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Aug 17, 2004

Best treatment or medication for toxoplasmosis

Response from Dr. Frascino


Well that depends . . . .

For acute infection pyrimethamine, folinic acid, and sulfadiazine (or trisulfapyrimidine) are usually used. Atovaquone, TMP-SMX, or minocycline are alternative regimens. Corticosteroids are sometimes needed if there is brain edema (swelling).

For suppressive therapy pyrimethamine, folinic acid, and sulfadiazine are preferred.

For primary prophylaxis with CD4 < 100 cells and positive IgG toxo serology, TMP-SMX is recommended until the CD4 count is greater than 200 for three months.

For secondary prophylaxis, TMP-SMX is recommended until the CD4 count is greater than 200 for six months.

So you can see your question is brief, but the response, complex. Your HIV/AIDS specialist should be well trained to advise you which treatment is "best" for your situation.

Good luck.

Dr. Bob

Anemia Question, for those not on meds
what is HIV fatigue?

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