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

Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
Rollover images to visit our other forums!
  • Email Email
  • Glossary Glossary

about medicines
Feb 20, 2002

Hi how are u see my tcells are 375 and my viral load is over a thousand and my doctor says she does not have to start me on any medication yet what do u think about that.

Response from Dr. Henry

The decision of when to start treatment is a difficult one. CUrrent US treatment guidelines suggest that in an asymptomatic person with a low viral load (such as < 30,000 copies/ml) waiting until the T-helper cell count is less than 350 is OK. There is a large study (CPCRA SMART Trial) that is examining whether it is better over the long term to start therapy immediately or wait until the T-helper cell count is < 250 (and then treating until the T-helper cell count > 350 then stopping treatment until less than 250 again). We simply don't know what is the best thing to do for either individual patients or populations. The treatments continue to improve so the choices are getting better as time goes on. The discussion about when to start is often a long one between your doctor and you. THe current US guidelines can be found at under current library of guidelines for treatment of adults (last updated Feb 4, 2002). KH

hiv & pregnant women
PI giving side effects, - change?

  • Email Email
  • Glossary Glossary



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 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