Treatment FAQ

how hiv treatment

by Declan Bartell Published 2 years ago Updated 2 years ago
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Medication

Start Treatment As Soon As Possible After Diagnosis HIV medicine is recommended for all people with HIV, regardless of how long they’ve had the virus or how healthy they... Talk to your health care provider about any medical conditions you may have or any other medicines you are taking. Let your ...

Nutrition

Mar 29, 2019 · HIV treatment involves taking medicines that slow the progression of the virus in your body. HIV is a type of virus called a retrovirus, and the combination of drugs used to treat it is called antiretroviral therapy (ART).

What are the long term effects of HIV treatment?

Routine care and treatment is the best way to keep people with HIV (PWH) healthy. PWH who take medication as prescribed can achieve and maintain an undetectable viral load (or viral suppression), resulting in effectively no risk of transmitting HIV to their sexual partners.

Which is the main goal of HIV treatment?

Jan 17, 2022 · HIV care and treatment involves taking antiretroviral therapy (ART) and having regular check-ups with your health care provider who will monitor your health status on an ongoing basis. These things are important because with the proper care and treatment, you can reduce your viral load, protect your health, enjoy a long and healthy life, and reduce the …

When will HIV be cured?

Many people are able to control their HIV with just one pill a day. Early treatment with antiretrovirals can prevent HIV-positive people from getting …

How to optimize HIV treatment?

Jun 24, 2019 · People with HIV who take HIV medicine daily as prescribed and get and keep an undetectable viral load have effectively no risk of transmitting HIV to an HIV-negative partner through sex. HIV medicine is a powerful tool for preventing sexual transmission of HIV.

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What is the best treatment for HIV?

The most effective treatment for HIV is antiretroviral therapy (ART). This is a combination of several medicines that aims to control the amount of virus in your body. Antiretroviral medicines slow the rate at which the virus grows.

How is HIV cured or treated?

What is HIV treatment? HIV treatment involves taking medicine that reduces the amount of HIV in your body. HIV medicine is called antiretroviral therapy (ART). There is no effective cure for HIV.

How do you start HIV treatment?

People with HIV should start taking HIV medicines as soon as possible after HIV is diagnosed. A main goal of HIV treatment is to reduce a person's viral load to an undetectable level. An undetectable viral load means that the level of HIV in the blood is too low to be detected by a viral load test.Aug 16, 2021

How long is HIV treatment?

This means that most people will need to be on treatment for 7 to 12 months to have a durably undetectable viral load. It is essential to take every pill every day to maintain durably undetectable status.Jun 12, 2020

What is the difference between hiv1 and hiv2?

Two HIV virus types exist: HIV-1 is pandemic and aggressive, whereas HIV-2 is confined mainly to West Africa and less pathogenic. Despite the fact that it has been almost 40 years since the discovery of AIDS, there is still no cure or vaccine against HIV.Sep 5, 2019

Is it possible to test negative while your partner is positive?

A: It is quite common for one partner to test positive and the other negative, even if they have been having sex without condoms. Mostly this is explained by luck and the role of other risk factors.Jun 1, 2021

What is HIV treatment?

HIV treatment involves taking medicine that reduces the amount of HIV in your body. HIV medicine is called antiretroviral therapy (ART). There is n...

When should I start treatment?

Start Treatment As Soon As Possible After Diagnosis HIV medicine is recommended for all people with HIV, regardless of how long they’ve had the vir...

What if I delay treatment?

HIV will continue to harm your immune system. This will put you at higher risk for developing AIDS. Learn more about AIDS and opportunistic infecti...

What are the benefits of taking my HIV medicine every day as prescribed?

Treatment Reduces the Amount of HIV in the Blood The amount of HIV in the blood is called viral load. Taking your HIV medicine as prescribed will h...

Does HIV medicine cause side effects?

HIV medicine can cause side effects in some people. However, not everyone experiences side effects. The most common side effects are Nausea and vom...

Will HIV treatment interfere with my hormone therapy?

There are no known drug interactions between HIV medicine and hormone therapy. Talk to your health care provider if you are worried about taking HI...

What if my treatment is not working?

