Doctor insights on:
Known as Stribild: It is also known as Stribild, which contains Elvitegravir, Cobicistat, Tenofovir, Emtricitabine. It is a newer single tablet regimen that is potent and well tolerated. Elvitegravir is a newer Integrase Inhibitor. Cobicistat is a pharmacologic booster, which means it is used to boost the levels of Elvitegravir to an adequate level to fight HIV. Tenofovir and Emtricitabine are in NRTI class. ...Read more
NEJM says Niaspan 500 does not work. I was just placed on it for 3 months. Also take Fish Oil. Should I contact dr? On HAART drug Truvada (emtricitabine and tenofovir) Tivicay. Help
Science and Life: There is a lot of debate about Niacin. And the science in the NEJM is just one piece of the story and debate. If I remember well you have high Triglycerides. High Triglycerides are more dangerous than niacin and I would see how you do with it before just stopping it. It has worked in individual patients; it is part of the standard of care in HIV medicine. ...Read more
HIV Treatment: There are too many meds and too many different classes of drugs now for someone to simply be resistant to all haart. But in general a genotype and/or phenotype would be ordered to see what next step for a new cocktail would be. ...Read more
Absolutely: Highly active anti-retroviral therapy usually consists of a combination of several different classes of agents which are inhibitory to hiv. The combinations attack the virus from multiple different biological pathways, make resistance development more difficult, allow restoration of large parts of the damaged immune system, make transmission to others less likely and extends life of patients. ...Read more
What is maximum life expectancy on HAART meds. I have been Duovir N for over seven years now. Also on insulin for type 2 diabetes for about 3 years.
See below: People with HIV may enjoy life spans close to normal if they are on antiretroviral therapy, maintain low viral loads and CD4 counts above 350, are not coinfected with viral hepatitis, and are not injection drug users. If you meet the above criteria your life expectancy is at least 70 years and likely quite higher. See:http:///bit. Ly/1GqNpY8 and http://bit. Ly/1Mfm7wb ...Read more
Can haart be used prophylactically as opposed to curative or treatment in case the person is in the window period?
Yes: This is called post exposure prophylaxis. If you think you may have been exposed to hiv, you should see your doctor, go to an urgent care clinic or er, or see a specialist to determine your risk and whether or not you should use post exposure prophylaxis. Here's a link to a website on pep: http://pepnow. Org/faqs/. ...Read more
Although haart therapy only kills free floating HIV virus, won't the dormant reservoirs eventually die off leaving the person free of hiv?
Dormant HIV: Unfortunately, some of the cells the virus infects can lie 'dormant' for >13 years. Our hope was that treating the virus would rid our patients of the infection in time but we need to make those latent cells infected w/virus 'apoptose' or die ; prevent new immature cells from being infected. It has been more difficult than we anticipated but work is actively being done. We have hope! ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more