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
  Breaking News: FDA Approves Triumeq, New Once-Daily Combination Pill
   
Ask the Experts About

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


i was just diagnosed
Jan 11, 2005

I'm a 44 yr/old man and was just diagnosed HIV+(12/15/04) Iwas told today that my CD4+ is 214 and viral load is 29,000..my doctor gave me sustiva and combivir. I have friends who are HIV+ positive, and say I should wait, from what I've read I shouldn't. How do you figure out the time line from when I was infected..5,000 copies per year? And what is the real life expectation, or until I get AIDS..I'm sick of Pollyanna responses to this..at CD4, let's face it I have AIDS

Response from Dr. Young

Thanks for your questions.

I'm very sorry to hear about your recent diagnosis. I can't speak to pollyanna, but would comment that you've likely been HIV infected for some period of time, probably years. This is because on average, it takes 5- to 8 years to progress from initial infection to having a CD4 count that is about 200. Beyond this, it's really impossible to have a lot of certainty as to the time from initial infection, as much as we'd all like to have this ability. These time lines are only a very crude estimate, so take it for what it's worth.

Should a person with a CD4 count of 200 start on treatment? I'd have to say yes, though I'd probably would like to see a confirmatory lab value before making this a certain thing. All current treatment guidelines (both from within and without the US) recommend starting treatment with this level of CD4s. Combivir and Sustiva is one of the most prescribed and highly recommended regimens, with a very low pill burden (taken twice daily) and very good long-term study data.

Lastly, let's be clear on one point about AIDS-- assumming that you're otherwise asymptomatic and have a CD4 count that is greater than 200, you do not meet standard criteria for "AIDS". You're close, and this is another reason to consider starting treatment, but don't have AIDS, you "merely" have HIV infection and that's serious enough.

Good luck, thanks for reading. BY



Previous
starting meds
Next
Sicknesses related to HIV

  
  • 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