Recommended dose of Entecavir monohydrate in adults and adolescents (≥ 16 years) with a history of hepatitis B viremia while receiving lamivudine or lamivudine resistance mutations is known to be 1 mg once daily which should be taken on an empty stomach (at least 2 hours after meals and 2 hours before the next meal).
Decompensated liver disease: The recommended dose of Entecavir monohydrate in adults with decompensated liver disease are 1 mg once daily, which should be taken on an empty stomach (at least 2 hours after eating and 2 hours before the next meal).
Kidney disorders: In patients with renal impairment, Entecavir monohydrate clearance is decreased when it is creatinine clearance decreased. Dosage adjustments are recommended for patients with creatinine clearance <50 mL/minute, including patients on hemodialysis or Continuous Ambulatory Peritoneal Dialysis (CAPD), such as those shown in the table as follows: See Table 1.

* if given on the day of hemodialysis, give Entecavir monohydrate after the hemodialysis session.
Liver Disorders: No dosage adjustment is required for patients with liver disorders.
Duration of Therapy: Optimal duration of treatment with Entecavir monohydrate for patients with viral hepatitis infection B chronic and the relationship between treatment and long-term outcomes such as cirrhosis and carcinoma hepatocellular unknown.