Question
How long can I live if I’m taking HIV treatment (ART)?
15 January 2018. Related: All topics, Life expectancy, Living with HIV long-term.
Can HIV kill when you have an undetectable viral load? I’m doing well on medication and how long can i live to the cure? Lastly, why cant I stop thinking about my HIV status – first thing in the morning and also just before I fall asleep?
Polio have been eradicated but why cant scientists do the same for HIV?
Answer
The quick answer is that with modern HIV drugs (called ART) your life expectancy is likely to be similar to if you were HIV negative. The earlier someone is diagnosed and start ART, the quicker any damage from HIV can be reversed.
For most people, HIV is easy to treat and easy to manage. ART can give you a normal life expectancy and an excellent quality of life.
Hw long anyone will live depends on things you can change (smoking, exercise, medication) and thing you can’t (genetics and luck). A study in Denmark (2005) estimated that the survival is more than 35 years for a young person diagnosed with HIV infection and another study in Canada (2003) report that in the US, life expectancy at age 20 years was an additional 58.3 years.
As long as your CD4 count stays above 200 cells/mm3, the risk of most HIV complications is pretty low. At higher CD4 levels – above 350, or 500, or 700 – the risk becomes lower still. Although some health problems are slightly higher in HIV positive people compared to HIV negative people, these risks are also often reduced by ART.
If you continue to take your medication as prescribed and do not miss or taking doses late, then the risk of HIV health problems in the future s very low. However, just as HIV negative people become ill, lifestyle changes to reduce these risks are important if you are HIV positive. For example, keeping mentally and physically active, eating a balanced diet, resting well, not smoking etc).
Having HIV might not always be easy though. The shock of being diagnosed sometimes takes a long time to come to terms with and at the moment you are still working on this. Already, I am sure you feel better than when you were first diagnosed and this will continue to become easier every year.
Most people worry about the impact of HIV on their life. This could bewhy you think about your HIV status on a daily basis. If this continues to be difficult perhaps get in touch with a local support group or ask about counselling. Talking about your HIV status can help you to deal with it and also through group support you can share experiences and also learn from one another. You do not have to deal with it in isolation.
Finally, you asked about research into a cure. HIV is very complex in a way that is different to polio. Although currently there is no vaccine or cure, there is a lot of ongoing research.
HIV treatment is one of the successes of modern medicine. The breadth and expertise in scientific advances has not only developed 30 medications in five drug classes but this research has contributed to many other areas of medicine.
Even though curing HIV is difficult, there are lots of reasons to be optimistic.
This question was updated in January 2018 from an original answer posted in November 2011. (See: Question 10 at this link for more information).
Hi Richard
Hard tablets are generally still fully active long after the expiry date – perhaps for many years. If the meds are soft capsules, it is important to know they have been stored at recommended temperature (usually in a cool place, not above 25°C. If they have been stored correctly, they are also likely to still be active. The Clinton Foundation has done really important work to improve access to better meds and care. I hope the problems with the centre are sorted out soon. If you want to email details privately pls contact me at:
simon.collins@i-base.org.uk
I live in least developed country in the Pacific and 9 months ago I found out I was HIV +ve when I had been coughing for a couple of months despite medication and lost about 10kg of my weight. So 9months ago, my CD4 count was very low (115 cells/mm3) and immediately commenced on ART. I have recovered, gained back my weight but I not done another CD4 count since then because the machine that was available at the Centre which treated me has been out of operation for several months now. I am not sure when the next one will be available because the Clinton Foundation which was supporting its work has been affected by politics in the USA. My question is I have supplies of ARV which expired in December 2017. Are these drugs still good enough to use or should i throw them away?
Hi Myles,
Thanks for this comment. Taking ART and being undetectable means that many people can have a life expectancy similar to people who are HIV negative. And this can be anywhere in the world.
Hey guys the life expectancy is 78 in the U.S. so don’t worry.
Hi Dennis,
Are you on medication? When you say that you’re losing weight back and forth what do you mean?
How long can I live with HIV I’ve been losing weight back and forth
Hi Chrismoos,
A person on HIV treatment (ART) can expect a lifespan similar to someone who is HIV negative. But there are many reasons why it not easy to predict. Please see this similar question here.
what is the lifespan of a 41 years Hiv patience
Hi Edwin,
Weight loss can be due to a lot of different reasons, one of which is stress and also diet. If you’re having issues with your weight you should discuss this with your doctor.
hi am edwin i keep on loosing weight bt taking ma drugs as prescribed?