Treatment FAQ

when to begu g treatment for hiv

by Jaquelin Berge Published 2 years ago Updated 2 years ago
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Treatment with HIV medicines (called antiretroviral therapy or ART) is recommended for everyone with HIV. 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.

Full Answer

When should you develop a treatment plan for HIV?

Working with your health care provider to develop a treatment plan will help you learn more about HIV and manage it effectively. When Should You Start HIV Treatment? 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.

What are the treatment recommendations for HIV infection?

The following recommendations apply to managing persons with diagnosed HIV infection: Link persons with HIV infection to care and start them on ART as soon as possible. Report cases (in accordance with local requirements) to public health and initiate partner services. Provide prevention counseling to persons with diagnosed HIV infection.

When is it time to start taking HIV medicines?

When is it time to start taking HIV medicines? Treatment with HIV medicines (called antiretroviral therapy or ART) is recommended for everyone with HIV. People with HIV should start taking HIV medicines as soon as possible after their HIV is diagnosed. A main goal of HIV treatment is to reduce a person’s viral load to an undetectable level.

How long does it take to cure HIV?

1 HIV medicine is called antiretroviral therapy (ART). 2 There is no effective cure for HIV. But with proper medical care, you can control HIV. 3 Most people can get the virus under control within six months. 4 Taking HIV medicine does not prevent transmission of other sexually transmitted diseases.

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When should you start treatment for HIV?

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.

At what stage can HIV be treated?

Start HIV treatment as soon as possible after diagnosis. All people with HIV should take HIV treatment, no matter how long they've had HIV or how healthy they are. Talk to your health care provider about any medical conditions or other medicines you are taking.

When should HIV medication be stopped?

To prevent this and stay undetectable, you must continue to take your HIV treatments daily as prescribed by your health care provider. If you do not take your HIV treatments as prescribed, you could be at risk for a weakened immune system or opportunistic infections.

How long can you take antiretroviral drugs?

A person's viral load is considered “durably undetectable” when all viral load test results are undetectable for at least six months after their first undetectable test result. This means that most people will need to be on treatment for 7 to 12 months to have a durably undetectable viral load.

What is HIV treatment?

HIV treatment (antiretroviral therapy or ART) involves taking medicine as prescribed by a health care provider. HIV treatment reduces the amount of...

When should I start HIV treatment?

Start HIV treatment as soon as possible after diagnosis. All people with HIV should take HIV treatment, no matter how long they’ve had HIV or how h...

What if I delay HIV treatment?

If you delay treatment, HIV will continue to harm your immune system. Delaying treatment will put you at higher risk for transmitting HIV to your p...

Are there different types of HIV treatment?

There are two types of HIV treatment: pills and shots. Pills are recommended for people who are just starting HIV treatment. There are many FDA-app...

What are HIV treatment shots?

HIV treatment shots are long-acting injections used to treat people with HIV. The shots are given by your health care provider and require routine...

Can I switch my HIV treatment from pills to shots?

Talk to your health care provider about changing your HIV treatment plan. Shots may be right for you if you are an adult with HIV who has an undete...

What are the benefits of taking my HIV treatment as prescribed?

HIV treatment reduces the amount of HIV in the blood (viral load). Taking your HIV medicine as prescribed will help keep your viral load low. HIV t...

Does HIV treatment cause side effects?

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

What should I do if I’m thinking about having a baby?

Let your health care provider know if you or your partner is pregnant or thinking about getting pregnant. They will determine the right type of HIV...

Can I take birth control while on HIV treatment?

You can use any method of birth control to prevent pregnancy. However, some HIV treatment may make hormone-based birth control less effective. Talk...

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 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.

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.

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 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 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 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).

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.

Diagnostic Considerations

HIV infection can be diagnosed by HIV 1/2 Ag/Ab combination immunoassays. All FDA-cleared HIV tests are highly sensitive and specific. Available serologic tests can detect all known subtypes of HIV-1. The majority also detect HIV-2 and uncommon variants of HIV-1 (e.g., group O and group N).

Acute HIV Infection

Providers serving persons at risk for STIs are in a position to diagnose HIV infection during its acute phase.

Treatment

ART should be initiated as soon as possible for all persons with HIV infection regardless of CD4+ T-cell count, both for individual health and to prevent HIV transmission ( https://clinicalinfo.hiv.gov/en/guidelines/adult-and-adolescent-arv/whats-new-guidelines external icon ).

