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: Expert Opinions on HIV Cure Research
   
Ask the Experts About

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


HIV-ITP and initial regime
Jan 3, 2004

Back on Nov 4th, I posted a question about HIV-ITP and asked what my options were in terms of initiating treatment. An update: my last 6 platelets counts were as follows: 97, 78, 63, 82, 64 (two weeks ago), and 70 (this is last Friday's count). Both the hematologist and my infections disease specialist have said I can wait to initiate either HAART, or perhaps prednisone when, and if, my count falls below 50. Three questions for you: 1) does this indicate a plateau in terms of platelet count; 2)does the idea that this is just a "cycle" that needs to be broken; in other words, maybe a short term stint on prednisone may break the cycle and when we taper the platelet count will not decline once more, and: 3) if I were to start HAART, I was looking at the Combivir + Sustive combo, but have been reading that AZT suppresses the bone marrow (where platelets are produced, so I was thinking Sustiva + Epivir + tenofovir. What do you think of that combo as an intial treatment regimen? Thanks for your time.

Response from Dr. Pierone

Hello, I agree that the low platelets from ITP (idiopathic thrombocytopenic purpura) do not need to be treated unless they drop below 50 thousand. It does look like a plateau in your platelet count. I don't think that treatment with prednisone will necessarily break a cycle of ITP. With regard to HAART, either regimen would be expected to improve the platelet count. AZT does not really have much impact on platelets so I would not shy away from it based on this issue (the real issue with ITP is inappropriate destruction of platelets anyway). The Sustiva, Epivir, Tenofovir regimen is somewhat easier since it can be taken once daily. Good luck!



Previous
scary thought. what is really the deal?
Next
rise in VL and hep A-B vaccine

  
  • 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