Hep B Blog

Buyer Beware: When Someone Claims to Have a Hepatitis B Cure, It’s a Counterfeit Drug

Image courtesy of africa, at FreeDigitalPhotos.net
Image courtesy of africa, at FreeDigitalPhotos.net

Twenty years ago when I found out my daughter had chronic hepatitis B, I would’ve purchased any drug I could find to cure her.  I asked her doctor if she could join a pediatric clinical trial for lamivudine. I just wanted her cured as soon as possible. Fortunately, cooler heads prevailed.

My daughter didn’t need treatment then, and she doesn’t need it today. Her doctor was wise enough not to try an antiviral with an unknown track record that was later found to cause high rates of drug resistance. It would have caused more harm than good.

When we want hard to believe in something—especially a medicine that is advertised to cure hepatitis B–we end up listening to our hearts and not our heads.

Many people touched by hepatitis B around the world don’t have an expert to be the voice of reason and wisdom when they hear about false, counterfeit, or untried treatments for hepatitis B. Sadly, there is a steady increase in false marketing claims on Facebook and other websites using testimonials and marketing ploys to sell a counterfeit hepatitis B cure to we who are vulnerable, frightened, and desperate for a quick cure.

We at the Hepatitis B Foundation know this all too well. The public can post on our Facebook and blog pages. Often, unscrupulous people pitching ineffective cures will try to post a personal claim endorsing some doctor’s or herbalist’s new cure. Here’s a recent, verbatim example of a post to our Facebook page:

“Just wanna express my moment of joy for (having) been cured from the deadly HEPATITIS B.  I have been infected with the Disease over three years and already lost hope (because) I have already tried so many ANTIVIRAL treatment…. one day while making more research online, I came across a testimony of a patients Dr … cured from GENITAL HERPES and I decided to give the said doctor a call….”

As you might expect, the writer claims to have been miraculously cured by the doctor using an antiviral drug called hepantivir, for example. But this drug has no scientific credentials. It has never been studied or tested or reported on in medical journals. But “experts” promise it will cure hepatitis B for $800.

We at the foundation remove these posts as soon as we discover them. These herbal supplements and counterfeit drugs can look very official, with medical-sounding names and packaged to appear like true pharmaceutical products.  The advertising often features a photo of a doctor to appeal to a local audience. But they’re fake, and some of these “products” can even make you sicker than before you started the alleged, miracle drug.

In 2013, a study by the United Nations Office on Drugs and Crime that focused on Africa and South-East Asia suggested the counterfeit drug market in Africa was worth about $4 billion (USD).  A report found that in 2009, in Nigeria, 60 out of 225 (27 percent) antimalarial medications failed chemical analysis, and in Ghana, 14 out of 17 (82 percent) antimalarial drugs followed suit.

Their deceit is cruel and criminal, especially when it targets frightened people who may have no access to treatments or advice. In the U.S., drugs must be approved by the U.S. Food and Drug Administration. To win that approval, randomized, clinical trials that compare outcomes of treated patients to untreated patients (the control group), are needed to prove a drug actually does helps people. This is the gold standard of medical evidence.

That careful FDA review does not, however, apply to herbal supplements. One day, some of these supplements may indeed be found to have beneficial effects to protect the liver against hepatitis B after rigorous study and experiments. But that research hasn’t happened yet.

The U.S. National Institutes for Health has published a directory about what scientific research has discovered about common herbal supplements. Probably the most popular herbal supplement pitched as a liver remedy is milk thistle, and its extract silymarin. The NIH milk thistle report found, “Previous laboratory studies suggested that milk thistle may benefit the liver by protecting and promoting the growth of liver cells, fighting oxidation (a chemical process that can damage cells), and inhibiting inflammation. However, results from small clinical trials of milk thistle for liver diseases have been mixed, and two rigorously designed studies found no benefit.”

A true scientific evaluation is what we need to hear, even when we desperately want milk thistle or another supplement to be the cure. There is no magic bullet that is going to cure hepatitis B. It is a complex infection with no cure at this time. Experts are making great strides and hope to find a cure in the next few years, but now, this is the time to let our heads make healthcare decisions, instead of our vulnerable and hopeful hearts.