Your health care provider may change your prescription. A change is not unusual because the same treatment does not affect everyone in the same way.

Sticking to my treatment plan is hard. How can I deal with the challenges?

Tell your health care provider right away if you’re having trouble sticking to your plan. Together you can identify the reasons you’re skipping med...

What to do if you think you have HIV?

If you think you might have HIV infection, you're likely to start by seeing your family doctor. You may be referred to an infectious disease specialist — who additionally specializes in treating HIV / AIDS.

What drugs are used to make copies of HIV?

Combination drugs also are available, such as emtricitabine/tenofovir (Truvada) and emtricitabine/tenofovir alafenamide (Descovy). Protease inhibitors (PIs) inactivate HIV protease, another protein that HIV needs to make copies of itself.

What is the CD4 T cell count?

CD4 T cell count. CD4 T cells are white blood cells that are specifically targeted and destroyed by HIV. Even if you have no symptoms, HIV infection progresses to AIDS when your CD4 T cell count dips below 200. Viral load (HIV RNA). This test measures the amount of virus in your blood.

What are some ways to reduce stress?

Mind-body practices. Practices such as yoga, meditation and tai chi have been shown to reduce stress, as well as improve blood pressure and quality of life. While they need more study, these practices may be helpful if you're living with HIV / AIDS.

Is HIV a life threatening illness?

Receiving a diagnosis of any life-threatening illness is devastating. The emotional, social and financial consequences of HIV / AIDS can make coping with this illness especially difficult — not only for you but also for those closest to you.

What is HIV RNA?

Viral load (HIV RNA). This test measures the amount of virus in your blood. After starting HIV treatment the goal is to have an undetectable viral load. This significantly reduces your chances of opportunistic infection and other HIV -related complications.

How to diagnose HIV?

Diagnosis. HIV can be diagnosed through blood or saliva testing. Available tests include: Antigen/antibody tests. These tests usually involve drawing blood from a vein. Antigens are substances on the HIV virus itself and are usually detectable — a positive test — in the blood within a few weeks after exposure to HIV.

What is the treatment for HIV?

HIV treatment involves taking medicines that slow the progression of the virus in your body. HIV is a type of virus called a retrovirus, and the combination of drugs used to treat it is called antiretroviral therapy (ART). ART is recommended for all people living with HIV, regardless of how long they’ve had the virus or how healthy they are.

How successful is HIV treatment?

HIV treatment is most likely to be successful when you know what to expect and are committed to taking your medicines exactly as prescribed. Working with your health care provider to develop a treatment plan will help you learn more about HIV and manage it effectively.

How long do HIV side effects last?

Some side effects can occur once you start a medicine and may only last a few days or weeks.

What happens if your CD4 is low?

If your CD4 cell count falls below a certain level, you are at risk of getting an opportunistic infection. These are infections that don’t normally affect people with healthy immune systems but that can infect people with immune systems weakened by HIV infection.

How soon can you start ART for HIV?

Treatment guidelines from the U.S. Department of Health and Human Services recommend that a person living with HIV begin ART as soon as possible after diagnosis. Starting ART slows the progression of HIV and can keep you healthy for many years.

Can HIV cause drug resistance?

Drug resistance can be a cause of treatment failure for people living with HIV. As HIV multiplies in the body, it sometimes mutates (changes form) and produces variations of itself. Variations of HIV that develop while a person is taking ART can lead to drug-resistant strains of HIV. With drug resistance, HIV medicines that previously controlled ...

What is drug resistance testing?

Drug-resistance testing identifies which, if any, HIV medicines won’t be effective against your specific strain of HIV. Drug-resistance testing results help determine which HIV medicines to include in an HIV treatment regimen. Taking HIV medication every day, exactly as prescribed helps prevent drug resistance.

What are the prevention strategies for HIV?

These prevention strategies could include condoms and pre-exposure prophylaxis (PrEP) for HIV-negative partners.

What is ART treatment?

HIV Treatment and Care. Antiretroviral therapy (ART) reduces HIV-related morbidity and mortality at all stages of HIV infection and reduces HIV transmission. 1-8 When taken consistently as prescribed, ART can suppress viral load, maintain high CD4 cell counts, prevent AIDS, prolong survival, and reduce risk of transmitting HIV to others, ...

