New option for patients with hepatitis B
A thymidine nucleoside analogue antiviral drug for treating hepatitis B has been launched this week by Novartis.
Marketed as Sebivo, telbivudine is indicated for the treatment of adults
with chronic hepatitis B virus infection who have compensated liver disease
and evidence of viral replication, persistently elevated serum alanine
aminotransferase levels and histological evidence of active inflammation
or fibrosis.
The recommended dose of telbivudine is one 600mg tablet taken orally
once a day. Patients with renal impairment, whose
creatinine clearance is less than 50ml/min, require a longer dosing interval,
adjusted according to the severity of their renal impairment.
Telbivudine is not recommended as monotherapy for patients with established
viral resistance to lamivudine.
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