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Which hiv meds?
Aug 29, 2001

are more toxic for liver? Do you think that in hep c+ patients this type of consideration should be made? Maybe, in long term, also, treatment interruptions could be specially beneficial for hep c+ patients. What do you think? Thank you

Response from Dr. Dieterich

All HIV medications can harm the liver. In general though this cannot ususally be predicted in advance. However almost all HIV medications cause at least twice as much liver toxicity in patients with hepatitis C or B. Therefore I advise either treating the hepatitis C, or monitoring the liver enzymes very carefully when treating HIV. Treatment interruptions do not seem to be helpful either for toxicity or for HIV treatment.DTD



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