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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
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Hepatitis B Treatment?
Jan 11, 2009

Which therapy is better? Shots or Pills?? Thank you

Response from Dr. McGovern

The answer is "it depends".

If I have a patient with low level of virus and who is "HBeAg positive" then I favor interferon - particularly if they have genotype A infection.

If I have a patient with "HBeAg negative" infection, I favor some of the newer agents, like entecavir since patients with HBeAg negative infection need long term therapy.

What we really don't understand well yet is who should be treated with combination therapy. These issues need to be studied further.

Liver Biopsy
SGPT anf SGOT are out of range

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