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must start treatment ASAP, need help
Jul 19, 2005

I was supposed to start treatment this past weekend (cd4 105, VL 221k), but I was unable to because I got called into work and because of that I only get 1 day off this week. (I'm starting this coming weekend as I'll have 3 days off). I'm beginning Sustiva and Truvada. My physician gave me Bactrim, but because I had to have more labs done (treatment actuallly wasn't to start until after I had these last labs done, which I could do until today) because of my cd4 level. Now, my question is -- should I start the Bactrim now (before the other meds) or should I wait a few more days (until Sat.) when I begin the Sustiva/Truvada regimen?

Please help.

Response from Dr. Young

Thanks for your post.

There's no particular reason to delay starting the Bactrim while you wait to start your antretroviral medications. Bactrim (Septra, TMP/SMX) is a very important preventive medication-- taking it will virtually eliminate risk of getting Pneumocystis pneumonia.

Hopefully by now though, you'll have started in on your Sustiva/Truvada and found that the side effect profile is very acceptable.

Good luck, BY

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