Description
• রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন।
Indications:
HEPANOR 140 MG is indicated for the treatment of:
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Chronic hepatitis B virus infection in adults with evidence of active viral replication and liver inflammation.
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It is used to reduce the level of the hepatitis B virus in the blood and improve liver function by preventing the virus from replicating.
Pharmacology:
HEPANOR contains Telbivudine, a nucleoside analogue that works by inhibiting the action of the hepatitis B virus's reverse transcriptase enzyme, preventing viral replication. This helps reduce the viral load, decreases liver inflammation, and lowers the risk of liver damage caused by chronic hepatitis B infection.
Dosage:
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Adults: The typical dose is 140 mg once daily, taken orally with or without food.
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Treatment duration may vary based on the patient’s condition and the doctor’s recommendation, but it often continues for several months or years.
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It is important to take the medicine regularly at the same time each day to maintain its effectiveness.
Administration:
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Swallow the tablet whole with a glass of water.
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Do not chew or crush the tablet.
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It can be taken with or without food. However, try to take it at the same time each day to establish a routine.
Interaction:
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Adefovir, lamivudine, emtricitabine, or tenofovir: Co-administration may increase the risk of side effects, particularly kidney-related issues.
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Cimetidine: May increase telbivudine blood levels, possibly leading to an increased risk of side effects.
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Rifampin: May decrease the effectiveness of telbivudine.
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Always inform your doctor about any other medications you are taking, including over-the-counter drugs and supplements.
Contraindications:
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Hypersensitivity to telbivudine or any of the excipients in the formulation.
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Severe liver impairment or liver failure.
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Severe renal impairment (adjustment may be required for patients with kidney dysfunction).
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Pregnancy and lactation: Telbivudine should only be used in pregnancy if the benefit outweighs the risk, and under strict medical supervision.
Side Effects:
Common side effects include:
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Fatigue, headache, nausea, and diarrhea.
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Muscle pain or weakness (myopathy).
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Elevated liver enzymes (indicating liver irritation or injury).
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Rashes or allergic reactions in rare cases.
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Severe side effects (less common) include:
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Lactic acidosis: A rare but serious condition caused by a build-up of lactic acid in the blood, which may occur in patients with liver or kidney problems.
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Severe muscle pain or weakness, especially if combined with other antiviral medications.
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Pregnancy & Lactation:
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Pregnancy: Telbivudine is classified as Category C in pregnancy. It should only be used if the potential benefits outweigh the risks. Always consult a healthcare provider before taking this medication during pregnancy.
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Lactation: It is not known whether telbivudine passes into breast milk. Breastfeeding mothers should discuss the risks and benefits with their doctor.
Therapeutic Class:
Antiviral agent; Nucleoside analogue.
Storage Conditions:
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Store at room temperature, below 25°C.
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Keep the bottle tightly closed and away from moisture and light.
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Keep out of reach of children.
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Do not freeze the medication.
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