How to choose antiviral drugs for hepatitis B patients? Under what circumstances can antiviral treatment not be used?

Many patients with chronic hepatitis B in outpatient clinics asked, doctor, how should one choose with so many antiviral drugs? Can I stop taking the medicine when the virus is gone? Regarding this question that everyone asks the most, I will talk to you today.

Hepatitis B antiviral drugs are divided into two categories, one is oral and the other is injection. Oral drugs are mainly nucleoside analogs entecavir and nucleotide analogs tenofovir disoproxil fumarate dipyrivoxil tablets. Injectable drugs are interferon.

Nucleotide analogues are taken orally, once a day, one tablet at a time, and there are no obvious side effects. Sex, patience is a big test. If the compliance is not good, the patient’s drug resistance will appear.

The advantage of injectable interferon is that the course of treatment is limited, no more than two years. The disadvantage is that it needs to be injected, which is not very convenient, and the side effects are relatively large, like flu symptom. Such as fever, headache, sore muscles and joints, some patients will also have bone marrow suppression, a decrease in white blood cells, such as hair loss, depression and so on.

So how to choose between oral and injection, as well as the combination and sequential treatment of the two, is still in the hands of doctors.

So what kind of hepatitis B virus infection Antiviral treatment is not required, such as children and some adolescents, who are in a state of immune tolerance. Or we performed liver biopsy on patients with hepatitis B, and found that there was indeed no inflammatory damage to the liver. Fibrosis of the liver was absent. In this case, antiviral treatment can be temporarily withheld. But it doesn’t mean that everything will be fine without anti-disease treatment. You need to pay attention to these points in life.

1. Regular inspection: No need for treatment now does not mean that you will never need treatment, so regular inspection is required. During the regular inspection, if inflammation is found during the regular inspection , Be sure to timely antiviral treatment of hepatitis B.

2. Do not drink alcohol: Hepatitis B virus and alcohol have a serious impact on the liver, and may even progress to liver fibrosis, cirrhosis, and even liver cancer. Therefore, people with hepatitis B virus infection must not drink alcohol.

3. Pay attention to diet: Do not overeat fat, sweet and thick flavors, such as greasy, sweet, and high in starch. If it is too high, fatty liver will appear.