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?
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
When you first treated, Epivir (Lamivudine) was almost exclusively used as Hepsera was just approved back then in 2002. It's fair to conclude the most doctors were still feeling their way on treatment sinc not much information was available, especially on the consequences of Lamivudine resistance. Even today, many doctors are still feeling their way. You could only imagine what it was like 5 years ago.
Do I need treatment with this DNA level? Is this Hepsera the right drug for my situation? Why not Baraclude (Entevir) or Lamivudine (Epivir)? I need second opinion about this.
Thanks!!!
The antiviral lamivudine (Epivir-HBV) has fallen out of favor as an antiviral treatment for hepatitis B because it causes drug resistance.
However, a study reported in the Digestive Diseases and Sciences found the antiviral was effective when administered in high doses in patients with cirrhosis.
In June 2008 I was tested positive to hepatitis B and was on EPIVIR Lamivudine 150mg for six months and I quit taking meds and took my mind of meds but to stay healthy by eating and drinking healthy.
Fast forward to June 2014, I went ahead for a medical checkup and below is the result:
HEPATITIS B: POSITIVE
HCV: NON-REACTIVE
HEPATITIS B SURFACE ANTIBODY (Anti-HBs), SERUM (CMIA): 0.00
S.G.O.T.(AST) is 39
S.G.P.T.(ALT) is 21
Alk Phosphate is 162.3
Total Bilirubin is 0.8
Direct Bilirubin is 0.
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.
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...
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.
You also shouldn’t take Truvada with drugs containing lamivudine, an HIV drug marketed under the brand name Epivir. If you’re HIV-negative, you’re most likely not taking these, but you should have the information. And if your partner is positive, no, you can’t trade drugs with each other — different ones are right for different people, and Truvada is the only one to date approved by government regulators for HIV prevention.
1 Does this mean I do not respond to Tyzeka?
2. Should I change to Ziread since it is approved.
3. I have experienced elbow pain, left arm, with Tzyeka.
4. Does changing drugs instead of stopping altogether cause flare up?
Previouusely I took EPIVIR for 7 years and Hepsera for one year.
Thank you.
t remember, should I take the AZT with my Viread and Epivir for a more potent PEP regimen? Or is Viread and Epivir alone okay? I have no side effects from them.
Given that this is a gay sex club in NYC, an epicenter of the epidemic? Is it possible to forget having anal sex as a top? I am not a frequent visitor to sex clubs. I do have a phobia of "forgetting" anal sex when I'm drunk- though I've never forgotten it ever before.
Hi, if the viral load is greater than 20,000 IU/mL and HBeAg is negative then Interferon-alfa (Roferon A, Intron A), pegylated interferon-alfa (Pegasys, Peg-Intron), lamivudine (Epivir-HBV), adefovir (Hepsera), entecavir (Baraclude), tenofovir (Viread) or telbivudine (Tyzeka) may be used as initial therapy. There are standard protocols for therapy of hepatitis B infections, so you can clarify your doubts with your treating doctor. Regards.
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.
Without taking any drugs, viral load was 22,000 in september 2009. 46,000 in december 2009. Doctor recommended lamivudine in January. Took lamivudine and by June 2010, viral load was undetected. have read in many forums that lam is not the best, approached my doctor with this concern and she sugessted tenofovir. Should i start tenofovir immediately, how should i start. Should i just abruptly stop lam and move on to tenofovir, should i use both and gradually stop lam after a few day/weeks.
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.
Hepatitis B virus (HBV) rebounded in nearly 80% of people treated with fully or partially suppressive antiviral therapy using adefovir (Hepsera), entecavir (Baraclude), lamivudine (Epivir), or tenofovir (Viread), indicating that long-term therapy is usually needed to control the virus, researchers reported at IDWeek 2014 last month in Philadelphia.
Hepatitis B may be treated with a number of approved nucleoside/nucleotide analog antiviral drugs.
I was given Epivir, Viread and Zidovudine.
Hepatic decompensation was not prevented by lamivudine compared to placebo or entecavir compared to lamivudine in three underpowered trials.
Hepatocellular carcinoma was not prevented in four studies with inadequate size and duration. In one RCT, analysis that adjusted for country, sex, baseline ALT level, Child-Pugh score, and Ishak fibrosis score and excluded five individuals who developed HCC within the first year of the study found a borderline significant effect of lamivudine.
Hi,
I was diagnosed as Hep B carrier 8 years ago. My initial LFP test is normal, and I do it every one or two years (not strictly twice a year), and I never did any DNA QT test. Recently I did a Hep DNA QT test and it is 1060 copies/ml which is above normal range (<160 copies/ml). AFP is 7.9 which is above normal range (<6.1). LFP is normal. My doc prescribed Hepsera. Do I need treatment with this DNA level? Is this Hepsera the right drug for my situation?
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