What medications may increase the risk for hepatitis B (HBV) (Hep B) reactivation?

Updated: Aug 01, 2018
  • Author: Nikolaos T Pyrsopoulos, MD, PhD, MBA, FACP, AGAF; Chief Editor: BS Anand, MD  more...
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Answer

Medications that may increase the risk for hepatitis B reactivation include:

  • Anti-CD20 antibodies: Ofatumumab (Arzerra), rituximab (Rituxan)

  • Antineoplastic agents (including methotrexate) [105, 106]

  • Glucocorticoids, especially with abrupt discontinuation [107, 108]

  • Interleukin receptor antagonists: Ustekinumab (Stelara), [109] anakinra (Kineret), tocilizumab (Actemra)

  • Nucleoside and nucleotide therapy, due to immune reconstitution syndrome or discontinuation of antiviral therapy with anti-HBV properties

  • T-cell regulator: Abatacept (Orencia) [110]

  • Tumor necrosis factor (TNF) inhibitors: Infliximab (Remicade), [109] etanercept (Enbrel), [109] adalimumab (Humira), [109] certolizumab pegol (Cimzia), golimumab (Simponi, Simponi Aria)


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