Feb 12, 2011
I have just completed first trimester of my pregnancy. My viral load was little above 1000 before my pregnancy and CD4 820. At this stage what will be the best option I can take up to prevent the transmission to my baby. How far is WHO 2010 guidelines effective?
| Response from Dr. Henry
In our clinic at least we would usually initiate antiretroviral therapy in a situation such as yours at the start of the 2nd trimester with the goal to use a well tolerated and safe regimen and achieve a plasma HIA RNA level < level of detection for the remainder of the pregnancy and through delivery. We are most often using Truvada + ritonavir/atazanavir (with dose adjustment in third trimester and monitoring biirubin level carefully)but also use combinations of utilizing Epzicom, boosted darunavir, and occasionally utilizing Combivir or Kaletra. KH
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