Nov 6, 2011
Hi there, I'd like to ask about when it's time to start meds.
Some background: I've been HCV (type3a)/HIV co-infected since 06 & first tested positive in 09. Since then I've seen a specialist around every 6 months. My T cells have stayed between 385 and 485 and ranged from 19-28%. Viral load has never been higher than 1500 per ml & is usually around 700. Other than occasional diarrhea a couple tiny warts on my neck and the occasional swollen lymph nodes I've never had any symptoms of any kind. A liver biopsy revealed minor damage
The medical team (who seem very good) have said it's been very stable & don't see any need to start HIV meds yet but want to try to clear the HCV and suggested if I start interferon & have a Tcell drop they would start HIV meds & discontinue them when the HCV treatment was done if it returned to it's current stability.
I would just like to know your opinion on this option as I have a few months to decide. Other than a fear of going blind I really prefer to stay off the medications as long as I can but worry about long term survivability by doing this.
Thank you for your time.
Response from Dr. Holodniy
I think most experts would suggest starting HIV meds first, and get the HIV under control, and then treat the HCV infection.
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