|HIV related thrombopenie
Nov 27, 2009
Dear Friends, my doctor told me that I have a HIV related thrombopenie and due to that I will have to start with truvada regardless of my 400 CD4 count and low viral low as my body has genereted a sort of autoinmune, which I belive has to do with the vaccin agains the mexican flu, bt of course that has not been confirmed. Ths seem to be common among HIV positive patients. I have been taking a vitamin called Biolean II thisd last year,which could also be the cause of this. Anyway I have now the pills and I will start tomorrow 27/11/2009. I am in denial and desbilieve, please let me know your thoughts, Klaas from Amsterdam
| Response from Dr. Young
Hello Klaas from Amsterdam,
If you repeatedly have persistent thrombocytopenia (low platelet counts), then I'd be in favor of starting on HIV medications. The reason that I say repeated is that there are many transient conditions that could lead to lower counts- most not significant. You've not commented on this point, but I'd trust that your doctor has evaluated this; further that low platelet counts could place you at risk of hemmorhage or even stroke. This situation is precisely one that I encounter in one or two patients every year-- with precisely the same general recommendation.
Your CD4 count of 400 is already close to the standard threshold to start treatment, even without the low platelet count.
I trust that you'll receive an additional medication with Truvada (tenofovir+FTC), since two drug therapy is very much not recommended.
So, Klaas, worry not- I'm quite certain that your health and disbelief will improve in the near term. Please write back and let us know how you're doing.
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