Treatment For Hepatitis B Disease?
Good evening doctor. I want to check HBsag for the third time, because the second time, thank God, the virus was not detected. If you want to stop taking sebivo medicine. What are the lab checks that need to be done besides checking HBsag, SGT and SGPT? Please explain, doctor. Thank you
Hello Zahra, thank you for the question for HealthReplies.com
First of all I want to confirm a few things first:
When were you diagnosed with hepatitis B? Is the hepatitis B you are suffering from chronic hepatitis B? Did you get medicine from a doctor or are you taking your own medicine?
Treatment for hepatitis B is only recommended for chronic hepatitis B sufferers who meet certain criteria, for example, the presence or absence of cirrhosis, HBeAg status, HBV DNA levels, ALT levels, and several other factors including age, pregnancy, history of cancer, etc. Treatment will generally begin with drugs such as Pegylated interferon alfa, entecavir, tenofovir, or tenofovir disoproxil fumarate. Drugs such as Sebivo (Telbivudine) are not the first line drugs to be given unless there are certain conditions, because of the risk of drug resistance and the risk of serious side effects from using this drug.
In general, people with acute hepatitis B will not be given antiviral therapy, and will only be given supportive therapy (therapy to reduce symptoms). Antiviral therapy can be considered for patients with acute hepatitis B if there are symptoms of very severe liver damage.
It is better if you consult directly with the doctor who gives you the medicine about when you can stop the treatment. For chronic hepatitis B, there are a variety of requirements that must be met before you can stop treatment. Therapy can be stopped if the patient does not have cirrhosis, there is HBeAg seroconversion for 1 year, HBV DNA is no longer detectable. If there are signs of liver damage, then treatment should be continued for many more years or for life.
You should always consult with your treating doctor about when you can stop your medication. Stopping self-medication is not recommended because the risk of viral reactivation is very high.
So much information from me, hopefully it will be enough to answer
dr. irna cecilia