|ARV & pregnancy
Jul 15, 2007
We are supporting a pos woman at HIV Womens service who is on efavirenz & kivexa combination, she is 10 weeks pregnant and Dr suggesting termination as these ARV are contraindictated, during pregnancy .. woman is very distressed...what are you thoughts? thanks Pam Corrdinator HIV Women's projedt South Australia
| Response from Dr. Young
Thank you for your post from Australia, sorry about the delay in response.
I wouldn't recommend stopping all antiretroviral medications in the case of pregnancy at all. The real issue is the risk that efavirenz (Sustiva) may play in harming the infant (not the abacavir or 3TC *Kivexa/Epzicom). Keeping the mother's HIV viral load undetectable is the best way to avoid transmission of HIV to the infant.
In this case, I'd probably switch the non-nuke efavirenz for a boosted protease inhibitor, provided that the drug resistance pattern allows. In our center, we'd use lopinavir/ritonavir (Kaletra) in place of efavirenz.
I hope this helps. BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Treatment Of Male Partner Bacterial Vaginosis
- What To Do If Treatment Did Not Work For Gonorrhea Or Chlamydia?
- Risk Of Transmitting Herpes Through Kissing
- What Are The Chances Of Getting Genital Herpes While Using A Condom?
- Is There A Test For Herpes At Home?
- Symptoms Of Genital Herpes The Day After Sex
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.