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Entecavir Zentiva

Entecavir Zentiva

Ask a doctor about a prescription for Entecavir Zentiva

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Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Entecavir Zentiva

Patient Information Leaflet: Information for the Patient

Entecavir Zentiva, 0.5 mg, film-coated tablets

Entecavir Zentiva, 1 mg, film-coated tablets

Entecavir

Read all of this leaflet carefully before taking this medicine because it contains important information for you.

  • Keep this leaflet. You may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  • 1. What Entecavir Zentiva is and what it is used for
  • 2. Before you take Entecavir Zentiva
  • 3. How to take Entecavir Zentiva
  • 4. Possible side effects
  • 5. How to store Entecavir Zentiva
  • 6. Contents of the pack and other information

1. What Entecavir Zentiva is and what it is used for

Entecavir Zentiva is an antiviral medicine used to treat chronic (long-term) hepatitis B virus (HBV) infection in adults.

(HBV).Entecavir Zentiva can be used in patients with liver damage, but whose liver is still working properly (with compensated liver disease) and in patients whose liver is not working properly (with decompensated liver disease).

Entecavir, the active substance of Entecavir Zentiva, is also used to treat chronic (long-term) HBV infection in children and adolescents from 2 years to less than 18 years of age.

18 years.Medicines containing entecavir can be used in children whose liver is damaged but still works properly (with compensated liver disease).
Hepatitis B virus infection can lead to liver damage.
Entecavir Zentiva reduces the amount of virus in the body and improves liver function.

2. Before you take Entecavir Zentiva

Do not take Entecavir Zentiva:

  • If you are allergic (hypersensitive)to entecavir or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before taking Entecavir Zentiva, discuss this with your doctor or pharmacist.

  • If you have ever had any kidney problems,tell your doctor. This is important because Entecavir Zentiva is removed from the body by the kidneys and may need a dose adjustment or a change in dosing schedule.
  • Do not stop taking Entecavir Zentiva without consulting your doctor,as this may affect your hepatitis B infection. After stopping Entecavir Zentiva, your doctor will monitor your condition and perform blood tests for several months.
  • Discuss with your doctor whether your liver is working properlyand, if not, what the possible effect on your treatment with Entecavir Zentiva may be.
  • If you are also infected with HIV (human immunodeficiency virus),tell your doctor. You should not take Entecavir Zentiva to treat your hepatitis B virus infection if you are not also taking medicines for HIV, as this may reduce the future effectiveness of HIV treatment. Entecavir Zentiva does not treat HIV infection.
  • Taking Entecavir Zentiva does not prevent the spread of hepatitis B virus to other peoplethrough sexual contact or blood contamination (including sharing needles). You should continue to take precautions to prevent the spread of hepatitis B virus. A vaccine is available to protect those at risk of becoming infected with hepatitis B virus.
  • Entecavir Zentiva belongs to a group of medicines that may cause lactic acidosis (excess lactic acid in the blood)and an enlarged liver. Symptoms such as nausea, vomiting, and abdominal pain may indicate the development of lactic acidosis. This rare but serious side effect can be fatal. Lactic acidosis occurs more often in women, especially if they are significantly overweight. While taking Entecavir Zentiva, your doctor will regularly monitor your condition.
  • If you have been treated for hepatitis B before,tell your doctor.

Children and adolescents

Medicines containing entecavir must not be used in children below 2 years of age or weighing less than 10 kg.

Entecavir Zentiva with other medicines

Tell your doctor or pharmacist about all the medicines you are taking, or have recently taken, and about any medicines you plan to take.

