|cryptococcal meningitis Resistant to Protease Inhibitors
Apr 1, 2005
What would you advise a patient with CD4s of 8, a Viral Load over 100,000, off therapy for six months because of wasting that may have been caused by meds?
Diflucan is no longer effective. Vfend (Voriconazole), also not effective.
| Response from Dr. Henry
Clearly a tough situation. Maximizing nutrition, maintain good body weight (check testosterone levels),prevention of other opportunistic infections, aggressive use of amphotericin--those treatments can often maintain a person's health. There are a number of new HIV meds in the pipeline though availability is 1-2 years away for most. Your HIV specialist would be the best person to evaluate with your past history when might be the best time to try and re-initiate antiretroviral therapy. KH
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