|Should I be on Medication
Sep 2, 2007
I was diagnosed as HIV+ in Aug 06, my CD4 was 553 and Viral Load 200,000. In Feb 07 CD4 was 479 and Vir Load 264,000. In June 07 CD4 was back up to 553 and no Viral check was done. My doctor said he dosent want to put me on any meds until CD4 drops to 250? What' your thoughts?
| Response from Dr. Horwath
Antiretroviral therapy (ART) is recommended for all people who have had an AIDS-defining illness or other severe symptoms of HIV infection, regardless of the CD4 cell count.
For those who are HIV infected and haven't had an AIDS-defining illness or symptoms, the decision to treat depends mostly on the CD4 count. For those with CD4<350, treatment is usually recommended. For those with CD4 >350, treatment is usually deferred.
However, some doctors recommend starting treatment in those with CD4>350 and HIV RNA > 100,000 copies/mL. This is a decision based on weighing the benefits of treatment against the toxic side effects of treatment. In patients who don't have symptoms and have CD4>350, the risks of treatment are thought to outweigh any benefits in most people.
With your CD4 counts, treatment does not appear to be indicated unless you have had significant symptoms. You should discuss this with your doctor. He is giving sensible advice.
Get Email Notifications When This Forum Updates or Subscribe With RSS
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.