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Ask the Experts about Strategies for Treatment-Experienced HIVers
Just moved to kenya from USA. Currently on Lexiva, Videx-ec, Viread and Norvir combination. Lexiva not available? Videx slow release also not available. What options?
Been on quite a few combinations so far.
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Response from Dr. Daar
Thank you for your post.
As is a recurring theme on this site I must disclose that any decisions regarding changing therapy requires detailed information of your previous treatment history. In particular whether there is any direct evidence or reason to be concerned that you might have developed drug resistant virus. If there is no reason to believe you have any drug resistant virus and currently have undetectable viral loads then you have many options including various nucleoside reverse transcriptase inhibitors with protease inhibitors or even nonnucleoside reverse transcriptase inhibitors. If you have developed drug resistant virus or have had detectable viremia on therapy then much more information will be needed before a decision can be made. I hope that you have access to a provider with sufficient expertise to help guide you through this process. If you would like to provide me with more information regarding your treatment history and what treatment options are available to you in your current environment I would be happy to provide some additional guidance.
Best,
Eric
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Response from Dr. Daar
