HBsAG Reactive

[gidz]

My result showed Patient value = 3059.0;cut off value = 1.0; result = reactive; method = cobas e 411, what is the interpretation of these result?

[stef2011]

you need to check if replication is active or not by these tests:
hbsag quantity in iu/ml if available and not too expensive otherwise skip this
hbe, hbeab, hbvdna pcr,alt/ast

if you are active and hve problems for cost of drugs you can use tenvir which is generic tenofovir, but only if hbv is active because tenofovir lowers only hbvdna and alt/ast nothing else, you can also make combo with alinia (nitazoxanide) generic nazonide 500 or nitarid if you can afford this too.

if hbv is not active you can just monitor every 6 months alt/hbvdna pcr, ultrasound or start alinia even with inactive hbv because alinia lowers hbsag and can eradicate hbv (we don't know yet rates of eradication although higer than any other drug)

[hitlerphil]

interferon is very expensive... can u help me to find a way, i am hsbag reactive and hbeag non reactive...

[stef2011]

you need all hbv markers especially hbvdna, liver function, ultrasound and fibroscan (if alt are within normal to 200)

hbsag can help understand the quantity of cccdna in your liver, unfortunately your hbsag value is high so eradicating hbv is not possible with this value as most of cronic carriers but if hbv is replicating you can stop it by interferon or antivirals entecavir or tenofovir