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Author Topic: My cd4-162, viral load-150, question about bactrim  (Read 1880 times)

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Offline Sera

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My cd4-162, viral load-150, question about bactrim
« on: April 13, 2012, 07:02:38 PM »
Is bactrim necessary in this case?

I have  resisted starting medication for a long time due to fear, stress, and denial, so I started working with a therapist to help me with these issues and I am happy to say I am going to see my doctor next Wednesday for a prescription. My doctor called in a prescription for bactrim and insisted I have to take it but I don't feel like it's necessary. Even though my cd4 came back at 162, my viral load was 150 and had 31%. I had just come out of a 2 day urinary tract infection when I did the blood work and feels like the very low cd4 count was due to that. A year ago this month, I had the exact same number of cd4 and after retesting after two weeks came up to 400.

I know what the guidelines says about taking bactrim with cd4 of less than 200, but I don't feel like I need it. What do you think?

Offline zach

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Re: My cd4-162, viral load-150, question about bactrim
« Reply #1 on: April 13, 2012, 07:37:28 PM »
your doctor is also insisting on haart i hope? with a low cd4 count you can't fight off oi's all that well. get on some kind of haart, and take bactrim until you're somewhat stabilized. for me, the tipping point happened quickly, once i got sick cd4 plummeted and vl skyrocketed, doing lasting harm to my immune system. don't wait until its down to the wire, it's no picnic.

Online tednlou2

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Re: My cd4-162, viral load-150, question about bactrim
« Reply #2 on: April 14, 2012, 12:51:19 AM »
I think you should listen to your doctor.  Since it is a very safe drug, what's the harm in taking it until you get your next labs?  Even without insurance, I remember it was very cheap.  So, no reason to not take it due to cost.  Better safe than sorry.  Even after I was told I could stop it, I continued to take it until it ran out just to make sure.  I must have even refilled it, because I have a bottle still. 

Offline buginme2

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Re: My cd4-162, viral load-150, question about bactrim
« Reply #3 on: April 14, 2012, 01:13:49 AM »
My doctor called in a prescription for bactrim and insisted I have to take it but I don't feel like it's necessary.

I know what the guidelines says about taking bactrim with cd4 of less than 200, but I don't feel like I need it. What do you think?

Your doctor insists you take a medication that you know guidelines also state you should be taking and you are still debating it?  That doesn't make any sense. 

Offline mecch

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  • red pill? or blue pill?
Re: My cd4-162, viral load-150, question about bactrim
« Reply #4 on: April 14, 2012, 03:30:59 PM »
Is bactrim necessary in this case?

I have  resisted starting medication for a long time due to fear, stress, and denial, so I started working with a therapist to help me with these issues and I am happy to say I am going to see my doctor next Wednesday for a prescription. .....


I know what the guidelines says about taking bactrim with cd4 of less than 200, but I don't feel like I need it. What do you think?
You are not a doctor let alone an HIV specialist. Does not matter really what you "feel".  Given your self admitted fear and denial, ask yourself, this - do you trust medical specialists are not? When are you going to trust them enough to save your life and make it a good one worth living?  Can't you start concentrating about things in your life you have control to make great, like your job, friends, or family?   
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline Sera

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Re: My cd4-162, viral load-150, question about bactrim
« Reply #5 on: April 14, 2012, 08:47:19 PM »
 Ted and Zach, thanks for your input.

 mecch, i know i am not a doctor, but  it matters what i feel because its my body! maybe you misunderstood my post or just felt the need to be mean, but the reason i was thinking of not taking bactrim was that i am starting hiv medication next week, and as i explained in my post, i have had my cd4 low like this before and then it went up without medication, and since i had taken the blood test right after a uti infection, that might have affected the results.

You know nothing about my job, family, or friends or my life for that matter, so save you advice for someone else. And my life is worth living as it is, and hiv medication is not  a guarantee that it will be better, only that i will be treating the virus that's in my body.

Offline leatherman

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Re: My cd4-162, viral load-150, question about bactrim
« Reply #6 on: April 14, 2012, 10:49:47 PM »
and hiv medication is not  a guarantee that it will be better, only that i will be treating the virus that's in my body.
oh but meds ARE a guarantee that it'll be better and that you'll stay alive - coz untreated HIV leads to AIDS (and a whole host of other problems) and that ends in death.

my take on this thread: your doctor prescribed this med for a reason, and trust me, if you end up in a hospital possibly dying from PCP (HAART meds do nothing against the opportunitic infections that you might get, they only act against HIV), you'll sure wish you had listened to the professional (and all the studies and research done over 40 yrs of HIV, PCP and bactrim)
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline mecch

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  • red pill? or blue pill?
Re: My cd4-162, viral load-150, question about bactrim
« Reply #7 on: April 14, 2012, 11:13:28 PM »
I dont mean to be mean. I'm sorry!  I meant to show you that you have to trust the experts on this.  Things in life that you can effect, versus hard facts that you simply must address. 
« Last Edit: April 14, 2012, 11:15:33 PM by mecch »
“From each, according to his ability; to each, according to his need” 1875 K Marx

 


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