Forum on Opportunistic Infections: recommend drug therapy

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		recommend drug therapy Mar 27, 2002 when would you recommend HIV drug therapy (I've had HIV for three months)


		Response from Dr. Feinberg (1) When someone's T cell count is low enough to cause concern (the current recommendation is less than 350 CD4 cells) (2) When someone has had an AIDS-defining illness regardless of CD4 cel count (3) When someone has a very high viral load regardless of CD4 cell count, (4) when HIV had been diagnosed in the process of or soon after seroconversion, and (5-- and probably most important) When the person is ready to take medication and is committed to to doing it right. These are the yardsticks I go buy in discussing treatment with patients.

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