What's the best treatment for hepatitis B?


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There is no treatment for acute hepatitis B, other than supportive care, which aims to alleviate symptoms. In rare cases, an episode of acute hepatitis can be unusually severe and may require hospital treatment. A small number of people will
develop liver failure, and may need a liver transplant. Liver failure can lead to death. Acute hepatitis B usually goes away by itself and does not require medical treatment. If very severe, symptoms such as vomiting or diarrhea may require treatment to restore fluids and electrolytes. There are no medications that can prevent acute hepatitis B from becoming chronic.
Not all people with chronic hepatitis B require treatment. Treatment of chronic hepatitis B may involve the use of medications such as the antiviral medication alpha interferon. Other medications may include ribavirin, lamivudine, steroids, and antibiotics. Antiviral medications such as interferon (Intron-A), lamivudine (Epivir), and adefovir dipivoxil (Hepsera) may be used for a person whose blood contains viral particles (antigens), if his or her liver is not functioning properly, and who has had a biopsy that shows evidence of liver damage. People with signs of progressive chronic liver disease can be considered for a liver transplant. Although this procedure can be life saving, the new liver usually becomes infected with hepatitis B eventually.
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