|Why are they waiting to start tx?
May 13, 2007
My brother is an inmate in TDCJ. He was diagnosed hiv+ 6 months ago. What are the indications for starting antivirals? They told him his, I believe cd4 count, had to drop below 200. Is this the standard of care? Or TDCJ/UTMB standards? I thank you in advance for any insite you may have on this matter.
Response from Dr. Wohl
In the US, in prison and out, the standard of care is to start HIV therapy when:
Plus, many will consider starting HIV meds if the viral load is very high (>100,000) despite a CD4 cell count greater than 350.
I am pretty sure the folks in Texas follow these guidelines. Now, medications to prevent major infections like PCP are indeed started when the CD4 count is less than 200.
If there is any confusion, you or your brother can talk with prison medical officials.
Colesevalam (Welchol) and triglycerides
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.