When to start treatment
May 5, 2010
I really need to decide. I was diagnosed HIV+ 4 weeks ago. Right now my CD4 is 406 and my Viral Load is 37000 copies. One doctor already prescribed Combivir (every 12 hrs) and Stocrin(Efavirenz) 600 tab (every 24 hrs). My question is, should I wait to start taking the medecines and do a regular checks every 3 months or should I start right away taking the pills. I have heard people been stable for many years before start taking the pill. I feel very good. I eat well and excerciese everyday. Thanks
Response from Dr. Henry
In the US it is now recommended to start HIV treatment before the CD4 count falls < 350 (new guidelines recommend treatment when < 500 with stronger recommendation when < 350) due to protection against AIDS and other health threats that may be linked to HIV infection(heart disease and cancer for example). The overall risk for side effects and resistance is lower when starting treatment at higher CD4 counts. The chances to obtain a high CD4 count on treatment are greater the higher the CD4 count is when starting treatment. Also, being on effective HIV treatment lessens the risk for transmission to another person. Ultimately, the patient needs to be committed to treatment. If there are other social (housing), medical (drug use, mental health issues, other untreated problems such as high blood pressure or diabetes) then sometimes reasonable to prioritize the problems with HIV sometimes being down the list of concerns for the patient in which case waiting until overall health/situation is better may be prudent. KH
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Sore On Mouth After Sucking Penis Worried I Have HIV
- Swollen Lymph Glands After Touching Vagina Worried I Have HIV
- Tingling In Feet After Licking Genital Worried I Have HIV
- Vaginal Discharge After Drinking Water Worried I Have HIV
- White Bumps On Penis After Anal Sex Worried I Have HIV
- Genital Warts Transmission By Hand
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.