Resistant Before Invention
Jan 4, 2004
Dear kind, gentile doctor:
I have heard that HIV could
be resistant to medications
that yet have to be invented.
I find this prospect
disturbing. What is your
opinion on this fact?
Orla on the Isle of Man
Response from Dr. Wohl
What you may have heard is that HIV resistant to HIV medications can be transmitted to others which may compromise the effectiveness of therapy with these drugs in the newly infected person.
In your corner of the planet, about 10% of newly infected people have evidence of major HIV drug resistance. The most common mutations are against the oldest drugs, the nucleosides, but resistance to more than one HIV drug class was seen in a significant number of people with recently acquired HIV. Clearly, this can have implications for future therapy with current and even yet to be developed HIV therapies. The good news is that newer therapies designed to fight resistant virus are being developed.
Thanks for your question. By the way, I am not a gentile. DW
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