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Stop drug because hepatitis
Nov 22, 2002


I start Sustiva/Combivir for 2 years then on May I got hepatitis cause by drug I decise to stop drug all drug by my self. My CD4 was 435 on April. My CD4 drop to 49 while I was sick and back to 422 on July 423 on August 350 on Sep and now 337. My viral load was <50 before I stop drug then increase to 186,xxx on July now 109,324. I'm not start drug yet. Where should I go from here.

Response from Dr. Little

It sounds to me like you should consider going back on treatment - you will clearly need to discuss the risks of hepatitis with your care provider and perhaps follow your liver tests a bit more closely than typical after your restart an antiretroviral regimen again. Your CD4 cell counts are not likely to stay at the level they are now with your high viral load - so I would discuss treatment again.

HAART & Resistance
Non-Suppressive at 6 Months

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