So be patient. Don’t fall for false promises, even when they’re accompanied by professional-looking photographs and emotional testimonials. If it sounds too good to be true, it probably is.

More information about counterfeit medications:

Quality Matters: Battling the Epidemic of Illegal Online Drug Sellers and Counterfeit Medicines  Of the 35,000-50,000 active online drug sellers, 97 percent do not comply with U.S. laws and 50 percent of medicines sold online are fake or counterfeit, according to the Alliance for Safe Online Pharmacies (ASOP Global), an international non-profit headquartered in Washington, D.C. with operations in Europe and Asia.

These counterfeit medications are often manufactured in unsafe conditions; contain too little, too much or no active pharmaceutical ingredients; and, in many cases, have been found to contain dangerous substances like floor wax, rat poison, concrete, chalk, boric acid, road tar, paint, anti-freeze, and other toxins. This means that consumers worldwide are just a click away from buying products that may cause harm, treatment failure or even death. Read more…

Fight the Fakes Campaign:  Fight the Fakes is a campaign to raise awareness about the dangers of fake medicines. The campaign gives a voice to those who have been personally impacted and shares the stories of those working to put a stop to this threat to public health. It seeks to build a global movement of organizations and individuals who will shine light on the negative impact that fake medicines have on people around the globe and to reduce the negative consequences on individuals worldwide.

As part of this effort, Fight the Fakes is collecting and sharing the stories of those who are impacted by fake medicines and are speaking up. The website also serves as a resource for organizations and individuals who are looking to support this effort by outlining opportunities for action and sharing what others are doing to fight fake medicines.

Comments on this blog are closed. If you have questions about hepatitis B or this blog post, please email info@hepb.org or call 215-489-4900.

58 thoughts on “Buyer Beware: When Someone Claims to Have a Hepatitis B Cure, It’s a Counterfeit Drug”

  1. Hi, i have bought a medicine that is said to cure HBV. The name of the medicine is hepantivir from Nigeria. Is it a dangerous counterfeit drugs?

    1. Hello: Unfortunately, there is no cure available yet that gets rid of hepatitis B. Hepantivir is a compound marketed primarily in Africa that promises to cure hepatitis B. Sadly, it will not. Please make sure you are monitored regularly, and eat healthy foods and avoid alcohol and cigarettes. That will do much more for your health than taking hepantivir. Good luck.

    2. Thanks for ur concern really like the way u answer each question my blood sample was show that am hepatitis b positive last month..but I discovered that my urine is now yellow in colour and I feel some pains at my right down of my stomach at times.,and my body is also hot at times. I really need ur response pls

      1. Hello: Hepatitis B is known as a “silent infection” because it causes very few symptoms. The liver has very few sensory nerves around it, so we rarely feel abdominal pain from hepatitis B. For an article about this, please read: http://www.hepb.org/blog/when-is-that-pain-hep-b-related-and-when-is-it-something-else/
        Please continue to lead a healthy lifestyle, drink water, avoid alcohol and cigarettes, and talk to your doctor about your symptoms, in the event they are caused by another medical condition other than hepatitis B. Good luck.

  2. I am 32 years male from India karnataka, I had infected hbv in 2014 with unknown source,
    And now I had consulted doctor who is specialist in hbv treatment and he suggested entehep 0.5 mg daily from last 8 months,
    After 6 months of medication he tested me for viral load test hbv quantitative real-time -pcr and found that less than detectable <10 in/ml..
    Against the 1367 in/ml during initial diagnosis ie before six month / prior to medication,

    Kindly suggest whether I am going to get complete relief from hbv or present disease status

    1. Hello: Entrehep (called entecavir in the U.S.) is an antiviral that is very effective. As you have experienced, the drug is effective in reducing viral load. Antivirals generally work for only as long as you take it. I am not sure if you had signs of liver damage (elevated ALT levels) that required you to be treated. Antivirals generally don’t cure you completely, but in some people over time they do reduce the risk of liver damage. Currently, there is no cure for hepatitis B. The best thing you can do is eat healthy food, avoid alcohol and cigarettes, and get monitored regularly. Good luck.

