Nov 18, 2006
I tested positive 2 wks ago with counts of 431T-cell, 21% and 98,000VL. However, I've just learned that the strain that I have is resistent to Sustiva. What does this mean? I'm a little scared!
Response from Dr. Young
Thanks for your post.
What this result means is that you've been infected with a strain of HIV that has already become resistant to efavirenz (Sustiva, Stocrin). This also likely means that your virus is resistant to the other non-nukes, including nevirapine (Viramune).
Hence, when the time comes to start HIV medications, you should be sure that your doctor doesn't prescribe one of these medications as part of your three- or four drug regimen. To do so would risk premature and rapid treatment failure and the genesis of resistance to the other drugs in the regimen. This means that you shouldn't take either Sustiva or the combo drug Atripla.
Fortunately, there are a number of very well tolerated options to using efavirenz, namely the new boosted protease inhibitors, such as fosamprenavir (Lexiva, Telzir) lopinavir/ritonavir (Kaletra) and atazanavir (Reyataz). Current treatment guidelines recommend the use of these protease inhibitors with low-dose ritonavir (Norvir) boosting.
Hope this helps, best of health to you. BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Flu Symptoms After Receiving Oral Sex Worried I Have HIV
- Jock Itch After Anal Sex Sign Of HIV AIDS
- Muscle Ache After Getting Fingered Sign Of HIV AIDS
- Painful Red Spots After Swallowing Cum Worried I Have HIV
- Vaginal Discharge After Fisting Worried I Have HIV
- How Accurate Is Hpv Testing?
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.