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Author Topic: When to start Meds?  (Read 2327 times)

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Offline greg1972

  • New Member
  • Posts: 1
When to start Meds?
« on: July 28, 2008, 06:19:21 AM »
Hey all, hope you are well. i have been poz for 5 years this month and in general my health is good. My viral load fluctuates but no cause for alarm and my cd4 is always above 600. But should i just be going on these figures to determine as to whether to start treatment or not. To what degree is this virus doing damage i cant see, and is it better to strive for undetectable?

Offline Matty the Damned

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  • Posts: 12,265
  • Ninja Please
Re: When to start Meds?
« Reply #1 on: July 28, 2008, 06:37:51 AM »
Oh honey! Welcome :)

If your CD4 is above 600 and your VL is not a cause for concern, then I don't see any need for you to rush into treatment even 5 years into this whole shebang.

Generally HIV treatment doesn't need to commence until/unless your CD4s fall below 350 (250 in the US or Australia) or your VL streaks out by log 2 or more.

Obviously my advice is general and you should be guided by your doctor in terms of specifics.


Offline J.R.E.

  • Member
  • Posts: 7,539
  • Joined Dec-2003 Living positive, since 1985.
Re: When to start Meds?
« Reply #2 on: July 28, 2008, 11:39:40 AM »
Hello Greg,

Welcome ! There are some really good lessons on the site, that may help to answer all your questions.  Click below, and take your time :



If you have any questions after going through the pages of the above link, don't hesitate to ask !

Take care----Ray

« Last Edit: July 28, 2008, 11:41:27 AM by J.R.E. »
Current Meds ; Viramune, Epzicom, 20mg of Atorvastatin, 25 mg of Hydrochlorothiazide.
Amlodipine Besolate 5mg-- Updated 9/24/2017

Diagnosed positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of 9/18/2017,  Viral load remains <40
CD 4 @358 /  CD4 % @ 13

 65 years young.

Offline weasel

  • Member
  • Posts: 1,873
Re: When to start Meds?
« Reply #3 on: July 28, 2008, 09:01:42 PM »
Hey Greg !,
                If you are doing well , and your doctor is monitoring you . I would stay away from MEDS

                    until you need them , MY opinion only ! , BUT I felt like a million bucks for a LOT of years !

                    Until I started taking my Cocktail !

                   Then the stuff starts to happen !

                    Keep calm ! , let your doctor watch .

                      I ask and NEVER have gotten a good enough answer to the question , IS IT BETTER TO START EARLY ?

                  All I get is YOU are doing fine !

                     If somebody has the real answer they should speak up !

                                                                      good luck , Karl
" Live and let Live "

Offline OutOfDarkness

  • Member
  • Posts: 90
Re: When to start Meds?
« Reply #4 on: July 29, 2008, 07:50:58 PM »
I just answered a post with this same type of question.  It took 6 years of being poz before I decided to start meds.  The reason I started was because my cd4 was slowly trickling down and vl slowly rising.  There were times that my blood showed vl would double every 3 months and cd4 would continue down.  At the time I started meds, my cd4 was 350 and even though my doc said I could wait until 250, I had an uneasy feeling and was not comfy with that suggestions, so she said I could start at 350, my vl was hovering around 50,000 to 100,000.  If you go to the docs every 3 months and have blood work done each time you will start to see how your virus is going to act.  Try not to worry about what the virus is doing during the time when your counts are good, it is doing just what you see in your blood work.  There really is no way of knowing where or when or how hiv is going to affect your system, but you have the benefit of seeing where it is going before it gets there by getting your bloodwork done.  And you have the benefit of starting treatment at 350 instead of 250, which probably isn't much of a difference health wise, but it gives you a headstart to hopefully cut off the possiblity of Opportunistic Infections.  There is a great report about OI's here on aidsmeds.com, it lists all of them and what their signs and symptoms are and what you can take to treat them as well. 
2000 - seroconverted
2005 - cd4 350, VL 113,000
3/06 - started sustiva/truvada
3/08 - cd4 1,300 VL >50(undet.)


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