  3. I buy hepantivir and use it after one year and two months i was cleared. When i did the test to re confirm but the doctor said the virus is not there but i can’t be vaccine that am auto immune. Is that true

    1. Hello: Hepantivir is not a medicine that will clear or cure hepatitis B. If you are now testing negative or nonreactive for the hepatitis B surface antigen (HBsAg), that means your immune system was able to clear the virus on its own. If indeed you have cleared the virus, there is no reason for your to be vaccinated against hepatitis B, as you have already been exposed to the virus. For more information about ineffective or fake herbal medications, please read: http://hepbblog.org/2015/12/21/buyer-beware-when-someone-claims-to-have-a-hepatitis-b-cure-its-a-counterfeit-drug/
      Good luck.

  4. I bought hepantivir cause my doctor prescribed it for me have taken it for 7months now I did viral load is saying not detected but if I do Surface test is stii positive why

    1. Hello: Currently, there is no cure for hepatitis B and there is no drug that will make the hepatitis B surface antigen (HBsAg) disappear.
      Unfortunately, hepantivir, which you mentioned, has no scientific credentials. It has never been studied or tested or reported on in medical journals. For more information on fake or counterfeit drugs, please read: http://hepbblog.org/2015/12/21/buyer-beware-when-someone-claims-to-have-a-hepatitis-b-cure-its-a-counterfeit-drug/http://hepbblog.org/2015/12/21/buyer-beware-when-someone-claims-to-have-a-hepatitis-b-cure-its-a-counterfeit-drug/
      Many people will lead long and healthy lives despite their hepatitis B infection and testing positive for HBsAg, and never need treatment. Some of the best things you can do for yourself and your health is to eat healthy foods, and avoid alcohol and cigarettes.
      Researchers are hard at work on developing a cure, and experts believe a cure will be developed in the next few years. Please be patient, continue to be monitored, and get your family and friends tested for hepatitis B and vaccinated. Good luck.

  5. Good day, Im from Nigeria and I came across hepantivir and was searching across the net to find its authencity. This is how I came across your publication which is indeed helpful. My main problem is that I have had tests with my Dr and I was confirmed that my surface antigen tested positive for hepatitis, in short i was said to be a carrier of the virus but Im not suffering from the virus. Just like the case of someone with AS blood genotype. I do regularly go for tests to confirm if the antigen has transformed into a full pledged hepatitis disease. My question is there no cure or ways in which I can clear the surface antigen. Thanks for your efforts.

    1. Hello: When we’re infected with hepatitis B, we are eager to find a cure or some way to get rid of this infection. Currently, there is no cure for hepatitis B but there are very effective treatments if you experience a high viral load (HBV DNA) and signs of liver damage. These treatments include the antivirals tenofovir and entecavir. Unfortunately, hepantivir, which you mentioned, has no scientific credentials. It has never been studied or tested or reported on in medical journals. But “experts” promise it will cure hepatitis B for $800. For more information on fake or counterfeit drugs, please read: http://hepbblog.org/2015/12/21/buyer-beware-when-someone-claims-to-have-a-hepatitis-b-cure-its-a-counterfeit-drug/
      Many people will lead long and healthy lives despite their hepatitis B infection, and never need treatment. Some of the best things you can do for yourself and your health is to eat healthy foods, and avoid alcohol and cigarettes. Also, get your family members tested and vaccinated for hepatitis B.
      Researchers are hard at work on developing a cure, and experts believe a cure will be developed in the next few years.
      Please be patient, continue to be monitored, and get your family and friends tested for hepatitis B and vaccinated.
      Good luck.

  6. please ALT,ALP and GGT are all high, but ultrasound says liver is normal, viral load is also low(131/ml) and all other parameters are also normal, so my doctor says I don’t need treatment but she has been given me livopat twice daily for some time now. I go for review every 6 months when I have the money with a repeated investigations mentioned above, she still says I don’t need treatment but I feel pains at the right side of my body where the liver lies, so what should I do now? Thank you.

