Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
August 22, 2014, 10:25:18 PM

Login with username, password and session length


Members
Stats
  • Total Posts: 635757
  • Total Topics: 48233
  • Online Today: 240
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Should I switch?  (Read 1212 times)

0 Members and 1 Guest are viewing this topic.

Offline franfrog

  • Member
  • Posts: 238
Should I switch?
« on: November 14, 2008, 06:43:13 PM »
OK, so I have been poz for about 4 1/2 years.  I have been on combivir and sustiva the whole time.  I just recently started going through depression and also seeing a therapist.  She recommended a psychiatrist.  I will see him next week.  Well anyway, the therapist seems to think that alot of my depression has to do with the Sustiva.  Well now I have to think if I want to do. 
My cells started out at 52 and have risen to 829 last bloodwork.  My viral load has dropped and hovers around 70-80. 
Is it worth changing since the meds have been working so well, or see what the psychiatrist says and just stay with my regimen and hope that he can give me something to get through it until I HAVE to switch. ???
7/05 diagnosis cd4- 52 vl -?
08/05 cd4-299 vl-1900
10/05 cd4-249 vl-349
12/05 cd4-349 vl-52
03/06 cd4-454 vl-<50
06/06 cd4-508 vl-<50

Online Miss Philicia

  • Member
  • Posts: 23,995
  • celebrity poster, faker & poser
Re: Should I switch?
« Reply #1 on: November 14, 2008, 07:19:20 PM »
You've been on this for 4.5 years and haven't gotten undetectable?  Shouldn't they have tried something else by now anyway?  Combine that fact with the depression and you'd bet I'd switch -- there are way too many options out there not to do so.
"Iíve slept with enough men to know that Iím not gay"

Offline Tempeboy

  • Member
  • Posts: 358
  • Like St Francis of Assisi I am wedded to Poverty
Re: Should I switch?
« Reply #2 on: November 14, 2008, 08:59:00 PM »
Hey Fran,

Sustiva can cause depression and fatigue, and the AZT can cause fatigue as well.  As philly says there are many alternative options for you to consider.


Cool article - http://www.sfaf.org/beta/2006_sum/switching.html

Take care.
Roughly roundabout somewhere in the eighteenth or nineteenth century, Sodomite begat Homosexual out of moral, medical and legal models, bequeathing him Identity, who inbred with Nuclear Family and Industrialism to spawn Homophobia.

Dean Kiley

Offline newt

  • Member
  • Posts: 3,878
  • the one and original newt
Re: Should I switch?
« Reply #3 on: November 15, 2008, 05:00:42 AM »
Hello

It is a moot point with a consistent viral load of around 75 of whether the extra few makes a difference.

Personally, I think long term AZT is not a good drug for various reasons, not least because of its effect on energy production at a cellular level but also its slight increase in risk to healthy heart/circulation. So, even if you decide not to change Sustiva, swapping the Combivir for sommat would be worthwhile.

Also, while depression is typically related to Sustiva, there is a good argument in favour of AZT's negative effects eg mitochondrial damage etc, especially long term, contributing to this cos less energy = lower mood.

You are in a lucky position where you can swap one part of your combo at a time. You may never develop resistance with a viral load as low as yours so may never "have" to change. A switch may give you (a) better mood and (b) finally undetectable viral load - double bonus.  :)

If you do switch, you can always switch back. This isn't a one way street.

Love your CD4 count though. V impressive.

All the best

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

Offline franfrog

  • Member
  • Posts: 238
Re: Should I switch?
« Reply #4 on: November 18, 2008, 04:47:03 PM »
Thank you for your input.  I go for new labs tomorrow and will see the doctor on the 3rd.  Hopefully I can talk to this doctor who will be someone new.  I guess it is worth a try to switch and if it does not work go back. ::)
7/05 diagnosis cd4- 52 vl -?
08/05 cd4-299 vl-1900
10/05 cd4-249 vl-349
12/05 cd4-349 vl-52
03/06 cd4-454 vl-<50
06/06 cd4-508 vl-<50

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.