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. 2014 May 28;20(20):6262–6278. doi: 10.3748/wjg.v20.i20.6262

Table 3.

National Institute for Health and Care Excellence treatment guidelines

Guidelines HBeAg positive HBeAg negative Decompensated
1st line 48-wk of PEG-IFN-α-2a 48-wk of PEG-IFN-α-2a ETV or TDF (LAM resistance)
2nd line TDF or ETV (TDF contraindication) ETV or TDF
3rd line LAM + TDFor ETV + TDF (LAM resistance) ETV or TDF

In adults with compensated liver disease, current guidelines advise first-line treatment with 48 wk of PEG-IFN-α-2a. If PEG-IFN-α-2a is contraindicated, tenofovir or entecavir should be trialed. PEG-IFN: Pegylated interferon; HBeAg: Hepatitis B e antigen; ETV: Entecavir; LAM: Lamivudine; TDF: Tenofovir disoproxil fumarate.