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In South Africa on Atripla for two months, will efavirenz mood changes improve?

I am 31 year old South African lady I was diagnosed with TB in 2011 and started taking medication in June 2011, I however discovered that I am HIV positive in January 2012 and I had pneumonia. My CD4 count was 43.

I have been Atripla (efavirenz, FTC + tenofovir) for two months I try to take my medication at the same time daily but sometimes on the weekends I come home late I miss my dosage. I missed two days dosage and I am on my second month.

Since taking Atripla I am easily irritable, aggressive and short tempered. My skin itches and I am a bit darker facially. My brain functions slowly, I take time to understand and sometimes when people talk to me its like I am in another world. Please advise if this is going to be life time thing?

Where can I get life insurance?

I have been HIV positive for the past 5 years and I am on Atripla. My CD4 count is 500 and my viral load is undetectable.

I was wondering are there insurance companies, in Ireland or the UK, that offer Life Insurance for the likes of me?

Many thanks

Why do guidelines differ in some countries?

I am very concerned about the discordant guidelines that have been recently updated in the UK and the USA regarding when to start treatment in treatment-naive individuals, like myself.

The UK still recommends to start treatment when CD4<350.

However the USA guidelines have decided that EVERYONE with HIV should start treatment as soon as possible, with special emphasis on those patients with CD4 <500.

My CD4 is about 700 and Viral Load about 1000.

Reading these news has made me very concerned and I feel very uneasy as to what guidelines to follow. I dont understand why would both countries differ so much on their recommendations, unless it is a case where the UK is aiming to save money since HIV Treatment is free on the NHS.

Please help me ease my worries, as I feel like every day that passes I should be on treatment rather than wait till my immune system is irreversibly damaged.

Will exercise help with fat accumulation?

For the past year or so I have felt quite bloated. I was diagnosed with a hiatus hernia and have medication to control that. However, I still have an uncomfortable feeling in my stomach which feels like its pressing against my ribs. I explained the feeling to my doctor of just having too much stomach for my body. Doesn’t hurt, just feels uncomfortable like it shouldn’t be there. The doctor explained that this could be a result of fat accumulation. I have read a bit about this on your web, as well as others. My treatment combination is Truvada/Darunavir/Ritonavir.

They have taken extra blood to check my thyroid and also check for diabetes to rule these out. I haven’t heard anything (bloods over 2 weeks ago) so I assume they’re fine. I don’t usually get my results until my next appointment (every 3 months) – they just phone me if there is something not right!

I go to the gym about 4 times a week and do cardio and resistance training. Cardio is at least 45 mins per session (keeping my heart rate at around 140). I have a pretty good diet.

My question is, is there anything else I can do to help shift this fat accumulation? Doctor says my diet and exercise will help. Will the fat reduce over time, if I keep watching my diet and keep up with the exercise?

Doc said we can discuss treatment optionsat my next appointment in June, however, apart from this feeling I get on well with my meds so not really wanting to change. For info, CD4 is about 800 and VL undetectable.

Does my CD4 count mean I was infected recently?

I’m 44, male, and I have been tested positive end of December 2011. I think I got infected between October and November 2011.My first screening was at the end of January (week 10 from supposed time of infection). My results showed CD4 421 and viral load 3.7 logs.

I was a little disappointed about CD4 results since the infection is recent and I was expecting a higher CD4 count while viral load looks to me lower than expected.

I saw a few charts that show CD4 going down a lot after conversion and going up a bit after that time so I hope next screening will show higher CD4 count

Now I have a big doubt on my mind. Do you think according to my January value it makes sense to consider this as a recent infection?

Thank you for your answer.

I found this website recently and I found it great !!

Does the HIV in breast milk die after the milk has been expressed?

Hello, I do understand HIV can be transmitted from mother to child through breast feeding.

My question is this. Is there no possibility for the mother to give the breast milk safely to the child by using the breast pump system where by she pumps out the breast milk preserve it in the freeze and thaw it to give the child.

Will the HIV virus not die during this process?

CD4 70, on Bactrim and Atripla, are there any interactions?

Hi. I recently got diagnosed with HIV. CD4 count of 70 and Viral count over 400,000. Pretty bad.

My doctor has started me immediately on Atripla and I feel a bit better after 2 weeks. In addition he has put me on Bactrim to prevent any lung infection due to the low CD4 count.

The question I have is do the two drugs I am taking have interactions that I should be aware of? Also has anyone gone through the same meds together? Thanks.

I am HIV negative,my girlfriend is positive. Can we have a baby?

I’m currently dating this woman who has HIV and hepatitis B. She didn’t
tell me she had this. We didn’t have sex as she didn’t want to.

So a couple months went by. We were at her house. Then she told me she had HIV
and hepatitis B. I didn’t know what to say or do. She takes care of herself by taking her meds and eats right.

She says her count is low. I still don’t know what that means. But anyways, I’ve grown to
love and want a future with her.

We had sex a few times after she told me. I used protection. But I love this woman. And I want to marry her someday. And have kids with her.

She had boyfriends before we met and they never got infected.

My question is. Her count is low and if don’t use protection can I get infected. And what about the day I marry her and we want to have kids?

How do we make this happen without me getting infected?

I really love this woman. Please help I’m confused.

In China, on Kaletra with pain in ankle and sleeplessness.

I have to take one Imodium once daily to control my diarrhea caused by wasting at the moment, plus Kaletra, tenofovir and lamivudine. I am also taking vitamin B12.

My ankle and leg are all hurting and my ankle sweats a lot at night. I often wake up with leg and ankle pain and discomfort.

I have very disturbed and shallow sleep and struggle a lot with weakness, sleeplessness and foot /leg problems.

I started taking treatment from 10 February. I switched from Stavudine (d4T) to Tenovir after 1 month (now on tenofovir, Kaletra and lamivudine).

I am from China and it is difficult to get support.

Why has the ankle sweat and peripheral neuropathy (tingling) symptom worsen after I stopped d4T?

CD4 is 9, on Kaletra with diarrhea, wasting and sleeplessness

I am currently experiencing wasting and very bad diarrhea. My CD4 count is 9. I am on Kaletra, lamivudine and tenofovir regime for 2 weeks after switching over from stavudine (d4T), Kaletra and lamivudine twice daily for 1 month due to foot numbness problem.

I am having problems sleeping now for a week (maybe 10 minutes sleep every 2 hours at night) and wonder if this is some medicine side effect or just a symptom?

Somebody at work had TB- am I at risk?

I was diagnosed with HIV in January with CD4 count if 110.

I have started treatment with Atripla and I am also in septrim.

I have been off work for few weeks getting over the side affects of the Atripla. These have now passed and I am preparing to go back to work but gave just found out that there has been an instance of TB in my office.

I am now apprehensive about returning to work. How concerned should I be and what precautions should I and my employer take?

I'm HIV+, can I still drink beer?

Hi

Thanks for all the help and support you provide.

I have been positive for 2 years i belive, but i was diagnosed last November 2011, now my CD4 Count is 670.

I would like to ask you if there will be any problem if I drink 2 beers once in a week, because i have been doing it i hope it wont affect me?

How much do ARVs cost in developing countries?

Are all antiretrovirals treatments as costly as $12000 to $ 15000 per year per person?

Are cheaper generic medicines used in developing countries equally effective and side effects free as to HAART? Do they assure same life expectancy?

What is the cost of tripple combination dose antiretrovirals treatments per month per person?

Is HAART the only effective treatment for HIV?

Is there any chance of getting cheaper HAART in coming couple of years?

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