Treatment FAQ

what is hiv treatment

by Shea Eichmann Published 2 years ago Updated 2 years ago
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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. But with proper medical care, you can control HIV.

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.

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

How is HIV treatment taken?

HIV is treated with antiretroviral medicines, which work by stopping the virus replicating in the body. This allows the immune system to repair itself and prevent further damage. A combination of HIV drugs is used because HIV can quickly adapt and become resistant.

What is HIV 1 and treatment?

HIV-1 treatment involves the daily use of antiretroviral drugs. These drugs work to prevent the virus from infecting new cells and making more of itself. When this happens, a person's viral load can be greatly reduced. There are several types of antiretroviral drugs.Mar 24, 2021

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 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.

Why do you prescribe HIV?

Your health care provider may prescribe medicines to prevent certain infections. HIV treatment is most likely to be successful when you know what to expect and are committed to taking your medicines exactly as prescribed.

What is drug resistance in HIV?

What Is HIV 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.

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.

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.

Is HIV treatment a prevention?

There is also a major prevention benefit. People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners. This is called treatment as prevention.

Can HIV be drug resistant?

A person can initially be infected with drug-resistant HIV or develop drug-resistant HIV after starting HIV medicines. Drug-resistant HIV also can spread from person to person. Drug-resistance testing identifies which, if any, HIV medicines won’t be effective against your specific strain of HIV.

What test can help determine if you have HIV?

If you receive a diagnosis of HIV / AIDS, several tests can help your doctor determine the stage of your disease and the best treatment, including: 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 ...

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 long does it take to get tested for HIV?

Most rapid HIV tests, including self-tests done at home, are antibody tests. Antibody tests can take three to 12 weeks after you're exposed to become positive. Nucleic acid tests (NATs). These tests look for the actual virus in your blood (viral load). They also involve blood drawn from a vein.

What are some examples of anti-HIV drugs?

Examples include efavirenz (Sustiva), rilpivirine (Edurant) and doravirine (Pifeltro).

What is the treatment for HIV?

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.

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 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.

How to treat 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. Taking these medicines can reduce the amount of virus in your body and help you stay healthy.

Why is HIV treatment important?

Treatment is especially important for pregnant women, people who have other infections (such as tuberculosis or hepatitis), and people who have symptoms of AIDS. Research suggests that treatment of early HIV with antiretroviral medicines has long-term benefits, such as a stronger immune system.

What happens if you get HIV late?

If HIV progresses to a late stage, treatment will be started or continued to keep your immune system as healthy as possible. If you get any diseases that point to AIDS, such as Pneumocystis pneumonia or Kaposi's sarcoma, your doctor will treat them.

Why is it important to take a medicine after HIV treatment?

Taking these medicines can reduce the amount of virus in your body and help you stay healthy. After you start treatment, it's important to take your medicines exactly as your doctor tells you. When treatment doesn't work, it is often because HIV has become resistant to the medicine.

How to keep your immune system strong?

Keep your immune system strong by eating right, quitting smoking, and learning how to avoid infection. Monitor your CD4+ (white blood cells) counts to check the effect of the virus on your immune system. See a counselor to help you handle the strong emotions and stress that can follow an HIV diagnosis.

Why do people get medicine for HIV?

Health care workers who are at risk for HIV because of an accidental stick with a needle or other exposure to body fluids should get medicine to prevent infection. Also, medicine may prevent HIV infection in a person who has been raped or was accidentally exposed to the body fluids of a person who may have HIV.

How to get rid of a foodborne infection?

Use condoms whenever you have sex. Learn how to handle food safely so you don't get a food-borne infection. Eat a healthy diet, get regular exercise, don't smoke, and don't use illegal drugs.

Why is it important to take HIV medication?

Taking HIV Medication to Stay Healthy and Prevent Transmission. If you have HIV, it is important to start treatment with HIV medication (called antiretroviral therapy or ART) as soon as possible after your diagnosis. If taken every day, exactly as prescribed, HIV medication can reduce the amount of HIV in your blood (also called the viral load) ...

How long does it take for HIV to be undetectable?

Almost everyone who takes HIV medication daily as prescribed can achieve an undetectable viral load, usually within 6 months after starting treatment. There are important health benefits to getting the viral load as low as possible. People living with HIV who know their status, take HIV medication daily as prescribed, ...

Why is it called viral suppression?

It is called viral suppression because HIV medication prevents the virus from growing in your body and keeps the virus very low or “suppressed.”. Viral suppression helps keep you healthy and prevents illness.

What is it called when your viral load is low?

