Question
When and what Log values determines when to switch to 2nd line?
18 December 2023. Related: All topics, CD4 and viral load, Changing treatment.
When and what Log values determines when to switch to 2nd line?
Answer
Hi, how are you doing?
As in line with WHO guidelines, a switch is recommended when having a viral load test greater than 1000 (Log 3) on two tests 3 months apart. After the first test adherence support should be offered to ensure the medication is being taken as intended.
An exception is when someone is using a regimen including an NNRTI
An individual must be taking a regimen for a minimum of 6 months before it can be considered a failed regimen.
Josh.
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