Hello doctor. I hope you are having a great day.
Today I'm about to start my treatment but what calls my attention is that the only medication my doctor is giving is Truvada. Normally, and actually a lot of friend who have been HIV+ for years have told me that Truvada is always combined with another medication.
It is important to say that I suffer of epilepsy and that my CD4 count is above 800. I asked my doctor of course of why he was only giving me Truvada and this was the reason that he gave me.
I want to know your opinion because many people are confusing me insisting that I should be demanding for another med.
Hello and thanks for posting.
Do not start Truvada alone for HIV treatment.
Your many friends are correct. You need a different doctor. Truvada (FTC/tenofovir DF) alone is not a treatment for HIV. Indeed, two drug therapy for HIV is currently only an experimental approach, and then only with certain medications. Two drug therapy with NRTI (nukes) like Truvada are very specifically not recommended, as the risk of treatment failure and irreversible, life-long viral drug resistance is substantially higher than with the use of conventional three drug regimens (like FTC/tenofovir DF with an integrase inhibitor or boosted protease inhibitor, daurnavir- as are recommended by current
US treatment guidelines.
Having a high CD4 count doesn't influence the type of medications that one uses to treat HIV. So just because your count is in the normal range doesn't change the recommendation to start medications, nor does it change the recommendation for three drug initial therapy.
Current HIV guidelines are extremely evidence-based and the medications recommended are very highly effective, durable (can last for decades) and are well tolerated. All currently recommended initial treatments utilize three drugs. One needs exceptional reasons to deviate from the recommended regimens.
Please talk to your doctor. Show him or her the US treatment guidelines. If the doctor insists on Truvada alone, find a new doctor. Run, don't walk.
Feel free to write back and be well.