|"Best Treatment" and Questions to ask
Oct 6, 2003
My partner was infected two years ago. We are going to see two infectious disease doctors this month. His CD4 is 324 and Viral load 19800. How can we tell which is the best course of treatment since they will probably start him on meds with a CD4 count so low? Is there a best first treatment? Also, what questions should we be asking? FYI, I am negative.
| Response from Dr. Wohl
There are many factors that influence which is the best regimen for treating HIV infection. You certainly want a therapy that can be integrated into your lifestyle, has a risk of adverse events that do not sound too scary or unacceptable to you (i.e. high cholesterol in a person with heart disease, facial fat wasting in a fashion model, diarrhea in a truck driver) AND that is supported by data indicating it is effective and well tolerated.
Choices for the third drug include AZT, tenofovir, ddI, d4T, and abacavir. Which of these you chose or are offered probably will not matter much as far as getting the viral load down. There are differences in pill number, frequency, food restrictions and side effects.
If Sustiva is not do-able for some reason, the protease inhibitor Kaletra is another alternative that is popular and supported by solid evidence. Some would add nevirapine (Virammune) a sister drug to Sustiva and often used as its understudy. Feel free to write back if you get mixed messages from your physicians. DW
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Sore On Mouth After Getting Scratched Worried I Have HIV
- Sore On Tongue After Swallowing Precum What Are The Chances Of HIV
- Stinging Pain After Licking Genital Worried I Have HIV
- White Spots After Condom Inside Out Worried I Have HIV
- Can A Sexually Transmitted Disease Cause A Sore On Your Gums?
- Can Your Immune System Fight Off Hpv?
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.