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Acute HIV treatment duration
Jun 10, 2006

After starting on truvada and sustiva one year ago for acute HIV infection, my viral load remains undetectable and CD4 count is normal. Is it reasonable to remain on this regiman for as long as possible or do you recommend stopping therapy to preserve future treatment options? Thanks for any feedback!

Response from Dr. Young

Thanks for your post.

Unfortunately, there isn't one answer or consensus to your question.

If you're tolerating your medications well and don't have any significant issues with adherence or costs, I'd tend to stay with the program until we get addtional information about the potential benefits of treatment started during acute infection.

Others would suggest stopping treatment, since many studies have failed to show benefit insomuch as decreased viral set points and the potential of developing drug resistance or side effects.

What's the best for you? Since you probably have a doctor who's up to date on things (as are most docs who knew to recongize and treat acute infection), you'll be able to have a discussion about the pros and cons of each approach.

Best of health to you, BY

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