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elevated livewr enzymes

Aug 13, 2006

Being HIV pos for 20 yrs as well as having hep C T cell 481 VL was undetectable then it went to 841 next one was 521. Liver enzymes all of a sudden went to AST 91 ALT 171 Taking HIV meds for 3 years. Was told stage 3 liver disease but liver enzymes were always normal. Dr. recommends interferon. Why would liver enzymes rise all of a sudden. Not taking any different meds. Also can viagra affect my liver or HIV status. Also being that I went from undetectable and now detectable shoud I consider a change in meds.

Response from Dr. Holodniy

You don't indicate what your HIV meds are, as some can affect the liver more than others, and now along with HCV could be exacting their toll. It is possible that your virus may have developed some drug resistance to your HIV regimen. We look for consistent elevation as opposed to blipping (undetectable than positive then undetectable again) when a regimen might be failing. I wouldn't change anything yet, but a resistance test might be in order if the viral load is still elevated the next time. I doubt viagra would be causing the elevated liver enzymes. Did you have a liver biopsy that indicated what degree of HCV liver damage you mught have? You don't indicate what genotype of HCV you have. If you have genotype 1, treatment with pegylated interferon and ribavirin is less effective than if you have a genotype 2 or 3 HCV virus. Also probably more effective in less advance liver disease.

High CD4 percentage
trends of other lab results

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