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소화기내과(간)/B형간염

신기능 저하와 골다공증 위험 인자가 있는 환자에서는 tenofovir를 사용할 것이라면 TDF보다는 TAF를 선택합니다.

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신기능 저하와 골다공증 위험 인자가 있는 환자에서는 tenofovir를 사용할 것이라면 TDF보다는 TAF를 선택합니다.

There are two formulations of tenofovir, tenofovir disoproxil fumarate (TDF) and tenofovir alafenamide (TAF). For most patients, we recommend tenofovir alafenamide (25 mg daily) rather than tenofovir disoproxil fumarate (300 mg daily), if available. For those who were originally started on tenofovir disoproxil fumarate, we generally suggest switching to tenofovir alafenamide, particularly in older patients and those with risk factors for renal impairment or osteoporosis. Although there is more experience with tenofovir disoproxil fumarate compared with tenofovir alafenamide, tenofovir alafenamide appears to be equally effective and is associated with less renal and bone toxicity

REF. UpToDate 2020.09.13

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