Go to Hepatitis B Foundation home page

32. What are the recommendations made by the treatment Algorithm panel?

So this is our group’s proposed approach to therapy with whatever drug you choose, or you as a patient choose to take. And by the way, the decision of taking interferon, or lamivudine, or adefovir I think is a partnership decision between your doctor and yourself. We educate, we tell up the up-sides and down-side, the pros and cons and then we make a decision together. All three therapies are acceptable. I would say any elevated ALT, doesn’t need to be two-fold, or repeated flares don’t need to wait six months. DNA greater or equal to 10 to the fifth in the regular e-Positive, the wild type- but it’s been shown if you have e-Negative chronic hepatitis B, 10 to the fourth occurs in a lot of active hepatitis B- that’s enough to treat. E-Positive or negative, if you do a biopsy there ought to be moderate disease on biopsy.