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Entecavir

Brand and Other Names: Baraclude
Mechanism of Action:
Entecavir is an antiviral drug
Indications:
BARACLUDE is a nucleoside analogue indicated for the treatment of chronic hepatitis B virus infection in adults with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease.
Route: Oral
Dose:

• Nucleoside-treatment-naïve with compensated liver disease (≥16 years old): 0.5 mg once daily.
• Lamivudine-refractory or known lamivudine or telbivudine resistance mutations (≥16 years old): 1 mg once daily.
• Decompensated liver disease (adults): 1 mg once daily.
• Renal impairment: Dosage adjustment is recommended if creatinine clearance is less than 50 mL/min.
• BARACLUDE should be administered on an empty stomach.

Adverse Reactions:
Most common adverse reactions (≥3%, all severity grades) are headache, fatigue, dizziness, and nausea.
Contraindication:
None.
Warnings and Precautions:

•Severe acute exacerbations of hepatitis B virus infection after discontinuation: Monitor hepatic function closely for at least several months.
• Co-infection with HIV: BARACLUDE is not recommended unless the patient is also receiving HAART.
• Lactic acidosis and severe hepatomegaly with steatosis: If suspected, treatment should be suspended.

See package insert for full prescribing information.