Hello DR. My most recent CD4 was 182 my viral load 162,000.Not many meds left that I haven't tried.Is it possible to go back on one of the cocktails that worked previously ? Also , I have been getting VERY SHARP pains in my head which radiate to my eye and cause my visiion to blur and a weak feeling in that side of my face.This sensation and pain lasts anywhere to a few seconds to up 2 or 3 minutes.Is this related to my declining counts or could it be another health problem ? Thank You !

There are several potential causes for your symptoms. It is important for you to see your health care provider soon to discuss your symptoms, be examined, and have the appropriate tests done to evaluate why you have these symptoms.

While you state that you have been on several different medications, it is possible that you would benefit from a combination therapy regimen that includes antivirals that you have used in the past. With your history of extensive prior antiretroviral use, I would recommend that resistance testing be done to guide the selection of a new regimen. Youshould discuss this with your health care provider. There are several excellent references on this web site's treatment section regarding sequencing of antoretrovirals and resistance testing that you might wish to check out.