Is it time to stop taking Meds...?
Nov 10, 2010
I found out I was HIV+ one year ago and began taking Atripla soon after. I have responded well so far and my CD4 has risen from 750 to 900+. My Doctor believes this early treatment may have prevented some of the spread of HIV through my body and has now suggested I stop taking meds altogether. I'm worried that without medication I'll undo any gains made from early treatment and expose my body to further damage. Being an otherwise healthy, active 38yo male, what are the Pros and Cons of discontinuing medication at this point ? Thanks )
Response from Dr. Henry
Experts are currently split about whether ART use should be recommended for otherwise healthy persons with CD4 count > 500. For persons already on Atripla, stopping Atripla can be tricky often done with brief use of a boosted protease inhibitor to try and prevent development of resistance to efavirenz (with its long term persistence in the blood). The possible benefits of ART in persons with CD4 count > 500 include a reduction in non-AIDS clinical events (ie heart disease and cancer) and decrease risk of transmission to others. Firm data on that is still minimal/modest. Stopping meds usually leads to return of HIV levels to range similar to level before treatment and loss of CD4 cells. Thus treating early to prevent spread throughout body with the idea that meds could be stopped later hasn't generally been shown to work. The decision whether to stop thus in individualized though the growing trend to to recommend continued treatment. KH
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Can You Get Hepatitis From Saliva?
- If You Have Hiv Will A Common Cold Make You Even More Sick?
- Cutaneous Candidiasis Tinea Corporis Tinea Cruris Tinea Pedis Or Pityriasis Versicolor
- Can Thrush And Yeast Be Treated At Same Time?
- Is Shoulder Pain A Sign Of Hiv?
- What Are Symptoms Of Sore Throat Caused By Aids?
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.