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.
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