Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Safe Sex and HIV PreventionSafe Sex and HIV Prevention
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Medication
Jul 20, 2011

Hello Doc, As per your last advice I went to see my HIV doctor. For more information my recent test shows my cd4 is 265, vl 35k and cd% 15.7%. I have got resistance to emtricitabine and lanivudine it was done in 2009 May. As you had mentioned I could have some other infection but my doctor doesn't think I could have some other infection even though my CD4 fell from 525 in October 2010 to 265 July 2011. I want some advise here. My doctor suggest me to start medication right away and I am prescribed âVIROTRENZ". Major content of the medication is âEFAVIRANZâ. I told my doctor about my resistance but he suggested I should go ahead right now and see how it reacts. Here also I am looking for your advice whether I should go for this medication. Please guide me.

Response from Dr. Frascino

Hello.

While I agree you should be started on antiretroviral therapy without further delay, I'm concerned that "virotrenz" appears to be a generic for efavirenz. You definitely should not take this drug as a single agent (monotherapy), as you will very quickly develop resistance to it (and perhaps other non-nucleoside reverse transcriptase inhibitors as well). Is your doctor an HIV specialist? He should know this! If he's not a specialist, you need to establish care with an HIV specialist physician. If he is an HIV specialist and still wants you to take efavirenz as monotherapy, you need to find a more competent HIV doc! Because you are resistant to emtricitabine and lamivudine, one option would be to avoid the nucleosides and construct a regimen including an integrase inhibitor, a non-nucleoside and a protease inhibitor: For instance, Prezista (darunavir), Intelligence (etravirine) and Isentress (raltegravir).

Good luck!

Dr. Bob



Previous
Help me Obi Bob Kenobi, you're my only hope...
Next
About to cross 72 hs line for PEP, please help

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

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.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement