cd4 of 138
Jan 22, 2010
hi just enrolled in care centre, the doc told me that my cd4 was 138 and that this is worrying that i should start HAART asap.Apart from the "alarming results" i am ok, active and about, never been down with an ilness. am scheduled for next week friday, do i start the meds straight away or check viral load first?
Response from Dr. Young
Hello and thanks for your post.
Yes, after a complete initial evaluation, you should be starting on HIV medications in the near future. I'm rarely an advocate that starting should be done emergently, but in your case, we'd typically start you on Bactrim (TMP-SMX) to prevent Pneumocystis pneumonia (PCP)while waiting.
Your evaluation should include both clinical, laboratory and social aspects. For example, a physical examination could reveal otherwise asymptomatic problems, lab evaluation should include (among other things) HIV viral load and drug resistance testing, liver, kidney function, screening for tuberculosis and hepatitis. Social aspects include review as to willingness and ability to adhere to medications, mental health, substance abuse.
In short, there's enough time to get the needed information and counseling about how best to adhere.
I hope you find this helpful, please write back with any questions.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Yeast Infections That Do Not Go Away And Hiv Negative
- Aids Or Hiv From Having Sex With A Girl On Her Period
- Will Shingles Rash Spread?
- What Should You Do If You Think You Have Herpes On Lip?
- What Happens When Herpes Go To Your Spine?
- What Does The Discharge From Chlamydia Look Like For Men?
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.