Treatment FAQ

treatment for patients who achieved undectable viral load

by Prof. Heber Kuvalis DDS Published 3 years ago Updated 2 years ago
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Almost half of all patients achieved an undetectable viral load after 24 weeks of treatment with ibalizumab plus an optimized background regimen, with virological suppression maintained over the longer term (up to 96 weeks) in an expanded access protocol. The drug was generally well tolerated in clinical trials.

Taking antiretroviral therapy daily as prescribed to suppress HIV levels leads to an “undetectable” status. A person is considered to have a “durably undetectable” viral load if their viral load remains undetectable for at least six months after their first undetectable test result.Jun 12, 2020

Full Answer

What is the best way to achieve an undetectable viral load?

Recommended Follow‐up and Counseling for Patients Who Achieved Undetectable Viral Load > 12 Weeks Post‐treatment No Cirrhosis (Stages F0‐F2) Follow‐Up: 1. Follow‐up is the same for patients who never had Hepatitis C. 2.

Can HIV transmission be prevented if the viral load is undetectable?

Most people will achieve an undetectable viral load within 6 months of starting ART. Many will become undetectable very quickly, but it could take more time for a small portion of people just starting ART. Adherence to daily treatment: Taking HIV medicine as prescribed is the best way to achieve and maintain an undetectable viral load.

Can you test positive if your viral load is undetectable?

Antiretroviral therapy keeps HIV from making copies of itself. When a person living with HIV begins an antiretroviral treatment regimen, their viral load drops. For almost everyone who starts taking their HIV medication daily as prescribed, viral load will drop to an undetectable level in six months or less.

What is a suppressed viral load for HIV?

BHIVA says consistent use of HIV treatment to maintain an undetectable viral load is a highly effective way to prevent the sexual transmission of HIV. BHIVA says healthcare professionals should share this information with all people living with HIV.

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What is undetectable viral load on treatment?

An undetectable viral load is where antiretroviral treatment (ART) has reduced your HIV to such small quantities that it can no longer be detected by standard blood tests. People living with HIV who have an undetectable viral load cannot pass HIV on through sex. Being undetectable does not mean your HIV is cured.Oct 16, 2020

Can you have undetectable viral load without treatment?

It is very unusual to have an undetectable viral load without treatment, but a very small proportion of HIV positive people, known as elite controllers, have undetectable viral loads less than 50 copies/mL for years without treatment. This is very rare and only about 1-in-300 HIV positive people are elite controllers.Jan 10, 2022

How long can I live with undetectable viral load?

For people who had a CD4 count between 200 and 350 and an undetectable viral load one year after starting treatment, life expectancy was similar to that of people in the general population. Among men, a 35 year old and a 50 year old could expect to live to 78 and 81 years respectively.Nov 9, 2021

How do you manage viral load?

These steps may include:Taking antiretroviral medication regularly and as directed. When taken properly, antiretroviral medication reduces viral load, thus decreasing the risk of transmitting HIV to others. ... Getting tested for STIs. ... Using condoms during sex. ... Considering PrEP. ... Considering PEP. ... Getting tested regularly.

What is the difference between hiv1 and hiv2?

Abstract. 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

What is the name of the new ARV pill?

Early results from people taking a new antiretroviral medication called lenacapavir are promising. The long-acting drug is still at the research stage, but if the developers are able to pair it effectively with other drugs that also only needs to be taken twice a year, it could revolutionise HIV treatment.Jul 26, 2021

Can I breastfeed if my viral load is undetectable?

BHIVA guidelines recommend that HIV-positive mothers should formula feed their infants. However, they also note that women with an undetectable viral load and good adherence who opt to breastfeed should be clinically supported to do so.Apr 26, 2019

What happens when you stop taking ARVs and start again?

ARVs are a lifelong commitment. If you stop taking them, you are likely to get sicker than before. During the period that you stop taking your medication, you give HIV a chance to become resistant to the ARV drug combination you are taking and that regimen may not work for you again.Jun 7, 2012

What foods reduce viral load?

Eating a diet high in vegetables, fruits, whole grains, and legumes. Choosing lean, low-fat sources of protein. Limiting sweets, soft drinks, and foods with added sugar. Including proteins, carbohydrates, and a little good fat in all meals and snacks.May 18, 2021

What CD4 count is undetectable?

