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Aug 9, 2003

when do you start treatment when you are HIV positive? and which type of treatment

Response from Dr. Young

Thanks for your questions.

This is a very lengthy subject and one that ultimately depends on a lot of very individual conditions.

There have been recently updated treatment guidelines (you can see these at: --one place to see a nice summary is at the AIDS Education and Treatment Center's webpage:

In short, current recommendations recommend starting HIV therapies if you have symptomatic disease, or if your CD4 count is below 350 or viral load greater than 55,000 copies.

There has been a significant change in the types of recommended treatments with regimens of either efavirenz (Sustiva) or lopinavir/ritonavir (Kaletra) with two nukes (like Combivir, tenofovir/3TC or stavudine/3TC)).

Bear in mind too, that a updated resistance testing guideline now recommends getting resistance tests for virtually all treatment naive persons-- this would help guide the kind of treatment that you might ultimately receive.

Hope this is a useful starting point. Good luck. BY

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