|Time to Start Treatment?
Oct 14, 2003
I was recently diagnosed as HIV+ at the end of August. I had tested HIV- in 1/03 and 6/02. I have now had 2 blood draws. The first showed my CD4s at about 275 and 19 with a viral load of 2500. The second, drawn one month later, showed my CD4s at about 300 and 18 with a viral load of 135,000. Based on this my doctor thinks I need to start treatment right away. Do you agree? Also, do you think my long-term prognosis on treatment is still excellent despite needing treatment so quickly after infection? Thank you for your advice, I appreciate your help.
| Response from Dr. Young
Thanks for your post.
Between the two tests, you can see that your CD4 percentage hasn't changed much. Either way a percentage of 18 or 19 is around the time when I suggest thinking about starting therapy, more so if your viral load really is as high as the second test (it might not, and worthy of a repeat set if there's any question).
Since you've likely been recently infected, I'd suggest to you (and your doctor) to get a resistance test, to make sure that whenever and whatever meds you do start on, that they have the maximum likelihood of being potent.
Lastly, I believe (assuming that there's no resistance or that your doctor and you choose the best regimen) that your long-term prognosis is excellent, irrespective of when you ultimately need to start meds.
Good luck. BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
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.