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### Overview
This drug is a nucleoside analog used in the treatment of chronic hepatitis B virus (HBV) infection.
### Primary Indications
Chronic hepatitis B infection.
### Adult Dosing
The standard dose is 0.5 mg orally once daily.
### Pediatric Dosing
Dosing in pediatric patients is not established.
### Dose Adjustments
Dose adjustment is recommended in patients with moderate to severe renal impairment. Specific recommendations depend on the calculated creatinine clearance.
### Contraindications
Hypersensitivity to the active ingredient or any excipient.
### Adverse Effects
Common adverse effects include nausea, vomiting, diarrhea, headache, and fatigue. Lactic acidosis and severe hepatomegaly with steatosis (including hepatic failure) have been reported.
### Key Drug Interactions
No significant drug interactions are expected, but caution is advised with coadministration of drugs that are renally excreted, as this agent is also renally excreted.
### Monitoring
Monitor liver function tests, HBV DNA levels, and renal function regularly. Monitor for signs and symptoms of lactic acidosis and liver decompensation.
### Clinical Pearls
Ensure adequate contraception for both male and female patients during and for a period after treatment. Do not use in patients with decompensated cirrhosis.
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*Disclaimer: This information is intended for healthcare professionals. Always consult the most current prescribing information and institutional protocols before making treatment decisions.*