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Precautions

Do NOT use Epivir-HBV if:

• you might be allergic to the ingredient in Epivir-HBV

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• you might have HIV infection, abnormal liver function tests, severe liver problems, or lactic acidosis

• you consider zalcitabine or some other medicine containing lamivudine

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Some medical conditions may interact with Epivir-HBV. Tell your physician or pharmacist in case you have any medical conditions, particularly when any in the following apply to you:

• if you are pregnant, intending to become pregnant, or are breast-feeding

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• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or other substances

• if you have muscle problems, swelling from the pancreas, abnormal blood counts, liver or kidney problems, diabetes, or a nerve disorder

Some MEDICINES MAY INTERACT with Epivir-HBV. Tell your health care provider if you take some other medicines, especially any from the following:

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• Trimethoprim/sulfamethoxazole because it might increase the chance of Epivir-HBV's side effects

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• Zalcitabine since it may decrease Epivir-HBV's effectiveness

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This might not be a whole list of all interactions which could occur. Ask your medical provider if Epivir-HBV may connect to other medicines which you take. Check with your health care provider before starting, stop, or change the dose associated with a medicine.

Contact your physician or physician right away if some of these affect you.Epivir-HBV could cause drowsiness or dizziness. These effects might be worse if you take it with alcohol or certain medicines. Use Epivir-HBV with caution. Do not drive or perform other possibly unsafe tasks unless you understand how you respond to it.
Your doctor will offer you counseling and testing for HIV infection (herpes that triggers AIDS) before treatment with Epivir-HBV and periodically during treatment. You should not take Epivir-HBV for those who have HIV infection. If you've both hepatitis B virus and HIV, make sure that your physician knows you have both infections. If you are prescribed lamivudine, you need to only use the medicine which is for HIV treatment ( Epivir). The lower dose of lamivudine in Epivir-HBV may make the HIV infection harder to deal with.
Epivir-HBV is not a cure for hepatitis B virus infection. It is unknown if Epivir-HBV cuts down on the probability of liver cancer or cirrhosis that could be brought on by hepatitis B virus. Some patients developed hepatitis B virus that is resistant against Epivir-HBV. These patients had less benefit from Epivir-HBV plus some experienced worsening of hepatitis after the resistant virus appeared.
Your doctor will do diagnostic tests for many months once you stop taking Epivir-HBV. Some patients have had worsening hepatitis B virus after stopping use of Epivir-HBV. Tell your medical professional about any new or unusual symptoms that you simply notice after stopping treatment.
Epivir-HBV has not been proven to slow up the probability of passing hepatitis B along with other people through sexual contact or blood contamination. Use barrier kinds of contraception (eg, condoms) if you're infected with hepatitis B virus.
Diabetes patients - Epivir-HBV contains sucrose and might affect your blood sugar levels. Check blood sugar levels closely. Ask your medical professional when you alter the dose of your respective diabetes medicine.
Lab tests, including liver and kidney function tests, may be performed whilst you use Epivir-HBV. These tests may be used to monitor your problem or check for side effects. Be sure to keep all doctor and lab appointments.
Caution is advised when utilizing Epivir-HBV in CHILDREN having a history of swelling in the pancreas. Epivir-HBV shouldn't be employed in CHILDREN younger than two years old; safety and effectiveness in these children haven't been confirmed.
PREGNANCY and BREAST-FEEDING: If you think you could possibly be pregnant, contact your medical professional. You will need to discuss the rewards and perils associated with using Epivir-HBV while you are pregnant. Epivir-HBV is located in breast milk. Do not breast-feed while taking Epivir-HBV.