|6 months preg on meds cobrivair and kaletra can i nurse if i take these drugs both experts please reply
Apr 2, 2005
I was told i am positive early pregnancy and have been tested cd4 were 680 and in a month went to 640 the viral was 13,ooo and went to 16,000 i have since been put on combivir and kaletra. I am 6 months pregnant starting this regimen,the meds are not making me feel ill for anyone needing to know that...i have planned on a c section to lesson my unborns chance of getting this virus,the babys father does not think i should take the meds do they decrease the risk of transfer?if i take these things can i nurse? i have nursed alot of other children but it was b4 this virus,can i nurse if i use the meds and the risk factor be detoured?is there anyone anywhere that has studied this?
Response from Dr. Luzuriaga
To decrease the risk of transmitting the virus to your baby, most experts would recommend antiviral therapy to suppress your viral load to undetectable levels. Combivir/Kaletra is an effective regimen; it will be important to follow up on your CD4 count and viral load to be sure that your viral load drops to undetectable. C-sections are not generally thought to further decrease the risk of HIV transmission when mom's viral load is under 1000 copies/ml. While antiviral therapy decreases blood viral load, it may not full suppress viral replication in breast milk and there is always the possibility that you could transmit the virus to your baby. If a safe and affordable alternative (e.g., formula feeding) is available to you, I would recommend that you do not breastfeed.
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