Treatment FAQ

who shouldnt take hiv treatment

by Dr. Claud Bosco Published 3 years ago Updated 2 years ago
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People currently living with HIV shouldn’t take PrEP. As mentioned above, Truvada and Descovy aren’t complete HIV treatment regimens alone. If someone with HIV takes a partial (incomplete) regimen, the virus could become resistant to the medication, leading to potential health complications.

Full Answer

What is HIV treatment?

May 21, 2021 · 6 Prescription Drugs to Avoid If Taking HIV Therapy Statin Drugs. Statin drugs are used to reduce cholesterol levels and work by blocking a liver enzyme responsible for... Arrhythmia Medications. Some of the drugs used to treat an irregular heartbeat ( arrhythmia) are contraindicated for use... ...

Can I take other medicines if I have had HIV?

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. Most people can get the virus under control within six months. Taking HIV medicine does not prevent transmission of other ...

Why should you take your HIV medication every day?

Feb 24, 2020 · Treatment as prevention (TasP) refers to taking HIV medication to prevent the sexual transmission of HIV. It is one of the highly effective options for preventing HIV transmission. 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 …

How can I prevent transmission of HIV?

Apr 15, 2022 · HIV treatment involves taking highly effective medicines called antiretroviral therapy (ART) that work to control the virus. ART is recommended for everyone with HIV, and people with HIV should start ART as soon as possible after diagnosis, even on that same day. People on ART take a combination of HIV medicines called an HIV treatment regimen.

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Can a HIV negative person take antiretroviral drugs?

“When a HIV-positive person is given ARVs, it boosts their immunity, but when a HIV-negative person takes them, it just undermines their immunity and interferes with their body organs.”Jul 5, 2020

Are there any side effects of HIV treatment?

Side effects from HIV medicines may last only a few days or weeks. For example, nausea, fatigue, and trouble sleeping are some short-term side effects of HIV medicines. Other side effects from some HIV medicines can lead to problems that may not appear for months or years after starting a medicine.

Does HIV treatment work for everyone?

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.

Why should patients with HIV who are taking antiretroviral therapy be advised to avoid taking a proton pump inhibitor?

A new study demonstrates that long-term use of PPIs may be particularly dangerous for patients who have HIV. HIV damages the intestinal mucosa, causing permeability. This permeability allows bacteria to escape from the gut and migrate to other organs, leading to increased inflammation.Aug 24, 2017

Can ARV cause your face to be dark?

This is a skin condition in which the skin reacts to exposure to the sun by turning darker in color. It's most common in people of color, but anyone with HIV is susceptible to photodermatitis. If you're taking medications to improve immune strength, you may have this reaction as a side effect.

Can I take Volutrip in the morning?

Volutrip can be taken at any time of day, so yes, if the mornings work for you, you can take them then.Jan 20, 2021

What are the two most common adverse effects of antiretroviral drugs?

Antiretroviral HIV Drugs: Side Effects and AdherenceManaging side effects.Appetite loss.Lipodystrophy.Diarrhea.Fatigue.High cholesterol.Mood changes.Nausea and vomiting.More items...

Can I take omeprazole with ARV?

If you take ART with darunavir combined with ritonavir, these drugs may interfere with omeprazole such that this PPI might not work for you. The same is true for tipranavir, which you should not take with omeprazole.Mar 5, 2022

Can I take multivitamins with ARVs?

For patients who require ARVs, multivitamin supplementation may serve as an adjunctive therapy to potentially enhance quality of life. In addition, reducing the risk of depression and improving quality of life among HIV-positive patients may positively impact utilization of ARVs.

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...

How does treatment help prevent HIV?

Having an undetectable viral load may also help prevent transmission from injection drug use.

Why is it important to take HIV medication?

Taking HIV medication consistently, as prescribed, helps prevent drug resistance. Drug resistance develops when people with HIV are inconsistent with taking their HIV medication as prescribed. The virus can change (mutate) and will no longer respond to certain HIV medication. If you develop drug resistance, it will limit your options ...

What does it mean when your HIV is suppressed?

Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood. HIV medicine can make the viral load so low that a test can’t detect it (called an undetectable viral load ). If your viral load goes down after starting HIV treatment, that means treatment is working.

What is the amount of HIV in the blood called?

The amount of HIV in the blood is called viral load . Taking your HIV medicine as prescribed will help keep your viral load low and your CD4 cell count high. HIV medicine can make the viral load very low (called viral suppression ). Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood.

What happens if you skip your medication?

If you skip your medications, even now and then, you are giving HIV the chance to multiply rapidly. This could weaken your immune system, and you could become sick. Getting and keeping an undetectable viral load (or staying virally suppressed) is the best way to stay healthy and protect others.

