TELBIHEP TABLET is an antiviral medicine used to treat viral infections. TELBIHEP TABLET is used in the treatment of chronic Hepatitis B infection in patients with evidence of viral replication. It is a serious infection caused by the Hepatitis B virus. It is a contagious infection that spreads from person to person and affects the liver. TELBIHEP TABLET is only used in treating the infection. It does not cure or prevent further liver complications.

TELBIHEP TABLET contains Telbivudine, a nucleoside analogue. It works by blocking the activity of the hepatitis B virus DNA Polymerase enzyme in liver cells. This causes DNA termination and reduces the amount of hepatitis B virus in the body.

TELBIHEP TABLET may cause certain side effects such as headache, abdominal pain, nausea, diarrhoea, dizziness, vomiting, cough, abdominal pain, fever, myalgia, back pain and fatigue. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor. It should be taken with or after food to avoid any stomach upset. Use it as suggested by your doctor. Your doctor will decide the dose of the medicine based on your health condition.

TELBIHEP TABLET should be avoided if you are allergic to it. Caution should be exercised in conditions like liver cirrhosis, liver cancer, or kidney problems. TELBIHEP TABLET may cause lactic acidosis, severe hepatomegaly with steatosis, myopathy, and peripheral neuropathy in some patients. Stopping the treatment with TELBIHEP TABLET may lead to acute exacerbations of Hepatitis B infection. Hence, careful monitoring should be done during and after the treatment. If you are pregnant or breastfeeding, inform your doctor before starting treatment with this medicine. TELBIHEP TABLET is not recommended for children below 16 years of age as efficacy and safety have not been established.

TELBIHEP TABLET contains Telbivudine, which belongs to the class of nucleotide analogues. It works by blocking the activity of the hepatitis B virus DNA Polymerase enzyme in the liver cells, which is essential for the virus to grow. This causes DNA termination and, therefore, reduces the amount of hepatitis B virus in the body. This medicine only treats the HBV infection but does not cure it or prevent further liver complications.

• Headache
• Abdominal pain
• Nausea
• Diarrhoea
• Vomiting
• Tiredness
• Trouble sleeping
• Fatigue
• Back pain
• Dizziness
• Cough
• Myalgia
• Fever
• Sore throat

Avoid taking TELBIHEP TABLET and inform your doctor if you are allergic to it. Keep your doctor informed about your complete medical history to rule out any serious side effects. If you are pregnant or breastfeeding, inform your doctor before starting treatment with this medicine. Caution should be exercised in patients having underlying conditions like liver cirrhosis, HIV infection, liver cancer, or kidney problems before starting the treatment. TELBIHEP TABLET may cause lactic acidosis, severe hepatomegaly with steatosis, myopathy, peripheral neuropathy and acute exacerbations of Hepatitis B, HIV infection, lactic acidosis and severe hepatomegaly with steatosis, as it may cause serious side effects. It is advised not to stop taking TELBIHEP TABLET abruptly, as it can cause a recurrence of severe acute exacerbations of hepatitis or may also lead to cirrhosis. TELBIHEP TABLET is not recommended for children below 16 years of age as efficacy and safety have not been established. TELBIHEP TABLET should not be taken along with pegylated interferon alfa-2a as it can cause peripheral neuropathy. Hence, informing your doctor about your complete medication history before taking this medicine is advised.

Drug-Drug Interactions: TELBIHEP TABLET may interact with immunomodulators (interferon alpha-2a), antibiotics (vancomycin), vitamins, minerals, etc.

Drug-Food Interactions: Avoid smoking and alcohol consumption.

Drug-Disease Interactions: Inform your doctor if you have any history of liver or kidney disease, cirrhosis, and liver cancer.

• INTERFERON ALFA
• VANCOMYCIN
• AMPHOTERICIN B

• Eat more vegetables, fruits, and whole grains such as brown rice, oats, quinoa, and barley.
• Include healthy fats like avocados, olive oil, and nuts.
• Drink plenty of water for better processing of food by the body.
• Avoid sugary foods such as cake, cookies, packaged baked goods, and soda. Also, avoid heavy-salt foods.
• Avoid foods containing saturated fats such as fried foods, fatty cuts of meat, sour cream, and butter.
• Try to eat low-fat or non-fat dairy products to minimize damage to the liver.

• Sudden withdrawal of TELBIHEP TABLET should be avoided as it can cause severe acute exacerbations of hepatitis or other serious side effects.
• Frequent monitoring of liver and kidney function tests are required while on treatment with TELBIHEP TABLET to monitor liver and kidney functions.
• Patients should be observed carefully for any changes in the liver function test even after the completion of the treatment course.

Hepatitis B Virus Infection: It is a serious contagious infection caused by the Hepatitis B virus affecting the liver. It can be an acute (an infected person may be sick for only a few days) or chronic infection (it develops slowly but progresses to a serious lifelong infection). This infection spreads from person to person through blood contact (being pricked with a contaminated needle, using a razor), intimate contact with the infected person, direct contact with infected blood, or contact with any other personal items with leftovers of infected fluid or even from mother to baby during birth. TELBIHEP TABLET is used to treat HBV infection.