Hepatitis B: Therapy

General measures

  • Partner management, i.e., infected partners, if any, must be located and treated (contacts must be traced depending on the estimated time of infection or up to two weeks before the onset of jaundice).
  • Observance of general hygiene measures!
    • Genital hygiene
      • Once a day, the genital area should be washed with a pH-neutral care product. Washing several times a day with soap, intimate lotion or disinfectant destroys the natural acid mantle of the skin. Pure water dries out the skin, frequent washing irritates the skin.
      • It is recommended to use disposable washcloths.
      • Showering is better than bathing (softening the skin).
      • Tighten underwear only when the skin is absolutely dry.
      • Underwear should be changed daily and be breathable (cotton materials).
      • Synthetic materials impermeable to air create an ideal breeding ground for pathogens.
    • Preventing exposure (from Latin: expositio; literally, exposure or transfer) by avoiding blood-to-blood contact with infected individuals:
      • For intravenous drug use, each user must use only his own syringe and needle.
      • Watch for possible blood contact and avoid sharing nail scissors, razors and toothbrushes with non-infected people.
      • Use a condom during genital and anal intercourse.
      • Infected persons should not share their nail clippers with others (due torisk of infection: every second infected person carries HBV DNA on their fingernails)
  • If necessary, bed rest (depending on the patient’s condition).
  • Alcohol abstinence (complete abstinence from alcohol).
  • Nicotine restriction (refrain from tobacco use).
  • Limited caffeine consumption (max. 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea).
  • Review of permanent medication due topossible effect on the existing disease.
    • Medications that are metabolized by the liver such as acetaminophen, benzodiazepines and sulfonylureas, and many others, must not be taken

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • After the acute phase of the disease, if necessary, nutritional counseling based on a nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.