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Lactic acidosis and severe hepatomegaly with steatosisincluding fatal caseshave been reported with the use of nucleoside analogues and other antiretroviralsA majority of these cases have been in womenObesity and prolonged nucleoside exposure may be risk factorsMost of these reports have described patients receiving nucleoside analogues for treatment of HIV infectionbut there have been reports of lactic acidosis in patients receiving lamivudine for hepatitis BCaution should be exercised when administering Epivir-HBV to any patient with known risk factors for liver diseasehowevercases also have been reported in patients with no known risk factorsTreatment with Epivir-HBV should be suspended in any patient who develops clinical or laboratory findings suggestive of lactic acidosis or pronounced hepatotoxicitywhich may include hepatomegaly and steatosis even in the absence of marked transaminase elevations

Take lamivudine-HBV by mouth with or without foodusually once a day or as directed by your doctor.

This medication may pass into breast milk and have undesirable effects on a nursing infantThereforebreast-feeding is not recommended while using this drugConsult your doctor before breast-feeding.

Epivir HBV may also be used for purposes not listed in this medication guide.

Epivir is for treating HIVthe virus that can cause acquired immunodeficiency syndromeAIDSEpivir is not a cure for HIV or AIDS.

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antimicrobials carbapenems note carbapenems can dramatically reduce valproic acid levels; use another antibiotic preferred or add a supplemental anticonvulsant purchase 100mg epivir-hbv with visa treatment zamrud.

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