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I am pregnat with hiv
Jun 16, 2010

HI doc, i on kivexa, norvir and Reyataz, and i am now 5weeks pregnat,is it safe to continue with it throughout the pregnacy?

Response from Dr. McGowan

Thanks for your post and congratulations!

Since you were already on anti-HIV meds at the time you became pregnant it may be risky to stop them because your HIV viral load could rise quickly which could put the baby at risk. The most concern about exposing the baby to medication comes during the first 10 weeks when the organs are being formed. There has been no specific pattern of birth defects that have been linked to the meds you are taking. Some docs (and the US treatment guidelines) suggest using a zidovudine containing treatment if possible (and you will get zidovudine during labor when you deliver). That may not be necessary if your HIV viral load is undetectable and you are tolerating the medication. The key is to work closely with your doctor and your obstetrician to monitor the baby and be sure that your viral load is as low as possible (undetectable) at the time you deliver.

Best to you and your baby.

Joe



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