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Medication and AIDS Dementia Complex

Feb 18, 2011

Today I was just diagnosed with Dementia that they are associating to AIDS. I am only 26 and I know that ADC is quite rare and not understood, but what are the options to help further progression as my CD4 is around 900 and my VL is undetectable. I am currently taking Atripla. Would it be advisable to change the regimen to help slow the progression of the dementia?

Response from Dr. McGowan

You should talk to your doctor and have a complete neurologic exam to be sure that you have the correct diagnosis. Mostly what we see now with HIV is something called "minor cognitive deficit" which is differnt than dementia. There are drugs that penetrate into the brain better and may benefit if the diagnosis is correct.

Many times stress or other medical problems (such as diabetes or hormone imbalance) or infections (such as syphilis) can cause memory problems that can be treated effectively. Make sure that all these have been explored. HIV dementia is a diagnosis that often can only be made after all the other possibilities are tested for, especially when your CD4 is so good and virus suppressed.

Best, Joe

PEP HIV testing and delayed serconversion

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