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Atripla Failure Concerns

Apr 17, 2010


My viral load was 47,000 and my cd4 230 when the decision to go on meds was taken.

I have an unresistent strain to all meds, and I started Atripla. 3.5 weeks later my VL was 300 and CD4 450. My second test was at the 7.5 weeks mark and I have just received my latest results which are not quite what I was expecting. My VL is now 350, and my CD4 430 (although percentage has improved). Apart from once being 6 hours late, my adherence has been pretty much within an hour of the previous night. I also have to confess to foolishly trying the research chemical Mephedrone, to which I know there is no knowledge of interactions etc etc. When I did try it, it was roughly 10 days before my second test.

I am now panicking that I have messed everything up and that I am going to have to come off Atripla (which I have no side effects with) and could have caused resistance to other meds.

Is it common for the VL to fluctuate a little, or am I seeing early signs of treatment failure? Im not sure back for more tests for a further two weeks.

Many thanks

Response from Dr. Holodniy

I am not concerned given you have only been on treatment for about 8 weeks. I suspect that with continued good adherence your viral load will be undetectable within the next couple of months.

viral load test results = cured?

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