Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Choosing Your MedsChoosing Your Meds
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


follow up ?(VL - change meds? (Jun 26, 2003) _
Jun 30, 2003

<< Keep us informed and if you have the specifics on the genotype it would be helpful. Good luck! >> I wanted to write back and let you know what the LabCorp report said.... and was hoping you could interpret it for me. The ONLY mutation that showed up was "resistance possible" to Lamivudine... the associated mutation was 44d. My doc wants me to stay with the Epivir, Viread and Viramune for 30 days then be retested (I'm on day 12). I really have NO idea what this 44d is??? If my VL stays at 2000 or increases what options do I have with this possible mutation? Should I get another genotype done? Also... I got my genotyping done BEFORE I started ANY meds. Thank you---- you have no idea how much your time is appreciated!!

Response from Dr. Pierone

This is helpful information. The E44D mutation in combination with other RT mutations appears to increase the chance of resistance to Epivir. In your situation with the E44D alone there is probably not significant resistance to Epivir and the decision to continue the present regimen with an early retest is reasonable.

If your viral load does not resume its decline, or instead goes up, one reasonable approach would be to intensify this regimen. The decision to intensify may also be guided by another resistance test, this one on your current regimen. In some instances, early resistance mutations do occur and require intensification or a complete change in strategy. However, if your viral load resumes its decline on your next blood test, then just hang in there and see how things progress.



Previous
Dream to having a baby?
Next
question about a previous post

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement