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Liver failure
Apr 25, 2001

A study reported in the journal Clinical Infectious Diseases indicatesthat more and more HIV infected patients are dying from liver disease. Is there anything I can do to not be at risk? I'm just going to start meds next week. Are they people dying all people who have medicated for 10+ years?

Response from Dr. Boyle

Many of the HIV/AIDS patients dying of liver disease are co-infected with hepatitis B or C, and that infection is responsible for most of the liver damage these patients suffer. Ceratin antiretrovirals, especially nevirapine (Viramune) and protease inhibitors, can cause significant liver damage, and co-infected patients may wish to avoid these agents if possbile; however, very few patients will experience significant problems if they are appropriately monitored and the offending medication is discontinued quickly. So, in order to best avoid liver problems you should live a healthy lifestyle, avoid high levels of alcohol intake, see your doctor frequently for check ups, and be appropriately treated for hepatitis co-infections (if you have any). BB

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