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Author Topic: No test for a year ( advice)  (Read 868 times)

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Offline sanitex

  • Member
  • Posts: 476
No test for a year ( advice)
« on: May 02, 2020, 07:39:16 pm »

Hi
For the past one year now marked today makes it one good  year I did my last viral and cd4  test. But I'm doing  good.due to I've not went to any of the hospital in Nigeria I still  have my medicine with  me hoping I will  travel  to Thailand  before  this lockdown situation. Pls I'm asking  if there will be any issue with  it ..
27/12/07 cd4 20 vl 1m
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl un
16/10/08 cd4 196 vl un
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl un 23%
24/2/12 cd4 545 vl un 26%
22/2/12 chge trv to Recovir-em.10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ml.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs testquantitative Anti-HBs pos
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 24%
24/7/14 tevir
24/9/14 cd4 517 vl <40 22%
16/3/15 cd4 545 vl  85 24%
12/4/16 cd4 626 vl <40 25%
16/8/16 cd4 396 vl <40 27% changNVP/recovir-em 22/7
8/12/16 cd4 511 vl ud 23%
5/6/16 cd4 688 vl ud %27
17/9 /20  chng TLD

Offline Expat1

  • Member
  • Posts: 358
Re: No test for a year ( advice)
« Reply #1 on: May 12, 2020, 01:22:40 am »
Is the problem being identified by the national health authorities  if tested in Nigeria?
What about private labs, can they test for Viral Load? CD4?
Private hospital?

The meds you take should be widely available in Nigeria.  Does the local pharmacy have them?  Do you need a prescription?  Is sourcing the meds a problem or just getting labs?

It doesn't look like Thailand will be opening any time soon.   And if it does, only with other countries with no Covid19 onward transmission.  (They are discussing with Vietnam for example.  It is doubtful that tourists from Nigeria will not be allowed until there  is a vaccine widely available. 


Offline sanitex

  • Member
  • Posts: 476
Re: No test for a year ( advice)
« Reply #2 on: May 13, 2020, 03:41:08 am »
Thanks for your  reply  expert1.  Though I think I'll  visit one of the hospital that gives ARV medication .but the medication they're giving  here is different from mine. Here in Nigeria they give a single  dose of (TLD) ACRIPTEGA generic form.i don't know if possible  I can change to this regimen without any problem.
27/12/07 cd4 20 vl 1m
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl un
16/10/08 cd4 196 vl un
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl un 23%
24/2/12 cd4 545 vl un 26%
22/2/12 chge trv to Recovir-em.10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ml.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs testquantitative Anti-HBs pos
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 24%
24/7/14 tevir
24/9/14 cd4 517 vl <40 22%
16/3/15 cd4 545 vl  85 24%
12/4/16 cd4 626 vl <40 25%
16/8/16 cd4 396 vl <40 27% changNVP/recovir-em 22/7
8/12/16 cd4 511 vl ud 23%
5/6/16 cd4 688 vl ud %27
17/9 /20  chng TLD

Offline Expat1

  • Member
  • Posts: 358
Re: No test for a year ( advice)
« Reply #3 on: May 13, 2020, 11:37:13 am »
You should be able to change to that as 2 of the drugs in the combo are similar to recover em, the only one different is that dolutegravir which is an integrase inhibitor.  It usually is well tolerated.  It is a solid combo pill. 

You should check you viral load if possible. Or you CD4 just to make sure your current meds are effective.

Also recheck liver, kidneys. I don't know if you have independent labs there.

Pretty much Thailand has shut down international travel. 


Offline sanitex

  • Member
  • Posts: 476
Re: No test for a year ( advice)
« Reply #4 on: May 15, 2020, 11:10:46 pm »
Thanks expat1 for your advice,  I appreciate your concern. I think I have to change  medication here in Nigeria  hence my cd4 and viral load is undetectable.
But before changing I've do the cd4 and viral load text  right??
27/12/07 cd4 20 vl 1m
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl un
16/10/08 cd4 196 vl un
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl un 23%
24/2/12 cd4 545 vl un 26%
22/2/12 chge trv to Recovir-em.10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ml.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs testquantitative Anti-HBs pos
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 24%
24/7/14 tevir
24/9/14 cd4 517 vl <40 22%
16/3/15 cd4 545 vl  85 24%
12/4/16 cd4 626 vl <40 25%
16/8/16 cd4 396 vl <40 27% changNVP/recovir-em 22/7
8/12/16 cd4 511 vl ud 23%
5/6/16 cd4 688 vl ud %27
17/9 /20  chng TLD

Offline Expat1

  • Member
  • Posts: 358
Re: No test for a year ( advice)
« Reply #5 on: May 20, 2020, 06:49:35 pm »
Yes.  You want to make sure the viral load is still undetectable, if yes then you can make the change without much worry.  If it is detectable, then your  options are narrower as you would have to get a new combo with at least 2 new drug that are active against whatever mutant type it is.

CD 4 just make sure over 350.

 


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