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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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solution for neuropathy
Feb 2, 2007


Im HIV positive for 4 months not on meds but just got neuropathy. How could this happen already. I have read that its only in advanced HIV diesease.

1) Does this mean I am a rapid progresser?

2) If I went on meds could the neuropathy go away or am I finished for life?

3) If I cut off my feet and new ones, would neuropathy go away?


Response from Dr. Henry

HIV-related neuropathy can develop seemingly early in some patients. A careful examination by an HIV specialist or neurologist can help distinguish HIV-related neuropathy from other potential causes. If the most likely diagnosis is HIV-related peripheral neuropathy then starting HIV treatment will often result in stabilization/improvement. If you are having significant discomfort which is implied then treatment for pain is also indicated. That can include a wide range of interventions from NSAIDs, narcotics, a variety of anti-depressants or seizure meds, treatment for diabetic neuropathy, topical treatments, accupunture and more. I often seek input from neurologist and pain specialist to try and optimize pain relief in severe cases. KH

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