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Author Topic: First month on medication  (Read 2879 times)

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Offline Live040314

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  • Posts: 40
First month on medication
« on: June 09, 2014, 01:15:39 pm »
My recently ex-bf texted me last night about his first post medication HIV numbers and his VL went from 15000 to 65, I'm happy for him. Is this a typical drop, should I be expecting the same? Just out of curiosity, what should I be looking for in my first post medication numbers, just that VL is decreasing in some sort of way?
4/3/14 Diagnosed
4/10/14 Initial Labs VL 12000, CD4 736 (30%)
4/27/14 Started Complera
6/10/14 VL 173, CD4 680 (34%)
7/31/14 VL <20, CD4 795 (34%)
10/31/14 VL <20, CD4 809 (32%)
3/9/15 VL <20, CD4 615 (38%)
4/23/15 VL <20, CD4 791 (39%)
9/16/15 VL <20, CD4 840 (34%)
4/18/16 VL <20, CD4 1062 (29%)
5/1/16 Started Odefsey

Offline elf

  • Member
  • Posts: 645
Re: First month on medication
« Reply #1 on: June 09, 2014, 01:24:37 pm »
My VL drop was like this:

300 000 (at starting therapy) ---> 500 (after 1 month) --> undetectable (after 2 months)
that was 5 years ago

I remember I was taking 800 mg of selenium too at that time.
« Last Edit: June 09, 2014, 01:26:40 pm by elf »

Offline eric48

  • Standard
  • Member
  • Posts: 1,361
Re: First month on medication
« Reply #2 on: June 09, 2014, 03:21:32 pm »
rule of thumb

- decrase of 1 Log (1 decade) by month 1
- pass below 400 at month 3
- pass 50 at month 6

If pass these: no problem
If not pass but continous decrease: be patient some people may take as much as one year

If completly out of this frame, Doc will change you to something else , that will do it

Virologic Failure: I have been hanging on this Forums for 4 years and I can hardly remember a post about virologic failure.

Further for your information VL 15000 may sound high to you, but , in fact in this pathology it is only moderate

Can you expect the same ?
Well... you can put expectation... But, at the end, the true decider is the virus/meds interaction
Do not put expectation on how fast the VL will go down... It suffice to know that with modern drugs, the vast vast majority of patients reach the target.

VL is not used at an indicator for your health.
The decay of VL is an indicator that meds work.
If the first one does not (rare) then the second one will

Being strict and adherent until UD remains a requirement
Once UD, you will see, life gets easier

Eric
NVP/ABC/3TC/... UD ; CD4 > 900; CD4/CD8 ~ 1.5   stock : 6 months (2013: FOTO= 5d. ON 2d. OFF ; 2014: Clin. Trial NCT02157311 = 4days ON, 3days OFF ; 2015: https://clinicaltrials.gov/ct2/show/NCT02157311 ; 2016: use of granted patent US9101633, 3 days ON, 4days OFF; 2017: added TDF, so NVP/TDF/ABC/3TC, once weekly

Offline Live040314

  • Member
  • Posts: 40
Re: First month on medication
« Reply #3 on: June 12, 2014, 07:39:09 am »
My labs came back, VL 12000 to 173, CD4 736 to 680 but % went from 30 to 34%, next appt is in 3 months, on my way :)
4/3/14 Diagnosed
4/10/14 Initial Labs VL 12000, CD4 736 (30%)
4/27/14 Started Complera
6/10/14 VL 173, CD4 680 (34%)
7/31/14 VL <20, CD4 795 (34%)
10/31/14 VL <20, CD4 809 (32%)
3/9/15 VL <20, CD4 615 (38%)
4/23/15 VL <20, CD4 791 (39%)
9/16/15 VL <20, CD4 840 (34%)
4/18/16 VL <20, CD4 1062 (29%)
5/1/16 Started Odefsey

Offline BKKKevin

  • Member
  • Posts: 159
Re: First month on medication
« Reply #4 on: June 12, 2014, 09:12:31 am »
My initial native VL of 88K went to 650 after the first three weeks on Complera...

 


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