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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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When Should Treatment For Hepatitis-B Be Started And For How Long?

I was traced HBV November 2013. I start my treatment Tab.TenofoB after five month April 2014 HBV was not detected in PCR. I take addition medicine 6-8 month till in Jan 2015 it was not detected when I did PCR after 1 year now I did PCR Again November 2016 virus is detectable and has 686IU//ml ratio The doctor has recommend to eat medicine (centaurus 0.5mg entecavir) life time the question is treatment is expensive and medicine has also some side effect Tell me when I should start my treatment? What should duration of treatment ?
Mon, 7 Jan 2019
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General & Family Physician,  's  Response
Hi,

In your case 686IU//ml is considered to be high. Start treatment right now. You should also measure periodically SGPT, SGOT levels, USG liver or if possible fibroscan of liver also. Treatment must be lifelong per se viral load must be kept under observation periodically to avoid further liver damage. Consult hepatologist for better management.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Pragnesh Limbachiya,
General & Family Physician
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When Should Treatment For Hepatitis-B Be Started And For How Long?

Hi, In your case 686IU//ml is considered to be high. Start treatment right now. You should also measure periodically SGPT, SGOT levels, USG liver or if possible fibroscan of liver also. Treatment must be lifelong per se viral load must be kept under observation periodically to avoid further liver damage. Consult hepatologist for better management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Pragnesh Limbachiya, General & Family Physician