Combination low‐dose hepatitis B immune globulin and lamivudine therapy provides effective prophylaxis against posttransplantation hepatitis B
Peter W. Angus, Geoffrey W. McCaughan, Edward J. Gane, Darryl H.G. Crawford, Hugh Harley – 30 December 2003 – Although antiviral prophylaxis with lamivudine monotherapy appears to reduce post–liver transplantation recurrence of hepatitis B virus (HBV) infection, breakthrough infections occur in at least 20% of the patients because of the development of drug resistance. Combined lamivudine and intravenous hepatitis B immune globulin (HBIG) therapy (10,000‐IU doses) may reduce this risk, but its use is limited by cost (∼US $45,000/yr) and availability.