Today I'm continuing the discussion on when to start ART (antiretroviral therapy) for HIV. According to most recent US DHHS Guidelines, most people with HIV should start ART. If your CD4 (helper count) is less than 500, starting therapy is strongly recommended. If your CD4 is greater than 500, starting is also recommended, although this remains somewhat controversial until more studies are completed.
In addition, if you are over the age of 50, it is now recommended that you start ART regardless of CD4 count. This is because of a greater risk of non-AIDS complications in this age group. Additionally, the body's immunologic response to ART may not be as robust in this age group.
- You should also start on HIV medications if you are:
- pregnant
- have a history of an AIDS-defining illness
- HIV-associated kidney disease
- infection with both HIV and hepatitis B.
Tomorrow, more on AIDS-defining illnesses.
Wishing you health!
Bill
No comments:
Post a Comment