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First line treatment

Jan 10, 2011

Hello Dr. Young.

At the moment i'm taking mir first line treatment: Tenofovir (07:00 am) + 2 pills of Lamiduvina 150 mg each (at 07:00 am) and 1 pill Efavirenz near to 10:00 pm (flexible, mostly before sleep. I started my treatment with a CD4 of 221 and VL 88.000. Afther 4 months my CD4 is 344 and VL 74. Each month I check my cholesterol, my liver, kidney and heart function and at the moment i'm doing well. I'm a little bit concernt about my future. Do you think with the years i'll develope AIDS? I very afraid. I want to be healthy all the time, but i don't know if this medication can cause liver, kidnet, etc failure. Please help me with your advice

Response from Dr. Young

Hello and thank you for your post.

It looks like you're doing very well on your treatment regimen. For the vast majority of persons, successful first-line regimens are safe and without long-term issues of organ (liver, kidney) toxicity.

The best way to make sure that this doesn't happen to you is to get routine (every 3-6 month) laboratory and clinical evaluations by your health team.

BTW, it's really not necessary to get your cholesterol checked monthly-- probably once, or twice a year will suffice.

Be well, BY

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