6 Factors to Consider Before Starting HIV Treatment
By David Fawcett, Ph.D., L.C.S.W. From TheBody.com
September 26, 2013
Factor #2: Substance Use
I work with many patients whose substance abuse has particularly devastating consequences on their medication adherence. This is especially true for methamphetamine. Most meth users take the drug over several days, during which genuine commitments (like using condoms or taking one's HIV meds) are abandoned. Some people make heroic, but usually unsuccessful, efforts to take their HIV meds (setting mobile phone alarms, asking friends to prompt them). Others just give up while partying.
Recreational drugs can also interact with HIV meds in a variety of ways, which may cause a dangerous increase in blood levels (this can lead to an overdose of the recreational drug) or the rapid metabolism of the antiviral, creating an opportunity for mutations that lead to resistance.
Anyone starting HIV meds needs to seriously consider their recreational drug use and its potential impact on their ability to maintain their medication regimen. HIV meds don't mix well with recreational drugs.
Comment by: Ed
Mon., Jul. 14, 2014 at 5:30 pm EDT
i would like to make it clear that taking Truvada was explained by my HIV MD as the benefits outway the risks. in any event i found myself in stg #5 ESRD in sep 2014. quite the surprise after being pos for over 26yrs. i am presently on hemodialysis 3x/wk and am on cleve clinic's "waiting list". My local county hosp will not list me stating "lung Disease". it is of my opinion that they infrequently do HIV pt. listings, but they fall back on the "lung" issue inspite of getting 2 letters from pulmonologists saying i was at low risk and of course i could always apply elsewhere. the vice pres of Pt. Advocacy is also the risk mgt and come to find out she is one of the hosp atty's. a def conflict of interest. can anyone help me to challenge them? there stats indicate a low % of HIV pt's being listed. any help would be appreciated. ty
Comment by: Celestina
Wed., Nov. 27, 2013 at 3:13 pm EST
Cd4 drops no sign of sickness at all,the last i did the test it was 605 but now 517 why is it so,does it mean my body is forming resistance to the drugs or what?
Comment by: Geraldine
Wed., Nov. 6, 2013 at 4:58 am EST
Hiv is going round in Nigeria , somone u know got HIV at the age of 14 years and he doesnt know how he got it but he has vowed to share it as much as he can because he is angry that he got it and cant explian how.AHF should please focus on Nigeria before his likes will share it everywhere. Serious advocacy testing etc is required please
Comment by: Ditto
Thu., Oct. 24, 2013 at 11:25 pm EDT
Always astonishing to me how when it comes to PrEP, all concerns are brushed aside. If you have the misfortune to actually seroconvert, the conversation changes. We start hearing "Whoah, hold your horses. Are you sure you're not a drug addict? Do you really think you're prepared to take one, maybe three pills EVER DAY? Is anybody checking to make sure you're really taking your pills? We think you can stand to be a little sicker, so maybe you should wait". Maybe newly diagnosed would do better to tell their providers that they're negative and can't be bothered to wear a rubber to save their life. "I need this to live" just doesn't seem to hold any sway with the medical community these days. Or is it that having the misfortune to produce antibodies fundamentally alters out view of what people are capable of?
Comment by: steve
Wed., Oct. 9, 2013 at 11:32 pm EDT
Wow! Kind of sensationalized scaremongering there dude! I was diagnosed 1/13 CDC staging C2, started Stribild 2/13. The first week on meds was hell, linear progression to no big deal by week 4. 2 log fall in 30 days, 5 months to undetectable. Cd 4 normal range now >500 and 30% and improving. All in all no f*ucking deal, no side effects. Take my pill every morning (100% cART complaint is the key!) and give it a kiss and blessing for making my life 100% normal again :) Stop perpetuating the stigma please and lets just get on with living our wonderful but all too short lives :)
Comment by: joe
Sat., Nov. 23, 2013 at 4:33 pm EST Thanks for your up lifting advice
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