Feb 9, 2012
recently diagnosed. cd4:710, % 27, cd8: 696, %27, cd3:1532, %52, cd4/cd8=1.02. how can cd4 % be 27 when the count is 710? i am sometimes exposed to TB occupationally. should i start viraday? which one u prefer: viraday or duovir-n? i am very much afraid of viraday rash. how long can i live and can i have a healthy and productive long future? please guide me. thanks doc.
Response from Dr. Henry
The CD4 count/% situation is not unusual. Your CD4 count and helper/suppressor ratio is good so not highly urgent to start treatment (unless you are female and pregnant). In US not recommended to use nevirapine in females if CD4 count > 250 and in males if > 400 so Viraday would be preferred treatment option for safety and efficacy (unless pregnant). Viral load would be useful if available. If access to HIV meds is good then long term prognosis is very good when treatment started with decent CD4 counts (ie when > 250-350) with many non-HIV factors crucial (smoking, drug use, family history, exercise/diet et cetera).KH
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