Treatment FAQ

what is standard of recommended treatment for hepatitis b

by Marion Kuhlman DDS Published 2 years ago Updated 2 years ago
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Antiviral medications.
Several antiviral medications — including entecavir (Baraclude), tenofovir (Viread), lamivudine (Epivir), adefovir (Hepsera) and telbivudine (Tyzeka) — can help fight the virus and slow its ability to damage your liver. These drugs are taken by mouth.
Sep 4, 2020

Medication

Procedures

Self-care

Nutrition

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Which is the initial treatment recommended for chronic hepatitis B?

If your liver is working fairly well, the first treatment offered is usually a medicine called peginterferon alfa 2-a. This stimulates the immune system to attack the hepatitis B virus and regain control over it. It's usually given by injection once a week for 48 weeks.

How many treatment options are there for hepatitis B?

There are now 7 approved drugs for hepatitis B in the United States -- 2 types of injectable interferons and 5 oral antivirals – that control the hepatitis B virus. A cure, however, may be in the near future because there is exciting research being done today to generate promising new drugs.

What is the usual treatment for hepatitis?

Hepatitis C infection is treated with antiviral medications intended to clear the virus from your body. The goal of treatment is to have no hepatitis C virus detected in your body at least 12 weeks after you complete treatment.

Can hepatitis B be treated traditionally?

The bottom line. There's no cure for hepatitis B, but there are several treatments that can help with managing symptoms and reducing the risk of long-term health problems, such as cirrhosis. If you have hepatitis B, try to get in for a blood test every six months or so to monitor your viral load and liver health.

What is the new treatment for hepatitis B?

A consortium of leading virologists, immunologists and physicians specialized in treating viral hepatitis, will use a newly designed therapeutic vaccine, TherVacB, as an immunotherapy to cure HBV. TherVacB will be evaluated in a three-year clinical trial starting in 2022 conducted in Europe and in Africa.

How long should I take tenofovir for hepatitis B?

Background: Long-term tenofovir disoproxil fumarate (TDF) treatment for chronic hepatitis B (CHB) is associated with sustained viral suppression and regression of fibrosis and cirrhosis at year 5 (240 weeks) and no TDF resistance through 6 years (288 weeks).

When should you start treatment for hepatitis B?

Treatment is generally indicated in chronic hepatitis B patients with HBV DNA >2000 IU/mL, elevated ALT and/or at least moderate histological lesions, while all patients with cirrhosis and detectable HBV DNA should be treated.

What is the first-line of treatment in hepatitis?

Currently, pegylated interferon alfa (PEG-IFN-a), entecavir (ETV), and tenofovir disoproxil fumarate (TDF) are the first-line agents in the treatment of hepatitis B disease.

Does acyclovir treat hepatitis?

Acyclovir triphosphate is a potent inhibitor of hepatitis B virus DNA polymerase, but acyclovir treatment provides no benefit in patients with hepatitis B virus infection.

Can you live a long life with hepatitis B?

The most important thing to remember is that hepatitis B is a chronic medical condition (such as diabetes and high blood pressure) that can be successfully managed if you take good care of your health and your liver. You should expect to live a long, full life.

How long can you live if you have hepatitis B?

Most people chronically infected with hepatitis B can expect to live long and healthy lives. Individuals with chronic HBV may not develop symptoms for up to 30 years. Damage to the liver can silently occur during this time.

Does chronic hepatitis B go away?

While hepatitis B never really goes away, once you clear HBsAg your risk of liver damage and liver cancer diminish tremendously. It's worth a celebration, but you need to continue to be monitored as you age.

Diagnosis

Lifestyle and Home Remedies

Coping and Support

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Chronic form of the infection is not curable, but HBV is preventable by vaccination.
Medication

Antivirals: Cannot clear the infection but can stop the replication of the virus and minimize liver damage.

Lamivudine . Adefovir . Entecavir


Immunomodulators: Reduces the viral load by preventing replication of viruses. Response differs with genetic variations of the virus.

Interferon alfa-2b

Procedures

Liver transplantation: Recommended in cases of severely damaged liver.

Self-care

Always talk to your provider before starting anything.

  • Take adequate rest.
  • Eat a healthy diet.
  • Take plenty of fluids.

Nutrition

Foods to eat:

  • Eat healthy and nutritious diet
  • Include fresh fruits and vegetables in your diet
  • Drink plenty of fluids to prevent dehydration

Foods to avoid:

  • Alcohol
  • Saturated fats

Specialist to consult

Gastroenterologist
Specializes in the digestive system and its disorders.
Hepatologist
Specializes in the diagnosis and treatment of diseases related to liver, the biliary tree, the gallbladder and the pancreas.

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