What is the role of health care providers in a patient's initiation of ART?

Health care providers play a crucial role in helping patients initiate ART, including describing the benefits of early initiation of ART, offering and prescribing ART, helping to manage long-term ART use, and providing information on other interventions that can reduce HIV transmission risk.

What are the barriers to taking ART?

Regimen-related barriers, including fear of treatment, fear of treatment-related side effects, and confusion about doses. Offer ART regimens that are highly effective and simple to take (e.g., once daily single-tablet dosing, few if any dietary restrictions).

What is a patient navigator?

A designated staff person , often referred to as a patient navigator, to focus on retention, adherence, and re-engagement efforts. The patient navigator can help with appointments, referrals, system navigation, service coordination, and transportation. 21.

Is ART good for HIV?

There are many benefits to ART, including improved health and reduced risk of HIV transmission – but adherence is key! The success of ART is contingent on adherence to achieve and maintain viral suppression. Data show, however, that not all HIV-positive individuals on ART are virally suppressed, while even fewer maintain viral suppression over time.

What is HIV care?

HIV care and treatment involves taking antiretroviral therapy (ART) and having regular check-ups with your healthcare provider who will monitor your health status on an ongoing basis . These things are important because with the proper care and treatment, you can reduce your viral load, protect your health, enjoy a long and healthy life, ...

What is a PAP program?

Patient Assistance Programs (PAPs) are programs administered by pharmaceutical companies to offer free or reduced-cost antiretroviral (ARV) medicines to low-income people living with HIV who are uninsured or underinsured, and who do not qualify for assistance programs such as Medicaid, Medicare, or AIDS Drug Assistance Programs. Each pharmaceutical company has different eligibility criteria for qualifying for their PAP.

How to find a health center near you?

You can find a health center near you by going to the HIV Testing and Care Services Locator. Medicare —Medicare is health insurance for people age 65 or older, people under 65 with certain disabilities, and people of all ages with End-Stage Renal Disease.

What is the VA?

Veterans Programs —The Veterans Administration (VA) is the largest single provider of medical care to people living with HIV in the U.S., supporting over 24,000 Veterans living with HIV. If you are eligible, you may be able to receive HIV care through the Veterans Health Administration.

How to get information on Medicare?

To get information and learn how to enroll in coverage, visit Medicare.gov or Medicare.gov en Español or call 1-800-MEDICARE (1-800-633-4227). Federal Programs for Women and Children —There are several Federal programs to help low-income women and children access health care.

What is the federal government's Medicaid program?

Here are Federal resources that are available: Medicaid —A state and Federal partnership, Medicaid provides coverage for people with lower incomes, older people, people with disabilities, and some families and children. It is a critical source of coverage for many people living with HIV/AIDS.

How long can you keep your health insurance after you leave a job?

When you leave a job, you may be able to keep your job-based health insurance for a period, usually up to 18 months. This is called COBRA continuation coverage. With COBRA coverage, you usually have to pay the entire monthly premium yourself, plus a small administrative fee.

What drug stopped HIV from multiplying?

Also called azidothymidine (AZT), the medication became available in 1987.

How many HIV medications are there?

Today, more than 30 HIV medications are available. Many people are able to control their HIV with just one pill a day. Early treatment with antiretrovirals can prevent HIV-positive people from getting AIDS and the diseases it causes, like cancer.

When was saquinavir approved?

In 1995 , the FDA approved saquinavir, the first in a different anti-HIV (antiretroviral) drug class called protease inhibitors. Like NRTIs, protease inhibitors stop the virus from copying itself, but at a different stage during the infection.

Who should take PrEP?

The United States Preventive Services Task Force now recommends that anyone who’s at risk for HIV infection take PrEP. That includes men who have sex with men, straight people who have unprotected risky sex, and those who inject drugs. HIV Treatment Today. New HIV drug classes have come out in recent years.

How much is AZT?

