Treatment FAQ

what is the hiv treatment

by Prof. Easter Schoen Published 3 years ago Updated 2 years ago
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The treatment for HIV is called antiretroviral therapy (ART). ART involves taking a combination of HIV medicines (called an HIV treatment regimen) every day. ART is recommended for everyone who has HIV. ART cannot cure HIV, but HIV medicines help people with HIV live longer, healthier lives.Aug 16, 2021

What is the best treatment for HIV?

HIV Treatment
  • HIV medicine is called antiretroviral therapy (ART).
  • There is no effective cure for HIV. But with proper medical care, you can control HIV.
  • Most people can get the virus under control within six months.
  • Taking HIV medicine does not prevent transmission of other sexually transmitted diseases.

What are the types of treatment for HIV?

The seven HIV drug classes are:
  • Non-nucleoside reverse transcriptase inhibitors (NNRTIs)
  • Nucleoside reverse transcriptase inhibitors (NRTIs)
  • Protease inhibitors (PIs)
  • Fusion inhibitors.
  • CCR5 antagonists.
  • Integrase strand transfer inhibitors (INSTIs)
  • Post-attachment inhibitors.
Aug 16, 2021

How is HIV treatment taken?

People on ART take a combination of HIV medicines called an HIV treatment regimen. A person's initial treatment regimen generally includes three HIV medicines from at least two different drug classes that must be taken every day. Many people with HIV take two or more different HIV medicines combined in one pill.Apr 15, 2022

What are 2 treatments for HIV?

All FDA-approved INSTIs—RAL, elvitegravir (EVG), dolutegravir (DTG), and bictegravir—have potent activity against HIV-2 in vitro. INSTI-based regimens have shown favorable treatment responses in observational studies.Dec 18, 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

What Colour are ARVs?

ARVs included green oval tablets (Trizivir), yellow capsules (efavirenz) and round orange-and-white tablets (Lamivir).

What is the difference between hiv1 and hiv2?

HIV-1 is the most common type of HIV and accounts for 95% of all infections, whereas HIV-2 is relatively uncommon and less infectious. HIV-2 is mainly concentrated in West Africa and the surrounding countries. HIV-2 is less fatal and progresses more slowly than HIV-1.Aug 7, 2020

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.

What happens if you delay treatment for a virus?

If you delay treatment, the virus will continue to harm your immune system and put you at higher risk for developing opportunistic infections that can be life threatening.

Why do people stay on HIV medication?

Getting and staying on HIV treatment because it reduces the amount of HIV in your blood (also called the viral load) to a very low level. This keeps you healthy and prevents illness. 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.

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.

What is the treatment for HIV called?

The treatment for HIV is called antiretroviral therapy (ART). ART involves taking a combination of HIV medicines (called an HIV treatment regimen) every day. ART is recommended for everyone who has HIV. People with HIV should start taking HIV medicines as soon as possible.

How does HIV treatment affect the body?

By reducing the amount of HIV in the body, HIV medicines also reduce the risk of HIV transmission. 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.

Why is it important to have less HIV?

Having less HIV in the body gives the immune system a chance to recover and produce more CD4 cells.

How many classes of HIV are there?

There are many HIV medicines available for HIV regimens. The HIV medicines are grouped into seven drug classes according to how they fight HIV. The choice of an HIV regimen depends on a person's individual needs.

How long after HIV infection can you start taking a drug?

(Early HIV infection is the period up to 6 months after infection with HIV.)

Can HIV be treated with ART?

People with HIV should start taking HIV medicines as soon as possible. ART can’t cure HIV, but HIV medicines help people with HIV live longer, healthier lives. ART also reduces the risk of HIV transmission. A main goal of HIV treatment is to reduce a person’s viral load to an undetectable level.

Can HIV medications interact with other HIV medications?

HIV medicines can interact with other HIV medicines in an HIV regimen or with other medicines a person is taking . Health care providers carefully consider potential drug interactions before recommending an HIV regimen.

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.

What are the services that are available to people with HIV?

Services they may provide: Arrange transportation to and from doctor appointments.

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 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.

Does HIV go away?

Treatment should lower your viral load so that it's undetectable in the blood. That doesn't mean your HIV is gone. Even if it can't be found in the blood, HIV is still present in other places in your body, such as in lymph nodes and internal organs.

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.

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.

What is the purpose of CD4+?

Monitor your CD4+ (white blood cells) counts to check the effect of the virus on your immune system.

Why should health care workers 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.

How to protect your partner from HIV?

Protect your partner with HIV from other infections by staying away from him or her when you are sick.

What are the two visions of a potential HIV cure?

There are two different visions of a potential HIV cure: treatment-free remission and viral eradication.

What drugs can kill HIV?

Other types of drugs that may be able to seek out and kill HIV include histone deacetylase (HDAC) inhibitors, protein kinase activators, latency securing agents, and immunotoxins. These drugs may be used in combination.

How many people with HIV are female?

Another challenge is that males are the subjects of most HIV clinical trials, but about half of people with the virus are female. We need more studies to look at whether treatments will work on women and girls.

How to control HIV without ART?

Many therapies are being studied as a way to control HIV without the need for daily ART. These include antibody therapies and therapeutic vaccines. They don’t prevent infection, but stimulate your own immune system to fight it.

What would be the first part of HIV?

The first part would involve drugs that make the cells in the HIV reservoir multiply and express proteins that are a like a signal to your immune system. The second part would include drugs that detect those protein signals, then seek out and kill the virus.

What is the new technique that can be used to insert HIV-protective mutations into your genes?

Researchers are also testing a new technique called gene editing that may be able to insert the HIV-protective mutation into your genes.

Can HIV be treated with ART?

Millions of people who have HIV can’t afford ART, so other treatments are needed. This idea of an HIV cure is also called a functional cure. Treatment-free remission means that you’d: Live a healthy life that’s of normal length. Not have to take ART or any other HIV-related drugs to keep the virus under control.

Who can help you with HIV/AIDS?

Contact a local HIV/AIDS service organization who can help you figure out what programs or services you’re eligible for. The Health Resources and Services Administration, part of the U.S. Department of Health and Human Services, also has phone numbers for state HIV/AIDS services on its website.

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.

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 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.

Does the Affordable Care Act cover HIV?

Wherever you get your insurance, the Affordable Care Act guarantees that you won’t be denied coverage because you have HIV and that there won’t be lifetime limits on your benefits. You can visit HealthCare.gov to explore your options.

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.

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.

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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…
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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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