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Long-term HIV Patient, age 60, with stable virile load

Oct 24, 2010

Hi, I have been hiv+ for 23 years, whose CD4 count has fluctuated around 600. Viral load usually below 30,000. Four years ago my doctor took me off of meds, the logic that the drugs do not appear to affect the numbers either way. My new doc, who has research background and the specialty of Infectious Diseases, wants to start an aggressive treatment with 5 different meds. All the tests to determine any resistance to prior HIV drugs have been done and she reviewed with me. It feels like a sledgehammer to a baby boomer.:) One of the drugs is AZT which she wants to start me on for a few weeks to knock down the virile load to undetectable. I realize the knowledge amd treatment regimens regarding HIV are always changing. What do you think? Thanks

Response from Dr. Holodniy

I would agree with getting you back on meds, although I am not sure I understand the need for 5 drugs. Was significant resistance found? I am also not sure about the need for AZT in your case. It would be helpful if you had the resistance test results, what you previously were taking, the 5 drugs she intends to start, and why, and get back to me.

viral load 475, cd4 count 349
re:re: good results (few more questions!)

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