An undetectable viral load will be under 40 to 75 copies in a blood sample. This means there are relatively few copies of HIV in the blood.Oct 5, 2021

How long does it take for ARVs to reduce viral load?

When a person living with HIV begins an antiretroviral treatment regimen, their viral load drops. For almost everyone who starts taking their HIV medication daily as prescribed, viral load will drop to an undetectable level in six months or less.Jun 12, 2020

What is the difference between CD4 count and viral load?

A CD4 count tells you how many CD4 cells there are in a drop of blood. The more there are, the better. Viral load measures how much HIV there is in a drop of blood.Sep 22, 2020

What is PREP in HIV?

Research shows that adhering to treatment often can improve with support from loving relationships and from the community. Pre-exposure prophylaxis (PrEP), in which an HIV-negative person takes antiretroviral medication to prevent infection, can be part of the conversation. Learn more about PrEP.

How does antiretroviral treatment help HIV?

Taking antiretroviral treatment daily as directed to achieve and maintain durably undetectable status stops HIV infection from progressing, helping people living with HIV stay healthy and live longer, while offering the benefit of preventing sexual transmission.

How long does it take for HIV to transmit?

There is effectively no risk of sexual transmission of HIV when the partner living with HIV has achieved an undetectable viral load and then maintained it for at least six months. Most people living with HIV who start taking antiretroviral therapy daily as prescribed achieve an undetectable viral load within one to six months after beginning treatment.

How long does it take for HIV to be undetectable?

A person is considered to have a “durably undetectable” viral load if their viral load remains undetectable for at least six months after their first undetectable test result.

Why is staying on treatment important?

Staying on treatment is crucial to keep the virus suppressed. NIAID-supported research has demonstrated that achieving and maintaining a “durably undetectable” viral load (the amount of HIV in the blood) not only preserves the health of the person living with HIV, but also prevents sexual transmission of the virus to an HIV-negative partner.

Does HIV prevent STIs?

Neither HIV treatment nor PrEP prevents other sexually transmitted infections, or STIs. Ways to reduce the risk of STIs include having both partners tested, limiting the number of sexual partners and using condoms. Vaccines are available to prevent some STIs, including hepatitis B and human papillomavirus (HPV).

Can antiretroviral drugs reduce HIV?

Development of antiretroviral drugs to treat HIV has turned what was once an almost always fatal infection into a manageable chronic condition. Daily antiretroviral therapy can reduce the amount of HIV in the blood to levels that are undetectable with standard tests.

When did the first study show that people with low viral loads are not infectious?

The first large study indicating that people with low viral loads are not infectious came from a study of 415 heterosexual couples in the year 2000. This found that no HIV-positive partner with a viral load below 1500 copies/ml transmitted HIV.

How long does it take for a viral load to fall?

After starting HIV treatment, viral load usually falls rapidly. Within three to six months, most people’s viral load has become undetectable. Most clinics in the UK report a viral load as undetectable if it is below 20-50 copies/ml.

What is the British HIV Association?

The 'Undetectable equals Untransmittable' (U=U) campaign is supported by the British HIV Association (BHIVA), which is the professional association for doctors and other healthcare professionals working in HIV in the UK. BHIVA says consistent use of HIV treatment to maintain an undetectable viral load is ...

What happens if you stop taking HIV treatment?

If you stopped taking treatment, your viral load would increase and once again be detectable. The latest news and research on undetectable viral load & treatment as prevention. Having an undetectable viral load does mean that there is not enough HIV in your body fluids to pass HIV on during sex.

What is the meaning of "undetectable equals untransmittable"?

This is what is meant by the slogan 'Undetectable equals Untransmittable' ('U=U'). The amount of HIV in your body fluids is called your viral load. Effective HIV treatment (antiretroviral therapy) suppresses the amount of HIV in your body fluids to the point where standard tests are unable to detect any HIV, or can only find a tiny trace.

How many copies of HIV are there in a millilitre?

Viral load at different stages. During the first few weeks after someone gets HIV, viral load is usually very high – typically several million ‘viral copies per millilitre of blood’ (copies/ml). There is a considerable risk of passing on HIV at this point.

How much did HIV treatment reduce the risk of passing on HIV to a heterosexual partner?

In 2011, a large scientific trial called HPTN 052 concluded that HIV treatment reduced the risk of passing on HIV to a regular heterosexual partner by 96%. The only reason it was not 100% is that one person in the trial did acquire HIV, but this happened within a few days of their partner starting treatment.

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