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| What now? Dec 19, 2000 Very short history description: Diagnosed: 1985 Started treatment 87: AZT until 92 aprox. Revisions every three months, only twice had 450 defenses, all the rest + 500/600. 92: started combined with epivir. Always +600/700 Don´t know exactly when started 3 combined treatments, always +600/700/800 Came out viral charge: always active less 6000 generally, and took Sustiva, Crixivan, Ziagen (did not tolerate) but after six months taking any treatment again viral charge + 5000 - 11000, still defenses +800 Tried videx and Hydrea as last resort before going into protease again (DO NOT WANT TO HAVE LIPODISTROPHY), first results 1900 viral charge, 1160 defenses (29%), second results a week ago 800 cd4 (25%) but 31000 viral charge (it scares me - it is the first time). My question: what should I do?? Should I take a protease inh. although I really don´t want to, but I also don´t want to deteriorate, or could I try Sustiva f.example again for a while although it did not work as I had 5100 viral charge after six months taking it? until other treatments come out? Thank you for your attention |
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Response from Dr. Feinberg
My guess is that you're resistant to 3TC (Epivir), AZT and efavirenz (Sustiva), and probably also ddI (Videx). I think your choices now are: one or more protease inhibitors plus d4T (Zerit), or wait until you have some more options, like tenofovir and T-20. Your current T cells and viral load are not that high and you could wait it out without being in immediate danger. |
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