|viral load is 400
Nov 13, 2011
After 21 years of having an undetectable viral load and a very high Tcell count of 1400 and over, my last test showed I had a 400 viral load and no decrease in Tcells. I have been on Atripla since it came out with no problems I am female and exercise daily and have no wasting problems, Im frightened and do not know what my next step should be, Please help me understand whats happening. Thank you
| Response from Dr. Holodniy
This could very well represent lab variability, although it is getting toward the high end of what we would call a blip. Given your longevity, high CD4 count and consistent undetectable viral loads, I am much less concerned. I would just have this repeated on your next visit. If it is back to undetectable than this was just a blip. If it remains detectable and/or is higher, then some viral resistance to the medications in Atripla could be developing. We usually need a viral load of >1000 in order to perform a resistance test, that would help guide changing treatment. I don't want you to get ahead of facts, but wanted to present could might happen.
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