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.
July 28, 2014, 06:57:54 AM

Login with username, password and session length


Members
Stats
  • Total Posts: 632070
  • Total Topics: 47855
  • Online Today: 205
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 1
Guests: 138
Total: 139

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: lab results (reyataz+T+N)  (Read 984 times)

0 Members and 1 Guest are viewing this topic.

Offline sevillano

  • Member
  • Posts: 42
lab results (reyataz+T+N)
« on: April 14, 2012, 03:38:00 PM »
Hey guys!!!

I just got back my first lab results since i had started therapy (reyataz+truvada+norvir). So, after 3 months on the therapy my values are:
CD4: 373 (25%)
VL: 459

Just some facts: got infected in January 2011, tested + in February, started the therapy on 16.12.2011. Values prior to the therapy: CD4: 284, VL: 120 000

I am doing really well on this combo, means i haven't experienced any (major) side effects, so i dont see any reason to change the regimen. BUT my doc thinks that values of BILIRUBIN are on the extreme top end of still acceptable numbers for someone on reyataz (bil total 75, bil dir 20) that's why he wants me to come back after a month to take another sample of my blood and to retest it. I really want to emphasize how well i have been dealing with this combo and how little problems i have had regarding its side effects  (apart from some yellowing of the white of the eye nothing ...and even this jaundice was very light and not noticeable ).

Any comments on my labs? Cd4 cells haven't really risen as much as i had expected, but VL has dropped significantly .....what about bilirubin? Are my numbers over the average for someone on the treatment with reyataz?
----------------------------------------
dec 2010       - tested neg
22.01.2011    - infection
10.02.2011    - tested poz (test of 4th generation)
18.02.2011    - ELISA test poz
                    - VL: 5 mio
                    - CD4: 421 (19 %)
                    - CD3: 1709 (78%)
                    - CD8: 1267 (58%)
may 2011 - CD4: 428 (21%)
                  VL: 250 000
august 2011 - CD4: 398 (24%)
                      VL: 50 000
november 2011 - CD4: 320 (24%)
                           VL: 134 000
09.12.2011 - CD4: 284 (26%)
16.12.2011 - started TRUVADA/REYATAZ/NORVIR
16.3.2012 - CD4: 373 (25%), VL: 459

Offline benjiboy

  • Member
  • Posts: 12
Re: lab results (reyataz+T+N)
« Reply #1 on: April 14, 2012, 08:55:02 PM »
Hey Sevillano,

Congratulations on your numbers - looks like it's working out well for you, especially as you're not having any significant side effects. I'm quite surprised they waited three months from initiating treatment to do your bloods, but there you go.

I'm not qualified to comment on your bilirubin levels, but I am aware it can be a problem with reyataz, as it was something that me and my consultant discussed when I started treatment last month. For various reasons, we went with prezista + truvada + norvir. I gather prezista is less likely to cause hyperbilirubinism than reyataz, so it might be worth discussing prezista as an alternative if you feel it's a problem. It's a combination that's worked very well for me - bit of a dodgy tummy for the first three weeks  but everything's settled down now.

Good luck at your next appointment, and keep us posted  :)

Offline Ann

  • Administrator
  • Member
  • Posts: 28,138
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: lab results (reyataz+T+N)
« Reply #2 on: April 15, 2012, 06:50:09 AM »
Sevillano, your CD4% has gone up quite a bit, so don't be too disappointed in your absolute CD4 result. You're doing well. You'll probably be undetectable on your next set of labs, so be happy!

A lot of people have an elevated bilirubin level in the first weeks/months of being on Reyataz and quite often this corrects itself after a while. For some people, it continues to be high. As Benji mentioned, there are other meds you can use, so don't worry about it too much.
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline sevillano

  • Member
  • Posts: 42
Re: lab results (reyataz+T+N)
« Reply #3 on: April 15, 2012, 08:14:30 AM »
Benji:
Firstly, Thx for your reply! Secondly, yeah i have been thinking about Prezista option. So, i might ask to shift me on that if necessary!

