Apr 8, 2009
Hello. I went off HIV meds 5 months ago my CD4 is at 723 and viral load is <48 copies/mL. and thats good but my Platelets are 45. My Doct wants to put me back on HIV meds but I dont need them is there anything else I can do to stay off HIV meds? Thank you Eric
Response from Dr. Frascino
Consider being evaluated by an HIV-knowledgeable hematologist (blood diseases specialist). Thrombocytopenia (low platelets) can be caused by a number of different underlying conditions, HIV being one of them. If your low platelet count is caused by something other than HIV, there may well be a different treatment recommended (intravenous gammaglobulin, WinRho, steroids, splenectomy, etc.). However, if HIV appears to be the cause and your platelets are dropping into the danger zone, restarting antiretrovirals may well be your best option. By the way we are learning more and more about the potential benefits of beginning combination antiretrovirals sooner rather than later. New recommendations about starting treatment at higher CD4 counts are being considered. Consequently restarting your antiretrovirals may be much more of a positive than a negative for several reasons!
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