AN OBSERVATIONAL STUDY ON CLINICAL SAFETY AND EFFICACY OF ANTIVIRAL MEDICATIONS USED IN CHRONIC HEPATITIS-B VIRUS INFECTION

Aakula Anusha, K. Balaji, Asawar Sai Chandana, Bandaripalli Navya Sri, Chandan Kumar K.N.
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Abstract

Hepatitis B is serious liver illness that is brought on by hepatitis B virus. It is classified into two types- acute and chronic hepatitis. Antivirals are the best choice of treatment for Hepatitis-B. Tenofovir (25mg and 300mg) and Entecavir (0.5mg) are currently used medications to control viral replication and suppress viral DNA levels. The study was a single centered, observational study that included 60 chronic hepatitis-B patients. They were split into two groups of patients prescribed with Tenofovir and Entecavir. Our study was conducted on 60 patients out of which 81.66% were found to be males and 18.33% were found to be females. Among them, most of the patients belonged to the age group 41-60 years (51.66%). In 51 patients taking Tenofovir monotherapy, 41 patients (80.40%) were having ≤2000 IU/mL. In 6 patients taking Entecavir monotherapy, 3 patients (50%) were having ≤2000 IU/mL. In 3 patients taking Dual therapy, 2 patients (66.67%) were having ≤2000 IU/mL. Among 60 patients, ADRs were reported in 41 patients (68.33%). Commonly reported ADRs were weakness, headache, dizziness, abdominal pain. These are mild and occasional. 73.40% patients reported ADRs while using Tenofovir and 83.33% patients reported ADRs while using Entecavir. From our study, it was observed that Tenofovir is having good safety and efficacy (80.40%) whereas Entecavir is having 50% efficacy. Tenofovir safety and efficacy is much more when compared to safety and efficacy of Entecavir.
慢性乙型肝炎病毒感染者使用抗病毒药物的临床安全性和有效性观察研究
乙型肝炎是由乙型肝炎病毒引起的严重肝病。它分为急性和慢性肝炎两种类型。抗病毒药物是治疗乙型肝炎的最佳选择。替诺福韦(25 毫克和 300 毫克)和恩替卡韦(0.5 毫克)是目前用于控制病毒复制和抑制病毒 DNA 水平的药物。该研究是一项单一中心的观察性研究,包括 60 名慢性乙型肝炎患者。他们被分成两组,分别服用替诺福韦和恩替卡韦。我们的研究对象为 60 名患者,其中 81.66% 为男性,18.33% 为女性。其中,大多数患者属于 41-60 岁年龄组(51.66%)。在 51 名接受替诺福韦单药治疗的患者中,41 名患者(80.40%)的血药浓度≤2000 IU/mL。在 6 名接受恩替卡韦单一疗法的患者中,有 3 名患者(50%)的 IU 值低于 2000 IU/mL。在 3 名接受双重疗法的患者中,有 2 名患者(66.67%)的 ADR 值≤2000 IU/mL。在 60 名患者中,有 41 名患者(68.33%)报告了不良反应。常见的不良反应有乏力、头痛、头晕和腹痛。这些反应都很轻微,偶尔发生。73.40%的患者在使用替诺福韦时报告了不良反应,83.33%的患者在使用恩替卡韦时报告了不良反应。 从我们的研究中可以看出,替诺福韦的安全性和有效性较好(80.40%),而恩替卡韦的有效性为 50%。与恩替卡韦的安全性和有效性相比,替诺福韦的安全性和有效性更高。
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