Ann:
Like always, Ann knows how to tranquilise ;)) thx,once again! In fact i wasn't that worried, but just wanted to get some feedback from you guys. Another comment, my CD4% hasn't really risen, coz my % prior to the therapy was 26, now its 25 ;(
----------------------------------------
dec 2010       - tested neg
22.01.2011    - infection
10.02.2011    - tested poz (test of 4th generation)
18.02.2011    - ELISA test poz
                    - VL: 5 mio
                    - CD4: 421 (19 %)
                    - CD3: 1709 (78%)
                    - CD8: 1267 (58%)
may 2011 - CD4: 428 (21%)
                  VL: 250 000
august 2011 - CD4: 398 (24%)
                      VL: 50 000
november 2011 - CD4: 320 (24%)
                           VL: 134 000
09.12.2011 - CD4: 284 (26%)
16.12.2011 - started TRUVADA/REYATAZ/NORVIR
16.3.2012 - CD4: 373 (25%), VL: 459

Offline Ann

  • Administrator
  • Member
  • Posts: 28,138
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: lab results (reyataz+T+N)
« Reply #4 on: April 15, 2012, 08:23:59 AM »
Another comment, my CD4% hasn't really risen, coz my % prior to the therapy was 26, now its 25 ;(

Yes, but you started out at 19% and your overall trend is steadily going up. You need to watch the trends more so than concentrating on one individual result. You'll get used to it after a while. :)
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline sevillano

  • Member
  • Posts: 42
Re: lab results (reyataz+T+N)
« Reply #5 on: April 15, 2012, 08:29:43 AM »
Yeah, you are right about the trend! Kinda hope that I will stay on the same combo ;)))
----------------------------------------
dec 2010       - tested neg
22.01.2011    - infection
10.02.2011    - tested poz (test of 4th generation)
18.02.2011    - ELISA test poz
                    - VL: 5 mio
                    - CD4: 421 (19 %)
                    - CD3: 1709 (78%)
                    - CD8: 1267 (58%)
may 2011 - CD4: 428 (21%)
                  VL: 250 000
august 2011 - CD4: 398 (24%)
                      VL: 50 000
november 2011 - CD4: 320 (24%)
                           VL: 134 000
09.12.2011 - CD4: 284 (26%)
16.12.2011 - started TRUVADA/REYATAZ/NORVIR
16.3.2012 - CD4: 373 (25%), VL: 459

Offline newt

  • Member
  • Posts: 3,877
  • the one and original newt
Re: lab results (reyataz+T+N)
« Reply #6 on: April 15, 2012, 08:51:21 AM »
Agree with your doc on bilirubin level topping acceptable range, but it might settle. Prezista (darunavir) is an easy switch. Keeping Reyataz but using less/no Norvir (ritonavir) is not as easy but possible. << the high bilirubin suggests you have more Reyataz than you need, there is a test to measure this

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

Offline sevillano

  • Member
  • Posts: 42
Re: lab results (reyataz+T+N)
« Reply #7 on: April 15, 2012, 10:37:33 AM »
Matt ;) i have been waiting for you and your opinion ;))) hehe
We gonna wait till my next blood labs are done (11.5)...if values of bilirubin stay around  the same range, i am gonna suggest to wait another 3month period..as far as i know, high values (as long as they are not high as 25x more than normal) of bilirubin don't have any direct or inderect effect on any body part, so there is no reason not to wait a bit more...hmmm?
----------------------------------------
dec 2010       - tested neg
22.01.2011    - infection
10.02.2011    - tested poz (test of 4th generation)
18.02.2011    - ELISA test poz
                    - VL: 5 mio
                    - CD4: 421 (19 %)
                    - CD3: 1709 (78%)
                    - CD8: 1267 (58%)
may 2011 - CD4: 428 (21%)
                  VL: 250 000
august 2011 - CD4: 398 (24%)
                      VL: 50 000
november 2011 - CD4: 320 (24%)
                           VL: 134 000
09.12.2011 - CD4: 284 (26%)
16.12.2011 - started TRUVADA/REYATAZ/NORVIR
16.3.2012 - CD4: 373 (25%), VL: 459

 


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.