|WHEN SHOULD TREATMENT START?
Aug 1, 2009
A CD4 WORKING AT 14% AND A COUNT OF 685. WITH A 700.000 VIRAL LOAD. JUST DIAGNOSED.
| Response from Dr. Young
Hello and thank you for your post.
Most experts recommend starting treatment in asymptomatic persons when their CD4 counts are below 350. There are situations where some doctors consider in addition-- these include having HIV symptoms, HIV-related kidney disease and pregnancy.
Certain laboratory parameters (in addition to the CD4 absolute count below 350) will sometime prompt considering starting-- indeed, ones that you have. First, is having a high HIV viral load (above 100,000 copies/mL), the other is having a low CD4 percentage. Your CD4 percentage of 14 usually correlates to a CD4 absolute count below 200; in my clinic, this is low enough to offer treatment and consider initiation of antibiotics (Bactrim, Cotrimoxazole) to prevent Pneumocystis.
At the least, your CD4 count (and percentage) should be repeated. If your CD4 percent remains this low, I'd recommend starting combination HIV treatment.
Hope this helps, BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Chance Of Getting HIV From Unprotected Anal Sex Without Ejaculation
- Chances Of Catching AIDS From Condom Broke
- Chances Of Catching HIV From Rubbing Vagina
- Chances Of Catching HIV From Toilet Seat
- Chances Of Getting AIDS From Vaginal Sex Without Condom
- Do People Catch HIV From Making Out?
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.