Management and prevention of drug resistance in chronic hepatitis B

Fabien Zoulim1, David Durantel, Paul Deny

  • 1INSERM, U871, Lyon, France. fabien.zoulim@inserm.fr

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Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug binding...
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