    1. Hello: Medical guidelines say treatment should begin if your liver enzymes (ALT/AST) are elevated. Your viral load is low, but if your ALT is elevated, something is affecting your liver. Unfortunately, livopat is an herbal supplement that will be not heal or reduce your liver damage. Continue to monitor your ALT levels at least every six months and talk to your doctor if they are highly elevated. Good luck.

  7. what’s the mortality rate of this infection? Do I have the gut to still marry my fiance who has hbv? Would she live long?

    1. Hello: Many people with hepatitis B live long and healthy lives, especially if they avoid alcohol and cigarettes, and eat healthy food. Only 15 percent of women will experience serious liver damage from hepatitis B.
      You can marry and have children if your wife has hepatitis B, but there are some important steps to take to make sure your partner and your future children do not become infected.
      Before you have sexual relations, you must make sure you are tested and vaccinated against hepatitis B and have enough hepatitis B antibodies to protect you against infection. Go to a doctor and get screened for hepatitis B. If you are not infected and haven’t been vaccinated in the past, you should get the three shots of the vaccine. (You may have been immunized during childhood.) The second shot is given 30 days after the first, and the third shot is given six months after the first shot.
      About one or two months after the third vaccine shot, get screened for hepatitis B antibodies. Or, if you were immunized in the past, get tested now to make sure you have enough antibodies. The number of antibodies should be more than 10 mIU/mL. That means you have enough antibodies to fight off infection.
      If you were immunized long ago, your level may be under 10, if that is the case talk to your doctor and get one more hepatitis B vaccine shot (called a booster), and then test again to see if the antibodies have increased.
      If you have children, an infected woman faces a high risk of infecting the newborn (because of virus in blood and body fluids). To prevent that, your baby must be immunized with the first vaccine dose within 12 hours of birth and given a dose of HBIG if it’s available. HBIG contains hepatitis B antibodies and helps fight infection.
      Early in her pregnancy, if you can, check her viral load (HBV DNA). If she has a high viral load and tests positive for the hepatitis B “e” antigen, her doctor may want to treat her with tenofovor to lower her viral load and reduce your risk of infecting your baby. For more information see http://hepbblog.org/2015/06/25/expert-calls-for-viral-load-testing-in-all-pregnant-women-with-hepatitis-b/
      Good luck.

  8. Thank u so much for this post.. I just got engaged and my Fiance is a medical doctor.. we have never heard unprotected sex but plan doing that in december when we will see again.. I quickly went to do blood test for RVS and HPV and discovered I was positive to HPV only.. pls am so so confuse.. should I tell my fiance because I know he will come with the strip for self test.. how do I tell him? Also someone recommended hepantivir for me which i started taking immedimmediately he told me that it will clear the virus because he found very little in my blood. Pls advice accordingly.. thank alot and God bless.

    1. Hello: One of the hardest things that people with hepatitis B have to do is disclose their infection to their sexual partners. It isn’t easy, but being able to trust our partners is important in our relationships. Hopefully, because he is a doctor, he will be knowledgeable about the infection. And, as a doctor, he has probably been vaccinated already against hepatitis B. For more information about disclosing, please read this blog: http://www.hepb.org/blog/romance-in-the-air-take-a-deep-breath-and-disclose/
      Currently there is no cure for hepatitis B, the best thing you can do is eat healthy foods and avoid alcohol and cigarettes. Hepantivir is a supplement, unfortunately there is no medical evidence that it cures hepatitis B.
      I recommend that you get tested to make sure you are not experiencing any liver damage. This is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for women are up to 19. Please consult with your doctor about this test.
      Until you know for sure whether your boyfriend has been vaccinated against hepatitis B, please continue to practice safe sex as you have been doing. Good luck.

