Treatment FAQ

why wait to start hiv treatment

by Mrs. Natalie Braun Published 3 years ago Updated 2 years ago
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There are very few reasons to wait, because HIV treatment is very good for your immune system. In fact, U.S. guidelines recommend that people start HIV treatment immediately—including the same day a person is diagnosed, if possible.

During early HIV infection, a person's viral load is often very high. Studies suggest that even at this early stage of HIV infection, HIV medicines can begin to protect a person's health. In addition, starting HIV medicines during early HIV infection reduces the risk of HIV transmission.Aug 16, 2021

Full Answer

Is now the right time to start treatment for HIV?

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. Continue to take your medicine as prescribed. If you skip your medications, even now and then, you are giving HIV the chance to multiply rapidly.

What are 5 Reasons to start HIV treatment ASAP?

Aug 16, 2021 · 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 .

Why is it important to take HIV medication right away?

Feb 14, 2017 · For whatever reason – fear, denial, hopelessness, lack of insurance, etc. – they may not come back for treatment for months or years. “If we start people on treatment immediately and maintain contact with them, it is more likely that they will continue taking their medication every day and stay healthy,” Dr. Thaqi says.

Why start antiretroviral therapy early in HIV-infected people?

Other research has shown that with HIV treatment, many people living with HIV can have a relatively normal lifespan. If your CD4 cell count is below 200, it is especially important that you begin HIV treatment as soon as possible. The lower your CD4 cell count, the greater the risk of infections and HIV making you ill.

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What happens if people with HIV get treatment early?

Early antiretroviral treatment lowered the risk of serious AIDS-related events by 72%. Early treatment also lessened the risk of serious non-AIDS events by 39%.Aug 10, 2015

What happens if you don't treat HIV right away?

When HIV isn't treated, it can become AIDS. This stands for “acquired immunodeficiency syndrome.” It's the third and most advanced stage of HIV infection. People who have AIDS either were never diagnosed with HIV or didn't get treatment early enough to keep the infection from getting worse.Apr 19, 2021

Can HIV be treated before 72 hours?

PEP (post-exposure prophylaxis) means taking medicine to prevent HIV after a possible exposure. PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV.

Can you start HIV treatment late?

Highly active antiretroviral therapy has been available since 1996. Early initiation of antiretroviral therapy (ART) leads to improved therapeutic response and reduced HIV transmission. However, a significant number of people living with HIV (PLHIV) still start treatment late.

When is PEP not recommended?

PEP is not recommended when care is sought >72 hours after exposure. What Is PEP? National Guidelines published by the Centers for Disease Control and Prevention (CDC) in 2005 were updated in April of 2016.

What causes PEP to fail?

PEP failure, when it occurs, is usually attributed to delayed initiation, transmitted drug resistance, or suboptimal medication adherence.Oct 23, 2013

Does PrEP work after 72 hours?

You must start it within 72 hours (3 days) after a possible exposure to HIV, or it won't work. Every hour counts! PEP should be used only in emergency situations. It is not meant for regular use by people who may be exposed to HIV frequently.Apr 28, 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...

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 ...

How does HIV treatment work?

It is better for your health to begin HIV treatment sooner, rather than later. Anti-HIV drugs work by lowering the amount of HIV in the blood ( viral load ). The aim of HIV treatment is an undetectable viral load. This means that the amount of HIV in a blood sample is so low that it cannot be detected using a standard test.

When is the next review date for HIV?

Next review date. This page was last reviewed in July 2019. It is due for review in July 2022.

What are the different classes of anti-HIV drugs?

The main classes of anti-HIV drug are nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), boosted protease inhibitors and integrase inhibitors.

Why is it important to have a low CD4 count?

The lower your CD4 cell count, the greater the risk of infections and HIV making you ill. Similarly, if you have caught HIV very recently – within the past three months – your doctor is likely to encourage you to start treatment without delay. This is because some people can become seriously ill soon after infection.

What does it mean when you have an undetectable viral load?

Having an undetectable viral load means that there is not enough HIV in your body fluids to pass HIV on during sex. In other words, you are not infectious. "The sooner you start to take HIV treatment, the sooner you can benefit from it.".

Is HIV treatment better than waiting?

While people sometimes worry about the side-effects of anti-HIV drugs, the study also showed that people who began HIV treatment earlier had a better quality of life than people who waited. Another important benefit of starting treatment is that it usually suppresses the amount of HIV in your body fluids to an ‘undetectable’ level.

Is it better to start HIV treatment sooner or later?

It’s better to start HIV treatment sooner, rather than later . Treatment will reduce the risk of HIV transmission, prevent illnesses and extend your life. A range of different antiretroviral drugs are available. Everyone who has diagnosed HIV is recommended to take HIV treatment.

When is it better to take HIV meds?

