LESSENING LIPODYSTROPHY BUT INCREASING DRUG REESISTANCE?
Oct 22, 2004
G has been HIV pos for 16 years and been on a wide variety of antiretrovirals and has developed resistance to some of them. In early 2003, viral load was about 40,000 and t cells at 126, when he was put on current Kaletra/Ziagen/Zerit. Viral load became undetectable, and t cells are 403. Due to lipo, he wants to get off Zerit.His doc has given him prescription for Truvada to substitute for Zerit. He was never on Viread but was on Epivir. The Body's TAGline says that Ziagen should not been used with Truvada due to possible resistance, etc. Should he be taking Ziagen and Truvada together since he already has resistance to most Zerit type drugs? This sure is complicated and scary! Keep up your good work. God bless you.
Response from Dr. Henry
There is not much published info or expertience about Truvada (tenofovir + FTC) + Ziagen (abacavir). Although those drugs should not generally be used alone (due partly to overlapping resistance profiles) when Kaletra is being used and is still effective that may be less of a concern. I could imagine that to get off Zerit for lipodystrophy reasons some patients would do OK with what your doctor is recommending. KH
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