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numbers
Dec 1, 2004

diagnosed in 1994, offered azt monotherapy which i refused. in 1996 started on cocktail (3tc, crixivan, ddi) with horrible results, so i left it in 1998. in 1999 started with rescriptor, videx and 3tc, same toxicity and side effects, stopped treatment (under medical supervision) in 2000. have had no "traditional" treatment since, only alternate medicine... i look and feel ok, but my cd4's are down to 189 and viral load is 80,000 any suggestions? (thanks)

Response from Dr. Frascino

Hi,

Are you under the care of a certified and compassionate HIV specialist? If not, you need to find one who can discuss all your treatment options with you in detail.

Several things to consider:

1. CD4 counts under 200 place you at increased risk for opportunistic infections. PCP (Pneumocystis carinii pneumonia) prophylaxis should be started immediately.

2. Considering your past antiretroviral use, I'd suggest getting resistance testing (genotype and phenotype) to help select your best treatment options.

3. There have been major improvements in HAART since your last triple combo. The newer formulations and recently approved drugs may well be better tolerated and more convenient than the regimens you tried in the past.

4. Working closely with a competent and compassionate AIDS specialist is essential. Don't delay.

Good luck!

Dr. Bob



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