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Author Topic: Starting and Stopping Treatment  (Read 1691 times)

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Offline lanycfluteguy

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Starting and Stopping Treatment
« on: May 08, 2013, 01:56:22 AM »
I began taking complera in January of this year.  Prior to beginning meds, my cd4 count was  1100 and viral load was 10,000.  I began treatment in order to attain undetectable status.

A recent endoscopy revealed that i have a hiatal hernia, gastritis and esophagitis.  Pathology came back positive for H Pylori.

I was prescribed two antibiotics along with Nexium for 14 days to treat the H Pylori.  After that, I am to take Carafate and Dexilant for a longer period of time.  I am aware that proton pump inhibitors are contraindicated with Complera.

My PCP advised me to stop taking complera while i take the antibiotics and Nexium. He anticipated me resuming Complera after the 14 days.  However, I don't think he realized that Dexilant is also contraindicated. 

My questions are 1) is it safe for me to abandon treatment right now and resume when treatment for my stomach issues is complete?  2) Should I switch to something like Atripla?

Offline Anqueetas

  • Member
  • Posts: 116
Re: Starting and Stopping Treatment
« Reply #1 on: May 09, 2013, 02:02:40 PM »
This is very tricky, yes you can switch your HIV medication to accommodate your treatment of your  hiatal hernia, gastritis and esophagitis as well. I think you should talk to both your HIV doc and another doctor that going to treat all of the above condition. SO their both fully aware of your situation and if possible give them the number or a way for them to talk to each other directly so they can discuss your case and come up with a solution.
ARS, hospitalized for very high fever-July 2011
diagnosed HIV positive - October 16 2011
CD4 460 19.5% VL 49000 - late October 2011
CD4 625 19.5% VL 50030 - January 2012
CD4 369 19% VL 69000 - March 2012
Start Sustiva+ Truvada - April 17 2012
CD4 524 24.5% VL UD - August 22 2012
Switch to Nevirapine+Truvada
CD4 490 26% VL UD - November 2012
CD4 539 29% VL UD - February 2013
CD4 621 28% VL UD - May 2013

Offline newt

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  • the one and original newt
Re: Starting and Stopping Treatment
« Reply #2 on: May 09, 2013, 03:05:00 PM »
In your case, a break, even a longish one, should be ok, your CD4 count being so high before you started treatment.

If the stomach treatment is to be a long term thing then you need to sort out a compatible combo with your HIV doctor.

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


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