Hiv Prophylaxis Guidelines Bactrim

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Treatment After Exposure to HIV

For serious exposures, the U.S. Public Health Service recommends using a combination of three approved ARVs for four weeks. For less serious exposure, the guidelines recommend four weeks of treatment with two drugs: zidovudine (Retrovir, AZT) and lamivudine (Epivir, 3TC). In January 2001, the Centers for Disease Control warned against using nevirapine (Viramune) for PEP because of the risk of liver damage. See Fact Sheet 431 for more...

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Updated HIV Post Exposure Prophylaxis (PEP) Guidelines

I recently got stuck with a needle which was in an HIV positive patient's gum. The needle did not have any associated blood. Would you recommend prophylactic AZT in such a case?...

Response from Rick Sowadsky, M.P.H.

Nevada State Health Division AIDS Program

Hi. Thank you for your question. When deciding on whether HIV Post Exposure Prophylaxis (PEP) is indicated in a specific case, you need to ask yourself the following questions:1) Was the patient KNOWN to be HIV positive or KNOWN to be at high... Read more »

AZT/3TC & Bactrim interactions

Dear Dr. In the Pediatric Guidelines, it says that there may be increased toxicity with interactions of AZT and TMP-SMX, and TMP-SMX can increase 3TC blood levels? There seems to be contradiction from various sources concerning taking Bactrim while...

Response from Katherine Luzuriaga, M.D.

University of Massachusetts, Medical School

Most mother-to-child transmission appears to occur at delivery or after delivery through breast milk. This means that infants at risk can be closely followed to determine their infection status and allows for early intervention should an infant be... Read more »

Could long term bactrim use hinder a rise in CD4 count?

Hi Dr. Bob,I think I read recently that the long term use of Bactrim can actually hinder a rise in CD4 counts. Is this true? I have been taking Bactrim for about two years now. My last test results have me at an undetectable VL and CD4 of 249. I...

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation

Hi,If your CD4 count has been over 200 for the past six months on Atripla, the guidelines suggest you may stop your pneumocystis carinii pneumonia (PCP) prophylaxis. Bactrim is an antibiotic that can be very useful in preventing and, if necessary,... Read more »

bactrim -- is it an effective toxoplasmosis prophylaxis

A few years ago I had toxoplasmosis -- since then I have been on a maintenance dose of sulfadiazine,daraprim,and leucorvin calcium. My dr. said this prophylaxis also covered me for pcp. I went off the drugs a few months ago because of a skin...

Response from Judith Feinberg, M.D.

University of Cincinnati, College of Medicine

There is some cross-activity between pyrimethamine(Daraprim)/sulfa used for toxo and trimethoprim/sulfa (Bactrim) used for PCP. Studies have shown that toxo therapy appears to protect people from PCP and that PCP prophylaxis with T/S protects... Read more »

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hiv prophylaxis

Posted by Anonymous, 2 Replies

My partner is pos.Last week the condom broke so doc gave me kaletra+combivir to take as 'morning after pill' or prophylaxis.ok for 3 days (except terrible shits) then BANG! puking,stomach pains,sweats,fatigue(so bad it brought on an attack of... Read more »

Post-Exposure Prophylaxis (PEP) - Help

Posted by MF2010

Hi all,

I've been exposed to HIV in the beginning of this month.
My condom completely broke and i had sex for a couple of minutes completely exposed. I suspect my partner was HIV infected.

Went straight to the hospital and started Post-Exposure... Read more »

Community Member Sought for HIV Treatment Guidelin

Posted by Anonymous

Community Member Sought for HIV Treatment Guidelines Panel

The Panel on Clinical Practices for Treatment of HIV Infection is seeking nominations for a community representative to serve a 3-year term on their Adult Guidelines Panel. The ideal... Read more »

July 17,2001 Draft HIV CTR Guidelines

Posted by Anonymous

Guys
Here below is what the DRAFT on the 17 July is about. Hope you find it's interesting.
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5.4 Follow-up Testing in Clients with Negative HIV Test Results
Decisions about the timing and... Read more »

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