Just wondering, I had a liver transplant three years ago. They said the donor had a HBV antibody but they did not detect HBV. I decided to go ahead and go through with the the transplant. The doctors said 1 to 2% chance of HBV appearing. I had been vaccinated (the three shots) about 15 years earlier and so I have HBV antibodies.
After the transplant my doctors said I should go ahead and take Epivir just in case they'd missed something.
More information about my case. After about 3 years of Epivir (I think it was 1st half of 2005), doctor (same doctor) asked me to stop Epivir for a while, to see if my body can supress the virus without medication. No majic, 2 blood tests taken the next 3-4 months showed DNA growth trend, so I continue with Epivir HBV till now.
I was wondering given the following conditions - 1) HBV is UND (<357/IU) 2) On Epivir for the last several years because after some surgery the doctors thought it was possible I had been exposed to HBV or got some tainted blood 3) previously had the HBV vaccine 15 years ago. 4) No signs of HBV.
I treated with hep b 14 years ago for 1.5 years with epivir and got hbv e antibodies and afterwards, I stop epivir and every 6 months I check my liver function and alt and ast are persistently normal. I started to check hbv dna 6 months ago as new guidelines come out. Hbv dna at six month was 5000 iu/ml and last week I checked it was 8000 iu/ml. Again both times my alt and ast are normal. As a matter of fact they are in low side of normal.
Hi everyone,
I went to see my Dr today and he recommanded to change my medicine to Viread (I am on Epivir more than 2 years). I am wondering if it's necessary to change it now since Epivir works well with me (my DNA is 200 copies). But he was worried about resistance and mutation. Do I have to listen to him? I got Viread today but I am not sure I would start taking it from today.
-Natalie
p.s.: Do you guys drink coffee? I started drinking coffee about 4 months ago...
who is the crazy docotor who prescribed lamivudine/epivir, add tenofovir as soon as possible, lamivudine don t cure hbv and makes hbv mutations which can be untreatable and can make liver cancer even if hbvdna undetactable
do add tenofovir as soon as possible, you have just worsen your condition with lam, it is not indicated for hbv anymore, only tenofovir (viread) entecavir (baraclude) interferon are
to know if you are clearing you need hbsag quantitative in iu/ml and to know if you are saf
It is 72 hours post-exposure for me right now and I took the triple therapy that I have-- Epivir, Viread, and AZT. I took a dose of Epivir and Viread at 42 hours and then decided I was being paranoid he didn't use a condom [since I only have his word] but read your post and got nervous, so I took a dose of Epivir and Viread late by 6 hours. I started the AZT for the first time at about 72 hours.
Temporary headaches, high blood pressure, or a general sense of feeling ill
Nausea
Vomiting
Fatigue
Headaches
Insomnia
Rare cases of hair loss
Tenofovir DF (Viread)
An antiviral drug for people with HIV infection. When taken with other antiviral drugs, it can reduce one's viral load to extremely low levels, and increase one's T-cell counts. Tenofovir may also help control Hepatitis B.
This time i decided to check hbv dna. Here was the results today. Alt 6 u/l (6-29 u/l) and ast 14 u/l ( 10-35 u/l) and hbv dna 5500 iu/ml. Throughout my research, i do not believe i need treatment. But they say dna > 2000 iu/ml needs closely monitor, how often? I will talk to my gi doctor soon. Just need some preparation to ask appropriate questions? Any comments will be appreciated. Thanks.
Antivirals such as Entecavir (Baraclude), Telbivudine (Tyzeka), Tenofovir, Adefovir (Hepsera), lamivudine (Epivir-HBV) have less upfront side effects but their long term consequences hurt patients even more: possible lifetime dependency, resistence issue, cost burden, toxicity, possible link to neuropathy, nephropathy and cancer, etc. With all these consequences the cure rate is a miserable below 1%! That is why I choose to manage my chronic HBV with foods, herbs and adjusted life style.
Epivir=Lamivudine, said to be very safe for husband and wife who wish to have children. But do you have to choose Lamivudine as first-line treatment with its high resistance profile?
I learned that I had chronic Hep B about 14 years ago. My last DNA test (about 4 months ago) said that the viris was undetectable. I'm still on Epivir.
I have three questions:
1. Being undetectable, should I reveal that I have HEP B to a potential sex partner?
2. If so, at what level of activity should I reveal that I have HEP B-- for kissing, or oral sex, or intercourse?
3. What are the chances of my really passing the viris to someone if I am undetectable?
Thanks for your help.
This is my first time. Unfortunately, I found out after I got pregnant that I am HBV positive. I am told that I have chronic HBV and probably got it from my mother. All of this is very new and scary to me, especially because I'm pregnant. I recently went to a liver specialist and she told me that my viral load is very high and my ALT is also high.
Recently I discussed Hep B and its various lab readings with a Western medicine trained hepatologist according to whom unlike the assumption of many patients with HBV, particularly new patients, that high HBV DNA is horrible and is what is killing the liver cells, what hurts and damages liver cells in patients with HBV is the human immune system that tries to fight the virus in liver cells.
If you are considering use of oral immunosuppressants, especially extended use, then don’t forget to remind your prescribing physician about your hepatitis B. They may not always recall that you have HBV. Have the converstion with your liver specialist about your HBV status, whether or not you’re currently being treated, and the new immunosuppressive drug you are to be prescribed. Weighing the pros and cons will be dependent on an individuals’ HBV status. You want to be sure you’re safe!
7.31× 10^4(Log 4.86) IU/ML
HB2CAP48.....
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