|retaining strength of combo
Mar 24, 2001
Dear Doctor, If a regimen like Combivir and Efavirenz can reduce a VL from 95,000 ( or more for some people )to below 20 in somewhere between three and six months, why, assuming you adhere to it perfectly, would there be cause to think the same regimen can't keep the VL below 20 permanently?
Response from Dr. Little
Your question is excellent - in fact many physicians believe that if the VL is reduced to less than 50 and the patient is perfectly adherent and no other factors interfere with drug absorption, then the same regimen should work indefinitely. Unfortunately, it is difficult to prove that viral replication has been shut down and is not just markedly impaired, that drug resitant forms of the virus are not present (from prior drug therapy or as a result of transmitted drug resistance) which might lead to a failure of the regimen, or that incomplete penetration of the drugs into certain difficult to reach sites (like the brain) would permit drug resistance to develop and ultimately drug failure to occur. All of these potential issues contribute to our uncertainty that complete suppression will persist indefinitely despite "perfect" adherence.
why is my cd8 so high
VL Increase Follow-Up
- How Bad Will The Sore Throat And Muscle Aches Be When You Have Hiv?
- How Much Weight Do You Lose If You Have Hiv?
- Can You Get Hiv Through Vaginal Fluids?
- How Long Does It Take For Hiv To Show Up Up In A Person Blood?
- Can Hiv Be Transmitted Through Small Cuts?
- 4 Fluids That Can Contain 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.