Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Aging With HIVAging With HIV
          
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Treatment options
Aug 30, 2013

I'm currently on PI monotherapy and doing well. I have this regimen for a year now. I started with Atripla but developed a rash after 2 weeks and was withdrawn. My second regimen was Truvada, Reyataz and Norvir but I needed to stop due to kidney toxicity. Next option was Epzicom but I'm positive for the genetic mutation that increases the odds of an allergic reaction to the Ziagen. Now as far as this therapy works everything is fine but my concerns are a failure. I'm 100% adherent and I never missed a dose. If this therapy would stop working what other options are available? I don't have any resistance issues. My doc mentioned Combivir but I'm afraid of the AZT and its link to lipoatrophy. What drugs would you consider? Thanks for your advice.

Response from Mr. Vergel

I am not sure what country you live in. I will assume it is the United States, Canada, Australia or Western Europe.

There are several drugs regimens that can be constructed without tenofovir (main culprit in kidney issues)or a non-nucleoside analog or abacavir (main culprits in rash).

Using protease inhibitor monotherapy (with Norvir boosting) without a nucleoside backbone has been explored in the past with mixed results when it comes to long term efficacy. For some people who achieve undetectable HIV viral load on common regimens but then switch to boosted PI monotherapy, the outcome may be more promising. But there is always that fear of eventual resistance and drug failure.

These are some of the potential regimens that have been studied in small studies:

raltegravir/darunavir

raltegravir+atanazavir

raltegravir+Kaletra (I do not like the increases in lipids)

A third drug that can be explored in combinations with the above regimens is Maraviroc. You virus would have to be R5 tropic for the drug to work (this requires a special tropism test and for you to have some viral load to measure it).

Talk to your doctor about your concerns and review the data of these and other studies with him or her.

Let us know what is the outcome of your discussions with your primary care physician.



Previous
HIV/HEP C/E COLI
Next
No HIV Meds equals Death and I dont want to Die

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement