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.
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