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Author Topic: adherring to meds...  (Read 777 times)

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Offline wimble

  • Member
  • Posts: 25
adherring to meds...
« on: March 14, 2010, 06:00:57 PM »
Hey guys,
Recently got some feedback from my doctor on CD4 and viral counts, my system still seems to be going quite well with a CD4 of 1,089...i cant remember the viral load at this moment but its pretty steep due to recent infection...

Its inevitable that everyone with HIV will have to go on medication eventually (unless they're the messiah), in order to prolong life. However is there anything that suggests medication may speed up viral replication? I've come to realise that you have to be very realistic about life and accept what happens when placed on this journey, which is when i thought about possible negative effects of medication. Science is a great thing, but is there any concrete way of saying to someone, "I have HIV, but don't worry the medicine will keep me alive no problem"...I'm not for one second trying to put a dampener on anything, I'm just wondering whether there is a known percentage of people with the illness that have failed to adhere to medication? Or rather what is the likely hood meds cease to work after a while...again I'm not trying to be negative here and make anyone depressed, heck i believe the majority of sufferers are the happiest people in the world because of optimism and a unique appreciation of life that HIV- people would not be able to forsee...

This is just food for thought I am not assuming anything, i just want opinions, so please no jumping down throats  :)
Peace and love.

Offline newt

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  • Posts: 3,878
  • the one and original newt
Re: adherring to meds...
« Reply #1 on: March 14, 2010, 06:21:08 PM »
Erm, meds don't speed up viral replication, they slow it down, that's their job, that's how they work, if you take em right they slow it to down to practically zero, like send it to sleep. They are virostatics (stop the virus moving).

The two factors which affect adherence are your life and side effects. So it's really up to you to crack the taking them on time bit cos of your life, which can be hard I admit, but there are choices we can make and choices we can have made for us, eg when we get ill or die.  Side effects is another matter, but there is a combo for nearly everyone these days without side effects so bad they imapct on timing. Nearly.

Adherence is very important to combo working. Some combos are more forgiving than others in this respect.

It is not inevitable everyone will eventually go on meds, just 95%+ people with the current treatment paradigm.  Which may change in the next 5+ years, and while meds may not be what people wanna do every day, for the time being, it may be extremely valuable to do so.

Not adhering doesn't mean you get ill, it means you get resistance.  My combo is kinda forgiving (and I chose it for this reasons), and from time to time, well my adherence is far from perfect. Whatever a daily routine for day-in-day-out medication, perfect adherence is hard. Us HIV+ folk tend to do well compared to other conditions.

 -matt (Sv02 94 and rising, I am glad to say) the newt
"The object is to be a well patient, not a good patient"

 


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