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Question

Can I take antibiotics if I am HIV-positive?

I have just been prescribed antibiotics.

Does taking antibiotics have an adverse affect on the immune system?

I have been diagnosed HIV+ but I am not yet on any medication. I have not told the doctors of my condition as my clinic said I did not yet need to.

24 August 2007 • Related: All topics, CD4 and viral load, Drug interactions, Opportunistic infections, Starting treatment

Answer

It sounds like you are seeing two different doctors – one for your general health and one for HIV treatment.

Your HIV doctor needs to know about any medication you are taking and if s/he has said this is ok, then you should take their advice.

Antibiotics are used to treat a wide range of infections, and just like an HIV-negative person, if you need these to treat an infection then it is important to take them. They will not damage your immune system.

For your HIV care, HIV treatment is usually started before your CD4 count drops below 200 cells/mm3.

More information about HIV treatment and how and when to use it is included in the i-Base Introduction to Combination Therapy.

Answer: Simon Collins

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