Entecavir Zentiva with food and drink

In most cases, Entecavir Zentiva can be taken with food or without food.
If you have previously taken medicines containing lamivudine as the active substance,
consider the following recommendations. If your treatment has been switched to Entecavir Zentiva
due to lamivudine treatment failure, take Entecavir Zentiva once daily on an empty stomach. If your liver disease is very advanced, your doctor will also recommend taking Entecavir Zentiva on an empty stomach. This means taking the medicine at least 2 hours after a meal and at least 2 hours before the next meal.
Entecavir Zentiva 0.5 mg
Children and adolescents (from 2 years to less than 18 years of age, weighing at least 32.6 kg) can
take medicines containing entecavir without regard to food.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice. Up to now, it has not been proven that Entecavir Zentiva is safe during pregnancy. Entecavir Zentiva should not be used during pregnancy unless clearly necessary. It is important that women of childbearing age using Entecavir Zentiva use effective contraception to prevent pregnancy.
Do not breast-feed during treatment with Entecavir Zentiva. If you are breast-feeding, tell your doctor. It is not known whether entecavir, the active substance of Entecavir Zentiva, passes into human breast milk.

Driving and using machines

Dizziness, fatigue, and somnolence are common side effects that may affect your ability to drive or operate machinery. If you are affected, do not drive or operate machinery.

Entecavir Zentiva contains lactose

This medicine contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

3. How to take Entecavir Zentiva

The dose of Entecavir Zentiva that your doctor prescribes may be different from the dose for another patient.

Always take Entecavir Zentiva exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.
The recommended dose for adultsis 0.5 mg or 1 mg once daily (orally).

The dose depends on:

  • previous treatment for HBV infection and the medicines used;
  • the presence of kidney problems; in this case, your doctor may prescribe a lower dose or recommend that you take the medicine less frequently than once daily;
  • the condition of your liver.

Use in children and adolescents

Entecavir Zentiva 0.5 mg
For children and adolescents (from 2 years to less than 18 years of age), your doctor will determine the appropriate dose based on the child's weight.
Children and adolescents weighing at least 32.6 kg can take 0.5 mg tablets or may be given an oral solution containing entecavir. Entecavir oral solution is recommended for patients weighing from 10 kg to 32.5 kg. All doses are taken once daily (orally). No recommendations are made for entecavir in children below 2 years of age or weighing less than 10 kg.
Entecavir Zentiva 1 mg
For children and adolescents (from 2 years to less than 18 years of age), Entecavir Zentiva is available as 0.5 mg film-coated tablets or may be given an oral solution containing entecavir.
Your doctor will determine the appropriate dose based on the child's weight.
Your doctor will recommend the dose that is right for you. Always take the dose recommended by your doctor to ensure the medicine works fully and to reduce the risk of developing resistance to treatment. You should keep taking Entecavir Zentiva for as long as your doctor recommends. Your doctor will tell you when to stop.

If you have been told to take Entecavir Zentiva on an empty stomach

(see Entecavir Zentiva with food and drink in section 2).
If your doctor recommends that you take Entecavir Zentiva on an empty stomach, this means at least 2 hours after a meal and at least 2 hours before the next meal.

If you take more Entecavir Zentiva than you should

Contact your doctor or pharmacist immediately.

If you forget to take Entecavir Zentiva

It is important that you do not miss any dose of Entecavir Zentiva. If you miss a dose, take it as soon as possible, then take the next dose at the usual time. If it is almost time for your next dose, do not take the missed dose. Wait and take the next dose at the usual time. Do not take a double dose to make up for a forgotten dose.

Do not stop taking Entecavir Zentiva without consulting your doctor

After stopping Entecavir Zentiva, some people have had severe liver problems. You should immediately tell your doctor about any changes in your symptoms after stopping treatment.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Entecavir Zentiva can cause side effects, although not everybody gets them.
Patients treated with Entecavir Zentiva have reported the following side effects:

Adults

Common(may affect up to 1 in 10 people):

  • insomnia (inability to sleep)
  • fatigue (extreme tiredness)
  • headache, dizziness, somnolence
  • vomiting, diarrhea, nausea, dyspepsia (indigestion)
  • increased liver enzymes in the blood

Uncommon(may affect up to 1 in 100 people):

  • rash
  • hair loss

Rare(may affect up to 1 in 1,000 people):

  • severe allergic reactions

Children and adolescents

Side effects seen in children and adolescents are similar to those seen in adults and are described above, with the following difference:
Very common(may affect more than 1 in 10 people):

  • low neutrophil count (a type of white blood cell important for fighting infections).

