|TREAT HCV or HIV????
Oct 28, 2000
I'm confused by my doctor's stance on HCV treatment. I have been HIV positive for twelve years, but maintain, without antiretrovirals, a viral load of around 20,000 and a CD4 count of over 600. My HCV viral load is two million. He refuses to treat the HCV until I do the antiretroviral thing and get down to an undetectable viral load. Since we all know by now that the HIV antiretrovirals often are very hard on the liver - it makes more sense to me to at least try to eradicate the HCV and THEN begin HIV treatment, hopefully with a healthier, possibly HCV free, liver. Do you agree?
| Response from Dr. Dieterich
That sounds perfectly rational to me. The interferon and ribavirin actually have some HIV effect, so there is nothing lost in terms of HIV treatment. I would also like to see your biopsy report, but there is no reason that you have to treat HIV first. Good luck! DTD
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