Four Myths About Hepatitis B Antiviral Treatment

There are 30 million people with chronic hepatitis B in China, and without antiviral treatment about one in ten will gradually develop into cirrhosis, liver necrosis and liver cancer. Early antiviral treatment can easily stop the development of cirrhosis and hepatocellular carcinoma. However, because of lack of understanding, there are some misconceptions about antiviral. 1, the purpose of hepatitis B treatment is “positive to negative”. Most people think that the purpose of hepatitis B treatment is to make the viral index turn negative in order to be considered stable. So a lot of patients looking around for a cure, thinking that the condition is under control if the “major triple positive” is changed to “minor triple positive”. Many charlatans also use various means (advertisements, tabloids, radio, etc.) to lure patients with the bait of conversion treatments, which cost a lot of money and have very poor results. The real fact is just the opposite, the virus has damage to liver function, or liver function indicators repeatedly abnormal is the purpose of antiviral. Normal liver function does not need antiviral, if antiviral will break the balance, after stopping the drug, but easy to liver function is not normal, or even cultivate drug-resistant, in case the future need to antiviral, there is no drug available. 2, excessive fear of viral mutation. Fear of viral mutation caused by antiviral treatment is too great to prevent antiviral treatment. This will cause the virus to keep replicating and liver inflammation to persist, resulting in cirrhosis and liver tumors. In fact, viral mutation is normal and more new drugs are gradually becoming available. With active and appropriate treatment, the disease can be stabilized, the progression of cirrhosis and the emergence of tumors can be delayed or blocked. 3.Expectation of antiviral treatment is too high. Due to the social discrimination and unequal treatment suffered by some infected people, they are eager to pursue the “conversion” treatment and have too high expectation of antiviral treatment. It is also wrong to blindly extend the duration of antiviral treatment without paying attention to liver function. In fact, the current antiviral drugs can only play a control, liver inflammation continues to disappear, blocking cirrhosis liver cancer liver necrosis production and development, and can not completely remove the virus. 4.Temporarily refrain from antiviral treatment and wait for the ideal new treatment. Some patients think that “antiviral treatment is irrelevant” and “just take some enzyme-lowering drugs when liver function is abnormal”. Waiting for the emergence of good drugs in the future, and then antiviral. This is also wrong. Because by the time you feel it, your condition will be more serious, and by the time you have to go to the doctor, it will have already developed into liver necrosis, cirrhosis, or liver cancer. Imagine: even if the virus is completely cleared in the future, the outcome of cirrhosis and liver cancer cannot be changed. There are also some patients in the antiviral medication, three days to fish, two days to the net, indiscriminate stopping medication; or just to achieve the hepatitis B virus negative to stop medication. This not only fails to inhibit the virus, but also accelerates drug resistance, leading to aggravation of liver disease and even liver necrosis. In the right time, the right course of treatment, the right program antiviral treatment of hepatitis B can still basically control the disease.