    1. Hello: Unfortunately, there is no cure for hepatitis B and no herbal medicine or supplement has been found to get rid of hepatitis B. The National Institutes for Health has published fact sheets on various herbal supplements, the home page is at: https://nccih.nih.gov/health/herbsataglance.htm
      and the fact sheet on milk thistle is at https://nccih.nih.gov/health/milkthistle/ataglance.htm
      Keep in mind that herbal remedies and supplements are not regulated so you don¹t really know for sure what is in them, and that the contents could change from one bottle to the next.
      The other problem with herbal remedies in general is there is typically NO evidence (no clinical trials or data) to back up a claim for a cure, which is why the NIH fact sheets are so valuable.
      We at the foundation cannot recommend any claims for a cure that are not backed by scientific data or endorsed by the U.S. Food and Drug Administration. Sometimes, supplements and remedies can harm the liver more than help it.
      I would encourage you to discuss the use of these herbal remedies or supplements with your liver specialist, along with learning more about your HBV and liver health. I would also encourage you to focus adopting healthy lifestyle choices which go a long way towards maintaining the health of your liver. Good luck.

  9. I lent dr sebi Herbal drugs at Los Angels heal all kinds of disease with a clinical prove . can you please found out for us. thanks

    1. Hello: There is no cure for hepatitis B, and no herbal cure for it. The National Institutes for Health has published fact sheets on various herbal supplements. The home page is at: https://nccih.nih.gov/health/herbsataglance.htm if you want to look up the safety and effectiveness of the herbal supplement you are considering.
      Please keep in mind that herbal remedies and supplements are not regulated so you don¹t really know for sure what is in them, and that the contents could change from one bottle to the next.
      The other problem with herbal remedies in general is there is typically NO evidence (no clinical trials or data) to back up a claim for a cure, which is why the NIH fact sheets are so valuable.
      We at the foundation cannot recommend any claims for a cure that are not backed by scientific data or endorsed by the U.S. Food and Drug Administration. Sometimes, supplements and remedies can harm the liver more than help it.
      I would encourage you to discuss the use of these herbal remedies or supplements with your liver specialist, along with learning more about your HBV and liver health. I would also encourage you to focus adopting healthy lifestyle choices, including avoiding alcohol and cigarettes, which go a long way towards maintaining the health of your liver. Good luck.

  10. Please am hbsag positive. Have done ultra scan and blood test for the liver and the Doctor said is normal. He recommended Tenoforvir, livolin, and Daravite. I want to ask if they are safe to use. I will appreciate if I can get your reply on my below written mail address. Thanks

    1. Hello: Medical guidelines recommend treatment for hepatitis B ONLY if you are experiencing liver damage. This is indicated by an ultrasound (which you’ve had and it shows no damage according to your doctor) and a blood test for the liver enzyme ALT (also called SGPT). If neither of these tests showed liver damage, then you may want to discuss why treatment is needed with your doctor. Doctors may prescribe treatment if you are older or have a family history of liver cancer. Tenofovir is an antiviral that works only for as long as you take it, which is why doctors don’t generally start patients on antivirals unless there is liver damage and the patient is prepared to take them for several years. If you stop taking antivirals, you are at risk of a “flare” or a sudden increase in viral load (HBV DNA) and liver damage.
      You and your doctor can review the World Health Organization’s guidelines for hepatitis B treatment at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/
      Also, the livolin and daravite he recommended are herbal supplements that have not been proven clinically to do anything to protect your liver or fight hepatitis B.
      Please keep in mind that herbal remedies and supplements are not regulated so you don¹t really know for sure what is in them, and that the contents could change from one bottle to the next.
      The other problem with herbal remedies in general is there is typically NO evidence (no clinical trials or data) to back up a claim for a cure, which is why the NIH fact sheets are so valuable.
      We at the foundation cannot recommend any claims for a cure that are not backed by scientific data or endorsed by the U.S. Food and Drug Administration. Sometimes, supplements and remedies can harm the liver more than help it.
      Some of the best things you can do to safeguard your health is to eat healthy foods and avoid alcohol and cigarettes. Please also have your family members tested for hepatitis B and vaccinated if needed. Good luck.

      1. Thanks for your reply. But I still don’t understand. Isn’t there any drug you can take to help prevent the virus from spreading and also to prevent it from getting to the liver?

        1. Hello: Once you test positive for hepatitis B, it is in your liver as it can only reproduce in your liver cells.
          Antiviral medications (either entecavir or tenofovir) meddle or disrupt the virus’ ability to reproduce, so they reduce the virus to very low levels and lower your risk of liver damage. However, these drugs still cannot make it totally disappear, nor can they make the hepatitis B surface antigen disappear. Good luck.

