Nov 15, 2004
I am a co-infected with HIV and HBV (pre cor mutant). I am HIV resistant and had levels of 1500 vl and 700 cd4 prior to treatment. The HBV was causing stage 4 liver problems prior to meds. I am on Viread and Trizivir for last 4 years. Both viruses have been undetectable last 4 years. Liver is much better. I have some very mild signs of lipodystrophy, (extremely mild). My doc and I have been talking about just going on hepsera alone. Mixed feelings from both doc and myself. No clear answers from gilead on possible resistance problems after hepsera. Given my case what would you recommend.
Response from Dr. Dieterich
While it is intellectually appealing to use Hepsera(adefovir) by itself without treating the HIV, in my experience it does not work well in HIV+ persons. Particularly in the face of serious liver disease like you have I would not take any chances. Maybe when entecavir is approved for HBV next year, we can revisit this discussion. Stay well! DTD
Get Email Notifications When This Forum Updates or Subscribe With RSS
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.