If your viral load is so low that it doesn’t show up in a standard lab test, this is called having an undetectable viral load . People living with HIV can get and keep an undetectable viral load by taking HIV medication every day, exactly as prescribed.

Can HIV go back up?

So, you need to keep taking your HIV medication daily as prescribed. When your viral load stays undetectable, you have effectively no risk of transmitting HIV to an HIV-negative partner through sex. If you stop taking HIV medication, your viral load will quickly go back up.

Can HIV be transmitted to HIV-negative people?

People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners.

Does TasP work for HIV?

People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners. TasP works when a person living with HIV takes HIV medication exactly as prescribed and has regular follow-up care, ...

What Is Antiretroviral Therapy?

Antiretroviral therapy (ART) involves using two or more antiretroviral drugs to suppress the virus to undetectable levels in the blood. This treatment can slow the progression of the disease to a point at which you can live a long, healthy life. 4

How It Works

Antiretroviral drugs do not kill HIV. Rather, they prevent the virus from making copies of itself by blocking stages in the virus's life cycle (also known as the replication cycle ). Antiretrovirals are so named because HIV is a type of virus known as a retrovirus. 4

Side Effects

While all drugs can cause side effects, current antiretrovirals tend to cause far fewer side effects than drugs of the past. Even so, side effects can occur and, in rare cases, be severe.

Tests

Once you have been diagnosed with HIV, your doctor will advise to you start treatment immediately to bring the virus under control. You will not only be counseled on how to take your drugs correctly (including dietary restrictions) but also advised on ways to maintain optimal adherence .

Other Treatments

There are no other medications other than antiretrovirals that can control HIV.

Talk to Your Doctor

The choice of ART relies heavily on the results of a genetic resistance test that helps determine which antiretrovirals work best based on your virus's genetic profile. But it is not the sole factor involved in the selection of ART. 17

Summary

Antiretroviral therapy is used to control HIV. It relies on drugs that inhibit points of the viral replication cycle so the virus cannot make copies of itself and infect immune system cells. Antiretroviral drugs are usually given daily in the form of a pill, which may contain a combination of drugs. These medications may have side effects.

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.

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 be treated?

People with HIV can live longer, healthier lives than ever before thanks to HIV medicines and other therapies. These include once-a-day pills that treat the infection. But HIV treatments can be expensive. HIV care involves a type of medication called antiretroviral therapy (ART) and regular visits with your doctor.

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.

Can lab tests raise costs?

Lab tests can also raise costs, and some studies have shown that nearly half of lab tests that doctors order for people with HIV weren’t necessary. Talk to your doctor to make sure you understand why you are getting each type of test. Private Insurance.

What is Ryan White HIV?

The Ryan White HIV/AIDS Program is a federally funded program that provides services and support for those living with HIV. Its AIDS Drug Assistance Program provides medications to those with limited or no health coverage.

What is Medicaid insurance?

Medicaid is a state and federal partnership that provides insurance coverage to low-income individuals, seniors, those with disabilities, and others who qualify. While coverage varies from state to state, Medicaid is an important source of coverage for many individuals living with HIV.

What is a PAP program?

Prescription assistance programs . A variety of prescription assistance programs (PAPs) are available to people taking HIV medications. These programs provide discounts or funds to help cover the cost of HIV treatment. Each PAP maintains its own requirements for participants, such as proof of need for the medication.

Can HIV be treated without financial assistance?

And learning the costs of HIV treatment without financial assistance can be disheartening, especially for those who are newly diagnosed. However, services are available to help people obtain medications, and many of them will cover a large portion of the cost. With a little work, people with HIV can typically obtain the treatment they need.

Can HIV save money?

A person living with HIV may be able to save a significant amount of money if they understand a few things about cost. These things include how HIV drugs are covered by insurance and the resources that are available to help manage the often high costs associated with lifelong therapies.

Is HIV a generic drug?

Generic drugs. Many HIV medications are new. That means pharmaceutical companies still maintain the rights to the medication’s patent, and as a result, a generic option isn’t available. Generic medications are often less expensive than brand-name drugs.

Is cost a factor in HIV treatment?

Going beyond cost. It’s important to remember that cost shouldn’t be the only factor considered when a person pursues medication treatment for HIV. The most important thing is their health. That said, the reality is that cost is a significant issue.

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Diagnosis

Treatment

  • 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 complicati...
See more on mayoclinic.org

Clinical Trials

  • 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

Lifestyle and Home Remedies

  • 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

Alternative Medicine

  • 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

Coping and Support

  • 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

Preparing For Your Appointment

  • 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

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