Feb 4, 2004
I have been taking treatment now for 3 years of Combivir/Sustiva. I am 24 years old, male, good counts (undetectable, CD4 820). Prior to treatment, I had never receeded or lost hair, but now am starting to notice dramatic receeding/hair loss. What i wanted to know if the treatment that I am taking could be causing this. If treatment might be causing this problem which would be the offending med. I appreciate your answer and thanks for being there to answer my question.
| Response from Dr. Conway
If this is happening suddenly, it is unlikely to be related to your HIV medications, especially since you have been taking them for 3 years. Such events as you describe are most likely to occur early on in treatment. If I had to pick a single drug that might be causing the problem, it would be the Retrovir part of the Combivir.
Given that your CD4 count is a staggering 820 (congratulations on this, by the way), you may be a candidate to stop treatment if you so desire, especially if your CD4 count has never been below 300-250. This would free you of the need to take pills every day, and would address the issue of whether the pills are involved with your hair loss.
I should tell you that hair loss is a common medical problem, and can be brought on by many systemic illnesses, including stress. Also, in men, there is a genetic component, if other men in your family have had hair loss/baldness, especially early in life.
I hope some of this helps.
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