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Treatment options

Aug 19, 2005

currently my CD4 is 1460. When dignosed my CD4 was 310 with a high viral load. When I first started my therapy I was on Crixivan, AZT, and 3TC. Then changed to Crixivan Zerit and 3TC. at that time my viral load was undect. and CD4 of 1800. My doctor put me on Travada, Norvir, and and somethingelse I forgot but made me turn yellow. So he took me off travada and put me on Lextiva but that gave me a very bad diareah that I could not even stop. So my doctor took me off meds for a week I feel a whole lot better and can hold my food in. I spoke to my doctor and he stated that I had two options one to go back on my meds (same ones) or to stay off of them and to take a break. My CD4 is still 1460 with an Undect. Viral Load. What do you think I need a second opinion from an expert. Hope to hear from you soon Adolfo

Response from Dr. Pierone

Hi and thanks for posting. You did not state how long you had been on the Crixivan-based regimens but I suspect that you started over 5 years ago since this is a medication that is not used as much in recent years. Regardless, since you are off and feeling better with good numbers it would not be unreasonable to stay off for a while and see what happens with your viral load and CD4 count.

When it comes time to restart therapy, you might consider changing to a NNRTI like Sustiva (along with Truvada) to simplify your life (2 pills at bedtime) and reduce side effects. After you decide, post and let us know how things turn out. Good luck!

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