Hiv treatment adherence

Common Questions and Answers about Hiv treatment adherence


Avatar n tn I just received notification from Blue Cross/Blue Shield that they weren't paying my April meds because they needed "additional support from my physician to justify extended treatment". Well, as usual, the insurance company messed up. I am not on extended treatment(yet) as I am only 21/48 as of today. I called BC/BS and they agreed they screwed up and would submit the bill for payment. They indicated I was approved for meds through December 2004. BUT - that got me thinking.
Avatar m tn My question is - my husbad is very over weight (obese) does his weight have anything to do with the relapses? This last treatment he was undetected at 2 weeks, as soon as he finished treatment the virus was back. Any information I can get will be greatly appreciated.
4950316 tn?1394188185 as reported in the September 2007 edition of the European Journal of Gastroenterology and Hepatology, injection drug users are often denied Hepatitis C treatment because of concerns about adherence to the therapy. Most experts believe that these concerns are due to the stigma of drug addiction, not based on actual facts. As found in a study by researchers in San Francisco, the majority of methadone-maintained drug users can adhere to Hepatitis C treatment.
1707536 tn?1334977677 asp Patients with Ongoing Alcohol Use in those who completed HCV therapy, SVR was similar in drinkers and nondrinkers .
Avatar n tn Coinfected people often experience severe side effects during HCV treatment, making adherence difficult. In HCV treatment trials -- where monitoring and management of side effects and adverse events is generally most vigilant -- drop-out rates have been high. In ANRS HC02, only 224 of an original 416 completed 48 weeks of treatment.
Avatar f tn While this article relates to HCV treatment for HCV/HIV co-infected, I found the SVR outcomes very interesting for those in HCV treatment who used growth factors for anemia caused by low hemoglobin (HGB) and for neutropenia caused by a low absolute neutrophil count (ANC). The first chart shows that use of growth factors improves SVR rates over dosage reductions, particularly in the case of interferon.
173930 tn?1196341998 The logistic regression model for patients infected with hepatitis C virus genotype 1 included age, viral load, histology, alanine aminotransferase quotient, body mass index, treatment duration, ribavirin dose and adherence. Results. In the genotype 1 model, varying baseline factors had a striking effect on the probability of sustained virological response.
Avatar m tn These results reinforce the importance of the high viral load as risk factor for the HIV transmission to health care workers, especially in patients with viral load above 150000 copies/mL. Thus, access to HAART and good adherence to treatment would be probably capable of reducing the transmission risk in occupational accidents.
Avatar m tn (Assume that both treatments were completed with strict adherence of clinical instruction). - What are the treatment protocols when both Azithromycin and Doxycycline Hyclate fail? - How accurate are Nucleic Acid Amplification Tests? • Probability of False Positive? • Probability of False Negative? • Is there a difference in accuracy for NAATs performed on urine from Males or Females?
Avatar m tn Jose Mira, from Valme University Hospital in Seville, and colleagues evaluated the effectiveness of chronic hepatitis C treatment using pegylated interferon plus ribavirin in HIV/HCV co-infected patients using different antiretroviral regimens. Prior research suggested that certain nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) used to treat HIV are associated with poorer response to interferon, perhaps due to drug interactions or intensified side-effects.
Avatar f tn The recommendation to avoid cannabis is especially important in patients who are coinfected with HCV/HIV since the progression of fibrosis is already greater in these patients. “Hepatitis C is a major public health concern and the number of patients developing complications of chronic disease is on the rise,” according to Norah Terrault, MD, MPH, from the University of California, San Francisco and lead investigator of the study.
Avatar m tn Can you give me statistics of my risk of HIV (and other STDs if you can)? 2. What will the risk be cut to with good adherence to the prophylaxis treatment? 3. When is the earliest I can get retested given that I'm taking this medication? 4. Is there anything else I can do to decrease my risk of STDs? 5. Are there any symptoms I should watch out for? 6. Obviously I will be abstaining from sex until my 3 month follow up, at this time (assuming -ve) is it safe to return to sex?
Avatar n tn I have been undetectable for over 10 years with a VERY strict adherence to my medical treatment. I get regular medical exams with my doctor (every 3 months) and have never had a detectable viral load after I started treatment. I have no other STI's and am otherwise perfectly healthy. I started dating someone who is HIV- and we have had unsafe anal and oral sex. We have had anal sex with no condom approximately 5-6 times where I was the top.
Avatar f tn First, HCV is not known to be capable of archiving its genome as do HIV or hepatitis B virus. Data suggest that after treatment withdrawal, treatment-emergent substitutions decline in relative abundance over time and that wild-type virus regains its predominance in the majority of cases. However, this may take 2-3 years, and subtype 1a tends to return to wild type more slowly.
Avatar n tn Got exposed 28 June, anal insertive sex with philipino sex worker (high risk), condom broke. Started PEP (Truvada, Stocrin) 24H after exposure. Completed 30 days course, with adherence to treatment. 2 days after I stopped PEP I started to feel sore throat, nausea, sweating, itching. 2 weeks after (16 days) since condition was not improving and had as well swollen limph gland (armpit) went to doctor.Was also feeling quite tired. Tested the 16 August RNA, antigen P24 and antibody.
