|Non progressing HIV with chronic HBV
Nov 27, 2000
I discovered in the last year that I am HIV positive, the result of exposure from over 15 years ago. My viral load has continued to be under 4000 for the last year and my cd4 at around 650-700 with no drugs. I have been classified a Long Term Non Progresser and am not currently treating the HIV. I also have HBV which I have known about for some time. My HBV DNA is currently 13900 pg/ml. I have stage 3 fibrosis and my last levels were AST 67 ALT 98 and Bilirubin normal. The HBV seems to be more of a threat to me than the HIV. I was on Epivir for 1 year(prior to knowing about the HIV) and after initial good results broke through. I am seeing both a liver specialist and an HIV specialist who have concurred that I should go back on Epivir(which I have) and then go on Inteferon within the next few months. I have a demanding job and young kids(thank goodness unaffected) so the side effects of the inteferon scare me. Can I be treated with pegolated interferon? Would this make a difference? How would you treat in this case? Your suggestions/response is appreciated.
| Response from Dr. Dieterich
What I normally do is to treat with interferon first for 2 months to sensitize the t cells. Peg will be easier to tolerate, although there is no data yet for HBV. At two months I add lamivudine at 150 twice per day plus famciclovir 500 2-3 times per day. In your case using lamivudine monotherapy would not make me happy because of the HIV. I would give you combivir(AZT and 3TC) and famvir with the interferon. The liver disease does sound severe. Good luck and good health! DTD
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Non Progressive Hiv
- Dizziness After Receiving Oral Sex Worried I Have HIV
- Flaky Skin After Touching Vaginal Fluid Worried I Have HIV
- Groin Pain After Sex With Hooker Condom Broke Worried I Have HIV
- Itchy Red Spots After Genital Rubbing Sign Of HIV AIDS
- White Bumps After Licking Penis Worried I Have HIV
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.