AZT also at the time was the most expensive prescription drug in history, with a one-year price tag of $16,500 in today’s dollars. Over the next several years, the FDA approved several other drugs that worked similarly to AZT. They belonged to a drug class called nucleoside reverse transcriptase inhibitors (NRTIs).

Is HIV hard to kill?

HIV turned out to be hard to kill. For one thing, it attacks immune cells called T helper cells that normally protect against invaders like HIV. If enough T cells get destroyed, it leaves your body defenseless against the virus and other “opportunistic” infections.

How to prevent HIV infection?

People who are HIV-negative can prevent getting HIV by using PrEP (pre-exposure prophylaxis). Post-exposure prophylaxis (PEP) is a way to prevent HIV infection after a recent possible exposure to the virus. There are other ways to prevent getting or transmitting HIV through injection drug use and sexual activity. Topics.

How does HIV get into the bloodstream?

For transmission to occur, the HIV in these fluids must get into the bloodstream of an HIV-negative person through a mucous membrane (found in the rectum, vagina, mouth, or tip of the penis); open cuts or sores; or by direct injection . People with HIV who take HIV medicine daily as prescribed and get and keep an undetectable viral load ...

What is viral load?

Viral load is the amount of HIV in the blood of someone who has HIV. Taking HIV medicine (called antiretroviral therapy or ART) daily as prescribed can make the viral load very low—so low that a test can’t detect it (this is called an undetectable viral load).

What happens if you don't get HIV?

If you have HIV and you are not on HIV treatment, eventually your body’s immune system will weaken and you will progress to AIDS. People with AIDS have such badly damaged immune systems that they get a number of severe illnesses, called opportunistic infections.

Can HIV be transmitted from mother to child?

However, the use of HIV medicines and other strategies have helped lower the risk of mother-to-child transmission of HIV to 1% or less in the United States. Getting stuck with an HIV-contaminated needle or other sharp object.

Can HIV be transmitted through oral sex?

The risk is very low. HIV is spread only in extremely rare cases by: Having oral sex. But in general, the chance that an HIV-negative person will get HIV from oral sex with an HIV-positive partner is extremely low. Receiving blood transfusions, blood products, or organ/tissue transplants that are contaminated with HIV.

Can HIV be spread through saliva?

HIV is not spread through saliva. Eating food that has been pre-chewed by a person with HIV.

What are the benefits of HIV?

If you purchase a plan through a government marketplace under the Affordable Care Act (ACA), it covers many benefits that people with HIV need, including: 1 Outpatient care 2 Emergency services 3 Overnight stays at the hospital 4 Mental health services like counseling or talk therapy 5 Prescription drugs 6 Rehabilitation 7 Lab tests 8 Preventive care

How much does HIV cost?

One study estimated that costs of this care could run anywhere between $1,800 to $4,500 each month during a person’s lifetime. Most of this, about 60%, comes from the high cost of ART medications.

What is Ryan White?

The Ryan White HIV/AIDS Program is a federal government program for people with HIV or AIDS who have trouble paying for care. The program fills gaps in care that aren’t covered by private health insurance or other federal funding.

How much does ibalizumab cost?

The drug ibalizumab-uiyk (Trogarzo), for example, which you take through a shot instead of in a pill, can cost about $9,000 a month. If you’re getting treatment for both HIV and another condition, this will also make your costs go up.

Can HIV drugs be generic?

But not all drugs have a generic available, especially if they are newer. Still, it’s always worth asking your doctor or pharmacist if there’s a less expensive version of your medication. Sometimes HIV can become resistant to more common drugs, so they don’t work as well in controlling your condition.

How much does tenofovir cost?

For example, while the drug tenofovir disoproxil fumarate ( Viread) costs about $1,400 per month, the generic version may cost anywhere between $110 and $1,200. But not all drugs have a generic available, especially if they are newer.

Do drug manufacturers offer patient assistance?

Many drug manufacturers also offer patient assistance programs for people who are eligible. Some pharmacies offer discounts on certain drugs, perhaps by negotiating discount prices by buying medications in bulk. Other organizations, such as the Department of Veterans Affairs, have drug assistance programs of their own.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
There is no cure for HIV / AIDS. Treatment can block the replication of virus in the body and slow down the disease progression.
Medication

Non-nucleoside reverse transcriptase inhibitors (NNRTIs): Disable a protein needed by HIV to make copies of itself.

