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.
April 16, 2014, 10:49:27 AM

Login with username, password and session length


Members
  • Total Members: 22187
  • Latest: Ahmed
Stats
  • Total Posts: 619793
  • Total Topics: 46690
  • Online Today: 247
  • 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: Is there a CD4% guideline to starting meds?  (Read 1098 times)

0 Members and 1 Guest are viewing this topic.

Offline PeteNYNJ

  • Member
  • Posts: 979
  • When life gives you AIDS...make LemonAIDS!
    • Dance for Me, Puppets
Is there a CD4% guideline to starting meds?
« on: August 28, 2009, 07:41:31 PM »
Hello All

I got my lab results last week.
CD4 550  (675 last draw)
VL 10000 (80000 last draw)
% 22 (24% last draw)

Doctor said we can hold off on meds.  He doesn't seem to pay much attention to CD4% but it seems to be the only consistently dropping number.  My CD4 bounces around (lowest in 4 years has been 490) and my VL has never gone above 100K and mostly hovers in the 25K range. 

Should I be pressing my doctor to start meds?  He is well versed in HIV care and has many positive clients.  I have been seeing him for about 8 years even before I was positive and never had any problems with his care.

Am I focusing too much on the % ?

Thanks

Offline skeebo1969

  • Member
  • Posts: 5,666
Re: Is there a CD4% guideline to starting meds?
« Reply #1 on: August 28, 2009, 08:36:25 PM »


   Good question and I hope someone corrects me if I am sorely wrong here, but I think you can have an AIDS diagnosis if the percent falls below 14%.  My current doctor doesn't even bother with it which in turn bothers me.

   But anyhow...

   I think your numbers are great for someone who is not on meds yet.  Like you, my numbers fluctuated up and down quite a bit in the beginning and then the bottom fell out the bucket and them suckers dropped from 600 to 103 in 6 months. 

  Your doctor may not be focusing on the percentage to much because it's still in a good range.
I despise the song Love is in the Air, you should too.

Offline AboutToStart

  • Member
  • Posts: 134
Re: Is there a CD4% guideline to starting meds?
« Reply #2 on: August 28, 2009, 09:25:08 PM »
I personally chose to start meds when % went below 20% (19.9 to be exact). It hovered for quite some time at the low 20s but once dropped below - that was it for me. Again, this was a personal choice. Your count thou looks still pretty good.. I never had VL over 30K.. With anything over 50K I would prolly start as well (personally...)

Offline newt

  • Member
  • Posts: 3,867
  • the one and original newt
Re: Is there a CD4% guideline to starting meds?
« Reply #3 on: August 28, 2009, 09:33:16 PM »
No, because all the studies guidelines are based on looked at CD4 count

This said, a good doc will recommend treatment if CD4% falls significantly lower than this should be for the count and the % if it were a number sez start.

You % is edging towards start treatment territory but your count is fine. In these circumstances its up to you really.

Guidelines are just guidelines.

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

Offline PeteNYNJ

  • Member
  • Posts: 979
  • When life gives you AIDS...make LemonAIDS!
    • Dance for Me, Puppets
Re: Is there a CD4% guideline to starting meds?
« Reply #4 on: August 28, 2009, 09:38:53 PM »
Thanks guys

I agree - If I hit 20 or below, I am going to start no matter the CD4 count. 

When I first tested, I was at 35% so in four years my body has did a nice job controlling it.  I figure it needs some help with the fight :)

Offline newt

  • Member
  • Posts: 3,867
  • the one and original newt
Re: Is there a CD4% guideline to starting meds?
« Reply #5 on: August 28, 2009, 09:47:13 PM »
Which reminds me my CD4% was 6 wehn I started treatment. Its 32 now.

- matt

Now playing: Ben Tayllor, Island
"The object is to be a well patient, not a good patient"

Offline nycpoz

  • Member
  • Posts: 76
Re: Is there a CD4% guideline to starting meds?
« Reply #6 on: August 29, 2009, 12:17:52 AM »
Pete - My numbers are bout same as yours.CD4 count 543 and percentage being 21%, but my doctor (supposed to be very good) rejected the percentage theory around starting medication and asked me to return back after 3 months.  My VL is 38K.

 


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.