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
Read Now: TheBodyPRO.com Covers AIDS 2014
   
Ask the Experts About

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


Which specific symptoms will cause you to recommend HAART if CD4 count is normal and VL undetectable?
Sep 14, 2003

Dr. Young, You wrote in an earlier response to someone that, if their CD4 count was above 250 and VL below 55,000, they should stay off HAART - unless they are "symptomatic."

What symptoms warrant going on HAART? For example, if someone is not wasting/losing weight and does not have temperatures, nausea, fevers or night sweats....but has bad symptoms such as chronic pharyngitis, diarrhea and lymphadenopathy (sore, but not swollen nodes), should they go on HAART, considering that HAART can cause symptoms of its own?

In other words, what symptoms will cause you to ignore higher CD4 counts and low or undetectable VL's and what symptoms will cause you to advise a patient that they should deal with them and delay HAART till CD4 is lower or VL is higher?

Also, do you believe, if a VL is undetectable, that symptoms cannot be caused by HIV as some doctors do (viz. undetectable VL test means symptoms are not due to HIV) or are you of the school that bad symptoms can still be caused by HIV even if a VL is undetectable? Have you ever put someone on HAART who had bad symptoms (sore lymph nodes, malaise,some nausea, daily diarrhea, sore throat etc.), but was not wasting, had no fevers, had a CD4 count above 500 and an undetectable VL by Roche 1.5?

Many thanks.

Response from Dr. Young

The symptoms that you've listed (pharyngitis, diarrhea,etc)wouldn't necessarily prompt me to start HIV therapy, though still deserve medical attention and evaluation.

By contrast, the first set of symptoms, weight loss, wasting, night sweats, or any AIDS-defining illness-- irrespective of CD4 would be an indication for therapy. BY



Previous
Thank you
Next
meds for starin o???

  
  • 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