Efavirenz . Etravirine . Nevirapine


Nucleoside or nucleotide reverse transcriptase inhibitors (NRTIs): Stops spreading of infection.

Abacavir . Tenofovir . Lamivudine/Zidovudine


Protease inhibitors (PIs): Blocks the action of an enzyme called protease, which is important for HIV replication

Atazanavir . Darunavir . Fosamprenavir . Indinavir


Entry or fusion inhibitors: These drugs block HIV's entry into CD4 cells.

Enfuvirtide . Maraviroc


Integrase inhibitors: These drugs work by disabling integrase, a protein that HIV uses to insert its genetic material into CD4 cells.

Raltegravir . Elvitegravir . Dolutegravir

Nutrition

Foods to eat are:

  • Eat plenty of fruits and vegetables:
  • Lean protein food: Lean beef, poultry, fish, eggs, beans, and nuts
  • Whole grains: carbohydrates give your body energy
  • Vitamin A & carotenes: Liver, whole eggs; milk; dark green, yellow, orange, and red vegetables and fruit -such as spinach, pumpkin, green peppers, squash, carrots, papaya, and mangoes
  • Vitamin B: White beans, potatoes, meat, fish, chicken, watermelon, grains, nuts, avocados, broccoli, and green leafy vegetables
  • Vitamin C: Citrus fruits - such as oranges, grapefruit, and lemons, tomatoes, and potatoes.
  • Iron rich foods sucha as green leafy vegetables, whole grain breads and pastas, dried fruit, beans, red meat, chicken, Liver, fish, and eggs

Alternative Medicine

  • HIVcan be diagnosed through blood or saliva testing. Available tests include: 1. Antigen/antibody tests. These tests usually involve drawing blood from a vein. Antigens are substances on the HIV virus itself and are usually detectable — a positive test — in the blood within a few weeks after exposure to HIV.Antibodies are produced by your immune system when it's exposed to HIV…
See more on mayoclinic.org

Coping and Support

  • Currently, there's no cure for HIV/AIDS. Once you have the infection, your body can't get rid of it. However, there are many medications that can control HIV and prevent complications. These medications are called antiretroviral therapy (ART). Everyone diagnosed with HIV should be started on ART, regardless of their stage of infection or complications. ART is usually a combina…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Art Initiation

  • Along with receiving medical treatment, it's essential to take an active role in your own care. The following suggestions may help you stay healthy longer: 1. Eat healthy foods.Make sure you get enough nourishment. Fresh fruits and vegetables, whole grains, and lean protein help keep you strong, give you more energy and support your immune system. 2. Avoid raw meat, eggs and mo…
See more on mayoclinic.org

Art Adherence and Viral Suppression

  • People who are infected with HIV sometimes try dietary supplements that claim to boost the immune system or counteract side effects of anti-HIVdrugs. However, there is no scientific evidence that any nutritional supplement improves immunity, and many may interfere with other medications you're taking. Always check with your doctor before taking any supplements or alter…
See more on mayoclinic.org

Viral Load Monitoring

  • Receiving a diagnosis of any life-threatening illness is devastating. The emotional, social and financial consequences of HIV/AIDScan make coping with this illness especially difficult — not only for you but also for those closest to you. But today, there are many services and resources available to people with HIV. Most HIV/AIDSclinics have social workers, counselors or nurses wh…
See more on mayoclinic.org

Regular, Ongoing Care

  • If you think you might have HIV infection, you're likely to start by seeing your family doctor. You may be referred to an infectious disease specialist — who additionally specializes in treating HIV/AIDS.
See more on mayoclinic.org

Coinfections

  • Health care providers play a crucial role in helping patients initiate ART, including describing the benefits of early initiation of ART, offering and prescribing ART, helping to manage long-term ART use, and providing information on other interventions that can reduce HIV transmission risk. By engaging patients in brief conversations at every office visit, providers can emphasize the benefi…
See more on cdc.gov

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