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Jan 24, 2010

I recently received my latest labs and based on my CD4 and CD4 %, treatment is suggested. I read something about a drug by the name of Low Dose Naltrexone (LDN) being effective in boosting immune system. Just wondering if you have heard of this drug. If so, what are your thoughts? Do you think it will be effective in boosting my CD4 count?

Response from Dr. Holodniy

You don't indicate what your current CD4 count/percent or viral load is regarding HIV treatment initiation. That said, if your numbers and your doctor are indicating that it is time to start HIV treatment, then approved HIV medications should be the priority. LDN has some interesting properties, including immune system effects, and has been around for more than 20 years. There are lots of anecdotal data suggesting it improves immune function in a host of diseases. It is likely not harmful and could be beneficial as an adjunct to conventional HIV treatment. But results from large randomized, placebo controlled studies in HIV infection, whether used alone or in combination with HIV medications showing added benefit with respect to clinical outcome or improved laboratory markers such as improved CD4 count or viral load results are not available at this time.

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