Starting Treatment with high VL
Jan 11, 2004
Hi, I was just wondering if you could please give me some advice on starting treatment with a high vl, my cd4 350 and vl 120k
My vl has always been high, and now is the point to start treatment i was wondering if there was a good treatment to start with as my vl is so high.
If you could give any advice i would be most grateful as i dont want my first treatment to fail.
Response from Dr. Pierone
A viral load of 120,000 is really not so high. Starting on a NNRTI-based regimen (Sustiva or Viramune) as linchpin drug along with 2 nukes (Viread and Epivir for example) should be effective. The DHHS guidelines also list Kaletra as an alternative for the linchpin drug, but this involves more pills per day and a greater likelihood of side effects. The main way to prevent failure of a first regimen is to not miss any doses of you medications. Good luck and let us know how things go.
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.