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prpphilaxis issues
Jan 14, 2009

good day Dr. keith! please help me.I want to know if its ok to continue taking bactrim- cotri as prophilaxis for PCP even if my CD4 count is already above 200.can bactrim be taken forever or is it safe?

Response from Dr. Henry

Bactrim/Septra/cotrimoxazole is used for PCP prophylaxis and is usually continued until the CD4 count has consistenly rebounded > 200 and /or CD4 % is > 20% in the setting of good HIV suppression. If the patient has experienced an episode of PCP I usually am more cautious (wait a little longer) before stopping the prophylaxis. KH



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