  11. Am hepatitis b patient and work at a transport company.I do breath in vehicle immission.can it further damage my liver.

    1. Hello: Exposure to exhaust fumes includes health risks, beyond carbon monoxide. “Some of those toxins include sulfur dioxide, nitrogen dioxide, benzene, polycyclic hydrocarbons and formaldehyde. Each of those substances is a pathogen which can have severe consequences both immediately and over the long haul. Medical science has established that many of these substances have harmful effects on bone marrow, the spleen and even our lymph nodes. As a matter of fact, the circulatory system is especially vulnerable to the toxins in exhaust fumes. Studies have shown that many of these toxins have resulted in problems in the bloodstream such as anemia.” Source: http://www.healthguidance.org/entry/14639/1/Dangers-of-Exhaust-Fumes.html
      Please try to vent your work environment at much as possible, and try to get the company to incorporate healthy procedures to reduce your risk of exposure. Good luck.

  12. I am hepatitis B positive. They introduced hepantivir to me which I used for 3 months with no effect. My LFT is normal, ultrasound result is fine too. But my viral load is 80,065. Hope it’s not the hepantivir that increased my viraload. My doctor still placed me on Tenofovir. I have used it for 2 months but feeling uncomfortable. Another doctor advised me to stop the drug and just take enough fluid, eat balanced diets. Hope there won’t be any problem stopping the drug.

    1. Hello: Hepantivir is an herbal supplement that does not cure hepatitis B nor does it protect the liver.
      First of all, not everyone with hepatitis B requires treatment. Generally, medical guidelines recommend treatment only if you are experiencing liver damage. This is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for men are up to 30, and for women they are up to 19. Your liver is very healthy, according to your ultrasound and liver function tests, so you do not need treatment at this time, unless you are older or with a family history of liver cancer.
      If you ever require treatment because of liver damage, tenofovir is recommended, however until you actually need treatment, I recommend you eat healthy foods, avoid alcohol and cigarettes.
      You may experience a surge in viral load when you go off the antiviral tenofovir. Make sure you are regularly monitored to make sure you do not suffer any ill effects from stopping treatment.
      Good luck.

  13. Hi, i want to thank you for this great work you are doing for every one who is seeking for an answer. I went for a test, please help me explain the result below: Send the answer to my email below.

    L F T.Bilirubin Direct. 0.52-up to 0.25mg/dl.Bilirubin Total. 0.37-up to 1.0mg/dl.Albumin.2.6.-3.5-5.0g/dl.ALP.Alkaline Phosphate. 179.6-17-77u/lat 250C(men).Total Protein. 6.7-8.3g/dl.(Adult). SGPT. 15.6 up to 22u/l at 25oC(men).SGOT. 7.4 up to 19u/l at 25oC(men) HBSAg B -slightly Reactive

    1. Hello: It appears your liver enzyme (called SGPT) at 15.6-22 is well within the healthy range. This is good news, it means your hepatitis B is not harming your liver. Please continue to be monitored, at least once a year, and eat healthy foods and avoid alcohol and cigarettes. Good luck.

      1. Hi, thanks very much for the update. I want to know if there is any recommended medicine you think will be good for me to take.secondly i had protected sex with my girl friend before i knew about it, can she be affected too with use of condoms.

        1. Hello: If you have signs of liver damage and a high viral load, current medical guidelines recommend antiviral treatment with either entecavir or tenofovir (Viread), but just to underscore this point, only if you have liver damage.
          Condoms, when used correctly, reduce the spread of sexually-transmitted infections. However, the only way to absolutely prevent the spread of infection is to make sure your girlfriend is vaccinated against hepatitis B. While her risk is not as high as with unprotected sex, it still exists and she should be tested and vaccinated asap. Good luck.

  14. Hi I want to thank you for the good work done . Please i want to know if hepatitis b or liver disease cause or lead to chronic coughing..thanks

    1. Hello: I am not familiar with coughing as a symptom or result of hepatitis B or liver disease. To know for sure, it is important for you to see your doctor and describe your coughing. Also, make sure you receive a liver enzyme blood test to rule out liver disease with a hepatitis B infection. Good luck.

