Four percent (19 of 467) of patients discontinued treatment with Hepsera due to renal adverse events.Assessment of adverse reactions is based on a placebo-controlled study (Study 518) in which 173 pediatric patients aged 2 to less than 18 years with chronic hepatitis B and compensated liver disease received double-blind treatment with Hepsera (N=115), or placebo (N=58) for 48 weeks The safety profile of Hepsera in patients 12 to less than 18 years of age (N=56) was similar to that observed in adults. Long-term resistance analyses performed by genotyping samples from all adefovir dipivoxil-treated patients with detectable serum HBV DNA demonstrated that amino acid substitutions rtN236T and rtA181T/V have been observed in association with adefovir resistance. The pharmacokinetics of adefovir have not been evaluated in non-hemodialysis patients with creatinine clearance less than 10 mL per minute or in adolescent patients with renal insufficiency; therefore, no dosing recommendations are available for these patients Doses of adefovir dipivoxil 500 mg daily for 2 weeks and 250 mg daily for 12 weeks have been associated with gastrointestinal side effects. Randomization was stratified by prior treatment and age 2 to less than 7 years old (cohort 1), 7 to less than 12 years old (cohort 2), and 12 to less than 18 years old (cohort 3). The overall risk of nephrotoxicity in patients with adequate renal function is low. Based on a cross study comparison, the approximate oral bioavailability of adefovir from Hepsera is 59%.Following oral administration of a 10 mg single dose of Hepsera to chronic hepatitis B patients (N=14), the peak adefovir plasma concentration (CThe pharmacokinetics of adefovir in subjects with adequate renal function were not affected by once daily dosing of 10 mg Hepsera over seven days.

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Hepsera baclofen

When Hepsera was coadministered with ibuprofen (800 mg three times daily) increases in adefovir CApart from lamivudine, trimethoprim/sulfamethoxazole, and acetaminophen, the effects of coadministration of Hepsera with drugs that are excreted renally, or other drugs known to affect renal function have not been evaluated.The effect of adefovir on cyclosporine concentrations is not known.No drug interaction studies have been performed in adolescent patients 12 to less than 18 years of age.The pharmacokinetics of adefovir were similar in male and female patients.The pharmacokinetics of adefovir have been shown to be comparable in Caucasians and Asians. See Additional adverse reactions observed from an open-label study (Study 435) in pre- and post- liver transplantation patients with chronic hepatitis B and lamivudine-resistant hepatitis B administered Hepsera once daily for up to 203 weeks include: abnormal renal function, renal failure, vomiting, rash, and pruritus.Changes in renal function occurred in pre-and post-liver transplantation patients with risk factors for renal dysfunction, including concomitant use of cyclosporine and tacrolimus, renal insufficiency at baseline, hypertension, diabetes, and on-study transplantation. Later that year Hepsera ( adefovir ) was approved for the treatment of chronic hepatitis B, and Emtriva ( emtricitabine ) for the treatment of HIV. Therefore, the contributory role of Hepsera to these changes in renal function is difficult to assess.Increases in serum creatinine greater than or equal to 0.3 mg/dL from baseline were observed in 37% and 53% of pre-liver transplantation patients by Weeks 48 and 96, respectively, by Kaplan-Meier estimates. The tablets are white and debossed with "10" and "GILEAD" on one side and the stylized figure of a liver on the other side. WARNING: SEVERE ACUTE EXACERBATIONS OF HEPATITIS, NEPHROTOXICITY, HIV RESISTANCE, LACTIC ACIDOSIS AND SEVERE HEPATOMEGALY WITH STEATOSISSevere acute exacerbations of hepatitis have been reported in patients who have discontinued anti-Hepatitis B therapy including Hepsera. Hepsera is indicated for the treatment of chronic hepatitis B in patients 12 years of age and older with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease.This indication is based on histological, virological, biochemical, and serological responses in adult patients with HBeAg+ and HBeAg- chronic hepatitis B with compensated liver function, and with clinical evidence of lamivudine-resistant hepatitis B virus with either compensated or decompensated liver function.For patients 12 to less than 18 years of age, the indication is based on virological and biochemical responses in patients with HBeAg+ chronic hepatitis B virus infection with compensated liver function.The recommended dose of Hepsera in chronic hepatitis B patients for patients 12 years of age and older with adequate renal function is 10 mg, once daily, taken orally, without regard to food.

Four percent (19 of 467) of patients discontinued treatment with Hepsera due to renal adverse events.Assessment of adverse reactions is based on a placebo-controlled study (Study 518) in which 173 pediatric patients aged 2 to less than 18 years with chronic hepatitis B and compensated liver disease received double-blind treatment with Hepsera (N=115), or placebo (N=58) for 48 weeks The safety profile of Hepsera in patients 12 to less than 18 years of age (N=56) was similar to that observed in adults. Long-term resistance analyses performed by genotyping samples from all adefovir dipivoxil-treated patients with detectable serum HBV DNA demonstrated that amino acid substitutions rtN236T and rtA181T/V have been observed in association with adefovir resistance. The pharmacokinetics of adefovir have not been evaluated in non-hemodialysis patients with creatinine clearance less than 10 mL per minute or in adolescent patients with renal insufficiency; therefore, no dosing recommendations are available for these patients Doses of adefovir dipivoxil 500 mg daily for 2 weeks and 250 mg daily for 12 weeks have been associated with gastrointestinal side effects. Randomization was stratified by prior treatment and age 2 to less than 7 years old (cohort 1), 7 to less than 12 years old (cohort 2), and 12 to less than 18 years old (cohort 3). The overall risk of nephrotoxicity in patients with adequate renal function is low. Based on a cross study comparison, the approximate oral bioavailability of adefovir from Hepsera is 59%.Following oral administration of a 10 mg single dose of Hepsera to chronic hepatitis B patients (N=14), the peak adefovir plasma concentration (CThe pharmacokinetics of adefovir in subjects with adequate renal function were not affected by once daily dosing of 10 mg Hepsera over seven days.

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