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what do i do
Jul 30, 2005

i am curently seeing a patient who has chronic renal failure not yet on dialysis latest creatinine value 1900mmom/l,urea 46iu is it possible to start haart and how urgent answer needed in 24hhrs please

Response from Dr. Young

Thanks for your post.

Yes, it is entirely possible to treat persons with end-stage renal failure on dialysis. There are a number of antiretroviral medications that require dose modification (mostly nucleosides) and others, like NNRTIs and PIs that don't. Be aware that most fixed-dose combination pills are not recommended in renal failure because of the inability to adjust the dose.

We've treated many such patients over the years without significant difficulty. BY



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