Telbivudine【B】

Anti-infective Agents : Antiviral Agents
OSEBI1 “Sebivo FC tablet” 600 mg/tab

適應症:用於具有病毒複製及活動性肝臟發炎證據的慢性B型肝炎患者的治療。

Usual dose:

Type B viral hepatitis, chronic (adolescents 16 yr and older): 600 mg PO qd.

Dose adjustment:

CrCl 30-49 mL/min: 600 mg PO q48h.

CrCl < 30 mL/min, not requiring hemodialysis: 600 mg PO q72h.

ESRD: 600 mg PO q96h, after hemodialysis.

Precaution: lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with the use of nucleoside analogues alone or in combination with antiretrovirals; severe acute hepatitis B exacerbations have occurred following the discontinuation of telbivudine; concomitant use with pegylated interferon alfa-2a and other interferons should be avoided; myopathy and myositis have been reported.

Adverse effect:

Common: finding of creatine kinase level, finding of creatine kinase level (grade 3/4), headache, cough, fatigue, influenza.

Serious: lactic acidosis, ALT/SGPT level abnormal (Grade 3/4), AST/SGOT level abnormal (Grade 3/4), hepatomegaly, steatosis of liver, disorder of muscle, rhabdomyolysis.

健保使用規範:同baraclude 0.5 mg。

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