Very high viral load
Feb 20, 2005
Dear Dr ! When starting treatment ? Is high viral load dangerous ? I am a Swedish man 48 y old, hivinfection since august 2002. My viral load has varied from 100 000 - 700 000. And my CD4 has been 300-500. In January 2005 my viral load was 700 000 and my CD4 was 380. In Sweden my doctor told me to wait with treatment, but I am very worried about my high viral load. Is it dangerous ? What is your opinion ? Lot of thanks
Response from Dr. Pierone
A high viral load is not dangerous per se, but is associated a more rapid decline in CD4 counts over time. For this reason some clinicians opt to offer earlier treatment for patients who have viral loads that are consistently above 100,000. Physicians tend to start treatment earlier in the United States compared with Europe (pre-emptive aggressive measures are in vogue here now).
Honestly, we don't know the best time at which to initiate antiretroviral therapy (or when to stop for that matter), so individual considerations mean a lot. The medications are so much better now, so if someone is committed to full adherence and wants to start therapy with above 350 CD4 cells, I would not argue for a minute. Hope this helps.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Hiv And Cold Sweat On Hands And Feet
- Are Fever Aches Sleepiness And No Appetite Symptoms Of Aids?
- Pros And Con Of Mandatory Hiv Testing
- What Is The Difference Between Genital Warts And Genital Herpes?
- Time Frame After Contracting Herpes Before It Shows Up On An Std Test
- Syphilis Symptoms Burning Urination
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.