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Can Bactrum cause a decrease in cd4 or increase in viral load?
Jan 27, 2007

My first set of labs came back with cd4 at 299 and viral load at 6,000. Dr. suggested starting meds. I think its too soon. He then put me on long term bactrum and ran labs a month later...cd4 246 and viral load 14,000. Any coralation?

Response from Dr. Young

Hello and thank you for your post.

No, there's no correlation between your lab changes and the use of Bactrim (sulfa)-- the changes in your CD4 count and viral load are well within the normal variation of the tests.

On a separate note, if your doctor has placed you on Bactrim to prevent Pneumocystic pneumonia, you may not need it-- you have two CD4 counts above the 200 cell level that indicates the need for PCP prophylaxis.

Best of health to you. BY



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