But the APASL and EASL guides, both consider no treatment if ALT persistently normal and hbvdna is less than 2,000 iu/ml. So yours is a grey area, personally, I think it is best resolved by taking a Fibroscan - if there is no significant fibrosis, then you can wait and monitor, otherwise treat. With cirrhosis, any hbvdna level should be treated.
Just my opinion.
I am wondering if it is worth it at this point. 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.
I looked up the website for Entecavir after your recommendation, and it appears it is a newer drug than Epivir, and the result is better in terms of resistance. Epivir, the the best of my knowledge, is Category C for women, which means to me that "not proven" on human, but proven safe on lab animals. So, since Entecavir is newer, what is the status of lab testing? Also Category C?
As you know, Epivir cause virus mutant resistance, and chance is higher for me since I have been on it for 5 years. My doctor gave me 2 choices,
1) "don't fix it until it breaks" - continue with Epivir, move to combo treatment when mutant and resistance evidence shows up.
2) "precautious way" - take baraclude.
What is the better approach? Thanks
Here is my recent blood test result.(all in normal range)
Protein, Total 7.5
Albumin 4.5
Globulin 3.0
A/G Ratio 1.
Yours is a very special situation. Epivir was taken just as a precaution. It is not clear whether you are even infected with HBV. The HBV antibody in the donor liver could be just from immunization. I wonder whether you should test for HBsAg and hbvdna, or even HBcAb just to see if you are infected? If you are not, I am sure you can discuss with your doctor about stopping Epivir.
Just my opinion.
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.
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.
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.
Does PEP cause itchy palms? My palms have been itching for the past couple of days. I've been on PEP for about a week now.
All I can give you is my experience. I have been positive for hep C for the past 20 years except for a period on treatment for a year when before I relapsed. The doctor told us there was little danger of transmission of the disease for monogamous couples. They told us not to share tooth brushes or razors. We have been married for 42 years. I have also had hep B in the past but am now immune to that one. My wife has always tested negative.
Hi,
I was diagnosed as Hep B carrier 8 years ago. My initial LFP tests are normal, and I do it every one or two years (not 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 above normal range (<6.1). LFP are 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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