Probable resistance: Entecavir is a nucleoside analog and has potent antiviral activity against hepatitis B virus (HBV) - the emergence of drug resistance is rare. If indeed his HBV viral load is 50,000 (I would repeat), then he has probably developed a mutation. The addition of adefovir may result in suppression, but only in about half of patients. Tenofovir may be warranted. See a hematologist for advice
Answered 6/25/2014
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