Feb 2, 2014
Dear Doctor Young,
Last month I had to miss 3 days in a row of Atripla through circumstances beyond my control. My last lab result showed an increase in VL from undetectable to 180. I had previously been on Atripla for 18 months and been UD for 14 months. My last CD4 count showed an increase from 290 to 370. I am worried that this result may be the start of resistance due to my missed doses and I'm realy panicing here. Would you suggest immediate retesting?
I would also like to ask if switching treatment earlier would decrease the risk of resistance to all components in Atripla, or if the worst has happened would it be too late, as resistance has already taken hold?
Response from Dr. Young
Hello and thanks for posting.
So, no panic needed. What I'd suggest is contact your care provider and simply have a viral load test performed about 4-6 weeks after the missed dose. If undetectable (as I'd wager), then there's nothing to worry about.
If the worst case, if the virus has returned despite good adherence, there are a wide range of excellent second line options.
Be well, BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Odds Of Infection Masturbation With Saliva
- Is Chills A Symptom Of Acute HIV Infection?
- Is Jock Itch A Symptom Of Acute HIV Infection?
- White Tongue Sign Of HIV Infection
- Cold Feet After Breast Sucking Worried I Have HIV
- Sinus Infection After Vaginal Sex Without Condom Does It Mean I Have HIV
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.