Avatar m tn Good news! We need an alternative approach to Interferon based treatment if possible. Telaprevir developed from what was learned in combating HIV. Hopefully the drug manufactures will be able to apply what has been learned from HIV treatments to find cocktails of drugs to go directly after the HVC virus and its mechanisms to replicate itself. Hectorsf Will STAT-C Replace Today's HCV Standard Therapy?
Avatar n tn I have been undetectable for over 10 years with a VERY strict adherence to my medical treatment. I get regular medical exams with my doctor (every 3 months) and have never had a detectable viral load after I started treatment. I have no other STI's and am otherwise perfectly healthy. I started dating someone who is HIV- and we have had unsafe anal and oral sex. We have had anal sex with no condom approximately 5-6 times where I was the top.
Avatar m tn Alcohol consumption should be discouraged during antiviral treatment, because alcohol reduces adherence and treatment response (III).
Avatar m tn [36,39] However, recent works have failed to confirm these findings,[40–42] and a similar controversy exists for chronic hepatitis C patients coinfected with HIV.[43–45] Higher HOMA-IR scores and/or insulin levels are inversely correlated with the HCV RNA decay occurring during the first days[46–48] or weeks[49,50] of therapy.
Avatar m tn Also alcohol is a factor associated with poor adherence. {“Study Links Alcohol Intake to HIV Progression,” - May 2003 This has got me extremely worried, I was severely 'hung-over' the day I visited the escort, is there any real issue involved here? I'm seeking treatment for both alcohol and Cognitive Therapy, should I be concerned that this has doubled my risk or is that study geared more towards already infected people?
Avatar m tn Is this about treatment efficacy or concerns about treatment adherence? I take fish oil supplements, could this affect my INR? I am thinking if my biopsy indicates F2 fibrosis or less I will take their advice and wait. F3 or more I will get a second opinion. That's all I can think of right now. Thanks, best to all!
1815939 tn?1377995399 Importance of Pharmacodynamics/Adherence to Interferon-Free DAA Regimens Maintaining optimal adherence has been shown to be an extremely effective way of minimizing the development of resistance in the HIV field.[19] Strategies under investigation that may help optimize adherence rates to interferon-free DAA therapy include less frequent dosing and ritonavir boosting. Many DAA agents in development have half-lives that may allow for twice- or even once-daily dosing, which is encouraging.
Avatar n tn This is true with or without treatment. Obviously, the risk is diminished to a much greater extent with treatment with INH. Have you had a chest radiograph (x-ray)? When? What were the results? It is difficult to say if you may have fostered INH resistance because of your inconsistence adherence to the therapy. There is no way to determine whether you may have fostered INH resistent latent tuberculosis.
Avatar n tn The RNA test (which is also called a viral load test) is used in the treatment of people already infected and in treatment for HIV. The DNA test is simply a positive/negative test which can detect very small levels of HIV in a person's system. As noted also, the PCR tests can show a false positive for several reasons and this is the primary reason they are not recommended (along with their expense).
Avatar n tn It's not something anyone would want to catch willingly, but neither is diabetes or any other chronic disease. Healthy living and strict adherence to treatment protocols goes a long, long way to insuring that those who do catch HIV lead healthy, happy and long lives. And all of this isn't just something that you say to people who are worried to make them feel better, it isn't empty platitudes. It's the truth now. And the outlook is good for future treatments.
Avatar m tn • Of these 302 patients, 196 consulted an expert hepatologist at least once every 3 months during treatment (regular visitors), whereas 106 patients had their treatment performed and supervised by a general practitioner (irregular visitors). • The 2 patient groups did not differ in their baseline characteristics. • Virological response rates at the end of treatment (ETR; 74% vs 48%; P < 0.001) and 6 months thereafter (SVR; 66% vs 34%; P < 0.
Avatar f tn 44th Annual Meeting of the European Association for the Study of the Liver (EASL 2009) April 22 - 26, 2009, Copenhagen, Denmark Extended 72-week Treatment with Pegylated Interferon plus Ribavirin Did Not Improve Outcomes among Slow Responder Hepatitis C Patients By Liz Highleyman Hepatitis C Virus Image About half of chronic hepatitis C patients treated with pegylated interferon plus ribavirin do not achieve a cure, or sustained virological response (SVR).
Avatar f tn People here recommend taking it only if you know the other person has HIV - which you don't know. If she always uses a condom, likely she doesn't have HIV. Hopefully someone who knows more than I about PEP will post to your thread.
Avatar n tn I would imagine treatment will last at least 24 weeks and there will be a sliding/adjustable treatment duration based on initial antiviral response, time to UND, and INF/riba/TVR dose adherence. For instance someone in a 24 week group who displayed a rather lacklustre time to UND (say it took them 8 weeks to go UND, as opposed to the usual 1-3 weeks), then their "sentence" of treatment might be commuted to 48 weeks etc.