  15. please how can I prevent my hep C from becoming chronic and if it clears after a few months will I still be a carrier? thank you.

    1. Hello: Have you been diagnosed with hepatitis B or hepatitis C? Whichever one it is, please continue to be monitored and in the meantime eat healthy foods and avoid alcohol and cigarettes.
      If you test positive for the hepatitis B surface antigen (HBsAg) for longer than about six months, it means you have a chronic infection.
      For more information about chronic vs. acute hepatitis B infection, please read: http://www.hepb.org/what-is-hepatitis-b/what-is-hepb/acute-vs-chronic/
      Good luck.

      1. my brother has been testd positive for hb and he is getting married next month and his wife to be does not know her status..pls what is d best advice you can give. thank you

        1. Hello: Great question!
          Yes, if you have hepatitis B, you can marry and have children but there are some important steps to take to make sure his wife and future children do not become infected.
          Before you marry or have sexual relations, you must make sure your partner is vaccinated against hepatitis B and has enough hepatitis B antibodies (HBsAb) to protect them.
          Have them go to a doctor and get screened for hepatitis B. If they are not infected and haven’t been vaccinated in the past, they should get the three shots of the vaccine. (They may have been immunized during childhood.) The second shot is given 30 days after the first, and the third shot is given six months after the first shot.
          About one or two months after the third vaccine shot, have the partner screened for hepatitis B antibodies/titers. Or, if they were immunized in the past, have them tested now to make sure they have enough antibodies to protect them. The number of antibodies should be more than 10 mIU/mL. That means they have enough antibodies to fight off infection.
          If they were immunized long ago, their antibody levels may be under 10 mIU/mL, if that is the case, get one more hepatitis B vaccine shot (called a booster), and then test again to see if the antibodies have increased.
          Until your brother is certain that she has enough antibodies to fully protect against hepatitis B, he must practice safe sex and use a condom.
          Good luck and congratulations to your brother.

  16. hi. please my question is, can alcohol/drug induced hepatitis be tested for using the hepatitis B test kit?

    Or only virus induced hepatitis B can be tested for using the hepatitis B test kit?

    1. Hello: The hepatitis B test only looks for certain hepatitis B virus antigens and antibodies in order to determine if an infection is present. If you have liver damage as a result of drug or alcohol abuse, a hepatitis B test will not test for liver damage. For that you need to get a blood test that measures the liver enzyme called ALT or SGPT. Good luck.

  17. I have this problem, I was diagnose of hepatitis B five months ago though I have never been presented with any symptoms. I went to federal medical centre here in Nigeria and a Doctor recommend I should take Lamivudine and did it only only on the ground that I tested positive to HBV which I did 2 months ago and decided to discontinue it on my own. From what I red in your previous you said that antiviral is only necessary if liver damage have been detected otherwise the patient is at the risk of sudden increase in viral load and liver damage. Concurrently when I was about to discontinue the drug, I did a liver function test and here is my result
    Total Bil. Adult=15.2…(5-21)umol/L
    Conj. Bil. Adult=11.7…(8)umol/L
    ALT-SGPT=9…(5-15)iu/L
    AST-SGOT=12…(5-18)iu/L
    Alkaline phos. Adult=31…(73-207)iu/L
    Meanwhile the very day I showed this result to the doctor he recommend I should commence taking Levolyn Forte. I am very confused because I am quite sure that non of the medical doctor that have been attending to me are specialist. It may sound strange to you but that’s Nigeria healthcare system for you. I just need your advice please

    1. Hello: You are correct, you do not require treatment at this time because you have no signs of liver damage.
      Also, medical guidelines no longer recommend lamivudine for hepatitis B, because it causes a very high rate of drug resistance.
      I recommend that your doctor review the World Health Organization’s hepatitis B treatment guidelines at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/
      If you are interested, there is an organization in Nigeria that works to combat hepatitis B. Below is the contact information. Good luck.
      Danjuma Adda of Chagro-Care Trust (CCT)
      chagrocare@yahoo.com
      danadda02@yahoo.com
      T: +234 8036 542 517

  18. I meant somewhere in my post that the Doctor recommended Lamivudine for me only on the ground that I have tested positive to the HBV and with no recourse to whether I have presented any symptoms nor even to recommend liver function test for me before going ahead to prescribe drug for me.

