Jun 15, 2007
thanks for answering my question re my brothers meds. i have an update regarding his condition. unfortunately, it became worse. he developed rashes and his fever would not go down. he became critical that he almost died because his liver and heart were affected.he would have chills all day. he's in the hospital right now. finally, his doctor decided to stop his HIV meds and from then on his condition improved. fever went down, rashes start disappearing, regular BM although still weak but getting there. What do you think happened? How would he start taking meds again?
Response from Dr. Henry
There can be relatively rare severe reactions to some HIV medications such as nevirapine or abacavir (can be seen in 2-6% of patients with that drug unless HLA B5701 screening is used to minimize the risk for abacavir hypersensitivity reactions). Effective HIV treatment can sometimes cause a flare up of severe symptoms due to immune reconstitution which can be very frustrating to sort out.Without more specifics I would defer to the HIV specialist involved in the case. KH
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