How long does it take for a mother to give her baby HIV?

If a mother with HIV takes HIV medicine as prescribed throughout pregnancy, labor, and delivery and gives HIV medicine to her baby for 4 to 6 weeks after birth, the risk of transmitting HIV to her baby can be 1% or less.

How long does it take to get rid of HIV?

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 ...

Who is the co-author of the study on HIV?

In a related article, Christy Newman , one of the co-authors of the study, comments that with the increasing focus on the benefits of HIV treatment, there are fewer opportunities for people with HIV to express their fears or concerns.

Do people with HIV feel under pressure?

People not taking HIV treatment feel under pressure to ‘do the right thing’. Australian people living with HIV who have chosen not to take antiretrovirals and who have doubts about HIV medicine report feeling excluded and silenced within HIV organisations and communities, according to a qualitative study published online ahead ...

Is pharmaceutical citizenship related to HIV?

To give an example of pharmaceutical citizenship related to HIV, a previous study showed how an awareness of the impact of HIV treatment on prevention was helpful for couples in which one person has HIV and the other does not.

Do interviewees deny the benefits of antiretrovirals?

In general, the interviewees did not deny the benefits of antiretrovirals, but did not yet feel ready to make a commitment to start a lifelong regimen of medication. They were aware that good adherence is vital but may be challenging, and also of the potential of all prescribed medications to do harm as well as good.

Does HIV treatment reduce infectiousness?

Almost all interviewees were aware of the evidence that HIV treatment reduces the infectiousness of people living with HIV and of the increasing policy emphasis on increasing the uptake of HIV treatment for this reason.

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, ...

How to stay healthy with HIV?

Getting and keeping an undetectable viral load is the best thing you can do to stay healthy. Helps protect your partners. If you take HIV medication every day, exactly as prescribed and get and keep an undetectable viral load, you have effectively no risk of transmitting HIV to an HIV-negative partner through sex.

Why is it important to take HIV medication?

Taking your HIV medication daily is also important because skipping doses makes it easier for HIV to change form, causing your medication to stop working. This is called drug resistance. HIV can become resistant to your medication and to similar medications that you have not yet taken.

What is it called when HIV is low?

Allows the HIV medication to reduce the amount of HIV in your body (also called the viral load) to a very low level. This is called viral suppression. If the viral load is so low that it doesn’t show up in a standard lab test, this is called having an undetectable viral load.

How does HIV medication work?

Taking your HIV medication daily as prescribed provides many benefits. Among them, it: 1 Allows the HIV medication to reduce the amount of HIV in your body (also called the viral load) to a very low level. This is called viral suppression. If the viral load is so low that it doesn’t show up in a standard lab test, this is called having an undetectable viral load. Getting and keeping an undetectable viral load is the best thing you can do to stay healthy. 2 Helps protect your partners. If you take HIV medication every day, exactly as prescribed and get and keep an undetectable viral load, you have effectively no risk of transmitting HIV to an HIV-negative partner through sex. This is called Treatment as Prevention

What to do if you miss a lot of medication?

If you find you miss a lot of doses, talk to your health care provider or pharmacist about ways to help you remember your medicines. You and your health care provider may even decide to change your treatment regimen to fit your health care needs and life situation, which may change over time.

Does ART reduce viral load?

Yes, antiretroviral therapy (ART) reduces your viral load, ideally to an undetectable level. If your viral load goes down after starting ART, then the treatment is working, and you should continue to take your medicine as prescribed.

Can you get sick from taking HIV medication?

Taking your HIV medication every day, exactly the way your health care provider tells you to will help keep your viral load low and your CD4 cell count high. If you skip doses, even now and then, you are giving HIV the chance to multiply rapidly. This could weaken your immune system, and you could become sick.

What is the immune system's response to HIV?

In this population, HIV control is favoured by an unusual response of the immune system. This may include the presence of specific molecules called human leucocyte antigens (HLA) which rest on the surface of cells, in order for the immune system to identify them as the body’s own and not attack them.

What causes an increase in viral load?

Loss of viral control: the loss of the immune system’s control of HIV, due to reduced function of CD4 cells, CD8 cells and macrophages, can lead to an increase in viral load on two or more tests.

What is the loss of CD4 cells?

Also, the loss of CD4 cells has been linked to viral blips and low-level viral replication. Persistent, excessive immune activation. This is associated with poor outcomes in people living with HIV, such as the loss of CD4 cells, even when viral load is repeatedly undetectable.

Can HIV be transmitted through ART?

Although no HIV transmissions from an HIV controller has ever been reported, an HIV controller might feel more comfortable using ART as a ‘treatment as prevention’ tool . A decline in the CD4 cell count. Especially when starting from an already low level, this is not uncommon among controllers and may raise concerns.

