The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App 
Professionals >> Visit The Body PROThe Body en Espanol
Ask the Experts About

Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
Rollover images to visit our other forums!
  • Email Email
  • Glossary Glossary

What's Worse HCV or HBV?
Sep 8, 2009

Doctor, My Dr. says I probably have hepatitis, and I'm HIV+ awaiting the hepatitis labs. Is one of these hepatitises worse than the other? If you have both are you "dead" on diagnosis? Thank you!

Response from Dr. McGovern

All patients who are infected with HIV should have testing for hepatitis A, B and C.

If a patient has had hepatitis A in the past, then he or she does not need immunization. Fortunately, Hepatitis A does not cause chronic liver disease.

If a patient has evidence of HBsAg (surface antigen) then additional testing is needed to determine if the patient has virus in their blood (eg, HBV DNA).

If a patient has HCV antibody, then he or she needs more testing to see if there is virus in the bloodstream (eg, HCV RNA).

Both HBV and HCV can cause liver disease. There are treatments for both however. Some HIV medications have activity against HIV and HBV so a combination regimen of three drugs - with two against HBV - are usually used to treat both infections. For HCV, we use pegylated interferon with ribavirin.

Please speak to your physician to get more individualized advice.

If you have not been exposed to HAV or HBV - get immunized. If you have liver disease, keep alcohol consumption down to a minimum!

Best wishes for your health...

hepatitus A AB
Hep C transmission possible?

  • Email Email
  • Glossary Glossary



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 nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint