|CD4 count 299.....should i start it now?
Feb 12, 2005
my cd4 count is 299,as far as what i have read you should start therapy once your cd4 drops to 300,should i start the treatment now?
Response from Dr. Sherer
You certainly should be asking this question, but getting to the answer is a matter for you and your doctor, with all of your relevant information at hand.
To help with this decision, I would also want to know: What was the last CD4 cell count and percentage, and when was that done? What have the trends been over time? What is the current level of your viral load, and what have those trends been over time? How do you feel about antiretroviral therapy (ART)? What do you think is the likelihood that you will be able to adhere to your medications? When did you acquire HIV, and under what circumstances? Was a genotype done then? Have you had a genotype recently, and, if so, what were the results? Are there possible side effects of ART that you are aware of that concern you? Are there any that you simply could not tolerate at all? Or others that you might be willing to experience in the short term? Or in the long term? Are you taking any other medications regularly? If so, what has been your experience at regularly taking them? Have they caused any side effects? If you did start ART, would you prefer a regimen that requires dosing only once daily, or would a twice daily regimen also be acceptable? Does the number of pills per day concern you?
My own practice, consistent with the HHS Guidelines, is to start talking to patients about ART when their CD4 cells are around 350 cells/ml, and/or when their viral load is above 100,000 copies/ml. If they want my opinion, I will generally recommend starting therapy if either of these conditions are met, and if they are informed and ready to start ART.
I urge you to talk to your physician about these issues.
What time of Day to Get Blood Tests
Viread missed 7 days
- Headache After Anal Sex With Condom Does It Mean I Have HIV
- Painful Urination After Receptive Anal Sex Worried I Have HIV
- Vaginal Discharge After Masturbation Worried I Have HIV
- Vomiting After Vaginal Sex Without Condom Does It Mean I Have HIV
- Can Vaginal Infections Cause Wbc In Urine?
- How Much Does It Cost For Std Testing?
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.