Question
I have been treated for hep B and hep C, now which HIV treatments should I take?
21 May 2010. Related: Access to treatment, All topics, Complications and coinfections, Starting treatment.
Thank you for your answers.
Doctors who specialize in this condition do not exist in my country. I’ve been positive for 3 viral infections at in the same time, HIV, hepatitis B and hepatitis C since July 2008. I didn’t treat the HIV because when I first tested my CD4 count was 915. Instead I started to treat the hepatitis C with interferon and rebavirin for 48 weeks and also began to treat hepatitis B with Zeffix 100 mg per day.
My viral load tests for hepatitis B and C have now been negative for two years. M CD4 cells decreased with interferon and then went up again after I finished the treatment reaching a CD4 count of 636.
Just one week ago my CD4 count fell to 387 T cells (22%). Yesterday I went for a viral load test and the results will be ready next week. The government doctors made a mistake when they started treating hepatitis B with Zeffix and now they nearly made a mistake of trying to treat the HIV with Truvada & efavirenz.
I hope you advise me of the optimal treatment for my case? I am 22 years old all the special labs for liver and kidney function and fat and blood picture are all good. Waiting for your response. Thank you.
Answer
Thank you for your question.
I believe we answered this question when you asked this previously. Please follow this link to the previous question. Just to re-iterate, the medication most appropriate for your treatment history is Truvada with a boosted protease inhibitor. There are lots of different types of protease inhibitor and all of them are usually boosted with ritonavir (Norvir), which is also a protease inhibitor.
For more information on the protease inhibitors available please follow this link. I do not know which of these drugs are available in Egypt. If you follow the link and print this list of protease inhibitors you can take them with you to see your doctor and ask him or her which ones are available to you.
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