Hep B Coinfection, too early to start HBV med?
Nov 3, 2006
I' ve been using ddI+d4T+EFV combination for 5 years. Recent lab result shows VL>50; CD4=572. About last two months, I told my doctor that I also had HBV so he asked for HBV blood testing. The result is HBV DNA 10log, ALT=32, ALT 34, Upper abdomen Ultrasound=OK, Alfa fetoprotein=3.2. So he asked me to take Adefovir Dipivoxil (Hepsera) to reduce HBV viral load. I wonder if it is too early to start HBV med now since the blood result does not show acute Hepa B. (I have ALT and AST testing twice every year and the results never show over 40.) Please kindly help. I'm afraid of HBV drug resistance if I start HBV treatment too early. Sorry for my English.
Justin M. Bangkok, Thailand
Response from Dr. McGovern
I agree with your concerns regarding resistance.
You may want to discuss with your physician whether Truvada is available in your country. Truvada is a combination of emtricitabine and tenofovir. Another combination for your hepatitis B would be lamivudine and tenofovir. I like the idea of two HBV agents together. This way you can switch to these two drugs as the backbone of your HIV cocktail as well (since they have great HIV activity) and keep the EFV (sustiva) going for your third drug for your HIV care.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- What Natural Herb Can Be Used To Treat Chlamydia?
- What If You Took Medicine For Chlamydia And I Still Have Symptoms What Does That Mean?
- What If You Have Sex One Week Before A Herpes Outbreak?
- Treatment Of Male Partner Bacterial Vaginosis
- Things That Can Be Mistaken For Herpes
- Symptoms Of Gonorrhea In The Mouth
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.