|Patient Support When There's No Physician
Jan 6, 2008
I moved from LA to the Mojave Desert two years ago and have been visiting a doctor who has kept me on Sustiva & Truvada. I've been taking this regimen every 3 days because I can't take it every day and all my doctor says is to do what works best for me. I realize that he's not in step with HIV. He was supposed to refer me to someone who specializes in HIV but the soonest I can see someone is the ending of March. I can't afford to get to LA right now, but Sustiva is driving me nuts! I talked to a friend on the phone and he recommeded that I tell the doctor what regimen that I want to take and have him write the prescription. I suppose I could do that; the only thing I don't have that an HIV doctor has is experience with a cross-section of patients. What would you suggest?
Response from Dr. Daar
Taking your medications every 3 days is not a good idea and will put you are risk for developing resistant virus if you don't already have it. I think most providers would be uncomfortable recommending what medication you should take without knowing your current CD4, viral load and if you have detectable virus, results of resistance testing. If there are any delays getting you to a new provider you should ask your current doctor to contact a colleague for an over the phone consult to get the ball rolling as soon as possible. This could even be the person you have an appointment with in March. I am sure the March provider would want as much data be available as possible when you arrive in his/her office. You should do fine over the long haul but you do need to get things on track as soon as possible.
my variable cd4
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.