Viral Load Spike and Scared
Sep 19, 2010
Hi, I tried checking the forums for answers, but I really can't find a similar question.
So I was diagnosed recently July 1 and started Atripla, as a recent sero-converter my virus was over 10 million viral load and the virus had no known resistances. After a month of taking Atripla, my viral load dropped to 4182; then it dropped again (in another month to 1400).
However, this month I took my viral load hoping it to be close to undetectable, and found out that it's back at 4300.
I have not missed any pills and I always take them two hours after I eat. The only thing is that sometimes I take them a little later than usual (I usually take them at 1am) but sometimes at 2am, but I read that Atripla has a long half life so as long as I take them before bed, that's pretty much ok...
My Dr. pretty much says that I may have developed a resistance because I never got a chance to suppress the virus, but I am wondering if it was because I took my pills in different times, or if there may be another cause to it.
Before I saw the Dr., I did notice a small cyst on my lip that could have been caused by Herpes (which I've had for a while even before I was infected with HIV), so I don't know if this would change.
I am very scared that I am running out of options so soon if the virus has started to resist with only three months into the treatment, and I don't know exactly what to make of this. My Dr. said I need a resistance test and another viral load test and that basically, the lab could have been wrong.
Response from Dr. Holodniy
You appear to have been taking your meds correctly and I would not be concerned by a 1-2 hour difference. I do agree with your doctor's plan to repeat the viral load and obtain a resistance test. You have plenty of options left if you have to swap out a med or two. So no worries.
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