To the Editor: Mutations in the YMDD (tyrosine, methionine,aspartate, aspartate) motif of the DNA polymerase resultingin phenotypic hepatitis B virus (HBV) resistance to lamivudinemonotherapy have been observed after two years in 50 percentof patients coinfected with the human immunodeficiency virus(HIV).1 Adefovir dipivoxil has been shown to be effective forlamivudine-resistant HBV infection in HIV-coinfected patients.2Tenofovir disoproxil fumarate, a nucleotide reverse-transcriptaseinhibitor, is active against HIV and has in vitro activity againstwild-type and lamivudine-resistant HBV.3,4
We examined the efficacy and safety of tenofovir disoproxilfumarate, at a dose of 300 mg given once daily, . . . [Full Text of this Article]
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