|Should I start treatment???
Dec 31, 2004
I am based in London (UK).I was diagnosed positive over 12 years ago. My last counts were 290 cd4 and 125,000 VL -it has fluctuated over the years but it is definately dropping. I have constant myalgia (legs), recurant herpes (take acylovir daily), constant diarrhea, sleep disruption and general tiredness. I had pheunmonia earlier this year which left me with a bad cough which lasted for months. It took 3 types of antibiotics to rid of and returned earlier this month and has responed well to more antibiotics.
My doctor in London has not suggested any medication programme at all and she seems to think that I'm not ready at this point. From reading your experts' advise I feel that if I was in the US I would be on meds by now.
Am I receiving good treatment and will a delay in being put on meds have an effect upon my long term health?
| Response from Dr. Young
Thanks for your post.
There are some differences in opinion between the US- and UK-based physicians about the optimal time to start treatment for HIV. To overly generalize, US physicians tend to start patients when their CD4 counts are below 350; UK doctors tend to wait a little longer, but both strongly recommend starting treatment when CD4s are below 200. Additionally, both sets of treatment guidelines speak to the treatment of patients with symptomatic HIV disease, irrespective of their CD4 cell count.
In your particular circumstance, if you were my patient in the US, I'd be considering starting-- given that you have some chronic, mild- to moderate symptoms.
I don't think that you are necessarily receiving bad treatment, but rather are in this in-between zone of the two countries' doctors recommendations.
I hope this helps.
Good luck, have a happy and healthy new year. BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Chances Of Catching HIV From Sex With A Prostitute
- Blisters After Licking Penis Worried I Have HIV
- Burning Penis After Touching Anus Worried I Have HIV
- Burning Urethra After Unprotected Sex Without Ejaculation Worried I Have HIV
- Rash After Anal Sex Condom Broke Worried I Have HIV
- White Tongue After Rimming Worried I Have HIV
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.