  19. In view of the foregoing I am also reluctant in commencing the levolyn forte as recommended or prescribed

    1. Hello: There is no cure for hepatitis B and herbal supplements like levolyn forte have not been shown to protect the liver or reduce hepatitis B.
      Please keep in mind that herbal remedies and supplements are not regulated so you don’t really know for sure what is in them, and that the contents could change from one bottle to the next.
      The other problem with herbal remedies in general is there is typically NO evidence (no clinical trials or data) to back up a claim for a cure, which is why the NIH fact sheets are so valuable.
      We at the foundation cannot recommend any claims for a cure that are not backed by scientific data or endorsed by the U.S. Food and Drug Administration. Sometimes, supplements and remedies can harm the liver more than help it.
      I would encourage you to discuss the use of these herbal remedies or supplements with your liver specialist, along with learning more about your HBV and liver health. I would also encourage you to focus adopting healthy lifestyle choices, which go a long way towards maintaining the health of your liver.
      The World Health Organization has published hepatitis B treatment guidelines at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/ that you can review with you doctor.
      Good luck.

  20. Please what can you advise me about this my result of liver function test below
    Total Bil. Adult=15.2…(5-21)umol/L
    Conj. Bil. Adult=11.7…(8)umol/L
    ALT-SGPT=9…(5-15)iu/L
    AST-SGOT=12…(5-18)iu/L
    Alkaline phos. Adult=31…(73-207)iu/L

    1. Hello: Your liver function test shows your liver is healthy. The liver enzyme test for ALT/SGPT is 9,which is excellent. Liver cells release ALT/SGPT into the bloodstream when they are damaged. Healthy ALT/SGPT levels for women are up to 19, and for men it is up to 30. Yours are excellent.
      This means you do not need treatment. Have you had a viral load (HBV DNA) test, or a test for the hepatitis B “e” antigen or antibody — HBeAg or anti-HBe? These will also show you what stage of infection you are at.
      Make sure you are monitored regularly, at least every year, and of course avoid alcohol and cigarettes. Good luck.

  21. Also over a week now, I withdrew from taking lamivudine haven taken it for two months. I would not know if this withdrawal could cause me any problem in my health ?

    1. Hello: Based on the information you provided in the other post, because you have no signs of liver damage, you do not need treatment at this time.
      Also, medical guidelines no longer recommended lamivudine for hepatitis B. This is an old antiviral that has a high rate of drug resistance.
      You may want to share the World Health Organization’s hepatitis B treatment guidelines with your doctor, they are at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/
      Good luck.

  22. Please I’m a hepatitis B patient, I was told by my doctor that mine is the non-replicative type. He also told me that I have no natural antibodies against replication. I recently did the hep B profile test and this was my results.
    HBsAg reactive
    HBeAg non- reactive
    HBsAb non reactive
    HBeAb non reactive
    HBcAb reactive
    Please what should I do?

    1. Hello: Knowing your hepatitis B antigens and antibody status is only part of the picture when looking at your overall liver health.
      First, I’ll address the fact you test negative (nonreactive) for the hepatitis B “e” antigen and antibody. E antibodies (HBeAb) are among the first antibodies your immune system creates to fight hepatitis B. Think of it like a war, with antibodies battling antigens. Their goal is to clear out all “e” antigens (HBeAg) so the “e” antibodies can be in the majority. Generally, once you lose “e” antigen and develop “e” antibodies, it means the number of hepatitis B virus in your body is declining, and your viral load (HBV DNA) should decrease, which is a good thing.
      However, in addition to monitoring your “e” antigen and antibody status, your doctor should be monitoring your liver health, and be conducting blood tests regularly for the liver enzyme ALT/SGPT. When liver cells are damaged, they release ALT/SGPT into the bloodstream. Health ALT/SGPT levels range up to 30 in men and 19 in women.
      So please make sure your doctor is monitoring your liver health too. Good luck.

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