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What Is The Treatment Recommended For 42 Years Old Female
Question: What is the treatment recommended for 42 years old female patient who is HBV DNA positive.? wanna know the treatment protocol with specific medications. dose, frequency and duration..?
What is the treatment recommended for 42 years old female patient who is HBV DNA positive.? wanna know the treatment protocol with specific medications. dose, frequency and duration..?
Brief Answer:
medicine is not given in every case.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your query in details,
Firstly Hepatitis B has no cure however patient can live a normal life with it.
Medications are only used when patient is symptomatic or if AST and ALT are > upper normal limits and HBV DNA count on PCR is very high(please mention them)
However in general for adults combination of hepatitis A and B vaccine (Twinrix) uses a 4-dose regimen at 0, 7, 21-30 days, and 12 months is given.
But as said earlier HepB can not be eradicated completely in patients infected with it.
h. Liver enzymes and HBsAg status and HBV DNA PCR maybe done regularly every 6 to 12 months,
Please attach the report of various tests to suggest whether you need antiviral or not.
Also mention your symptoms.
Thank you.
medicine is not given in every case.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your query in details,
Firstly Hepatitis B has no cure however patient can live a normal life with it.
Medications are only used when patient is symptomatic or if AST and ALT are > upper normal limits and HBV DNA count on PCR is very high(please mention them)
However in general for adults combination of hepatitis A and B vaccine (Twinrix) uses a 4-dose regimen at 0, 7, 21-30 days, and 12 months is given.
But as said earlier HepB can not be eradicated completely in patients infected with it.
h. Liver enzymes and HBsAg status and HBV DNA PCR maybe done regularly every 6 to 12 months,
Please attach the report of various tests to suggest whether you need antiviral or not.
Also mention your symptoms.
Thank you.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
medicine is not given in every case.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your query in details,
Firstly Hepatitis B has no cure however patient can live a normal life with it.
Medications are only used when patient is symptomatic or if AST and ALT are > upper normal limits and HBV DNA count on PCR is very high(please mention them)
However in general for adults combination of hepatitis A and B vaccine (Twinrix) uses a 4-dose regimen at 0, 7, 21-30 days, and 12 months is given.
But as said earlier HepB can not be eradicated completely in patients infected with it.
h. Liver enzymes and HBsAg status and HBV DNA PCR maybe done regularly every 6 to 12 months,
Please attach the report of various tests to suggest whether you need antiviral or not.
Also mention your symptoms.
Thank you.
medicine is not given in every case.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your query in details,
Firstly Hepatitis B has no cure however patient can live a normal life with it.
Medications are only used when patient is symptomatic or if AST and ALT are > upper normal limits and HBV DNA count on PCR is very high(please mention them)
However in general for adults combination of hepatitis A and B vaccine (Twinrix) uses a 4-dose regimen at 0, 7, 21-30 days, and 12 months is given.
But as said earlier HepB can not be eradicated completely in patients infected with it.
h. Liver enzymes and HBsAg status and HBV DNA PCR maybe done regularly every 6 to 12 months,
Please attach the report of various tests to suggest whether you need antiviral or not.
Also mention your symptoms.
Thank you.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
ALT and AST were at normal limits, awaiting HBV DNA results. But if HBV DNA is high,
what treatment would you recommend?
CT reveals also of PULMONARY FIBROSIS. Whats your recommendation?
what treatment would you recommend?
CT reveals also of PULMONARY FIBROSIS. Whats your recommendation?
ALT and AST were at normal limits, awaiting HBV DNA results. But if HBV DNA is high,
what treatment would you recommend?
CT reveals also of PULMONARY FIBROSIS. Whats your recommendation?
what treatment would you recommend?
CT reveals also of PULMONARY FIBROSIS. Whats your recommendation?
Brief Answer:
follow up.
Detailed Answer:
Hello again my dear patient,
Antivirals are usually used to restrict the virus,
I use Entecavir on my patient in doses starting from 0.5mg once daily empty stomach(atleast one hour).The doses are then gradually increased to 1 mg.
Medicine is used till the titer levels of HBV DNA returns back to normal again.
Hope i was helpful,
Do rate the answer,
Follow ups are welcome,
Regards
follow up.
Detailed Answer:
Hello again my dear patient,
Antivirals are usually used to restrict the virus,
I use Entecavir on my patient in doses starting from 0.5mg once daily empty stomach(atleast one hour).The doses are then gradually increased to 1 mg.
Medicine is used till the titer levels of HBV DNA returns back to normal again.
Hope i was helpful,
Do rate the answer,
Follow ups are welcome,
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
follow up.
Detailed Answer:
Hello again my dear patient,
Antivirals are usually used to restrict the virus,
I use Entecavir on my patient in doses starting from 0.5mg once daily empty stomach(atleast one hour).The doses are then gradually increased to 1 mg.
Medicine is used till the titer levels of HBV DNA returns back to normal again.
