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Question
Posted by: Mat | 2010/11/02

HIV treatment

Is it better to start HIV treatment as soon as diagnosed or wait for certain CD4 count. Diagnosed end July &  I have very low viral load and GP told me to start immediately.

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Our expert says:
Expert ImageCyberDoc

Hallo Mat
The recommendations of the panel at a JAMA media briefing at the International AIDS Conference in Vienna in July 2010 is that there is no CD4+ cell count threshold at which initiating therapy is contraindicated. Initiation of therapy is recommended for patients without symptoms with CD4+ cell counts at 500/µL or below. Treatment should be considered for patients without symptoms with CD4+ cell counts greater than 500/µL and is recommended regardless of CD4+ cell count for patients with symptomatic established HIV disease. Therapy is also recommended for patients with other conditions such as pregnancy, >60 years, hepatitis B or C virus coinfections, HIV-associated kidney disease, active or high risk for cardiovascular disease, opportunistic diseases, symptomatic primary HIV infection, and situations in which there is high risk for HIV transmission to an HIV-uninfected partner. Once initiated, ART should be continued as stopping it could make you develop resistance against the medication.
dR Bets

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2
Our users say:
Posted by: jay | 2010/11/02

How old are you? How did you get HIV? Are you male or female?

Reply to jay
Posted by: Cyberdoc | 2010/11/02

Hallo Mat
The recommendations of the panel at a JAMA media briefing at the International AIDS Conference in Vienna in July 2010 is that there is no CD4+ cell count threshold at which initiating therapy is contraindicated. Initiation of therapy is recommended for patients without symptoms with CD4+ cell counts at 500/µL or below. Treatment should be considered for patients without symptoms with CD4+ cell counts greater than 500/µL and is recommended regardless of CD4+ cell count for patients with symptomatic established HIV disease. Therapy is also recommended for patients with other conditions such as pregnancy, >60 years, hepatitis B or C virus coinfections, HIV-associated kidney disease, active or high risk for cardiovascular disease, opportunistic diseases, symptomatic primary HIV infection, and situations in which there is high risk for HIV transmission to an HIV-uninfected partner. Once initiated, ART should be continued as stopping it could make you develop resistance against the medication.
dR Bets

Reply to Cyberdoc

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