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Treatment of Hepatitics.
Feb 20, 2011

Dear Madam, I am kazi from India. I have Hepatitis B +ve. It was found that while our meidcal test. I have started Medical treatment from Appollo hospital. After one I did medical test - I got good result like HBV viral load TAQ Man *<20 IU/ML (Privious 1200 IU/ML) Hepatitic B core antibody L o.o10 Reactive (Privious 0.006) Hepatitic B surface antigen Detected it might have very low value ( Privious H 4810) & LFT -Normal. I am taking 0.5 mg barclude tablet daily basis. Madam I would like to how to increase Hepatitic B core antibody value. Can you able any medicine name or any Dr. name & address for proper treatment. I think in our location no special Dr. available for this tratment. Can you suggest any treatment for this problem? My email ID is Thanking you,

yours faithfully, Kazi Minan, ACC LTD, Jamul Cement Works, Post office -Jamul,Dist-Durg, Chhattisgrah-429024

Response from Dr. McGovern

Dear Kazi: Your treatment is going great. The most important value is to follow your HBV DNA. Since it is so low, I suspect you will reach viral suppression soon.

I would do the following: 1. Check you liver function tests (ALT and AST) about every 3 months. 2. Check you HBV DNA is about 3 months. I suspect you will be suppressed by then. 3. The only other blood test you need is HBe antigen. If your e antigen is positive, then I would follow this about every 3 to 6 months to see if you lose it. If you become eAg negative and e antibody positive, I would treat for another 12 months after seroconversion. 4. If you e antigen is negative, I would continue longterm therapy for HBV to keep your virus suppressed.

Best of luck...You are an excellent treatment candidate.

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