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Prednisone, Neck Pain, & HIV
Jul 18, 2007

I have been HIV+ for 14 months and have not had great success with my labs despite medications (Atripla, AZT). I have had neck pain for 4 months, and had an MRI today with diagnosis of subluxation of 3 c-spine vertebrate, severe stenosis with spinal column encroachment. My primary care physician is starting me on Prednisone tomorrow. Is there anything I should be concerned with taking Prednisone or the severe neck pain? I have been unable to contact my ID regarding the new diagnosis or medication regimen. Thank you

Response from Dr. Young

Thank you for your post.

I'm puzzled and concerned about your lack of "great success". What exactly does this mean? Does it mean that your viral load is not suppressed? or lack of CD4 increase?

Alternatively, could it mean that your neck pain has not improved? The use of prednisone is not contraindicated for persons with HIV, indeed is actually recommended for persons who have severe Pneumocystis pneumonia. If your doctor feels that your neck lesions might be best treated with prednisone, then short-course treatment, especially if your HIV meds are working, won't be a serious issue.

Hope this helps. BY

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