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Author Topic: TB meds and ARVs meds what to do?  (Read 2040 times)

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Offline sanitex

  • Member
  • Posts: 385
TB meds and ARVs meds what to do?
« on: April 23, 2008, 03:12:05 AM »
H! everyone,
                   crying out for two weeks now because of high fever,so my dear one hiv is not an easy thing you can forget without remenbering it every night once your ARVs is ready to be taken.
my dear one,i went to hospital to check what's going on with me for two weeks now ,after my lab test and x-ray result my liver go up again ,AST 103,ALT 158,and my x-ray result was my TB( LATENT)has come back again because last time i stop the TB meds which suppose to be taken for 6months but i took it only for 2months.
my question are,with this TB meds can it decrease my cd4 count? what are side efect of this TB meds?
the meds are like this,(RIFAMPICIN 150mg ph.eur,ISONIAZID 75mg,LAMBUTOL ETHAMBUTOL 500mg


27/12/07,cd4 20 3% vl 1000000
10/4/08 cd4 97 8% vl 63
27/12/07 cd4 20 vl 1million
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl undetectable
16/10/08 cd4 196 vl undet
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl undet 23%
24/2/12 cd4 545 vl undet 26%
on 22/2/12 change truvada to Recovir-EM
due to no stock on Truvada.
10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ulu/ml creatinine.eGFR blck 1.5 all fasting test morning.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
regimen ATRIPLA
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs test (quantitative ) Anti-HBs positive
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 % 24
24/7/14 change to Teevir

Offline newt

  • Member
  • Posts: 3,877
  • the one and original newt
Re: TB meds and ARVs meds what to do?
« Reply #1 on: April 23, 2008, 07:47:21 AM »
Here's two simple briefings:

Treatment training for advocates - TB and TB drug side effects and interactions

TB drugs can lower your red and white blood counts, so yes your CD4 count might drop.

Do not take RIFAMPICIN  with PIs or nevirapine.

- matt
"The object is to be a well patient, not a good patient"

Offline sanitex

  • Member
  • Posts: 385
Re: TB meds and ARVs meds what to do?
« Reply #2 on: April 23, 2008, 11:15:47 PM »
i am on meds like this,Efavirenz,3TC lamivudine,tenofovir,but i still waiting for my ID doc to come back from abroad,because who gave me those meds told me that i've to wait for my ID doc either to increase the sustiva to 800mg,my dear i think a lot for this every night not sleeping.
27/12/07 cd4 20 vl 1million
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl undetectable
16/10/08 cd4 196 vl undet
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl undet 23%
24/2/12 cd4 545 vl undet 26%
on 22/2/12 change truvada to Recovir-EM
due to no stock on Truvada.
10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ulu/ml creatinine.eGFR blck 1.5 all fasting test morning.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
regimen ATRIPLA
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs test (quantitative ) Anti-HBs positive
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 % 24
24/7/14 change to Teevir

Offline sanitex

  • Member
  • Posts: 385
Re: TB meds and ARVs meds what to do?
« Reply #3 on: April 23, 2008, 11:36:15 PM »
dear, what do you mean by PIs?
27/12/07 cd4 20 vl 1million
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl undetectable
16/10/08 cd4 196 vl undet
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl undet 23%
24/2/12 cd4 545 vl undet 26%
on 22/2/12 change truvada to Recovir-EM
due to no stock on Truvada.
10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ulu/ml creatinine.eGFR blck 1.5 all fasting test morning.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
regimen ATRIPLA
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs test (quantitative ) Anti-HBs positive
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 % 24
24/7/14 change to Teevir

Offline joemutt

  • Member
  • Posts: 1,040
Re: TB meds and ARVs meds what to do?
« Reply #4 on: April 24, 2008, 12:53:25 AM »
Protease Inhibitors. It s a class of drugs. Click DRUGS section of this site, check under proteaase inhibitors (P I 's) if you take any and what Newt said.

Offline sanitex

  • Member
  • Posts: 385
Re: TB meds and ARVs meds what to do?
« Reply #5 on: April 24, 2008, 04:03:04 AM »
yes i do understand what's PIs already but am not with those meds,thanks,but joe today am feeling cold with those meds am taken now my ID doc will come back tomorrow so i'll go to see him immediatily.
27/12/07 cd4 20 vl 1million
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl undetectable
16/10/08 cd4 196 vl undet
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl undet 23%
24/2/12 cd4 545 vl undet 26%
on 22/2/12 change truvada to Recovir-EM
due to no stock on Truvada.
10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ulu/ml creatinine.eGFR blck 1.5 all fasting test morning.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
regimen ATRIPLA
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs test (quantitative ) Anti-HBs positive
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 % 24
24/7/14 change to Teevir

Offline sanitex

  • Member
  • Posts: 385
Re: TB meds and ARVs meds what to do?
« Reply #6 on: April 29, 2008, 12:52:56 AM »
H! everyone,CT SCAN OF THE CHEST WITHOUT AND WITH CONTRAST  ENHANCEMENT
HISTORY:FEVER WITH CHEST DISCONFORT.
TECHNIQUE:AXIAL CT SCAN OF THE CHEST WAS PERFORMED WITHOUT AND WITH CONTRAST ENHANCEMENT WITH SLICE THICKNESS AND INTERVAL 5MM.
FINDINGS:THE STUDY SHOWS NO ABNORMAL MASS OR INFILTRATION IN THE LUNG PARENCHYMA.NO MEDIASTINAL MASS OR LYMPH NODE ENLARGEMENT IS SEEN.MILD CARDIOMEGALY IS NOTED. NO PLEURAL EFFUSION OR THICKENING IS OBSERVED. A SMALL CYST ABOUT 1.5x1.2CM.IN THE UPPER POLE OF LEFT KIDNEY IS NOTED. GOOD CONTRAST EXCRETION FROM BOTH KIDNEY IS OBSERVED.THE VISUALIZED LIVER,SPLEEN, PANCREAS AND BOTH ADRENAL GLANDS APPEAR NORMAL.  IMPRESSION: MILD CARDIOMEGALY. NO ABNORMAL MASS IS NOTED. A SMALL CYST IN UPPER POLE OF LEFT KIDNEY.
SO AFTER THIS SCAN I WAS ORDER TO DO KIDNEY TEST WHICH COME OUT NOMAL.MY ID DOC SAID I SHOULD STOP THOSE TB MEDS BECAUSE THERE'S  NO SIGN OF LYMPH NODE ENLARGEMENT  BEEN SEEN,THAT I'VE TO MONITOR MY TEMPRESURE FOR AT LEAST A WEEK TO SEE WHAT'S THE CAUSE OF THE FEVER,BUT FROM LAST X-RAY MY SHOWS LIKEWISE BIG ,AND HE SAID MAYBE FROM THE MEDS I'M TAKEN CAUSES MY GI TO SUPLY TOO MUCH GAS TO MY HEART.BUT I LOSE UPTO 4KILLO ALREADY SINCE TWO WEEKS AND HALF NOW,PLS I NEED YOUR ADVICE (NEWT)
27/12/07 cd4 20 vl 1million
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl undetectable
16/10/08 cd4 196 vl undet
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl undet 23%
24/2/12 cd4 545 vl undet 26%
on 22/2/12 change truvada to Recovir-EM
due to no stock on Truvada.
10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ulu/ml creatinine.eGFR blck 1.5 all fasting test morning.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
regimen ATRIPLA
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs test (quantitative ) Anti-HBs positive
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 % 24
24/7/14 change to Teevir

 


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