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San Francisco General Hospital
Table of Contents

April 1997

PROTOCOL WATCH

ACTG 268: Gradual vs. Routine Initiation of Prophylaxis

Ramped dosing for TMP-SMX seems to reduce the likelihood of adverse reactions
PAUL A. VOLBERDING, M.D., EDITOR-IN-CHIEF



CASE MANAGEMENT

Peter S., an Extensively Treated Patient With a Rising Viral Load

What should you do when triple-drug therapy begins to fail?
HARVEY J. MAKADON, M.D.



NEWSLINE

Newsline...Newsline...Newsline....

Oxandrolone for wasting syndrome: An oral anabolic steroid increases body weight and cell mass in patients with AIDS cachexia... Update: Paromomycin ineffective against cryptosporidiosis: ACTG 192 finds commonly prescribed drug no more effective than placebo... Regression of PML in an aggressively treated patient: Splenectomy and triple-drug therapy induce remission... C.D.C. reports substantial drop in AIDS deaths: First decline in annual mortality rate since 1981... Study finds treatment of pain inadequate in AIDS patients: Neuropathies particularly undertreated... Smoking increases risk of cryptococcosis: Fivefold increase in incidence seen in AIDS patients who smoke... Cidofovir for CMV retinitis: Therapeutic alternative for patients who develop resistance to ganciclovir...



OPTIMAL MEDICAL MANAGEMENT

Management of Pain in End-Stage HIV Disease

An underdiagnosed and undertreated aspect of advanced infection
HOWARD L. ROSNER, M.D.



PULL OUT AND SAVE

A Guide To Pain Management in HIV-Infected Patients

Making the assessment and assigning the analgesic


This article was provided by San Francisco General Hospital. It is a part of the publication HIV Newsline.