The longer answer is: The earlier, the better—because the less time there is between when you become HIV positive and when you begin taking HIV meds, the better off your health will be in the long run.

What are the benefits of HIV?

Research has shown that today’s HIV medications are extremely good at: 1 Stopping HIV from multiplying inside a person’s body. 2 Making it impossible to transmit HIV to sexual partners. 3 Preventing HIV from ever developing into AIDS. 4 Lowering the risk of other long-term health issues that HIV can cause, including cancer and heart problems.

How many CD4 cells are needed to fight off infections?

A healthy CD4 count can be anywhere between 450 and 1,100. But in people who are living with HIV and not taking HIV meds, CD4 count will often begin to drop after a few years.

What are the long term health issues that HIV can cause?

Lowering the risk of other long-term health issues that HIV can cause, including cancer and heart problems . We've got you covered on the most important info regarding HIV medications, finding mental/social support, working with a health care team, using natural/complementary therapies, and the search for an HIV cure.

What happens if your CD4 is below 200?

If a person’s CD4 count falls below 200, they’re diagnosed with AIDS. That’s because research has shown that people with a low CD4 count are much more likely to get sick, and potentially die, from a whole host of infections and diseases that a healthy immune system would normally be able to fight off on its own.

Does HIV treatment work for everyone?

HIV treatment doesn't work exactly the same way for everyone, and the way your body responds to meds may differ from others. The more you understand about the possibilities, the more you'll be prepared to handle them. So use those resources. Educate yourself.

Is HIV treatment good?

So the bottom line is: Starting HIV treatment is a very good thing, but if for whatever reason you begin treatment very late in the course of your infection, you can still improve and recover your health.

How does HIV treatment work?

The advantages of taking HIV treatment: 1 Once your viral load is undetectable, you cannot pass on HIV to partners. (It might take up to six months on treatment to become undetectable.) 2 You may have less illness, if HIV has been making you ill. 3 The treatment will stop HIV from reproducing in your body. 4 Your immune system will get stronger.

What happens if you don't get HIV?

If you're not on effective HIV treatment, the virus can attack and weaken your immune system (the body’s natural defense against infections). Over time, when HIV has done a lot of damage to your immune system, you're likely to become vulnerable to infections that you would otherwise have been able to fight off.

How much does HIV treatment reduce the risk of death?

If you have HIV, the sooner you start treatment, the better it is for your health. The START trial found that there was a 53% reduction in the risk of death or serious illness if treatment was started when the CD4 count (a measure of the strength of your immune system) was still above 500.

How long does HIV last?

The damage that HIV causes happens slowly, often over a number of years. Treatment protects you. A person with HIV who is taking treatment and has an undetectable viral load cannot pass on HIV and can expect to live a normal lifespan.

Does HIV cause inflammation?

HIV also causes inflammation in various parts of the body. This can increase the risk of a number of illnesses: cardiovascular disease (for example, heart attack and stroke), kidney or liver problems and some cancers. The damage that HIV causes happens slowly, often over a number of years. Treatment protects you.

Can you pass HIV if you are on treatment?

It’s common for people to feel apprehensive about taking treatment but all you need to remember is that: It will enable you to live a normal lifespan. When you're on effective treatment (meaning you have been taking it as prescribed for at least six months and are undetectable) you won't be able to pass on HIV.

Can you take a few days off work for HIV?

It can also put you in an uncomfortable position if your co-workers don’t know about your HIV status. Ask your doctor if the treatment prescribed to you is likely to cause side effects. Just to be safe, take a few days off work as you begin your treatment.

How does early antiretroviral treatment affect AIDS?

Early antiretroviral treatment lowered the risk of serious AIDS-related events by 72%. Early treatment also lessened the risk of serious non-AIDS events by 39%. A limitation of the study, the researchers note, is that the participants were fairly young, with a median age of 36 years. In addition, they were only followed for 3 years, ...

How is AIDS treated?

AIDS is treated with antiretroviral drugs. These drugs suppress HIV but don’t completely eliminate the virus from the body. Guidelines for when to start treatment differ around the world because the evidence for using antiretroviral drugs when CD4+ counts are higher wasn’t definitive.

What type of cell is targeted by HIV?

Illustration of a white blood cell—the type of cell targeted by HIV Petersimoncik/iStock/Thinkstock. AIDS is caused by HIV, a retrovirus that attacks the immune system. The virus destroys CD4+ T cells, a type of white blood cell that’s vital to fighting off infection.

What is the CD4+ count?

The number of these cells, known as a CD4+ count, is a key measure of immune system health. After people get infected with HIV, their immune system becomes progressively weaker from the HIV infection, their CD4+ count drops, and eventually they develop AIDS. AIDS is treated with antiretroviral drugs. These drugs suppress HIV but don’t completely ...

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