Kidney Damage; long term prognosis
Dec 11, 2010
I am 54, and I have been HIV postive since 2003, I have been on meds since the beginning. I have Tcell count of 800, and undetectable. I take Epsicom Reyataz and Norvir. I also take 3 anti-anxiety and anti-depressent drugs. About a year ago, I switched to an HMO from a private doctor and I found out that I have chronic kidney disease. My prior doctor never told me that-he had mentioned that he did not want to destroy my kidneys when he switched me off Truvada a month before I left his treatment. Now my GFR is in the low 50s. I do not have high blood pressure, no diabetes, no family history of kidney issues or diabetes, I work out and am lean. My colesterol ws recently high so I am taking a low dose of Lipitor.
My question is--how long will it be before my CKD progresses to renal failure. I have been in good health with no symptoms. Is it guaranteed that my numbers will get worse, or is it possible the numbers will stay where they are? I searched the web but no answers. Also, should I consider dropping/switching and meds?
Response from Dr. Henry
The prognosis for kidney problems in the setting of HIV Infection varies widely depending on the contributing factors. HIV infection can cause kidney damage so good HIV control is important (may need to adjust the dosing of the Epzicom). Looking for protein in urine and having a renal evaluation to determine as well as possible the etiology of the kidney dysfunction (sometimes kidney biopsy needed) is important so that treatment can be focused on the root cause. The rate of further decline in kidney function is highly variable but as one ages there often is a slow decline so aggressive diagnostic work-up and treatment is advised for persons with already marginal kidney funciton. KH
Get Email Notifications When This Forum Updates or Subscribe With RSS
- What Vitamins Should I Take If I Have Herpes?
- What To Take To Suppress Genital Herpes?
- What Happens If You Have Hpv?
- What Does Being A Carrier Of Herpes Mean?
- What Are The Odds Of Contracting Genital Herpes After Sleeping With Someone Who Has It But Not An Outbreak?
- Toxoplasmosis Igg Igm
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.