Does HIV have a CD4 decrease?

As a matter of fact, these patients did not show CD4 decreases or disease progression, and for most, in the first years of being HIV-positive, had had lower HIV-RNA and DNA loads than patients presenting loss of control. In addition, further HIV-DNA load decreases have been observed in some controllers.

Can HIV be controlled with ART?

In people living with HIV, most co-morbidities develop due to chronic HIV inflammation, which can be controlled with ART. However, it is not clear if controllers are at greater risk for co-morbidities than HIV-positive people on ART, or than HIV-negative people. Importantly, all these situations are often inter-related.

Should HIV controllers be considered before starting ART?

As there are specific issues for HIV controllers, a number of factors should be carefully considered before starting ART. Based on scientific evidence, this page should help you broaden your understanding of the pros and cons of starting ART if you are an HIV controller.

What is PrEP?

Simply put, PrEP allows people who don’t have HIV to take medication to prevent getting an HIV infection. These medications include Truvada (emtricitabine/tenofovir disoproxil fumarate) and Descovy (emtricitabine/tenofovir alafenamide).

How do Truvada and Descovy compare for PrEP?

Truvada and Descovy both contain emtricitabine and tenofovir, and both are FDA-approved for PrEP. The two medications are very similar to each other, yet there are subtle differences.

The bottom line

Truvada and Descovy are both effective options for PrEP. Truvada was the first FDA-approved PrEP medication, and there’s been a lot of research on its use. You can find it as a brand or generic medication.

Why don't people with HIV get enough nutrients?

People living with HIV who do not to get enough micronutrients may not get them for a number of reasons: because of HIV infection itself, changes in metabolism, poor appetite, diarrhea, poor absorption of nutrients, or HIV-related conditions such as HIV wasting and AIDS.

What is the best food for HIV?

Fruit group -- Any fresh fruit is a good choice. Vegetable group -- Fresh and frozen vegetables are the best. Dairy group -- Try to choose one percent or skim (non-fat) milk, low-fat yogurt and cottage cheese, and small amount of cheeses. For more information, see our fact sheet on Nutrition and HIV.

What are the micronutrients that are low in people with HIV?

Micronutrients that are often low in people living with HIV include vitamin A, vitamin D, vitamin E, selenium, zinc, and B complex vitamins (B1, Thiamine; B2, Riboflavin; B3, niacin; B6, Pyridoxine; B12, Cobolamin; and B9, folic acid). Some research shows these low vitamin levels can lead to lower CD4 cell counts and worsening of HIV.

Why do people with HIV need micronutrients?

While some people get the nutrients they need through a healthy, balanced diet, many people living with HIV (HIV+) need more micronutrients to help heal cells damaged by the virus and support the immune system . Several studies have shown that taking micronutrient supplements can help keep people living with HIV healthier longer.

What happens when you take vitamin C?

Side effects from water-soluble vitamins are less common, but can occur. For example, large doses of vitamin C can cause nausea, stomach cramps , and diarrhea.

Why is it important to eat a balanced diet?

Eating a well-balanced diet should be the basis of any plan to correct micronutrient deficiencies. Since different vitamins and minerals are found in different food groups, it is important to include foods from each group in your diet every day. (Read more about food groups at the USDA's " Choose My Plate " website.)

How do humans get vitamin D?

Humans make vitamin D by being outdoors and exposing our skin to the sun. Many people are low in vitamin D, which is important for absorbing and using calcium. It is important to have your vitamin D level checked and to ask your provider for the correct amount of vitamin D to take if your level is low.

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Antiretrovirals Making HIV Feel More Real

  • Generally, the interviewees were well-informed about recentdevelopments in HIV medicine and could not be portrayed as being‘anti-medicine’ or as ‘denialists’. Most were engaged with medical care andmaintained constructive relationships with their doctors, some of whom agreedwith their patients that starting HIV treatment was not necessarily anoverriding priority at that point in tim…
See more on aidsmap.com

Marginalisation and Silence

  • Almost all interviewees were aware of the evidence that HIVtreatment reduces the infectiousness of people living with HIV and of theincreasing policy emphasis on increasing the uptake of HIV treatment for thisreason. Indeed, participants described pressure from people aroundthem to ‘do the right thing’ for the sake of the wider community, a call thatbrought about ambivalence and re…
See more on aidsmap.com

Maintaining A Dialogue

  • In a related article, Christy Newman, one of the co-authorsof the study, comments that with the increasing focus on the benefits of HIVtreatment, there are fewer opportunities for people with HIV to express theirfears or concerns. “This opensup important questions about how government and advocacy organizations can keepconversations about treatment use open and supportive, r…
See more on aidsmap.com

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