{"id":12045,"date":"2016-09-16T16:14:22","date_gmt":"2016-09-16T16:14:22","guid":{"rendered":"http:\/\/i-base.info\/qa\/?p=12045"},"modified":"2016-09-16T16:17:37","modified_gmt":"2016-09-16T16:17:37","slug":"is-my-treatment-still-working-or-do-i-need-to-change","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/12045","title":{"rendered":"Is my treatment still working or do I need to change?"},"content":{"rendered":"<p>Hi<\/p>\n<p>There are lots of things to talk about but the first thing is that you say this is causing you stress.<\/p>\n<p>Your immune system is still doing pretty well. I don&#8217;t know how high your CD4 was when you were pregnant though. If you let me know I will answer in more detail<\/p>\n<p>.Any CD4 count about 200 is still pretty good. Very few HIV related problems happen above\u00a0200.<\/p>\n<p>If your CD4 count used to be much higher and has slowly been dropping since 2011, can you tell me your\u00a0approximate CD4 history over this time.<\/p>\n<p>Also, does your doctor ever test your viral load? This is a common test in many countries, though I know it is not used everywhere yet.<\/p>\n<p>If you don&#8217;t have access to viral load, it is likely that there are fewer drugs available for another treatment. Please ask your doctor about this &#8211; you can show him this online answer if it helps.<\/p>\n<p>Because you are well otherwise, your doctor might be saving the next combination for when your CD4 count drops a little lower. If this is the case, you could still ask to change combination now.<\/p>\n<p>If your viral load is likely to be detectable, the doctor should offer you a new combination that includes a protease inhibitor and two other drugs (one of which will be tenofovir).<\/p>\n<p>It sounds like you are doing everything else to look after you life &#8211; great that you visit your doctor regularly and do not smoke or drink.<\/p>\n<p>I hope everything is well with your family too &#8211; please write back and try not to worry so much &#8211; everything is going okay :)<\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Hi, I am hiv + and I\u2019m on treatment now. I am worried my cd4 count is low. I tested it since frm January every 3 month bt it still the same at 211. my doctor said I should continue with this treatment since I was using it when I was pregnant in 2011. My cd4 count was good then but now is low. I am still using neverapine and combination of AZT and 3TC. I don\u2019t know what to do cos I\u2019m not using alcohol, smoking. Or can I use a booster or change the clinic plz help me I\u2019m so stressed.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,7,9,10,35],"tags":[],"class_list":["post-12045","post","type-post","status-publish","format-standard","hentry","category-adherence","category-all-topics","category-cd4-and-viral-load","category-changing-treatment","category-resistance"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/12045","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=12045"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/12045\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=12045"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=12045"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=12045"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}