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in the website.
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Entecavir Zentiva

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the blister or carton after EXP. The expiry date refers to the last day of that month.
There are no special storage instructions for this medicine.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

What Entecavir Zentiva contains

  • Entecavir Zentiva 0.5 mg
  • The active substance is entecavir. One film-coated tablet contains 0.5 mg of entecavir (as entecavir monohydrate).
  • The other ingredients are lactose monohydrate, microcrystalline cellulose PH 101, microcrystalline cellulose PH 102, crospovidone (Type B), and magnesium stearate. The tablet coating contains opadry white YS-1-7003 (contains titanium dioxide (E 171), hypromellose 3 mPas, hypromellose 6 mPas, macrogol 400, and polysorbate 80).

Entecavir Zentiva 1 mg

  • The active substance is entecavir. One film-coated tablet contains 1 mg of entecavir (as entecavir monohydrate).
  • The other ingredients are lactose monohydrate, microcrystalline cellulose PH 101, microcrystalline cellulose PH 102, crospovidone (Type B), and magnesium stearate. The tablet coating contains opadry white YS-1-7003 (contains titanium dioxide (E 171), hypromellose 3 mPas, hypromellose 6 mPas, macrogol 400, and polysorbate 80).

What Entecavir Zentiva looks like and contents of the pack

Entecavir Zentiva 0.5 mg
The film-coated tablets are white to off-white, round, and biconvex, approximately 7 mm in diameter, and smooth on both sides.
Entecavir Zentiva0.5 mg film-coated tablets are available in cardboard boxes containing 30 or 90 film-coated tablets in blisters of OPA/Aluminium/PVC/Aluminium.
Entecavir Zentiva 1 mg
The film-coated tablets are white to off-white, round, and biconvex, approximately 8.9 mm in diameter, with a score line on one side, and smooth on the other side. The score line is not intended for breaking the tablet.
Entecavir Zentiva1 mg film-coated tablets are available in cardboard boxes containing 30 or 90 film-coated tablets in blisters of OPA/Aluminium/PVC/Aluminium.
Not all pack sizes may be marketed.

Marketing Authorisation Holder

Zentiva k.s.
U kabelovny 130, Dolni Mĕcholupy
102 37 Prague 10
Czech Republic

Manufacturer

S.C. Laropharm S.R.L.
Șos. Alexandriei nr. 145A
Oras Bragadiru
Jud. Ilfov 077025, Romania
To obtain further information on this medicine and its authorized names in the Member States of the European Economic Area, contact the representative of the Marketing Authorisation Holder in Poland:
Zentiva Polska Sp. z o.o.
ul. Bonifraterska 17
00-203 Warsaw
tel.: +48 22 375 92 00
Date of last revision of the leaflet:March 2023

Alternatives to Entecavir Zentiva in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Entecavir Zentiva in Spain

Dosage form: TABLET, 1 mg
Active substance: entecavir
Prescription required
Dosage form: TABLET, 0.5 mg
Active substance: entecavir
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 0.05 mg
Active substance: entecavir
Prescription required
Dosage form: Film‑coated tablet, 1.06 mg
Active substance: entecavir
Prescription required
Dosage form: TABLET, 1 mg
Active substance: entecavir
Prescription required
Dosage form: TABLET, 0.5 mg
Active substance: entecavir
Prescription required

Alternative to Entecavir Zentiva in Ukraine

Dosage form: tablets, 1 mg
Active substance: entecavir
Manufacturer: Getero Labz Limited
Prescription required
Dosage form: tablets, 0.5 mg
Active substance: entecavir
Manufacturer: Getero Labz Limited
Prescription required

Online doctors for Entecavir Zentiva

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Entecavir Zentiva – subject to medical assessment and local rules.

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Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Anna Biriukova

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Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
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  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
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Experience and qualifications:

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  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
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  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Areas of expertise:

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Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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