|Purpose of a genotype test to make me switch drugs
Mar 26, 2011
I recently saw a doctor for he first time who was adamant about me switching my meds, to the point where she stopped listening to me and my concerns. She showed up 35 minutes late for the appointment and when she did show the first thing out fo her mouth was, "what's wrong with you?". I was also her first appointment that day. She ordered a genotype test and I'm concerned that maybe I should look elsewhere for another doctor. Also, from that first meeting I'm not sure that she understands how resistance actually works. She told me that the virus can build resistance even though the meds are working. Which I don't really understand how that can happen. I've been through the Life program that is given by Shanti and I was told that resistance happens when you stop taking a drug and the virus builds up an immunity to it. Something else that scared me with that first meeting was when she said, "all my patients are taking my regiment." Is that for her benefit or her patients? By the end of our appointment I told her that I was unwilling to change my meds at this time, and she became very agitated and ordered a genotype test. My concern is that she is going to lie to me and tell me that I have to change my meds. Here is some of my history, I had been taking Atripla and my cholesterol and triglycerides were escalating. Since the doctor I was with at the time wouldn't change them I switched doctors and meds after about a year and a half. I was still having the Sustiva "high" and my previous doctor only wanted to prescribe more meds, Crestor and Lipitor that weren't working, even though I had made dietary changes and began exercising. My second doctor put me on Norvir, Ryataz and Truvada. My cholesterol was still heading up until it got to 375. With my family history of heart disease I became concerned enough to stop seeing that doctor and stopped taking meds altogether until my cholesterol came down to 174, where it is now. The doctor I am seeing now wants to put me back on Truvada even though it has been a year since I have been off of it. I am presently taking Viramune and Isentress. I went from a viral load of 77,000 to undetectable in three months, it took six with the Atripla. I understand the regiment I am on is unorthodox, but, if it's working for me why would I want to change it?
| Response from Dr. Holodniy
Sounds like a lot of issues here. First, there is no ability to get a genotype resistance test with an undetectable viral load. Second, if it ain't broke, why fix it? Yes, your regimen is not a standard issue, but I don't necessarily see any reason to change or add additional drugs at this time.
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