Feb 25, 2004
With all the pluses and minuses starting treatment on Trizivir alone, I think we have a success story here. DXed + May '03, CD4 798 VL 85K. October labs were VL 700K+, CD4 390. Started Trizivir alone and within six weeks (or less), undetectable with CD4 410.
Then came all the Sustiva-is-superior studies. Meanwhile with the success I'm having, should I worry about intensifying, or stick with what has been a good thing?
Response from Dr. Henry
Limited data suggests that Trizivir in that setting has a fairly high failure rate resulting in some NRTI resistance which may complicate future therapy. I generally add a 4th drug in similar circumstances --the choice is broad and can be tailored to the patient (i.e. tenofovir or an NNRTI or PI are all possibilities). Your HIV doc is the best person to discuss what is best for you. KH
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