appointment
Consult hepatologist
2 years ago
Patient
Post Owner
sir thanks for your good reply the short that I counting the medicine till ant HBe + HbBe Ag - HBsag - pcr undetectable .Right sir
2 years ago
Please visit hepb.org
Please see attached
Please see attached
These antiviral “stopping rules” are still in development and are still frustratingly vague for many patients, but slowly researchers are developing tools and compiling more research in order to develop better guidelines when it’s safe to stop the daily antiviral treatment plan.
These antiviral “stopping rules” are still in development and are still frustratingly vague for many patients, but slowly researchers are developing tools and compiling more research in order to develop better guidelines when it’s safe to stop the daily antiviral treatment plan.
Patient
Post Owner
After 2.5 month my pcr viral reduce 1cror to 6Lac but Hbeag active values increase 1950 from 1354 what is mean my treatment effective or not
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