|HAART in Hep B in early stages
Apr 13, 2006
Dear Doctor: I send this case to shared with you. Feed back more than welcome. Best Dr JGC Gender MALE Age 29 YRS Past history (including pathologies justifying actual staging) HIV TESTED IN2004, HERPES ZOSTER 2YRS BACK, NO HISTORY OF KOCHS STAGE I HIV Past treatment (+/- ARV) NIL Physical examination NORMAL/NOT FINDINGS Actual symptoms NOT FIND CD4 recent:340 CD4 nadir: NIL HBSAg:positive ALT NORMAL TLC recent 5600 TLC nadir:NIL OthersNIL Radiological findings NIL Actual treatment: NON We PLAN to investigate: If virus is active replicating.
Question (please precise drugs available when treatment related questions): 1. Is it better to initiate HAART in early stage? 2. IF YES, which protocol do you recommend? We dont have access to Adefovir/Tenofovir.
| Response from Dr. McGovern
If the virus is replicating, yes I would be inclined to treat. However, the problem is that using a drug like lamivudine can lead to HBV resistance, so I usually like to combine it with a drug like tenofovir, but you don;t have access to this.
You may also consider no treatment for HBV if his liver disease is minimal. If you do that, be careful after you treat his HIV since immune restoration of his CD4 cells can make his hepatitis B flare up. This is not as dangerous, if his liver disease is mild, but can be very dangerous if he has advanced liver disease.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Fatigue After Oral Sex On A Woman What Are The Chances Of HIV
- Sore Throat After Broken Condom Worried I Have HIV
- Stinging Pain After Mutual Masturbation Worried I Have HIV
- Vomiting After Swallowing Cum Worried I Have HIV
- White Bumps After Erotic Massage Worried I Have HIV
- How Long Does Chlamydia Last After Treatment?
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.