What to do when antiviral drugs are resistant

  For patients who develop resistance during lamivudine treatment, adefovir may be added to continued lamivudine or optionally switched to tenofovir, with no recommended switch to entecavir 1 mg/d; for patients who develop resistance during adefovir treatment, lamivudine, telbivudine or entecavir may be added or switched to tenofovir; for patients who develop resistance during entecavir treatment, the For patients who develop resistance during entecavir therapy, tenofovir or adefovir can be added; for patients who fail or develop resistance during lamivudine or tipifudine combined with adefovir, it is recommended to switch to entecavir plus tenofovir; for patients who develop resistance during lamivudine therapy, treatment can also be switched to interferon or other nucleoside analogues.