November #149 : Starting Out Late? - by Laura Whitehorn

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Table of Contents

Free At Last?

It's a Girl!

Condomless Sex? Maybe Not Yet

Meditation Matters

Boys and Girls Together

Med Alert-November 2008

From the Inside: Strength to Spare

Ritonavir News

A Liver-Cleansing Herb’s Benefits Begin to Bloom

Sweet Spot

Bottoms Up

Starting Out Late?

Eat Well, Pay Little

Is Organic Food Worth the Splurge?

Coats of Many Colors

Prison Break

Ladies First


Shout Out!

In Their Words

You Said It...

Life’s Rich Pageant

How to... Disclose in the Heat of the Moment

Editor's Letter-November 2008

Your Feedback-November 2008

Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

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November 2008

Starting Out Late?

by Laura Whitehorn

New stats reveal that about one third of people who test positive for HIV in many U.S. cities do so with low CD4 counts and often with an AIDS-related complication such as an opportunistic infection (OI). New information can help the newly diagnosed get the most benefit from HIV care and treatment. Two recent developments:

  • A 189-person study unveiled this summer at the XVII International AIDS Conference suggests that for people with low CD4 counts (in the double digits) who are starting their first HIV combo, Sustiva (efavirenz, a non-nuke) may be a better choice than Kaletra (lopinavir/ritonavir, a protease inhibitor plus booster). For people who are starting HIV meds when their CD4 cell counts are higher, the two meds work equally well at suppressing HIV.
  • The Department of Health and Human Services recently issued new guidelines for treating OIs—like some forms of TB and pneumonia that attack immune systems weakened by HIV. The guidelines remind providers to watch for immune reconstitution inflammatory syndrome (IRIS), a flare-up of OI symptoms that occurs when HIV meds suddenly restore damaged immune systems. IRIS symptoms are often treated differently from those of OIs.

Search: CD4 counts, International AIDS Conference, The Department of Health and Human Services

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