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Ask the Experts about Hepatitis and HIV Coinfection
What to start first and treatment window
Apr 10, 2009
My best friend (only 18yrs old) has just been infected with HIV/HCV and just confirmed this month. He has oral thrush and one chest infection since this time(seems fast- where is the 8-10 year window). We do not have his labs back but what should be his next steps for treatment. Should HCV be first and is there a window period when treatment is most effective for hcv (fist 6 months). I read that HCV is a major longterm issue then HIV. If this is true, are their new meds able to keep the problem at bay and progress closely with HIV/Aids (20-30+ years) lifespan with without liver problems.
Please provide any insight and next steps.
Thanks
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Response from Dr. McGovern
You ask excellent questions, but it is difficult to answer since there are so many other missing pieces of data that are important.
I would be certain that he sees either an HIV specialist who is comfortable treating both infections, or an HIV specialist and a liver specialist who knows a lot about HIV as well.
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