|Treatments while diagnosed with COPD
Oct 23, 2000
Dear Dr. Cohen: I thank you in advance for taking my inquiry into consideration and I pray that you will respond.
As good as this web site is, I've noticed that I haven't been able to find anything on COPD. Dr. Cohen, if you are familiar with this chronic lung infection, could you PLEASE give me some much needed input as to what combination of HIV drugs might be a good choice. I am on 02 oxygen regularly and am currently using only Combivent and Flovent, which helps me out minimally, and I am thankful for that. I'd also like to know if it would be a wise decision for me to be taking an antibiotic, because there has been numerous times that I've had a temperature of 99.9, and wasn't prescribed anything for it. My last CD4 was 568 and my vl was 35,000. I realized that you may need more information, but from the brief statements that I've given to you, I hope that you can give me some sort of response so that I can be a bit more informed as to how to go about my continuing fight for my life and well-being.
Once again I sincerely thank you
| Response from Dr. Cohen
Well -- hope this answer helps out.
There is nothing specifically about COPD that would influence our treatment choices for HIV infection. Perhaps the one side effect most important to avoid from HIV meds would be anemia -- that side effect can happen from AZT, and much less often from any of the other antivirals. But there is no expected interaction with the inhalers used to stabilize your lungs and our antivirals. So pretty much any choice of antivirals is reasonable -- and your viral load is low enough so we can be confident that virtually any potent combination should work well. There is ongoing controversy about treatment if you have a CD4 count over 500 -- and there is nothing about COPD that would specifically influence this decision except if you were having problems with recurrent lung infections and wanted to see if controlling HIV would also help your immune system in your lungs as well.
As to whether you also need an antibiotic for your lungs -- this is an issue that can only be answered by someone familiar with your condition -- perhaps a lung specialist, or general physician that knows how you are doing. Some do find they need periodic antibiotics -- although not everyone needs this. If you have improved without one in the past, perhaps that is a sign that your lungs and immune function are doing well and don't yet need an antibiotic as a preventive -- just when you have evidence of a lung infection.
Hope that clarifies.
Cal Cohen, M.D., M.S.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- White Bumps On Penis After Sex With Hooker Worried I Have HIV
- White Spots After Swallowing Sperm Sign Of HIV AIDS
- Are Red Bumps All Over The Body A Sign Of An Std?
- Can A Bladder Infection Cause Vaginal Bleeding?
- Can Men Get Genital Warts Around Their Anus?
- Can You Have Vaginal Delivery With Std?
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.