Hope i was helpful,
Do rate the answer,
Follow ups are welcome,
Regards
follow up.
Detailed Answer:
Hello again my dear patient,
Antivirals are usually used to restrict the virus,
I use Entecavir on my patient in doses starting from 0.5mg once daily empty stomach(atleast one hour).The doses are then gradually increased to 1 mg.
Medicine is used till the titer levels of HBV DNA returns back to normal again.
Hope i was helpful,
Do rate the answer,
Follow ups are welcome,
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
How often to check for HBV DNA?
This is a Breast Cancer patient due to start chemo therapy. Can she start chemo and antiviral drug at the same time?
This is a Breast Cancer patient due to start chemo therapy. Can she start chemo and antiviral drug at the same time?
How often to check for HBV DNA?
This is a Breast Cancer patient due to start chemo therapy. Can she start chemo and antiviral drug at the same time?
This is a Breast Cancer patient due to start chemo therapy. Can she start chemo and antiviral drug at the same time?
Brief Answer:
Follow up suggestions.
Detailed Answer:
Hello again and thanks for follow up,
Every 3 to 6 month the titre should be checked.
Yes both of them could be started at the same time.
Thank you!
Follow up suggestions.
Detailed Answer:
Hello again and thanks for follow up,
Every 3 to 6 month the titre should be checked.
Yes both of them could be started at the same time.
Thank you!
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Follow up suggestions.
Detailed Answer:
Hello again and thanks for follow up,
Every 3 to 6 month the titre should be checked.
Yes both of them could be started at the same time.
Thank you!
Follow up suggestions.
Detailed Answer:
Hello again and thanks for follow up,
Every 3 to 6 month the titre should be checked.
Yes both of them could be started at the same time.
Thank you!
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks a lot sir...
Thanks a lot sir...
Brief Answer:
Your welcome.
Detailed Answer:
Your welcome.
Thank you.
Do rate the answer!
Your welcome.
Detailed Answer:
Your welcome.
Thank you.
Do rate the answer!
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Your welcome.
Detailed Answer:
Your welcome.
Thank you.
Do rate the answer!
Your welcome.
Detailed Answer:
Your welcome.
Thank you.
Do rate the answer!
Above answer was peer-reviewed by :
Dr. Raju A.T
HBV DNA RESULT
HBV DNA VIRAL LOAD RT-PCT (TAQMAN) DETECTION LIMIT :
6 - 110,000,000IU/ml (35-640,200,000 COPIES/ml)
What would be your interpretation and recommendation on this result?
HBV DNA VIRAL LOAD RT-PCT (TAQMAN) DETECTION LIMIT :
6 - 110,000,000IU/ml (35-640,200,000 COPIES/ml)
What would be your interpretation and recommendation on this result?
HBV DNA RESULT
HBV DNA VIRAL LOAD RT-PCT (TAQMAN) DETECTION LIMIT :
6 - 110,000,000IU/ml (35-640,200,000 COPIES/ml)
What would be your interpretation and recommendation on this result?
HBV DNA VIRAL LOAD RT-PCT (TAQMAN) DETECTION LIMIT :
6 - 110,000,000IU/ml (35-640,200,000 COPIES/ml)
What would be your interpretation and recommendation on this result?
Brief Answer:
follow up.
Detailed Answer:
Hi there,
Nothing needs to be done.
Repeat the levels after 6 months.
Get yourself vaccinated as suggested in first answer.
No medication required,
Thank you!
follow up.
Detailed Answer:
Hi there,
Nothing needs to be done.
Repeat the levels after 6 months.
Get yourself vaccinated as suggested in first answer.
No medication required,
Thank you!
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
follow up.
Detailed Answer:
Hi there,
Nothing needs to be done.
Repeat the levels after 6 months.
Get yourself vaccinated as suggested in first answer.
No medication required,
Thank you!
follow up.
Detailed Answer:
Hi there,
Nothing needs to be done.
Repeat the levels after 6 months.
Get yourself vaccinated as suggested in first answer.
No medication required,
Thank you!
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
Follow up.
Detailed Answer:
Hello again,
Yes vaccination has nothing to do with chemotherapy.
Thank you.
Follow up.
Detailed Answer:
Hello again,
Yes vaccination has nothing to do with chemotherapy.
Thank you.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Follow up.
Detailed Answer:
Hello again,
Yes vaccination has nothing to do with chemotherapy.
Thank you.
Follow up.
Detailed Answer:
Hello again,
Yes vaccination has nothing to do with chemotherapy.
Thank you.
Above answer was peer-reviewed by :
Dr. Raju A.T
Patient is undergoing chemotheraphy right now for Stage3A Breast Cancer. Is it ok vaccinate her for hepatitis at the same time?
Patient is undergoing chemotheraphy right now for Stage3A Breast Cancer. Is it ok vaccinate her for hepatitis at the same time?
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