Other HIV Management Considerations

Behavioral and psychosocial services are integral to caring for persons with HIV infection. Providers should expect persons to be distressed when first informed that they have HIV.

STI Screening of Persons with HIV Infection in HIV Care Settings

At the initial HIV care visit, providers should screen all sexually active persons for syphilis, gonorrhea, and chlamydia, and perform screening for these infections at least annually during the course of HIV care ( 425 ). Specific testing includes syphilis serology and NAAT for N. gonorrhoeae and C. trachomatis at the anatomic site of exposure.

Partner Services and Reporting

Partner notification is a key component in the evaluation of persons with HIV infection. Early diagnosis and treatment of HIV among all potentially exposed sexual and injecting drug sharing partners can improve their health and reduce new infections.

Special Considerations

All pregnant women should be tested for HIV during the first prenatal visit.

What is the best treatment for HIV?

Treatment with HIV medicines (called antiretroviral therapy or ART) is recommended for everyone with HIV. HIV medicines help people with HIV live longer, healthier lives and reduce the risk of HIV transmission.

Why is it important to start taking HIV medicine?

To reduce their viral load, it’s important for people with HIV to start taking HIV medicines as soon as possible. Starting HIV medicines right away is especially important for people with HIV who have certain conditions.

Why is it important to maintain an undetectable viral load?

People with HIV who maintain an undetectable viral load have effectively no risk of transmitting HIV to their HIV-negative partners through sex. To reduce their viral load, it’s important for people with HIV to start taking HIV medicines ...

Why should pregnant women take HIV?

AIDS-defining conditions. Pregnancy. All pregnant women with HIV should take HIV medicines to protect their health and prevent mother-to-child transmission of HIV. All pregnant women with HIV should start taking HIV medicines as soon as possible during pregnancy. In most cases, women who are already on an effective HIV regimen when they become ...

Can you get HIV while pregnant?

Women with HIV who become pregnant and are not already taking HIV medicines should start taking HIV medicines as soon as possible. The risk of mother-to-child transmission of HIV during pregnancy and childbirth is lowest when a woman with HIV has an undetectable viral load. Maintaining an undetectable viral load also helps keep ...

Does HIV medicine reduce the risk of transmission?

In addition, starting HIV medicines during early HIV infection reduces the risk of HIV transmission. AIDS-defining conditions. AIDS-defining conditions are certain infections and cancers that are life-threatening in people with HIV.

What are the revised recommendations for HIV testing?

Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health Care Settings#N#These revised recommendations provide guidance for HIV testing of adults, adolescents, and pregnant women in health care settings.

What are the guidelines and related implementation resources?

The listed guidelines and related implementation resources provide guidance about prevention strategies and services that can prevent or diagnose new HIV infections and link individuals at risk to relevant prevention, medical, and social services.

What to do if you are taking PEP?

If you are taking PEP, talk to your health care provider if you have any side effect that bothers you or that does not go away. PEP medicines may also interact with other medicines that a person is taking (called a drug interaction).

How long does it take for PEP to work?

You must start it within 72 hours (3 days) after a possible exposure to HIV, or it won’t work. Every hour counts!

Is PEP right for HIV?

PEP may be right for you if you are HIV-negative or don’t know your HIV status, and you think you may have been exposed to HIV in the last 72 hours: During sex (for example, you had a condom break with a partner of unknown HIV status or a partner with HIV who is not virally suppressed)

Can you get PEP after HIV exposure?

In addition, if you are a health care worker, you may be prescribed PEP after a possible exposure to HIV at work , such as from a needlestick injury.

Can you use PEP for HIV?

No. PEP should be used only in emergency situations. It is not intended to replace regular use of other HIV prevention methods. If you feel that you might exposed to HIV frequently, talk to your health care professional about PrEP (pre-exposure prophylaxis).

Is PEP effective for HIV?

PEP is effective in preventing HIV infection when it’s taken correctly, but it’s not 100% effective. The sooner you start PEP after a possible HIV exposure, the better. While taking PEP, it’s important to use other HIV prevention methods, such as using condoms the right way, every time you have sex and using only new, ...

Can you get PEP after a sexual assault?

If you’re prescribed PEP after a sexual assault —You may qualify for partial or total reimbursement for medicines and clinical care costs through the Office for Victims of Crime, funded by the U.S. Department of Justice (see the contact information for each state ).

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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...
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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…
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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…
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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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