Jul 5, 2004
I am 68 year old male, just diagnosed. Blood tests show T Cell count of 908, with Viral load 8731. Doctor has immediately prescribed the following: Reyataz,Viread and emtriva. Currently take zocar and flomax. Concerned about: reaction to zocar and my liver, as well as why I should start treatment this early. I am not too happy with my current doctors approach; which seems to be get on treatment as soon as possible. Your thoughts would be most helpful. Thank you.
Response from Dr. Pierone
Hello and thanks for posting. Your concern with this aggressive approach to therapy is justified. The first question is whether you need treatment at all? High T cells (CD4 cells) and low viral load are typically an indication for watchful waiting for HIV infection. This has to do with the trade off between benefit of therapy and side effects of treatment.
Reyataz and Viread have a drug interaction that lowers the levels of Reyataz to the point that there may be a loss in effectiveness. Also, Zocor blood levels tend to go higher (sometimes much higher) with protease inhibitors (like Reyataz). I would see why your doctor is so gung ho to start treatment and consider a second opinion. Good luck!
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