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Viral Load Affected by flonase & claritin

Jun 22, 2001

Currently I am taking flonase and claritin to alleviate my moderate allergies to my pet cat. I am on HAART and have enjoyed undetectable viral load and CD4 counts that have fluctuated between 400 and 600 for five years now. I am concerned with the idea that living continually with a cat allergy along with the allergy medications may contribute to immune suppression. Could these factors contribute to viral load. My viral load has been borderline detectable through six tests administered in the last year fluctuating from undetectable to 225 to undetectable to 60 to undetectable to 625. I am wondering if allergens like cat dander, steroidal nasal sprays like flonase, and antihistamines like claritin can negatively affect viral load?

Response from Dr. Holodniy

I doubt very much that the medications you are referring to can affect viral load. However, you raise an interesting point with allergies. Allergies would be expected to activate the immune system, not necessarily suppress it. This activation could theoretically increase viral production, although this has never been documented that I am aware of. MH

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